The World Trade Center Health Registry provides a unique opportunity to examine long-term health effects of large-scale disaster.To risk factors for new asthma diagnoses and event-related posttraumatic stress (PTS) symptoms among exposed adults 5 6 years following exposure the September 11, 2001, (WTC) terrorist attack.Longitudinal cohort study with wave 1 (W1) enrollment 71,437 in 2003-2004, including rescue/recovery worker, lower Manhattan resident, office passersby eligibility groups;...

To date, health effects of exposure to the September 11, 2001 disaster in New York City have been studied specific groups, but no studies estimated its impact across different exposed populations. This report provides an overview World Trade Center Health Registry (WTCHR) enrollees, their exposures, and respiratory mental outcomes 2–3 years post-9/11. Results are extrapolated universe people eligible enroll WTCHR determine magnitude impact. Building occupants, persons on street or transit...

The relative contribution of walking to overall leisure-time physical activity participation rates was studied among respondents from the 45 states that participated in 1990 Behavioral Risk Factor Surveillance System (n = 81,557). percentages low income, unemployed, and obese persons who engaged (range 51.1% 57.7%) were substantially lower than percentage total adult population (70.3%). In contrast, prevalence for exercise these sedentary groups 32.5% 35.9%) similar (35.6%). Walking appears...

Abstract Manhattan residents living near the World Trade Center may have been particularly vulnerable to posttraumatic stress disorder (PTSD) after September 11, 2001 (9/11) terrorist attacks. In 2003–2004, authors administered PTSD Checklist 11,037 adults who lived south of Canal Street in New York City on 9/11. The prevalence probable was 12.6% and associated with older age, female gender, Hispanic ethnicity, low education income, divorce. Injury, witnessing horror, dust cloud exposure...

Although the September 11, 2001, terrorist attacks were largest human-made disaster in US history, there is little extant research documenting attacks' consequences among those most directly affected, that is, persons who World Trade Center towers. Data from a cross-sectional survey conducted 2–3 years after ascertained prevalence of long-term, disaster-related posttraumatic stress symptoms and probable disorder (PTSD) 3,271 civilians evacuated towers 1 2. Overall, 95.6% survivors reported...

<h3>Context</h3>The terrorist attacks of September 11, 2001, resulted in the release known and suspected carcinogens into environment. There is public concern that exposures may have increased cancers.<h3>Objective</h3>To evaluate cancer incidence among persons enrolled World Trade Center Health Registry.<h3>Design, Setting, Participants</h3>Observational study 55 778 New York State residents Registry 2003-2004, including rescue/recovery workers (n = 21 850) those not involved 33 928), who...

Asthma, gastroesophageal reflux disease (GERD), posttraumatic stress disorder (PTSD) and depression have each been linked to exposure the September 11, 2001 World Trade Center (WTC) terrorist attacks (9/11). We described prevalence patterns of these conditions associated health-related quality life (HRQOL) fifteen years after attacks. studied 36,897 participants in WTC Health Registry, a cohort exposed rescue/recovery workers community members, who completed baseline (2003–2004) follow-up...

Survivors of collapsed or damaged buildings from the attack on World Trade Center (WTC) were among those most exposed to injury hazards, air pollution, and traumatic events.This report summarizes data health outcomes collected during interviews conducted September 5, 2003, close Health Registry (WTCHR) enrollment November 20, 2004.WTCHR will be used monitor periodically mental physical 71,437 enrollees for 20 years. The analysis is limited 8,418 adult survivors (n = 5,095) with major...

BackgroundStudies have consistently documented declines in respiratory health after 11 September 2001 (9/11) among surviving first responders and other World Trade Center (WTC) rescue, recovery, clean-up workers.ObjectivesThe goal of this study was to describe the risk newly diagnosed asthma WTC site workers volunteers characterize its association with exposures.MethodsWe analyzed 2003–2004 interview data from Health Registry for who did not before 9/11 (n = 25,748), estimating associations...

Abstract Data from the 1978–1980 National Health Interview Survey smoking questionnaire were used to analyze prevalence and levels of cigarette among groups US workers. This information is valuable for indirect adjustment in occupational epidemiology studies as well describing patterns workers a wide range job settings. Although there was higher percentage current smokers men than women general population, few differences specific occupations. Also, race employment status had an influence on...

There is little current information about the unmet mental health care need (UMHCN) and reasons for it among those exposed to World Trade Center (WTC) terrorist attacks. The purpose of this study was assess level UMHCN symptomatic individuals enrolled in WTC Health Registry (WTCHR) 2011–2012, analyze relationship between due attitudinal, cost, access factors symptom severity, utilization, insurance availability, social support. WTCHR a prospective cohort with reported exposure 2001 This used...

Excess gastroesophageal reflux disease (GERD) was reported in several populations exposed to the September 11 2001 (9/11) terrorist attacks on World Trade Center (WTC). We examined new onset symptoms (GERS) since 9/11 and persisting up 5-6 years relation 9/11-related exposures among WTC Health Registry enrollees, potential associations with comorbid asthma posttraumatic stress disorder (PTSD).This is a retrospective analysis of 37,118 adult enrollees (i.e., rescue/recovery workers, local...

Background A cohort study found that 9/11‐related environmental exposures and posttraumatic stress disorder increased self‐reported cardiovascular disease risk. We attempted to replicate these findings using objectively defined hospitalizations in the same cohort. Methods Results Data for adult World Trade Center Health Registry enrollees residing New York State on enrollment no history (n=46 346) were linked a hospital discharge–reporting system. Follow‐up began at (2003–2004) ended first...

Many studies report elevated prevalence of posttraumatic stress disorder (PTSD) and depression among persons exposed to the September 11, 2001 (9/11) disaster compared those unexposed; few have evaluated long‐term PTSD with comorbid depression. We examined risk factors for probable PTSD, depression, both conditions 10–11 years post‐9/11 29,486 World Trade Center Health Registry enrollees who completed surveys at Wave 1 (2003–2004), 2 (2006–2007), 3 (2011–2012). Enrollees reporting physician...

Achieving adequate response rates is an ongoing challenge for longitudinal studies. The World Trade Center Health Registry a health study that periodically surveys cohort of ~71,000 people exposed to the 9/11 terrorist attacks in New York City. Since Wave 1, has conducted three follow-up (Waves 2-4) every 3-4 years and utilized various strategies increase survey participation. A promised monetary incentive was offered first time non-respondents recent 4 survey, 13-14 after 9/11.We evaluated...

To explore the temporal relationship between 9/11-related posttraumatic stress disorder (PTSD) and new-onset diabetes in World Trade Center (WTC) survivors up to 11 years after attack 2001. Three waves of surveys (conducted from 2003 2012) WTC Health Registry cohort collected data on physical mental health status, sociodemographic characteristics, exposures. Diabetes was defined as self-reported, physician-diagnosed reported enrollment. After excluding prevalent cases, there were 36,899...

Major public health resources are devoted to the prevention of sexually transmitted diseases (STDs) through STD clinics. However, little is known about where people actually receive treatment for STDs.As part National Health and Social Life Survey, household interviews were performed from February September 1992 with 3,432 persons aged 18-59. Weighted population estimates multinomial response methods used describe prevalence self-reported STDs patterns utilization by who ever had a bacterial...

Abstract The World Trade Center Health Registry (WTCHR) is a database for following people who were exposed to the disaster of 11 September 2001. Hundreds thousands immense cloud dust and debris, indoor dust, fumes from persistent fires, mental trauma terrorist attacks on WTC 9/11. purpose WTCHR evaluate potential short‐ long‐term physical health effects disaster. definitions groups are broad defined based an understanding which had highest exposures its aftermath. four exposure include...

Abstract The longitudinal course of posttraumatic stress disorder (PTSD) over 8–9 years was examined among 16,488 rescue and recovery workers who responded to the events September 11, 2001 (9/11) at World Trade Center (WTC; New York, NY), were enrolled in Health Registry. Latent class growth analysis identified 5 groups with similar score trajectories 3 administrations PTSD Checklist (PCL): low‐stable (53.3%), moderate‐ stable (28.7%), moderate‐increasing (6.4%), high‐decreasing (7.7%),...

Traumatic exposure during a hurricane is associated with adverse mental health conditions post-event. The World Trade Center Health Registry provided sampling pool for rapid survey of persons directly affected by Hurricane Sandy in the New York City (NYC) metropolitan area late October 2012. This study evaluated relationship between experiences and Sandy-related posttraumatic stress disorder (PTSD) among individuals previously exposed to September 11, 2001 (9/11) disaster.

Background Cancer incidence in exposed rescue/recovery workers (RRWs) and civilians (non‐RRWs) was previously reported through 2008. Methods We studied occurrence of first primary cancer among World Trade Center Health Registry enrollees 2011 using adjusted standardized ratios (SIRs), the WTC‐exposure‐cancer association, Cox proportional hazards models. Results All‐cancer SIR 1.11 (95% confidence interval (CI) 1.03–1.20) RRWs, 1.08 CI 1.02–1.15) non‐RRWs. Prostate skin melanoma were...

To identify key factors associated with poor asthma control among adults in the World Trade Center (WTC) Health Registry, a longitudinal study of rescue/recovery workers and community members who were directly exposed to 2001 WTC terrorist attacks their aftermath.We studied incident diagnosed by physician from 12 September through 31 December 2003 participants aged ≥18 on 11 2001, as reported an enrollment (2003-2004) or follow-up questionnaire. Based modified National Asthma Education...

Abstract Group‐based trajectory modeling was used to explore empirical trajectories of symptoms posttraumatic stress disorder (PTSD) among 17,062 adult area residents/workers (nonrescue/recovery workers) enrolled in the World Trade Center (WTC) Health Registry using 3 administrations PTSD Checklist (PCL) over 9 years observation. Six described time: low‐stable (48.9%), moderate‐stable (28.3%), moderate‐increasing (8.2%), high‐stable (6.0%), high‐decreasing (6.6 %), and very (2.0%). To...