Steven Stellman - Frequent binge drinking five to six years after exposure to 9/11: findings from the World Trade Center Health Registry

Document created by Steven Stellman on Dec 1, 2016
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  Welch, A. E., Caramanica, K., Maslow, C. B., Cone, J. E., Farfel,   M. R., Keyes, K. M., Stellman, S. D., Hasin, D. S. 140  1-7-

  Abstract: BACKGROUND: Exposure to 9/11 may have   considerable long-term impact on health behaviors, including   increased alcohol consumption. We examined the association   between frequent binge drinking, posttraumatic stress disorder   (PTSD), and number of 9/11-specific experiences among World Trade   Center Health Registry (Registry) enrollees five-to-six years   after 9/11. METHODS: Participants included 41,284 lower Manhattan   residents, workers, passers-by, and rescue/recovery workers aged   18 or older without a pre-9/11 PTSD diagnosis who completed Wave   1 (2003-2004) and Wave 2 (2006-2007) interviews. Frequent binge   drinking was defined as consuming five or more drinks on five or   more occasions in the prior 30 days at Wave 2. Probable PTSD was   defined as scoring 44 or greater on the PTSD Checklist. 9/11   exposure was measured as the sum of 12 experiences and grouped as   none/low (0-1), medium (2-3), high (4-5) and very high (6+).   RESULTS: Frequent binge drinking was significantly associated   with increasing 9/11 exposure and PTSD. Those with very high and   high exposures had a higher prevalence of frequent binge drinking   (13.7% and 9.8%, respectively) than those with medium and low   exposures (7.5% and 4.4%, respectively). Upon stratification,   very high and high exposures were associated with frequent binge   drinking in both the PTSD and no PTSD subgroups. CONCLUSIONS: Our   findings suggest that 9/11 exposure had an impact on frequent   binge drinking five-to-six years later among Registry enrollees.   Understanding the effects of traumatic exposure on alcohol use is   important to identify risk factors for post-disaster alcohol   misuse, inform policy, and improve post-disaster psychological   and alcohol screening and counseling.

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