New York City Department of Health and Mental Hygiene, NY 11101, USA.
Am J Public Health. 2012 Oct;102(10):1964-73. doi: 10.2105/AJPH.2012.300690. Epub 2012 Aug 16.
We have described the epidemiology of co-occurring lower respiratory symptoms (LRS) and probable posttraumatic stress disorder (PTSD) 5 to 6 years after exposure to the 9/11 disaster.
We analyzed residents, office workers, and passersby (n = 16,363) in the World Trade Center Health Registry. Using multivariable logistic regression, we examined patterns of reported respiratory symptoms, treatment sought for symptoms, diagnosed respiratory conditions, mental health comorbidities, quality of life, and unmet health care needs in relation to comorbidity.
Among individuals with either LRS or PTSD, 24.6% had both conditions. The odds of comorbidity was significantly higher among those with more severe 9/11 exposures. Independent of 9/11 exposures, participants with LRS had 4 times the odds of those without it of meeting criteria for PTSD, and those with PTSD had 4 times the odds of those without it of meeting criteria for LRS. Participants with comorbidity had worse quality of life and more unmet mental health care needs than did all other outcome groups.
Respiratory and mental illness are closely linked in individuals exposed to 9/11 and should be considered jointly in public health outreach and treatment programs.
我们描述了暴露于 911 灾难后 5 至 6 年时同时出现下呼吸道症状（LRS）和可能的创伤后应激障碍（PTSD）的流行病学情况。
我们分析了世界贸易中心健康登记处的居民、上班族和路人（n=16363）。使用多变量逻辑回归，我们研究了报告的呼吸症状模式、因症状寻求治疗、诊断出的呼吸状况、精神健康合并症、生活质量以及与合并症相关的未满足的医疗保健需求。
在同时患有 LRS 或 PTSD 的个体中，有 24.6%的人同时患有这两种疾病。暴露于 911 事件的严重程度越高，合并症的几率就越高。与 911 暴露无关，患有 LRS 的参与者患 PTSD 的几率是没有 LRS 的参与者的 4 倍，而患有 PTSD 的参与者患 LRS 的几率是没有 PTSD 的参与者的 4 倍。患有合并症的参与者的生活质量比其他所有结局组都差，且有更多的心理健康护理需求未得到满足。
暴露于 911 事件的个体中，呼吸道疾病和精神疾病密切相关，在公共卫生宣传和治疗计划中应共同考虑。
