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Registro
3 de 3 en PsycINFO Weekly 2004/08 Week 1
AN: 2004-11806-004
DT: Peer-Reviewed-Journal
AU: Boscarino,-Joseph-A;
Galea,-Sandro;
Adams,-Richard-E;
Ahern,-Jennifer;
Resnick,-Heidi;
Vlahov,-David
TI: Mental Health Service and Medication Use in New York City After
the September 11, 2001, Terrorist Attack.
SO: Psychiatric-Services.
Mar 2004; Vol 55 (3): 274-283.
IS: 1075-2730
AB: (from the journal abstract) Objective: A survey assessed use of
mental health services and psychiatric medications in New York City
four to five months after the September 11, 2001, attack on the World
Trade Center. Methods: A telephone survey using random-digit dialing
was conducted among 2,001 adult householders. Results: During the
interviews, 7.6 percent of respondents reported use of mental health
services in the past 30 days and 7.7 percent reported use of
psychiatric medications. Factors associated with service use included
experiencing four or more lifetime traumatic events, experiencing two
or more stressful life events in the past 12 months, having
posttraumatic stress disorder (PTSD), and having depression. African-American
and Hispanic respondents were less likely than white respondents to
use services. Greater service use after the attack was associated with
a graduate education, increased alcohol use after the attack, and
depression. Factors associated with medication use included being in
either of two age groups (25 to 44 years and 45 to 64 years), having a
primary care physician, experiencing two or more stressful life events
in the past 12 months, and having depression. African-American and
Hispanic respondents were less likely than white respondents to be
taking medications. Greater use after the attack was associated with
having depression. Mental health visits in Manhattan appeared to
decrease compared with the first two months after the attack. However,
among respondents with PTSD or depression, those who were nonwhite,
younger, without a primary care physician, or without health insurance
were less likely to use postdisaster services. Conclusions: Service
use after the terrorist attack was related to mental status and to the
amount of trauma and stress experienced. Overall, white respondents,
those aged 25 to 64 years, and those with a primary care physician
were more likely to use services. (PsycINFO Database Record (c) 2004
APA, all rights reserved)
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