WTC-Work Study: World Trade Center Non-Traditional Responders' Employment and Mental Health

WTC-工作研究：世贸中心非传统响应者的就业和心理健康

• 批准号: 10749664
• 负责人: Susan Elizabeth Peters
• 金额: $ 26.03万
• 依托单位: HARVARD SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-01 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10749664
• 关键词: WTC; Work; Study; World; Trade

World Trade Center Non-Traditional Responders' Employment and Mental Health: Project Summary World Trade Center (WTC) responders observed traumatic destruction and loss of life during months of rescue and recovery work. In this study, we will focus on WTC non-traditional responders (NTR), such as construction, electrical, and transportation workers, who have experienced persistently high rates of mental health diagnoses in the two decades since 9/11. Gainful employment and the quality of one's working conditions are important social determinants of health and well-being that can impact mental health, health behaviors, and lifestyle medicine factors. Workplaces offer ideal settings for interventions that target mental health, well-being, and health behaviors by improving the conditions of work, and ensuring that workplace policies, programs, and practices promote health. However, little research has focused on the important role that work has in supporting (or hindering) WTC NTR mental health, health behaviors, and lifestyle medicine factors. This proposed study will take advantage of rigorous longitudinal data collected from the WTC General Responder Cohort. These data will also provide a foundation for collecting new data and pursuing new areas of inquiry. The objective of this study is to identify how different employment profiles, working conditions, and union and employer policies, programs, and practices have affected WTC NTR mental health, worker well-being, and health and lifestyle behaviors in the 20 years since 9/11. We will use data from the General Responder Cohort and link these data to new survey data collected from WTC NTR who are currently working. Specifically, we aim to: 1) Determine the relationships between employment profiles of WTC NTR and their mental health, health behaviors, and lifestyle medicine factors; and 2) Among currently employed WTC NTR, identify working conditions, policies, and practices that are supportive of (or harmful to) mental health, work-related well-being, healthy behaviors, and other lifestyle factors. We will consider four of the six pillars of lifestyle medicine: avoidance of substance misuse, sleep hygiene, social connectedness, and stress management and positive psychology. Specifically, we will focus on how NTR employment profiles and working conditions, as well as current organizational (employer and union) policies, programs, and practices, have cascading effects on these pillars of lifestyle medicine. At the completion of this study, we expect to determine the extent to which employment and supportive working conditions promote responders' mental health and health behaviors. The new knowledge we generate on the relationships between WTC NTR mental health and employment can be used as the foundation for future epidemiologic and intervention research. Our study results may also inform recommendations for workplace policies, programs, and practices to improve the health and well-being of WTC NTR. The impact of the study findings has the potential to extend beyond WTC NTR, to traditional responders as well as responders of current and future traumatic events.

世界贸易中心非传统响应者的就业和心理健康：项目摘要 世界贸易中心 (WTC) 救援人员在数月的救援过程中观察到创伤性破坏和人员伤亡 和恢复工作。在本研究中，我们将重点关注世贸中心非传统响应者 (NTR)，例如建筑、 电气和运输工人的心理健康率持续居高不下 自 9/11 以来的二十年里的诊断。有报酬的就业和工作条件的质量 健康和福祉的重要社会决定因素，可以影响心理健康、健康行为和 生活方式医学因素。工作场所为针对心理健康、福祉、 和健康行为，通过改善工作条件，并确保工作场所政策、计划和 实践促进健康。然而，很少有研究关注工作在其中的重要作用。 支持（或阻碍）WTC NTR 心理健康、健康行为和生活方式医学因素。这 拟议的研究将利用从世贸中心总响应员收集的严格纵向数据 队列。这些数据还将为收集新数据和探索新领域的研究提供基础。 本研究的目的是确定不同的就业概况、工作条件以及工会和 雇主政策、计划和实践影响了 WTC NTR 的心理健康、工人福祉和 自 9/11 以来 20 年来的健康和生活方式行为。我们将使用来自一般响应者队列的数据 并将这些数据与从目前正在工作的 WTC NTR 收集的新调查数据联系起来。具体来说，我们 目的是： 1) 确定 WTC NTR 的就业状况与其心理健康之间的关系， 健康行为和生活方式医学因素； 2) 在目前受雇的 WTC NTR 中，确定工作 支持（或有害）心理健康、与工作相关的福祉的条件、政策和做法， 健康行为和其他生活方式因素。我们将考虑生活方式医学的六大支柱中的四个： 避免药物滥用、睡眠卫生、社交联系、压力管理和积极的态度 心理学。具体来说，我们将重点关注 NTR 的就业概况和工作条件，以及 当前的组织（雇主和工会）政策、计划和实践对这些产生连锁反应 生活方式医学的支柱。在这项研究完成后，我们希望确定 就业和支持性工作条件可促进应对者的心理健康和健康行为。这 我们获得的关于 WTC NTR 心理健康与就业之间关系的新知识可以 用作未来流行病学和干预研究的基础。我们的研究结果也可能会告诉我们 针对改善世贸中心健康和福祉的工作场所政策、计划和实践的建议 NTR。研究结果的影响有可能超越 WTC NTR，影响到传统的应对者 以及当前和未来创伤事件的应对者。