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| Title: | Relationship of Self-Reported Asthma Severity and Urgent Health Care Utilization to Psychological Sequelae of the September 11, 2001 Terrorist Attacks on the World Trade Center Among New York City Area Residents |
| Authors: | Fagan, Joanne
Galea, Sandro
Ahern, Jennifer
Bonner, Sebastian
Vlahov, David |
| Issue Date: | 2003 |
| Abstract: | Objective: Posttraumatic psychological stress may be associated with increases in somatic illness, including asthma, but the impact
of the psychological sequelae of the September 11, 2001 terrorist attacks on physical illness has not been well documented. The
authors assessed the relationship between the psychological sequelae of the attacks and asthma symptom severity and the utilization
of urgent health care services for asthma since September 11. Materials and Methods: The authors performed a random digit dial
telephone survey of adults in the New York City (NYC) metropolitan area 6 to 9 months after September 11, 2001. Two thousand
seven hundred fifty-five demographically representative adults including 364 asthmatics were recruited. The authors assessed
self-reported asthma symptom severity, emergency room (ER) visits, and unscheduled physician office visits for asthma since
September 11. Results: After adjustment for asthma measures before September 11, demographics, and event exposure in
multivariate models posttraumatic stress disorder (PTSD) were a significant predictor of self-reported moderate-to-severe asthma
symptoms (OR = 3.4; CI = 1.2–9.4), seeking care for asthma at an ER since September 11 (OR = 6.6; CI = 1.6 –28.0), and
unscheduled physician visits for asthma since September 11 (OR = 3.6; CI = 1.1–11.5). The number of PTSD symptoms was also
significantly related to moderate-to-severe asthma symptoms and unscheduled physician visits since September 11. Neither a panic
attack on September 11 nor depression since September 11 was an independent predictor of asthma severity or utilization in
multivariate models after September 11. Conclusions: PTSD related to the September 11 terrorist attacks contributed to symptom
severity and the utilization of urgent health care services among asthmatics in the NYC metropolitan area. |
| Appears in Collections: | Public Health, School of (SPH)
Epidemiology, Department of (SPH)
Institute for Social Research (ISR)
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| Fagan_Relationship of Self-Reported Asthma Severity_2003.pdf | | 55Kb | Adobe PDF | View/Open |
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