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| Title: | Social and Psychological Resources and Health Outcomes after the World Trade Center Disaster |
| Authors: | Adams, Richard E.
Boscarino, Joseph A.
Galea, Sandro |
| Keywords: | Community Disasters
World Trade Center Disaster
Psychological Well-Being
Stress and Coping
United States |
| Issue Date: | 2006 |
| Abstract: | Previous studies on community disasters tend to assess non-representative samples and use nonstandard measures of
well-being. Additionally, few of these studies are longitudinal in design. In this report, we examine the consequences of
the World Trade Center Disaster (WTCD) within a stress model perspective to assess level of exposure to the disaster
and well-being after this event, as measured by the SF12 mental health and physical health scales. Data come from a
two-wave panel study of 1681 English or Spanish speaking adults living in New York City on the day of the terrorist
attacks and were collected by telephone interviews 1 and 2 years after the disaster. In ordinary least-squares regression
models that contained demographic characteristics, stress risk factors, and social psychological resources as
independent variables, level of exposure to the disaster was associated with poorer Wave 2 physical well-being, but
not psychological health. Level of disaster exposure was not related to Wave 2 physical health, however, once the Wave
1 level of physical health was controlled, suggesting that disaster exposure did not have a lasting impact on variation in
physical well-being. Results also indicated that experiencing a panic attack, negative life events, or traumatic events
were related to poorer physical health. Respondents who met screening criteria for possible alcohol dependence postdisaster,
experienced negative life events, or experienced traumatic events, were more likely to suffer from poorer mental
health compared to those who did not meet the criteria, experience negative life events or experience traumas. We
discuss these findings relative to community disasters in industrialized and developing countries.
r 2005 Elsevier Ltd. All rights reserved. |
| Appears in Collections: | Public Health, School of (SPH)
Epidemiology, Department of (SPH)
Institute for Social Research (ISR)
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| Adams_Social and Psychological Resources and Health_2006.pdf | | 227Kb | Adobe PDF | View/Open |
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