ArticleNature communications2026
Urban exposures, frailty, and mental illness in World Trade Center Health Program responders.
Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Long-term Exposure to PMmedRxiv : the preprint server for health sciences · 2026Article
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10 authors.
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Abstract
General responders of the World Trade Center Health Program were uniquely exposed to chemical toxicants and extreme psychological stress during the 2001 terrorist attack, and now experience unusually prevalent health outcomes for a mid-aged population, including frailty, Post Traumatic Stress Disorder, and depression. We study whether these conditions are linked to later-life urban environmental exposures among 18,734 responders, evaluating associations with annual fine particulate matter, temperature, and Green View Index. A decile incremental increase in the overall exposure-mixture is associated with increased frailty (0.56%; 95% CI: 0.14%;0.98%) and Post Traumatic Stress Disorder scores (0.31%; 95% CI: 0.07%;0.55%). Effects are more pronounced among responders with higher World Trade Center exposures, suggesting increased vulnerability. Here, we show that urban environmental exposures compound the chronic health burden in World Trade Center responders, with effects possibly amplified by World Trade Center exposure history. This suggests that a history of trauma and toxicant exposure can create lasting biological vulnerability to subsequent environmental stressor.
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