ArticleAmerican journal of industrial medicine2021
Mental health stigma and barriers to care in World Trade Center responders: Results from a large, population-based health monitoring cohort.
Article in American journal of industrial medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 17 citations in OpenAlex.
- Barriers to and racial and ethnic differences in mental health care service utilization among staff in a large urban health care system.Psychological services · 2026Article
- Probable posttraumatic stress disorder related to the September 11, 2001, terrorist attacks and self-inflicted injury-related hospitalizations and emergency department visits.Journal of traumatic stress · 2026Article
- RESCUE- expected usefulness and willingness to participate in a trauma-informed group intervention for coping with traumatic work experiences in the emergency medical services.Frontiers in psychiatry · 2026Article
- Factors Influencing Perceived Mental Health Service Needs, Self-reported Utilization, and Barriers to Care Among Health System Faculty and Staff.Journal of occupational and environmental medicine · 2026Article
- Perceived social support and longitudinal trajectories of depression and anxiety in World Trade Center responders.Social psychiatry and psychiatric epidemiology · 2024Article
- Characteristics of survivors enrolled in the World Trade Center Health Program.Archives of environmental & occupational health · 2024Article
- Web-Based Mind-Body Tactical Resilience Training Program for First Responders: Pre-Post Study Assessing Feasibility, Acceptability, and Usability.JMIR formative research · 2023Article
- Investigating the impact of terrorist attacks on the mental health of emergency responders: systematic review.BJPsych open · 2022Review
- Prevalence and correlates of suicidal ideation in World Trade Center responders: Results from a population-based health monitoring cohort.Journal of affective disorders · 2022Article
- Structural challenges in the search for mental health services among military police officers: an integrative review.Revista CuidarteArticle
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Authors and funding
16 authors at 8 institutions in 1 country.
Funding
Abstract
backgroundNearly 20 years after the terrorist attacks of September 11, 2001, multiple studies have documented the adverse mental consequences among World Trade Center (WTC) rescue, recovery, and clean-up workers. However, scarce research has examined mental health stigma and barriers to care in WTC-exposed individuals, and no known study has examined whether rates of endorsement may differ between police and "nontraditional" responders, the latter comprising a heterogeneous group of workers and volunteers.
objectiveTo identify the prevalence and correlates of mental health stigma and barriers to care in WTC responders.
methodsMental health stigma and barriers to care and their correlates were examined in 6,777 police and 6,272 nontraditional WTC responders.
resultsNontraditional responders endorsed more stigma or barriers to care concerns than police responders. Within a subsample who screened positive for a psychiatric disorder, police were more likely than nontraditional responders to endorse "concerns that negative job consequences might result" (17.9% vs. 9.1%), while nontraditional responders were more likely to endorse "I don't know where to go to find counseling services" (18.4% vs.6.6%). Within this subsample, mental health service need and more severe WTC-related posttraumatic stress disorder symptoms were associated with increased likelihood of endorsing stigma or barriers; pre-9/11 psychiatric history and non-Hispanic Black race/ethnicity were associated with lower likelihood of endorsing stigma or barriers.
conclusionsResults of this study underscore the burden of mental health stigma and barriers to care in WTC responders, and highlight the need for targeted interventions to address these concerns and promote mental healthcare utilization in this population.
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