Steven Stellman - Exposure to the World Trade Center Disaster and 9/11-Related Post-Traumatic Stress Disorder and Household Disaster Preparedness

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      Publication Details (including relevant citation   information):

      Gargano, L. M., Caramanica, K., Sisco, S., Brackbill, R. M.,   Stellman, S. D. 9 (6) 625-33-

      Abstract: OBJECTIVE: In a population with prior   exposure to the World Trade Center disaster, this study sought to   determine the subsequent level of preparedness for a new disaster   and how preparedness varied with population characteristics that   are both disaster-related and non-disaster-related. METHODS: The   sample included 4496 World Trade Center Health Registry enrollees   who completed the Wave 3 (2011-2012) and Hurricane Sandy (2013)   surveys. Participants were considered prepared if they reported   possessing at least 7 of 8 standard preparedness items. Logistic   regression was used to determine associations between   preparedness and demographic and medical factors, 9/11-related   post-traumatic stress disorder (PTSD) assessed at Wave 3, 9/11   exposure, and social support. RESULTS: Over one-third (37.5%) of   participants were prepared with 18.8% possessing all 8 items. The   item most often missing was an evacuation plan (69.8%). Higher   levels of social support were associated with being prepared.   High levels of 9/11 exposure were associated with being prepared   in both the PTSD and non-PTSD subgroups. CONCLUSIONS: Our   findings indicate that prior 9/11 exposure favorably impacted   Hurricane Sandy preparedness. Future preparedness messaging   should target people with low social support networks.   Communications should include information on evacuation zones and   where to find information about how to evacuate. (Disaster Med   Public Health Preparedness. 2015;9:625-633).

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