Persistent mental and physical health impact of exposure to the September 11, 2001 World Trade Center terrorist attacks

Table 4 Quality of life, health care access, and health care utilization according to presence/absence of post-9/11-onset health conditions

		Health-related quality of life in 30 days before questionnaire				General health and satisfaction				Health care access and utilization during year before questionnaire
Condition ^a		> 14 days of poor physical or mental health		Poor health limited usual activity for > 14 days		Dissatisfied or very dissatisfied with life		Fair or poor general health		Unmet need for medical care		Unmet need for mental health care
Condition ^a	N	n	%	n	%	n	%	n	%	n	%	n	%
Asthma	4556	2091	47.1	1250	28.9	1114	24.9	2232	49.8	182	4.1	604	13.6
GERD	7119	2981	42.8	1721	25.3	1601	22.8	3041	43.2	211	3.1	827	11.9
PTSD	4762	3274	70.4	2117	46.6	2220	47.4	3047	64.9	341	7.4	1169	25.3
Depression	4709	3413	73.9	2130	47.1	2352	50.8	3069	66.0	326	7.1	1192	26.0
None	16,150	2057	13.0	700	4.5	990	6.2	1771	11.1	244	1.5	743	4.6

GERD: gastroesophageal reflux disease
PTSD: posttraumatic stress disorder
^aAsthma was defined as self-reported, clinician-diagnosed asthma reported on the Wave 1 or Wave 4 questionnaires. GERD was defined as self-reported, clinician-diagnosed GERD reported on the Wave 4 questionnaire. PTSD was defined as a score > 44 on the 17-item, event-specific PTSD Checklist on the 2015–16 Wave 4 questionnaire, among enrollees who did not report a pre-9/11 diagnosis of PTSD. Depression was defined as a score > 10 on the 8-item Patient Health Questionnaire on the 2015–16 Wave 4 questionnaire among enrollees who did not report a pre-9/11 diagnosis of depression

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