世界贸易中心卫生计划对9/11救援人员死亡率的影响
Afroza Parvin1, Rebecca D Kehm2, Baozhen Qiao3
1New York City Department of Health and Mental Hygiene, World Trade Center Health Registry, 42-09 28th Street, CN-6W, Long Island City, NY, 11101, United States.
Annals of epidemiology
|January 31, 2026
概括
世界贸易中心健康计划 (WTCHP) 的成员资格与9/11救援人员中所有原因和吸烟相关死亡率的降低有关. 这些发现凸显了该计划在为救灾工作者提供基本医疗服务方面的价值.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 灾难医学 灾难医学
背景情况:
- 世界贸易中心卫生计划 (WTCHP) 为遭受2001年9月11日 (9/11) 恐怖袭击的个人提供关键的医疗监测和治疗.
- 了解WTCHP成员对死亡风险的长期影响对于评估其有效性至关重要.
研究的目的:
- 调查WTCHP会员资格与9/11救援人员死亡风险之间的关联.
- 用反向概率加权来控制并发病对死亡风险的影响.
主要方法:
- 从注册到2020年,对28,430名911响应者的前性分析.
- 利用国家死亡指数 (NDI) 链接用于死亡率数据和癌症注册表链接用于癌症识别.
- 采用Cox比例危险和因果特定危险回归模型来估计死亡风险的调整危险比率 (aHR).
主要成果:
- 在4444425人年中,共有1657人死亡.
- 与非会员相比,WTCHP会员的全因死亡率 (aHR=0.87) 和吸烟相关死亡率 (aHR=0.83) 的风险较低.
- 男性有显著的全因死亡风险降低 (aHR=0.85);癌症或心脏相关死亡率没有发现显著差异.
结论:
- 加入WTCHP与9/11应援人员的全因和吸烟相关死亡率降低有关,即使考虑到健康状况.
- 这些发现强调了全面的健康监测和救灾人员的治疗服务的重要性.
- 该研究强调了WTCHP提供的长期健康益处.
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