Posttraumatic stress disorder and new-onset diabetes among adult survivors of the World Trade Center disaster

PREVENTIVE MEDICINE

卷:66

Article

Miller-Archie, Sara A.¹  Jordan, Hannah T.¹  Ruff, Ryan R.²  Chamany, Shadi²  Cone, James E.¹  Brackbill, Robert M.¹  Kong, Joanne¹  Ortega, Felix¹  Stellman, Steven D.^1,3 

[1] World Trade Ctr Hlth Registry, New York City Dept Hlth & Mental Hyg, Long Isl City, NY 11101 USA

[2] Bur Chron Dis Prevent & Tobacco, New York City Dept Hlth & Mental Hyg, Long Isl City, NY 11101 USA

[3] Columbia Univ, Mailman Sch Publ Hlth, Dept Epidemiol, New York, NY 10032 USA

关键词: Diabetes;    Posttraumatic stress disorder;    World Trade Center;    Disaster registry;    Prospective cohort;   

DOI  :  10.1016/j.ypmed.2014.05.016

来源: Elsevier

【 摘 要 】

Objective. 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 the attack in 2001. Methods. Three waves of surveys (conducted from 2003 to 2012) from the WTC Health Registry cohort collected data on physical and mental health status, sociodemographic characteristics, and 9/11-related exposures. Diabetes was defined as self-reported, physician-diagnosed diabetes reported after enrollment. After excluding prevalent cases, there were 36,899 eligible adult enrollees. Logistic regression and generalized multilevel growth models were used to assess the association between PTSD measured at enrollment and subsequent diabetes. Results. We identified 2143 cases of diabetes. After adjustment, we observed a significant association between PTSD and diabetes in the logistic model [adjusted odds ratio (AOR) 1.28, 95% confidence interval (CI) 1.14-1.44]. Results from the growth model were similar (AOR 1.37, 95% CI 1.23-1.52). Conclusion. This exploratory study found that PTSD, a common 9/11-related health outcome, was a risk factor for self-reported diabetes. Clinicians treating survivors of both the WTC attacks and other disasters should be aware that diabetes may be a long-term consequence. (C) 2014 The Authors. Published by Elsevier Inc.

【 授权许可】

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