Julia M Whealin1, Dianne Ciro2, Christopher R Dasaro3, Iris G Udasin4, Michael Crane3, Jacqueline M Moline5, Denise J Harrison6, Benjamin J Luft7, Andrew C Todd3, Adriana Feder8, Robert H Pietrzak9. 1. VA Pacific Islands Health Care Center. 2. School of Social Work. 3. Department of Environmental Medicine and Public Health. 4. Environmental and Occupational Health Sciences Institute (EOHSI) Clinical Center. 5. Department of Occupational Medicine, Epidemiology and Prevention. 6. Department of Medicine and Environmental Medicine. 7. Department of Medicine. 8. Department of Psychiatry. 9. U.S. Department of Veterans Affairs National Center for Posttraumatic Stress Disorder.
Abstract
OBJECTIVE: This study evaluated race/ethnic differences in the prevalence and correlates of World Trade Center (WTC) related posttraumatic stress disorder (PTSD) in WTC responders. METHOD: Data were analyzed from a population-based, health monitoring cohort of 15,440 nontraditional (i.e., construction workers) and 13,403 police WTC responders. RESULTS: Among nontraditional responders, the prevalence of WTC-related PTSD was highest in Latino/a (40.4%) versus Black (27.3%) and White (26.5%) responders; among police responders, Latino/a (10.4%) responders also had higher prevalence of PTSD relative to Black (9.8%) and White (8.7%) responders. However, multivariable analyses revealed that prior psychiatric diagnosis, greater severity of WTC-related exposures, post-9/11 stressful life events, (in police responders only) older age, and (in nontraditional responders only) lower income and education levels accounted for substantially higher prevalence of WTC-related PTSD across ethnic/racial groups. Additionally, among nontraditional responders, subgroups with added risk included responders who were: Latino/a or White had high post-911 stressful events; Latino/a or Black and had pre-9/11 psychiatric history; and Latinas. Among police responders, subgroups with added risk were Latino/a or Black police with a low annual income. CONCLUSIONS: Collectively, results of this study underscore the burden of differential vulnerability that can contribute to higher prevalence of PTSD in certain cultural subgroups following large magnitude traumatic events. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
OBJECTIVE: This study evaluated race/ethnic differences in the prevalence and correlates of World Trade Center (WTC) related posttraumatic stress disorder (PTSD) in WTC responders. METHOD: Data were analyzed from a population-based, health monitoring cohort of 15,440 nontraditional (i.e., construction workers) and 13,403 police WTC responders. RESULTS: Among nontraditional responders, the prevalence of WTC-related PTSD was highest in Latino/a (40.4%) versus Black (27.3%) and White (26.5%) responders; among police responders, Latino/a (10.4%) responders also had higher prevalence of PTSD relative to Black (9.8%) and White (8.7%) responders. However, multivariable analyses revealed that prior psychiatric diagnosis, greater severity of WTC-related exposures, post-9/11 stressful life events, (in police responders only) older age, and (in nontraditional responders only) lower income and education levels accounted for substantially higher prevalence of WTC-related PTSD across ethnic/racial groups. Additionally, among nontraditional responders, subgroups with added risk included responders who were: Latino/a or White had high post-911 stressful events; Latino/a or Black and had pre-9/11 psychiatric history; and Latinas. Among police responders, subgroups with added risk were Latino/a or Black police with a low annual income. CONCLUSIONS: Collectively, results of this study underscore the burden of differential vulnerability that can contribute to higher prevalence of PTSD in certain cultural subgroups following large magnitude traumatic events. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
Authors: Jordan P Davis; Graham Diguiseppi; Jessenia De Leon; John Prindle; Angeles Sedano; Dean Rivera; Benjamin Henwood; Eric Rice Journal: Psychol Addict Behav Date: 2019-07-25
Authors: R H Pietrzak; A Feder; R Singh; C B Schechter; E J Bromet; C L Katz; D B Reissman; F Ozbay; V Sharma; M Crane; D Harrison; R Herbert; S M Levin; B J Luft; J M Moline; J M Stellman; I G Udasin; P J Landrigan; S M Southwick Journal: Psychol Med Date: 2013-04-03 Impact factor: 7.723
Authors: Laura DiGrande; Megan A Perrin; Lorna E Thorpe; Lisa Thalji; Joseph Murphy; David Wu; Mark Farfel; Robert M Brackbill Journal: J Trauma Stress Date: 2008-06