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Substance use and functional impairment among adolescents directly exposed to the 2001 World Trade Center attacks

Bibliographic Data

ID3897953
AuthorsClaude M Chemtob (Icahn School of Medicine at Mount Sinai), Yoko Nomura (0000-0002-2180-568X, Icahn School of Medicine at Mount Sinai), Louis Josephson (Tri-County Community Mental Health Center), Richard E Adams (0000-0002-3372-7922, Icahn School of Medicine at Mount Sinai), Lloyd Sederer, Lloyd I Sederer (New York City Department of Health and Mental Hygiene)
Year2009
Volume33
Issue3
Pages337-352
Publication date2009-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDisasters (JOURNAL)
Journal identifiersISSN: 0361-3666 • E-ISSN: 1467-7717
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1467-7717.2008.01077.x
PMID19178553
OpenAlexW2013194513
LanguageEN
Citations received15
References cited25

The relationship between exposure to the World Trade Center (WTC) attacks, increased substance use, functional impairment and mental health service use, controlling for depression and post-traumatic stress disorder, was assessed through an in-school survey of directly exposed students (N = 1040) attending the five middle and five high schools nearest the WTC. The survey was conducted 18 months after the attacks. Students with one WTC exposure risk factor had a five-fold increase in substance use, while those with three or more exposure risks had a nearly 19-fold increase. Increased substance use was associated with impaired school work, school behaviour and grades. Students reporting increased substance use were nearly twice as likely to want help but were no more likely than asymptomatic students to receive services. Adolescents reporting increased substance use, without co-morbidity, were less likely to receive psychological services than others. Attention to the needs of substance-using adolescents exposed to disaster is needed

Asymptomatic · Depression (economics · Environmental health · Functional impairment · Injury prevention · Mental health · Occupational safety and health · Poison control · Psychiatry · Substance abuse · Substance use · Suicide prevention · Child Abuse and Trauma · Clinical Psychology · Human Factors and Ergonomics · Medicine · Migration, Health and Trauma · Posttraumatic Stress Disorder Research · Psychology

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Unique citing works15
Citations per year0,94
Citation span2010 - 2025 (16)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 15

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