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AJPH First Look, published online ahead of print Mar 29, 2006
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May 2006, Vol 96, No. 5 | American Journal of Public Health 804-807
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2004.058925

RESEARCH AND PRACTICE

Exposure to the World Trade Center Attack and the Use of Cigarettes and Alcohol Among New York City Public High-School Students

Ping Wu, PhD, Cristiane S. Duarte, PhD, Donald J. Mandell, PhD, MPH, Bin Fan, MD, Xinhua Liu, PhD, Cordelia J. Fuller, MA, George Musa, MS, Michael Cohen, PhD, Patricia Cohen, PhD and Christina W. Hoven, DrPH

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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