{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:08:57Z","timestamp":1792433337045,"version":"4.5.0"},"reference-count":15,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2013,11,19]],"date-time":"2013-11-19T00:00:00Z","timestamp":1384819200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2013,12]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>Evacuation of the World Trade Center (WTC) twin towers and surrounding buildings damaged in the September 11, 2001 attacks provides a unique opportunity to study factors that affect emergency evacuation of high rise buildings.<\/jats:p><\/jats:sec>Problem<\/jats:title>The goal of this study is to understand the extent to which structural and behavioral barriers and limitations of personal mobility affected evacuation by occupants of affected buildings on September 11, 2001.<\/jats:p><\/jats:sec>Methods<\/jats:title>This analysis included 5,023 civilian, adult enrollees within the World Trade Center Health Registry who evacuated the two World Trade Center towers and over 30 other Lower Manhattan buildings that were damaged or destroyed on September 11, 2001. Multinomial logistic regression was used to predict total evacuation time (<30 to \u226460 minutes, >1 hour to <2 hours relative to \u226430 minutes) in relation to number of infrastructure barriers and number of behavioral barriers, adjusted for demographic and other factors.<\/jats:p><\/jats:sec>Results<\/jats:title>A higher percentage of evacuees reported encountering at least one behavioral barrier (84.9%) than reported at least one infrastructure barrier (51.9%). This pattern was consistent in all buildings except WTC 1, the first building attacked, where >90% of evacuees reported encountering both types of barriers. Smoke and poor lighting were the most frequently-reported structural barriers. Extreme crowding, lack of communication with officials, and being surrounded by panicked crowds were the most frequently-reported behavioral barriers. Multivariate analyses showed evacuation time to be independently associated with the number of each type of barrier as well as gender (longer times for women), but not with the floor from which evacuation began. After adjustment, personal mobility impairment was not associated with increased evacuation time.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Because most high-rise buildings have unique designs, infrastructure factors tend to be less predictable than behavioral factors, but both need to be considered in developing emergency evacuation plans in order to decrease evacuation time and, consequently, risk of injury and death during an emergency evacuation.<\/jats:p>Groeger<\/jats:surname>JL<\/jats:given-names><\/jats:name>, Stellman<\/jats:surname>SD<\/jats:given-names><\/jats:name>, Kravitt<\/jats:surname>A<\/jats:given-names><\/jats:name>, Brackbill<\/jats:surname>RM<\/jats:given-names><\/jats:name>. Evacuating damaged and destroyed buildings on 9\/11: behavioral and structural barriers<\/jats:article-title>. Prehosp Disaster Med<\/jats:source>. 2013<\/jats:year>;28<\/jats:volume>(6<\/jats:issue>):1<\/jats:fpage>-11<\/jats:lpage>.<\/jats:mixed-citation><\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x13008996","type":"journal-article","created":{"date-parts":[[2013,11,19]],"date-time":"2013-11-19T14:07:14Z","timestamp":1384870034000},"page":"556-566","source":"Crossref","is-referenced-by-count":9,"title":["Evacuating Damaged and Destroyed Buildings on 9\/11: Behavioral and Structural Barriers"],"prefix":"10.1017","volume":"28","author":[{"given":"Justina L.","family":"Groeger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven D.","family":"Stellman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Kravitt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Brackbill","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2013,11,19]]},"reference":[{"key":"S1049023X13008996_ref2","volume-title":"Summary of Vital Statistics 2009 - The City of New York","author":"Li","year":"2010"},{"key":"S1049023X13008996_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1121"},{"key":"S1049023X13008996_ref1","doi-asserted-by":"publisher","DOI":"10.1002\/fam.1070"},{"key":"S1049023X13008996_ref4","doi-asserted-by":"crossref","unstructured":"Averill JD , Milet DS , Peacock RD , et al. Occupant Behavior, Egress, and Emergency Communications. In: National Institute of Standards and Technology, ed Washington, D.C. 2005:298.","DOI":"10.6028\/NIST.NCSTAR.1-7"},{"key":"S1049023X13008996_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.firesaf.2009.04.004"},{"key":"S1049023X13008996_ref","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X13008996"},{"key":"S1049023X13008996_ref3","unstructured":"Shyam-Sunder S . Federal Building and Fire Safety Investigation of the World Trade Center Disaster: Final Report of the National Construction Safety Team on the Collapses of the World Trade Center Towers (NIST NCSTAR 1). National Institute of Standards and Technology Published May 12, 2010. http:\/\/archive.org\/details\/NIST_WTC_Investigation_Reports-909017. Accessed October 2, 2013."},{"key":"S1049023X13008996_ref5","doi-asserted-by":"publisher","DOI":"10.1002\/fam.1080"},{"key":"S1049023X13008996_ref6","volume-title":"National Commission on Terrorist Attacks Upon the United States: The 9\/11 Commission Report","year":"2004"},{"key":"S1049023X13008996_ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-008-9317-4"},{"key":"S1049023X13008996_ref9","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwq372"},{"key":"S1049023X13008996_ref10","first-page":"1","article-title":"Surveillance for World Trade Center disaster health effects among survivors of collapsed and damaged buildings","volume":"55","author":"Brackbill","year":"2006","journal-title":"MMWR Surveill Summ"},{"key":"S1049023X13008996_ref11","doi-asserted-by":"publisher","DOI":"10.1061\/(ASCE)IS.1943-555X.0000028"},{"key":"S1049023X13008996_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X0000460X"},{"key":"S1049023X13008996_ref14","doi-asserted-by":"publisher","DOI":"10.1097\/DMP.0b013e318184b48f"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X13008996","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T18:54:48Z","timestamp":1556045688000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X13008996\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,19]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,12]]}},"alternative-id":["S1049023X13008996"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x13008996","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,11,19]]}}}