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AJPH First Look, published online ahead of print Mar 29, 2006
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AJPH.2004.058925v1
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©
American Journal of Public Health, 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 1*, Cristiane S. Duarte 1, Donald J. Mandell 2, Bin Fan 2, Xinhua Liu 3, Cordelia J. Fuller 3, George Musa 2, Michael Cohen 4, Patricia Cohen 1, Christina W. Hoven 1

1 Columbia University; New York State Psychiatric Institute
2 New York State Psychiatric Institute
3 Columbia University
4 Michael Cohen Group, LLC

* To whom correspondence should be addressed. E-mail: wup{at}childpsych.columbia.edu.


  Abstract

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.

Key Words: Adolescent Health, Epidemiology, Mental Health, Alcohol, Tobacco




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