Skip to main content
Top
Gepubliceerd in:

09-05-2019

Comparing life satisfaction and functioning 15 years after September 11, 2001 among survivors with and without injuries: a mixed-method study

Auteurs: Lisa M. Gargano, Ho Ki Mok, Melanie H. Jacobson, Patricia Frazier, Sascha K. Garrey, Lysa J. Petrsoric, Robert M. Brackbill

Gepubliceerd in: Quality of Life Research | Uitgave 10/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study compares life satisfaction and limited activity days among 9/11 survivors with and without physical injuries using quantitative and qualitative approaches.

Methods

The study population included World Trade Center Health Registry enrollees who reported being injured on 9/11 in 2003–2004 and a sample of non-injured enrollees who participated in a cross-sectional substudy. We used multivariable logistic regression to examine differences in life satisfaction and number of limited activity days in the last 30 days between those with and without injuries. The free-response section of the survey was analyzed qualitatively to compare themes of those with and without injuries.

Results

The final sample consisted of 2821 adult enrollees. Compared to those who were not injured, those who were injured on 9/11 were more likely to report being unsatisfied with their life (adjusted odds ratio (AOR): 1.5, 95% confidence intervals (CI) 1.1–2.0) and have 14 or more limited activity days in the last 30 days (AOR: 1.4, 95% CI 1.0–1.9). Among those who were injured, being partially or completely prevented from working increased the odds of being unsatisfied with life and having 14 or more limited activity days. In qualitative analysis, the emotional trauma experienced from 9/11 was a major and common theme, regardless of injury status. Those with injuries were more likely to express anger/lack of recognition/appreciation, describe substance use/abuse, and have financial/health care access issues.

Conclusions

More than 15 years after 9/11, those who were injured continue to be impacted, reporting lower life satisfaction and more functional impairment.
Literatuur
3.
go back to reference Yip, J., Zeig-Owens, R., Hall, C. B., Webber, M. P., Olivieri, B., Schwartz, T., et al. (2016). Health conditions as mediators of the association between World Trade Center exposure and health-related quality of life in firefighters and EMS workers. Journal of Occupational and Environmental Medicine, 58(2), 200–206. https://doi.org/10.1097/JOM.0000000000000597.PubMedCrossRef Yip, J., Zeig-Owens, R., Hall, C. B., Webber, M. P., Olivieri, B., Schwartz, T., et al. (2016). Health conditions as mediators of the association between World Trade Center exposure and health-related quality of life in firefighters and EMS workers. Journal of Occupational and Environmental Medicine, 58(2), 200–206. https://​doi.​org/​10.​1097/​JOM.​0000000000000597​.PubMedCrossRef
4.
go back to reference The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychology of Medicine, 28(3), 551–558.CrossRef The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychology of Medicine, 28(3), 551–558.CrossRef
7.
go back to reference Li, J., Brackbill, R. M., Stellman, S. D., Farfel, M. R., Miller-Archie, S. A., Friedman, S., et al. (2011). Gastroesophageal reflux symptoms and comorbid asthma and posttraumatic stress disorder following the 9/11 terrorist attacks on World Trade Center in New York City. American Journal of Gastroenterology, 106(11), 1933–1941. https://doi.org/10.1038/ajg.2011.300.PubMedCrossRef Li, J., Brackbill, R. M., Stellman, S. D., Farfel, M. R., Miller-Archie, S. A., Friedman, S., et al. (2011). Gastroesophageal reflux symptoms and comorbid asthma and posttraumatic stress disorder following the 9/11 terrorist attacks on World Trade Center in New York City. American Journal of Gastroenterology, 106(11), 1933–1941. https://​doi.​org/​10.​1038/​ajg.​2011.​300.PubMedCrossRef
10.
11.
go back to reference Friedman, S. M., Farfel, M. R., Maslow, C., Jordan, H. T., Li, J., Alper, H., et al. (2016). Risk factors for and consequences of persistent lower respiratory symptoms among World Trade Center Health Registrants 10 years after the disaster. Occupational and Environmental Medicine, 73(10), 676–684. https://doi.org/10.1136/oemed-2015-103512.PubMedCrossRef Friedman, S. M., Farfel, M. R., Maslow, C., Jordan, H. T., Li, J., Alper, H., et al. (2016). Risk factors for and consequences of persistent lower respiratory symptoms among World Trade Center Health Registrants 10 years after the disaster. Occupational and Environmental Medicine, 73(10), 676–684. https://​doi.​org/​10.​1136/​oemed-2015-103512.PubMedCrossRef
12.
go back to reference Simeon, D., Greenberg, J., Nelson, D., Schmeidler, J., & Hollander, E. (2005). Dissociation and posttraumatic stress 1 year after the World Trade Center disaster: Follow-up of a longitudinal survey. Journal of Clinical Psychiatry, 66(2), 231–237.PubMedCrossRef Simeon, D., Greenberg, J., Nelson, D., Schmeidler, J., & Hollander, E. (2005). Dissociation and posttraumatic stress 1 year after the World Trade Center disaster: Follow-up of a longitudinal survey. Journal of Clinical Psychiatry, 66(2), 231–237.PubMedCrossRef
15.
go back to reference Trost, Z., Agtarap, S., Scott, W., Driver, S., Guck, A., Roden-Foreman, K., et al. (2015). Perceived injustice after traumatic injury: Associations with pain, psychological distress, and quality of life outcomes 12 months after injury. Rehabilitation Psychology, 60(3), 213–221. https://doi.org/10.1037/rep0000043.PubMedCrossRef Trost, Z., Agtarap, S., Scott, W., Driver, S., Guck, A., Roden-Foreman, K., et al. (2015). Perceived injustice after traumatic injury: Associations with pain, psychological distress, and quality of life outcomes 12 months after injury. Rehabilitation Psychology, 60(3), 213–221. https://​doi.​org/​10.​1037/​rep0000043.PubMedCrossRef
16.
go back to reference North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., et al. (1999). Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA, 282(8), 755–762.PubMedCrossRef North, C. S., Nixon, S. J., Shariat, S., Mallonee, S., McMillen, J. C., Spitznagel, E. L., et al. (1999). Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA, 282(8), 755–762.PubMedCrossRef
24.
go back to reference Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2008). The associations between life satisfaction and health-related quality of life, chronic illness, and health behaviors among U.S. community-dwelling adults. Journal of Community Health, 33(1), 40–50. https://doi.org/10.1007/s10900-007-9066-4.CrossRef Strine, T. W., Chapman, D. P., Balluz, L. S., Moriarty, D. G., & Mokdad, A. H. (2008). The associations between life satisfaction and health-related quality of life, chronic illness, and health behaviors among U.S. community-dwelling adults. Journal of Community Health, 33(1), 40–50. https://​doi.​org/​10.​1007/​s10900-007-9066-4.CrossRef
26.
go back to reference Brackbill, R. M., Alper, H. E., Frazier, P., Gargano, L. M., Jacobson, M. H., & Solomon, A. (2019). An assessment of long-term physical and emotional quality of life of persons injured on 9/11/2001. International Journal of Enviromental Research and Public Health, 16(6), 1054–1069. https://doi.org/10.3390/ijerph16061054.CrossRef Brackbill, R. M., Alper, H. E., Frazier, P., Gargano, L. M., Jacobson, M. H., & Solomon, A. (2019). An assessment of long-term physical and emotional quality of life of persons injured on 9/11/2001. International Journal of Enviromental Research and Public Health, 16(6), 1054–1069. https://​doi.​org/​10.​3390/​ijerph16061054.CrossRef
28.
go back to reference Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34(8), 669–673.PubMedCrossRef Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., & Forneris, C. A. (1996). Psychometric properties of the PTSD Checklist (PCL). Behaviour Research and Therapy, 34(8), 669–673.PubMedCrossRef
30.
go back to reference Bennett, D. A. (2001). How can I deal with missing data in my study? Australian and New Zealand Journal of Public Health, 25(5), 464–469.PubMedCrossRef Bennett, D. A. (2001). How can I deal with missing data in my study? Australian and New Zealand Journal of Public Health, 25(5), 464–469.PubMedCrossRef
31.
go back to reference Peng, C. Y. J., Harwell, M., Lious, S. M., & Ehman, L. H. (2006). Advances in missing data methods and implications for educational research. In S. Sawilowsky (Ed.), Real data analysis (pp. 31–78). Breenwich, CT: Information Age. Peng, C. Y. J., Harwell, M., Lious, S. M., & Ehman, L. H. (2006). Advances in missing data methods and implications for educational research. In S. Sawilowsky (Ed.), Real data analysis (pp. 31–78). Breenwich, CT: Information Age.
33.
go back to reference Schreier, M. (2012). Qualitative content analysis in pratice. Thousand Oaks, CA: Sage. Schreier, M. (2012). Qualitative content analysis in pratice. Thousand Oaks, CA: Sage.
42.
go back to reference Moi, A. L., Haugsmyr, E., & Heisterkamp, H. (2016). Long-term study of health and quality of life after burn injury. Annals of Burns and Fire Disasters, 29(4), 295–299.PubMedPubMedCentral Moi, A. L., Haugsmyr, E., & Heisterkamp, H. (2016). Long-term study of health and quality of life after burn injury. Annals of Burns and Fire Disasters, 29(4), 295–299.PubMedPubMedCentral
43.
go back to reference O’Neill, J., Hibbard, M. R., Brown, M., Jaffe, M., Sliwinski, M., Vandergoot, D., et al. (1998). The effect of employment on quality of life and community integration after traumatic brain injury. Journal of Head Trauma Rehabilitation, 13(4), 68–79.PubMedCrossRef O’Neill, J., Hibbard, M. R., Brown, M., Jaffe, M., Sliwinski, M., Vandergoot, D., et al. (1998). The effect of employment on quality of life and community integration after traumatic brain injury. Journal of Head Trauma Rehabilitation, 13(4), 68–79.PubMedCrossRef
44.
go back to reference Melamed, S., Groswasser, Z., & Stern, M. J. (1992). Acceptance of disability, work involvement and subjective rehabilitation status of traumatic brain-injured (TBI) patients. Brain Injury, 6(3), 233–243.PubMedCrossRef Melamed, S., Groswasser, Z., & Stern, M. J. (1992). Acceptance of disability, work involvement and subjective rehabilitation status of traumatic brain-injured (TBI) patients. Brain Injury, 6(3), 233–243.PubMedCrossRef
46.
go back to reference Mackenzie, E. J., Rivara, F. P., Jurkovich, G. J., Nathens, A. B., Egleston, B. L., Salkever, D. S., et al. (2008). The impact of trauma-center care on functional outcomes following major lower-limb trauma. Journal of Bone and Joint Surgery. American Volume, 90(1), 101–109. https://doi.org/10.2106/JBJS.F.01225.CrossRef Mackenzie, E. J., Rivara, F. P., Jurkovich, G. J., Nathens, A. B., Egleston, B. L., Salkever, D. S., et al. (2008). The impact of trauma-center care on functional outcomes following major lower-limb trauma. Journal of Bone and Joint Surgery. American Volume, 90(1), 101–109. https://​doi.​org/​10.​2106/​JBJS.​F.​01225.CrossRef
Metagegevens
Titel
Comparing life satisfaction and functioning 15 years after September 11, 2001 among survivors with and without injuries: a mixed-method study
Auteurs
Lisa M. Gargano
Ho Ki Mok
Melanie H. Jacobson
Patricia Frazier
Sascha K. Garrey
Lysa J. Petrsoric
Robert M. Brackbill
Publicatiedatum
09-05-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02194-w