New onset of asthma and job status change among world trade center responders and workers

Am J Ind Med. 2017 Dec;60(12):1039-1048. doi: 10.1002/ajim.22774. Epub 2017 Sep 14.

Abstract

Background: Despite the high rates, the consequences of new onset asthma among the World Trade Center (WTC) responders in terms of the change in job status have not been studied.

Methods: This study consists of a cohort of 8132 WTC responders out of the total 25 787 responders who held a full-time job at the baseline visit, and participated in at least one follow-up visit.

Results: Overall, 34% of the study cohort changed their job status from full-time at a follow-up visit. Multivariable models showed that asthmatics were respectively 27% and 47% more likely to have any job status change and get retired, and twice as likely to become disabled as compared to non-asthmatics.

Conclusions: With asthma incidence from WTC exposure, negative job status change should be considered as a potential long-term consequence of WTC exposure.

Keywords: WTC responders; asthma; job status change; socioeconomic status; world trade center.

MeSH terms

  • Adult
  • Asthma / epidemiology
  • Asthma / etiology*
  • Career Mobility*
  • Chi-Square Distribution
  • Cohort Studies
  • Emergency Responders*
  • Employment*
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Multivariate Analysis
  • New York City / epidemiology
  • Occupations
  • Rescue Work
  • September 11 Terrorist Attacks*
  • Socioeconomic Factors