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Posttraumatic stress disorder, depression, and alcohol and tobacco use in public health workers after the 2004 Florida hurricanes.

Authors
Fullerton-CS; McKibben-JBA; Reissman-DB; Scharf-T; Kowalski-Trakofler-KM; Shultz-JM; Ursano-RJ
Source
Disaster Med Public Health Prep 2013 Feb; 7(1):89-95
NIOSHTIC No.
20043164
Abstract
Objective: 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. Methods: Participants (N52249) completed electronic questionnaires assessing PTSD, depression, alcohol and tobacco use, hurricane exposure, and work demand. Results: 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 (ORs53.3 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 (ORs53.21 and 3.13). Those with high exposure had increased alcohol and tobacco use (ORs53.01 and 3.40), and those with high work demand indicated increased alcohol and tobacco use (ORs51.98 and 2.10). High exposure and work demand predicted increased alcohol and tobacco use, after adjusting for demographics, work demand, and exposure. Conclusions: Work-related disaster mental and behavioral health burden indicate the need for additional mental health interventions in the public health disaster workforce.
Keywords
Stress; Alcohols; Tobacco; Humans; Men; Women; Mental-stress; Mental-health; Exposure-levels; Questionnaires; Work-environment; Workers; Psychological-effects; Psychological-stress; Psychology; Behavior; Statistical-analysis; Public-health; Author Keywords: PTSD; depression; alcohol use; public health workers; hurricane
Contact
Carol S. Fullerton, PhD, Center for the Study of Traumatic Stress, Department of Psychiatry, Uniformed Services, University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814
Publication Date
20130201
Document Type
Journal Article
Email Address
cfuller@erols.com
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
M102013
Issue of Publication
1
ISSN
1935-7893
NIOSH Division
OD; DART
Source Name
Disaster Medicine and Public Health Preparedness
State
MD; DC; OH; PA; FL
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