WTC-Work Study: World Trade Center Non-Traditional Responders' Employment and Mental Health

世贸中心非传统应答者就业与心理健康：项目综述 世界贸易中心(WTC)的救援人员在数月的救援中观察到了创伤性破坏和生命损失 和恢复工作。在这项研究中，我们将重点关注WTC非传统应答器(NTR)，如建筑、 电气、运输工人，他们的心理健康水平一直居高不下 9/11事件后20年的诊断。有收入的就业和工作条件的质量是 健康和幸福的重要社会决定因素，可以影响心理健康、健康行为和 生活方式医学因素。工作场所为针对心理健康、福祉、 通过改善工作条件和确保工作场所政策、计划和 练习促进健康。然而，很少有研究把重点放在工作在 支持(或阻碍)WTC NTR心理健康、健康行为和生活方式医学因素。这 拟议的研究将利用从WTC General Responder收集的严格的纵向数据 一群人。这些数据还将为收集新数据和寻求新的调查领域提供基础。 这项研究的目标是确定不同的就业概况、工作条件和工会以及 雇主的政策、计划和做法影响了WTC NTR的心理健康、工人的福祉和 9/11事件后20年的健康和生活方式行为。我们将使用来自General Responder队列的数据 并将这些数据与从WTC NTR收集的新调查数据联系起来，这些人目前正在工作。具体来说，我们 目的：1)确定WTC-NTR就业概况与其心理健康的关系； 健康行为和生活方式医学因素；以及2)在目前受雇的WTC NTR中，确定工作 支持(或损害)心理健康、与工作相关的福利的条件、政策和做法， 健康的行为，以及其他生活方式因素。我们将考虑生活方式医学六大支柱中的四大支柱： 避免药物滥用、睡眠卫生、社会联系、压力管理和积极 心理学。具体地说，我们将重点关注NTR就业概况和工作条件，以及 当前的组织(雇主和工会)政策、计划和做法对这些方面具有连锁效应 生活方式医学的支柱。在这项研究完成后，我们预计将确定以下程度 就业和支持性的工作条件促进了应答者的心理健康和健康行为。这个 我们在WTC、NTR、心理健康和就业之间的关系上产生的新知识可以 作为未来流行病学和干预研究的基础。我们的研究结果也可能会告诉我们 建议工作场所的政策、计划和做法，以改善WTC的健康和福祉 正常贸易关系。研究结果的影响有可能延伸到WTC NTR之外，延伸到传统的响应人员 以及当前和未来创伤性事件的响应者。

World Trade Center Non-Traditional Responders' Employment and Mental Health: Project Summary World Trade Center (WTC) responders observed traumatic destruction and loss of life during months of rescue and recovery work. In this study, we will focus on WTC non-traditional responders (NTR), such as construction, electrical, and transportation workers, who have experienced persistently high rates of mental health diagnoses in the two decades since 9/11. Gainful employment and the quality of one's working conditions are important social determinants of health and well-being that can impact mental health, health behaviors, and lifestyle medicine factors. Workplaces offer ideal settings for interventions that target mental health, well-being, and health behaviors by improving the conditions of work, and ensuring that workplace policies, programs, and practices promote health. However, little research has focused on the important role that work has in supporting (or hindering) WTC NTR mental health, health behaviors, and lifestyle medicine factors. This proposed study will take advantage of rigorous longitudinal data collected from the WTC General Responder Cohort. These data will also provide a foundation for collecting new data and pursuing new areas of inquiry. The objective of this study is to identify how different employment profiles, working conditions, and union and employer policies, programs, and practices have affected WTC NTR mental health, worker well-being, and health and lifestyle behaviors in the 20 years since 9/11. We will use data from the General Responder Cohort and link these data to new survey data collected from WTC NTR who are currently working. Specifically, we aim to: 1) Determine the relationships between employment profiles of WTC NTR and their mental health, health behaviors, and lifestyle medicine factors; and 2) Among currently employed WTC NTR, identify working conditions, policies, and practices that are supportive of (or harmful to) mental health, work-related well-being, healthy behaviors, and other lifestyle factors. We will consider four of the six pillars of lifestyle medicine: avoidance of substance misuse, sleep hygiene, social connectedness, and stress management and positive psychology. Specifically, we will focus on how NTR employment profiles and working conditions, as well as current organizational (employer and union) policies, programs, and practices, have cascading effects on these pillars of lifestyle medicine. At the completion of this study, we expect to determine the extent to which employment and supportive working conditions promote responders' mental health and health behaviors. The new knowledge we generate on the relationships between WTC NTR mental health and employment can be used as the foundation for future epidemiologic and intervention research. Our study results may also inform recommendations for workplace policies, programs, and practices to improve the health and well-being of WTC NTR. The impact of the study findings has the potential to extend beyond WTC NTR, to traditional responders as well as responders of current and future traumatic events.