Health status and health care utilization following collective trauma: A 3-year national study of the 9/11 terrorist attacks in the United States

E. Alison Holman and Roxane Cohen Silver

Social Science & Medicine, 2011, vol. 73, issue 4, 483-490

Abstract: The September 11, 2001 terrorist attacks (9/11) presented a unique opportunity to assess the physical health impact of collective stress in the United States. This study prospectively examined rates of physical ailments and predictors of health care utilization in a U.S. nationally representative sample over three years following the attacks. A sample of adults (NÂ =Â 2592) completed a survey before 9/11/01 that assessed MD-diagnosed physical and mental health ailments. Follow-up surveys were administered at one (NÂ =Â 1923), two (NÂ =Â 1576), and three (NÂ =Â 1950) years post-9/11 to assess MD-diagnosed physical health ailments (e.g., cardiovascular, endocrine) and health care utilization. Reports of physical ailments increased 18% over three years following 9/11. 9/11-related exposure, lifetime and post-9/11 stress, MD-diagnosed depression/anxiety, smoking status, age, and female gender predicted increased incidence of post-9/11 ailments, after controlling for pre-9/11 health. After adjusting for covariates (demographics, somatization, smoking status, pre-9/11 mental and physical health, lifetime and post-9/11 stress, and degree of 9/11-related exposure), increases in MD-diagnosed cardiovascular, endocrine, gastrointestinal, and hematology-oncology ailments predicted greater utilization of health care services over two years. After the collective stress of 9/11, rates of physical ailments increased and predicted greater health care utilization in a U.S. national sample.

Keywords: USA; 9/11; Terrorism; Collective; trauma; Traumatic; stress; Health; Health; care; utilization (search for similar items in EconPapers)
Date: 2011
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Citations: View citations in EconPapers (3)

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