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

Sara A. Miller-Archie, Hannah T. Jordan, Ryan Ruff, Shadi Chamany, James E. Cone, Robert M. Brackbill, Joanne Kong, Felix Ortega, Steven D. Stellman

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)34-38
Number of pages5
JournalPreventive Medicine
Volume66
DOIs
StatePublished - 2014

Fingerprint

Disasters
Post-Traumatic Stress Disorders
Survivors
Logistic Models
Odds Ratio
Confidence Intervals
Social Adjustment
Health
Growth
Health Status
Registries
Mental Health
Physicians

Keywords

  • Diabetes
  • Disaster registry
  • Posttraumatic stress disorder
  • Prospective cohort
  • World Trade Center

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology
  • Medicine(all)

Cite this

Miller-Archie, S. A., Jordan, H. T., Ruff, R., Chamany, S., Cone, J. E., Brackbill, R. M., ... Stellman, S. D. (2014). Posttraumatic stress disorder and new-onset diabetes among adult survivors of the World Trade Center disaster. Preventive Medicine, 66, 34-38. https://doi.org/10.1016/j.ypmed.2014.05.016

Posttraumatic stress disorder and new-onset diabetes among adult survivors of the World Trade Center disaster. / Miller-Archie, Sara A.; Jordan, Hannah T.; Ruff, Ryan; Chamany, Shadi; Cone, James E.; Brackbill, Robert M.; Kong, Joanne; Ortega, Felix; Stellman, Steven D.

In: Preventive Medicine, Vol. 66, 2014, p. 34-38.

Research output: Contribution to journalArticle

Miller-Archie, SA, Jordan, HT, Ruff, R, Chamany, S, Cone, JE, Brackbill, RM, Kong, J, Ortega, F & Stellman, SD 2014, 'Posttraumatic stress disorder and new-onset diabetes among adult survivors of the World Trade Center disaster', Preventive Medicine, vol. 66, pp. 34-38. https://doi.org/10.1016/j.ypmed.2014.05.016
Miller-Archie, Sara A. ; Jordan, Hannah T. ; Ruff, Ryan ; Chamany, Shadi ; Cone, James E. ; Brackbill, Robert M. ; Kong, Joanne ; Ortega, Felix ; Stellman, Steven D. / Posttraumatic stress disorder and new-onset diabetes among adult survivors of the World Trade Center disaster. In: Preventive Medicine. 2014 ; Vol. 66. pp. 34-38.
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