{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:56:28Z","timestamp":1787068588981,"version":"build-2736575974"},"reference-count":29,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T00:00:00Z","timestamp":1366848000000},"content-version":"unspecified","delay-in-days":83,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789313000062_abs1\" sec-type=\"general\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We examined the relationship of probable posttraumatic stress disorder (PTSD), probable depression, and increased alcohol and\/or tobacco use to disaster exposure and work demand in Florida Department of Health workers after the 2004 hurricanes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789313000062_abs2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants (N = 2249) completed electronic questionnaires assessing PTSD, depression, alcohol and tobacco use, hurricane exposure, and work demand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789313000062_abs3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Total mental and behavioral health burden (probable PTSD, probable depression, increased alcohol and\/or tobacco use) was 11%. More than 4% had probable PTSD, and 3.8% had probable depression. Among those with probable PTSD, 29.2% had increased alcohol use, and 50% had increased tobacco use. Among those with probable depression, 34% indicated increased alcohol use and 55.6% increased tobacco use. Workers with greater exposure were more likely to have probable PTSD and probable depression (ORs = 3.3 and 3.06, respectively). After adjusting for demographics and work demand, those with high exposure were more likely to have probable PTSD and probable depression (ORs = 3.21 and 3.13). Those with high exposure had increased alcohol and tobacco use (ORs = 3.01 and 3.40), and those with high work demand indicated increased alcohol and tobacco use (ORs = 1.98 and 2.10). High exposure and work demand predicted increased alcohol and tobacco use, after adjusting for demographics, work demand, and exposure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789313000062_abs4\" sec-type=\"conclusion\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Work-related disaster mental and behavioral health burden indicate the need for additional mental health interventions in the public health disaster workforce.(\n                      <jats:italic>Disaster Med Public Health Preparedness<\/jats:italic>\n                      . 2013;7:89-95)\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2013.6","type":"journal-article","created":{"date-parts":[[2013,5,2]],"date-time":"2013-05-02T09:31:29Z","timestamp":1367487089000},"page":"89-95","source":"Crossref","is-referenced-by-count":43,"title":["Posttraumatic Stress Disorder, Depression, and Alcohol and Tobacco Use in Public Health Workers After the 2004 Florida Hurricanes"],"prefix":"10.1017","volume":"7","author":[{"given":"Carol S.","family":"Fullerton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodi B.A.","family":"McKibben","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dori B.","family":"Reissman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted","family":"Scharf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen M.","family":"Kowalski-Trakofler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Shultz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Ursano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,4,25]]},"reference":[{"key":"S1935789313000062_ref19","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.18.1737"},{"key":"S1935789313000062_ref22","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ps.54.10.1380"},{"key":"S1935789313000062_ref13","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.11164"},{"key":"S1935789313000062_ref8","doi-asserted-by":"publisher","DOI":"10.1037\/h0079363"},{"key":"S1935789313000062_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/msj.20026"},{"key":"S1935789313000062_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-011-0408-2"},{"key":"S1935789313000062_ref7","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2007.06101645"},{"key":"S1935789313000062_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/emj.2005.025908"},{"key":"S1935789313000062_ref23","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-0025.2010.01063.x"},{"key":"S1935789313000062_ref24","doi-asserted-by":"publisher","DOI":"10.1080\/03610928008827941"},{"key":"S1935789313000062_ref10","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.5.857"},{"key":"S1935789313000062_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-006-9155-1"},{"key":"S1935789313000062_ref3","unstructured":"2004 Hurricanes lead record disaster year for FEMA. Washington, DC: Federal Emergency Management Agency; January 5, 2005. http:\/\/www.fema.gov\/news\/newsrelease.fema?id=15967. Accessed January 9, 2005."},{"key":"S1935789313000062_ref2","unstructured":"2004 Atlantic Hurricane Season. Miami, FL: National Hurricane Center. http:\/\/www.nhc.noaa.gov\/2004atlan.shtml. Accessed February 16, 2009."},{"key":"S1935789313000062_ref20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"S1935789313000062_ref15","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.4.979"},{"key":"S1935789313000062_ref17","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023796007788"},{"key":"S1935789313000062_ref16","first-page":"250","volume-title":"Measurement of Stress, Trauma, and Adaptation","author":"Weathers","year":"1996"},{"key":"S1935789313000062_ref26","unstructured":"Stata Statistical Software: Release 9. College Station, TX: StataCorp LP; 2005."},{"key":"S1935789313000062_ref29","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2010.180"},{"key":"S1935789313000062_ref1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.087007"},{"key":"S1935789313000062_ref4","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.28.021406.144037"},{"key":"S1935789313000062_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2007.11.001"},{"key":"S1935789313000062_ref27","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.617"},{"key":"S1935789313000062_ref25","unstructured":"SPSS for Windows: Release 16.0.2. Chicago, IL: SPSS Inc; 2008."},{"key":"S1935789313000062_ref21","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.106580"},{"key":"S1935789313000062_ref9","doi-asserted-by":"crossref","first-page":"778","DOI":"10.1176\/ajp.153.6.778","article-title":"Posttraumatic stress symptoms following forensic dental identification: Mt. Carmel, Waco, Texas","volume":"153","author":"McCarroll","year":"1996","journal-title":"Am J Psychiatry"},{"key":"S1935789313000062_ref28","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.60.2.184"},{"key":"S1935789313000062_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(02)00203-7"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789313000062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T15:45:17Z","timestamp":1556120717000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789313000062\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2013,2]]}},"alternative-id":["S1935789313000062"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2013.6","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2]]}}}