{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T03:18:46Z","timestamp":1789183126984,"version":"build-2803163510"},"reference-count":57,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Exposure to the terrorist attacks on the World Trade Center (WTC) on September 11, 2001, has been associated with several chronic physical and mental health conditions. We assessed the burden, nearly 20 years after the attacks, of several 9\/11\u2010related health conditions and indicators of poor health\u2010related quality of life (HRQOL) among individuals exposed to the WTC disaster.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Among individuals enrolled in the longitudinal WTC Health Registry in 2020\u20132021 (<jats:italic>N<\/jats:italic>\u2009=\u200926,964), we estimated post\u20109\/11 prevalence of: self\u2010reported diagnosed physical health conditions known to be associated with WTC exposure; probable posttraumatic stress disorder (PTSD) and depression; and poor HRQOL indicators. We also compared lifetime prevalence of selected conditions and poor\u2010HRQOL indicators among WTC\u2010exposed rescue and recovery workers and community members, separately, to New York State general population estimates, using multivariable\u2010adjusted logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Prevalence of post\u20109\/11 physical health conditions ranged from 10.5% (chronic obstructive pulmonary disease, COPD) to 26.3% (gastroesophageal reflux disease). Prevalence of probable post\u20109\/11 PTSD and depression were 9.6% and 12.7%, respectively. Lifetime prevalence of physician\u2010diagnosed asthma, COPD, and depression were higher among WTC\u2010exposed individuals compared to the general population. Indicators of poor HRQOL were higher among WTC Registry enrollees relative to the general population, and among enrollees with any physical or probable mental health conditions compared to enrollees without any conditions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Nearly 20 years after 9\/11, WTC\u2010exposed populations experience a high burden of health conditions that affect their wellbeing, highlighting the need for continued monitoring of this population.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23706","type":"journal-article","created":{"date-parts":[[2025,4,4]],"date-time":"2025-04-04T09:14:06Z","timestamp":1743758046000},"page":"413-427","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Exposure to the World Trade Center Disaster, Health, and Health\u2010Related Quality of Life Nearly 20 Years After 9\/11"],"prefix":"10.1002","volume":"68","author":[{"given":"Julia S.","family":"Sisti","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ananya","family":"Dhanya","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard E.","family":"Alper","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Millet","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayda","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Brackbill","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene World Trade Center Health Registry Long Island City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21972"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.21814"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17124344"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e31815c1dbf"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291715002184"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12940-019-0449-7"},{"key":"e_1_2_12_8_1","article-title":"The Duration of an Exposure Response Gradient between Incident Obstructive Airways Disease and Work at the World Trade Center Site: 2001\u20102011","volume":"7","author":"Hall C. 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