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

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/reference/61e41988-b106-41e4-9157-3a469503fd5f
Bibliographic fields
reftype Journal Article
Abstract ObjectiveWe 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.MethodsParticipants (N = 2249) completed electronic questionnaires assessing PTSD, depression, alcohol and tobacco use, hurricane exposure, and work demand.ResultsTotal 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.ConclusionsWork-related disaster mental and behavioral health burden indicate the need for additional mental health interventions in the public health disaster workforce.(Disaster Med Public Health Preparedness. 2013;7:89-95)
Author Fullerton, Carol S.; McKibben, Jodi B. A.; Reissman, Dori B.; Scharf, Ted; Kowalski-Trakofler, Kathleen M.; Shultz, James M.; Ursano, Robert J.
DOI 10.1017/dmp.2013.6
Database Provider Cambridge University Press
EPub Date 04/25
ISSN 1935-7893
Issue 1
Journal Disaster Medicine and Public Health Preparedness
Keywords PTSD; depression; alcohol use; public health workers; hurricane
Name of Database Cambridge Core
Pages 89-95
Publisher Cambridge University Press
Title Posttraumatic stress disorder, depression, and alcohol and tobacco use in public health workers after the 2004 Florida hurricanes
Volume 7
Year 2013
Bibliographic identifiers
_record_number 24061
_uuid 61e41988-b106-41e4-9157-3a469503fd5f