Risk of Stroke Among Survivors of the September 11, 2001, World Trade Center Disaster

Journal of Occupational and Environmental Medicine
Shengchao YuRobert M Brackbill

Abstract

The aim of this study was to investigate the association between 9/11-related posttraumatic stress disorder (PTSD), dust cloud exposure, and subsequent development of stroke among 42,527 enrollees in the World Trade Center (WTC) Health Registry. Using four waves of longitudinal data from the WTC Health Registry surveys, we employed Cox proportional hazards regression models to assess the associations. Incidence of stroke was higher among those with PTSD or intense dust cloud exposure than those without, and it was even higher for those who had experienced both. In fully adjusted models, participants with PTSD had an increased risk of developing stroke [adjusted hazards ratio (AHR) 1.69, 95% confidence interval (95% CI) 1.42 to 2.02], as did those with intense dust exposure (AHR 1.29, 95% CI 1.09 to 1.53). We found that individuals with 9/11-related PTSD and/or intense dust exposure may have an increased risk of developing stroke.

References

Aug 1, 1996·Behaviour Research and Therapy·E B BlanchardC A Forneris
Jul 8, 2000·Stroke; a Journal of Cerebral Circulation·T EngstadM Viitanen
Sep 7, 2002·The American Journal of Emergency Medicine·Ruth Stalnikowicz, Avi Tsafrir
May 4, 2004·Environmental Health Perspectives·Philip J LandriganUNKNOWN NIEHS World Trade Center Working Group
Jul 8, 2005·Journal of Urban Health : Bulletin of the New York Academy of Medicine·John R AllegraDennis G Cochrane
Jan 9, 2008·Archives of General Psychiatry·E Alison HolmanDaniel N McIntosh
Sep 12, 2008·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Mark FarfelLorna Thorpe
Jan 20, 2009·Stroke; a Journal of Cerebral Circulation·M Maria Glymour, Mauricio Avendano
Aug 6, 2009·JAMA : the Journal of the American Medical Association·Robert M BrackbillLorna E Thorpe
Oct 17, 2009·Psychosomatic Medicine·Carsten SpitzerHans Joergen Grabe
Feb 12, 2010·Archives of Environmental & Occupational Health·Shao LinSyni-An Hwang
May 12, 2010·Circulation·Robert D BrookUNKNOWN American Heart Association Council on Epidemiology and Prevention, Council on the Kidney in Cardiovascular Disease, and Coun
Jul 28, 2011·The Open Cardiovascular Medicine Journal·Steven S Coughlin
Sep 6, 2011·Lancet·Sharon E PerlmanCarolyn M Greene
Apr 25, 2013·Environmental Health Perspectives·Samara SolanPhilip J Landrigan
Feb 24, 2015·The British Journal of Psychiatry : the Journal of Mental Science·Mu-Hong ChenYa-Mei Bai
Mar 27, 2015·BMJ : British Medical Journal·Anoop S V ShahNicholas L Mills
Jun 11, 2015·Critical Reviews in Toxicology·Morton LippmannLung-Chi Chen
Jan 27, 2017·Circulation·Emelia J BenjaminUNKNOWN American Heart Association Statistics Committee and Stroke Statistics Subcommittee

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Citations

Apr 17, 2019·International Journal of Environmental Research and Public Health·Shengchao YuJunaid Maqsood
Oct 11, 2020·International Journal of Environmental Research and Public Health·Albeliz Santiago-ColónJohn Howard
Jul 25, 2021·International Journal of Environmental Research and Public Health·Lisa M GarganoJennifer Brite
Sep 25, 2021·American Journal of Industrial Medicine·Robert D DanielsJohn Howard

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