{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T20:46:54Z","timestamp":1783975614386,"version":"3.55.0"},"reference-count":55,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,2,25]],"date-time":"2023-02-25T00:00:00Z","timestamp":1677283200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000125","name":"ational Institute for Occupational Safety","doi-asserted-by":"publisher","award":["2U50\/OH009739"],"award-info":[{"award-number":["2U50\/OH009739"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000125","name":"ational Institute for Occupational Safety","doi-asserted-by":"publisher","award":["5U50\/OH009739"],"award-info":[{"award-number":["5U50\/OH009739"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000125","name":"ational Institute for Occupational Safety","doi-asserted-by":"publisher","award":["U50\/ATU272750"],"award-info":[{"award-number":["U50\/ATU272750"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005220","name":"Agency for Toxic Substances and Disease Registry (ATSDR), CDC","doi-asserted-by":"publisher","award":["2U50\/OH009739"],"award-info":[{"award-number":["2U50\/OH009739"]}],"id":[{"id":"10.13039\/100005220","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005220","name":"Agency for Toxic Substances and Disease Registry (ATSDR), CDC","doi-asserted-by":"publisher","award":["5U50\/OH009739"],"award-info":[{"award-number":["5U50\/OH009739"]}],"id":[{"id":"10.13039\/100005220","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005220","name":"Agency for Toxic Substances and Disease Registry (ATSDR), CDC","doi-asserted-by":"publisher","award":["U50\/ATU272750"],"award-info":[{"award-number":["U50\/ATU272750"]}],"id":[{"id":"10.13039\/100005220","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>We examined the association of post-9\/11 rheumatoid arthritis (RA) diagnosis with opioid pain medication overuse among enrollees in the World Trade Center Health Registry (WTCHR). Opioid overuse was defined as the self-reported intake of prescribed opioids at a higher dosage or more often than directed in the last 12 months on one of the two most recent WTCHR surveys (2015\u20132016, 2020\u20132021). Post-9\/11 RA was ascertained through self-reports and subsequently validated following medical record release by the enrollees\u2019 physicians or medical records review. We excluded those with self-reported RA that was not validated by their physicians and those who did not report being prescribed opioid pain medication in the last 12 months. Multivariable log-binomial regression was conducted to examine the relationship between post-9\/11 RA diagnosis and opioid pain medication overuse, adjusting for sociodemographic characteristics and 9\/11-related posttraumatic stress disorder (PTSD) symptoms. Of the 10,196 study enrollees, 46 had confirmed post-9\/11 RA. The post-9\/11 RA patients were mostly females (69.6% vs. 37.7%), less frequently non-Hispanic White (58.7% vs. 73.2%) individuals, and less often had attained a higher level of education (76.1% vs. 84.4%) compared to those without post-9\/11 RA. Opioid pain medication overuse was significantly associated with a post-9\/11 RA diagnosis (Adjusted Risk Ratio: 2.13, 95% CI: 1.44\u20133.17). More research is needed to better understand the use and management of prescribed opioids among WTC-exposed individuals with RA.<\/jats:p>","DOI":"10.3390\/ijerph20054166","type":"journal-article","created":{"date-parts":[[2023,2,27]],"date-time":"2023-02-27T03:23:36Z","timestamp":1677468216000},"page":"4166","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of Rheumatoid Arthritis with Opioid Pain Medication Overuse among Persons Exposed to the 9\/11 World Trade Center Disaster"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4467-1960","authenticated-orcid":false,"given":"Ananya Sarker","family":"Dhanya","sequence":"first","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, Long Island City, NY 11101, USA"},{"name":"Department of Epidemiology and Biostatistics, City University of New York (CUNY) Graduate School of Public Health & Health Policy, 55W 125th Street, New York, NY 10027, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0144-1292","authenticated-orcid":false,"given":"Janette","family":"Yung","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, Long Island City, NY 11101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2145-1348","authenticated-orcid":false,"given":"James E.","family":"Cone","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, Long Island City, NY 11101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7812-8878","authenticated-orcid":false,"given":"Jiehui","family":"Li","sequence":"additional","affiliation":[{"name":"New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, Long Island City, NY 11101, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,2,25]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1289\/ehp.6702","article-title":"Health and environmental consequences of the world trade center disaster","volume":"112","author":"Landrigan","year":"2004","journal-title":"Environ. 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