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RESEARCH AND PRACTICE |
Ping Wu, Cristiane S. Duarte, Patricia Cohen, and Christina W. Hoven are with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY; Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York; and New York State Psychiatric Institute, New York. Donald J. Mandell, Bin Fan, and George Musa are with New York State Psychiatric Institute, New York. Xinhua Liu is with the Department of Biostatistics, Mailman School of Public Health, Columbia University, New York. Cordelia J. Fuller is with the Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York. Michael Cohen is with The Michael Cohen Group, LLC, New York.
Correspondence: Requests for reprints should be sent to Ping Wu, PhD, Department of Psychiatry, Columbia University-NYSPI, 1051 Riverside Dr, Unit 43, New York, NY 10032 (e-mail: pw11{at}columbia.edu).
We examined exposure to the World Trade Center attack and changes in cigarette smoking and drinking among 2731 New York City public high-school students evaluated 6 months after the attack. Increased drinking was associated with direct exposure to the World Trade Center attack (P < .05). Increased smoking was not directly associated with exposure to the World Trade Center attack but was marginally significantly associated with posttraumatic stress disorder (P= .06). Our findings suggest that targeted substance-use interventions for youths may be warranted after large-scale disasters.
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