Steven Stellman - Effect of asthma and PTSD on persistence and onset of gastroesophageal reflux symptoms among adults exposed to the September 11, 2001, terrorist attacks

Document created by Steven Stellman on Dec 1, 2016
Version 1Show Document
  • View in full screen mode

  Publication Details (including relevant citation   information):

  Li, J., Brackbill, R. M., Jordan, H. T., Cone, J. E., Farfel, M.   R., Stellman, S. D. 59 (9) 805-14-

  Abstract: BACKGROUND: Little is known about the   direction of causality among asthma, posttraumatic stress   disorder (PTSD), and onset of gastroesophageal reflux symptoms   (GERS) after exposure to the 9/11/2001 World Trade Center (WTC)   disaster. METHODS: Using data from the WTC Health Registry, we   investigated the effects of early diagnosed post-9/11 asthma and   PTSD on the late onset and persistence of GERS using log-binomial   regression, and examined whether PTSD mediated the asthma-GERS   association using structural equation modeling. RESULTS: Of   29,406 enrollees, 23% reported GERS at follow-up in 2011-2012.   Early post-9/11 asthma and PTSD were each independently   associated with both the persistence of GERS that was present at   baseline and the development of GERS in persons without a prior   history. PTSD mediated the association between early post-9/11   asthma and late-onset GERS. CONCLUSIONS: Clinicians should assess   patients with post-9/11 GERS for comorbid asthma and PTSD, and   plan medical care for these conditions in an integrated fashion.   Am. J. Ind. Med. 59:805-814, 2016. (c) 2016 Wiley Periodicals,   Inc.

  Address (URL):