Changes in Substance Abuse Patterns Following the Terrorist Attacks of September

九月恐怖袭击后药物滥用模式的变化

基本信息

批准号：
7287131
负责人：
Charles DiMaggio
金额：
$ 8.05万
依托单位：
COLUMBIA UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-03-01 至 2009-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7287131
关键词：
Accident and Emergency department Address Affect Behavior Behavioral Categories Cities Communities Community Health Data Data Set Data Sources Diagnostic Disasters Disease Disease regression Disruption Drug abuse Drug usage Economics Emergency Situation Environment Epidemiologic Measurements Epidemiologic Studies Ethnic Origin Event Exposure to Gender Goals Health ICD-9 Incidence Individual Intervention Lead Link Literature Logistic Regressions Measurable Measures Mediating Medicaid Meta-Analysis Methodology Methods Modeling Natural Disasters New York New York City Oklahoma Outcome Measure Outpatients Pattern Personal Satisfaction Policy Maker Population Prevalence Principal Investigator Public Health Race Rate Recommendation Recovery Research Research Personnel Risk Role September 11 Terrorist Attacks Series Site Stress Substance abuse problem Techniques Terrorism Time Visit Vulnerable Populations Workplace base behavioral health community planning improved programs response social spatial relationship trend

项目摘要

DESCRIPTION (provided by applicant): Epidemiologic data on the health effects of disasters such as terrorist incidents is essential to help guide relief and recovery efforts. No large-scale, comprehensive, population- based analysis of the effects of the September 11, 2001 terrorist attacks on the incidence, prevalence, patterns and trends of substance abuse has been conducted. This proposed analysis of outpatient and emergency department Medicaid data offers a valuable opportunity to help describe and analyze how epidemiologic measurement and methodology utilizing large, administratively collected health data sets can be utilized in the context of dramatic changes in the physical, social and economic environment to assess drug abuse following terrorism, man-made and natural disasters. The statistical analyses will include methodology to address issues of correlated data, spatial relationships, and the inclusion of geographic and built environment measures to help improve causal inference from non-experimental sources of data to assess the effects of the terrorist attacks. The hypothesis is that there were measurable short-term and long-term behavioral health effects among individuals exposed to the attacks on and subsequent collapse of the World Trade Center towers in New York City, that these effects were due to traumatic stress, were spatially mediated via proximity to the events, and were associated with adverse overall social, economic and public health of the affected communities. The specific aims are to (1) Review, document and synthesize the literature on the effect of mass events such as terrorism on substance abuse (2) Conduct time series analyses of patterns of drug abuse in New York City communities for the periods preceding, during and following the terrorist attacks of September 11, 2001 to determine if disruptions in social and economic environments are linked to changes drug use behavior and (3) Determine if there is evidence of a spatial association between the effects of the post-attack period and drug abuse. The project builds on initial research conducted by the principal investigator into the health effects of the terrorist attacks of September 11, 2001 on the communities of New York. It will utilize methods of meta-analysis, Poisson and logistic regression, interrupted and dynamic time series analyses and Bayesian approaches to hierarchical spatial modeling. Results will lead to recommendations for emergency management practitioners and policy makers in preparing and mobilizing their communities for disasters or terrorist events, as well as for behavioral health researchers and practitioners in identifying risk, vulnerability, protective and resiliency factors when planning community-wide health interventions following terrorist attacks and natural disasters.

描述（由申请人提供）：关于恐怖事件等灾害的健康影响的流行病学数据对于帮助指导救济和恢复工作至关重要。尚未对2001年9月11日的恐怖袭击对滥用药物的发病率，流行，模式和趋势的影响进行大规模，全面，基于人群的分析。对门诊和急诊部医疗补助数据数据的拟议分析提供了一个宝贵的机会，可以帮助描述和分析如何利用大型，行政上收集的健康数据集的流行病学测量和方法，并在恐怖，人为疾病和自然灾难后的物理，社会和经济环境中进行巨大变化来评估药物滥用，以评估物理，社会和经济环境的巨大变化。统计分析将包括解决相关数据，空间关系问题的方法，以及包括地理和建筑环境措施，以帮助改善非实验数据来源的因果推断，以评估恐怖袭击的影响。假设是，暴露于纽约市世界贸易中心塔楼攻击并随后崩溃的个体之间存在可衡量的短期和长期行为健康影响，这些影响是由于创伤性压力引起的，是通过与事件接近的空间介导的，并且与受影响社区的不利社会，经济和公共健康有关。具体目的是（1）审查，文档和综合有关大规模事件的影响，例如恐怖主义对滥用毒品的影响（2）行为时间序列分析纽约市社区中毒品滥用模式的分析，此前和期间，期间和之后的恐怖袭击在2001年9月11日的恐怖袭击期间和之后，确定在社会和经济环境中确定是否有任何链接的毒品的影响（3）是否会互相互为（3），该依据是否会链接起来（3）是否会涉及毒品的影响（3）。攻击后和滥用毒品。该项目基于首席研究人员对2001年9月11日恐怖袭击对纽约社区的恐怖袭击的健康影响的初步研究。它将利用荟萃分析，泊松和逻辑回归的方法，中断和动态的时间序列分析以及贝叶斯的分层空间建模方法。结果将为应急管理从业人员和政策制定者提出建议，以准备和动员其社区进行灾难或恐怖事件，以及行为健康研究人员和从业人员在计划恐怖分子袭击和自然灾害后识别社区范围内的健康干预措施时，以识别风险，脆弱性，保护性和弹性因素。