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

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      Miller-Archie, S. A., Jordan, H. T., Ruff, R. R., Chamany, S.,   Cone, J. E., Brackbill, R. M., Kong, J., Ortega, F., Stellman, S.   D. 66C 34-38-

      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 11years 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.

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