世界贸易中心灾难发生 7-9 年后，医生诊断的呼吸系统疾病和心理健康症状。
Physician-diagnosed respiratory conditions and mental health symptoms 7-9 years following the World Trade Center disaster.
机构信息
Department of Epidemiology and Population Health, Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, New York, USA.
出版信息
Am J Ind Med. 2011 Sep;54(9):661-71. doi: 10.1002/ajim.20993.
BACKGROUND
This study examines the prevalence of physician-diagnosed respiratory conditions and mental health symptoms in firefighters and emergency medical service workers up to 9 years after rescue/recovery efforts at the World Trade Center (WTC).
METHODS
We analyzed Fire Department of New York (FDNY) physician and self-reported diagnoses by WTC exposure and quintiles of pulmonary function (FEV1% predicted). We used screening instruments to assess probable post-traumatic stress disorder (PTSD) and probable depression.
RESULTS
FDNY physicians most commonly diagnosed asthma (8.8%) and sinusitis (9.7%). The highest prevalence of physician-diagnosed obstructive airway disease (OAD) was in the lowest FEV1% predicted quintile. Participants who arrived earliest on 9/11 were more likely to have physician-diagnosed asthma (OR = 1.4). Seven percent had probable PTSD. 19.4% had probable depression.
CONCLUSIONS
Self-reported and physician-diagnosed respiratory conditions remain common, especially among those who arrived earliest at the WTC site. OAD was associated with the lowest pulmonary function. Since respiratory and mental health conditions remain prevalent, ongoing monitoring and treatment is important.
背景
本研究调查了在世界贸易中心（WTC）救援/恢复工作后长达 9 年的消防员和紧急医疗服务人员中，医生诊断的呼吸状况和心理健康症状的流行情况。
方法
我们分析了纽约消防局（FDNY）医生根据 WTC 暴露和肺功能（FEV1%预计值）五分位数的自我报告诊断。我们使用筛选工具评估可能的创伤后应激障碍（PTSD）和可能的抑郁。
结果
FDNY 医生最常诊断的疾病是哮喘（8.8%）和鼻窦炎（9.7%）。最低 FEV1%预计值五分位数的医生诊断阻塞性气道疾病（OAD）患病率最高。9/11 当天最早到达的参与者更有可能被诊断为哮喘（OR=1.4）。7%的人可能患有 PTSD。19.4%的人可能患有抑郁症。
结论
自我报告和医生诊断的呼吸状况仍然很常见，尤其是那些最早到达 WTC 现场的人。OAD 与最低的肺功能有关。由于呼吸和心理健康状况仍然普遍存在，因此持续监测和治疗很重要。
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