Journal of Urban Health

, Volume 85, Issue 3, pp 411–427 | Cite as

Vicarious Exposure to Terrorist Attacks and Substance Use: Results from an Urban Household Survey

  • Adam M. Lippert
  • Michael Fendrich
  • Timothy P. Johnson
Article

Abstract

This study investigated the impact of the 9/11 attacks on substance use in Chicago, Illinois. The study design was a cross-sectional, audio-computer-assisted self-interview survey conducted in 2001 and 2002. Biological samples were also collected for toxicological analyses. Using a multistage area probability design, residents between the ages of 18 and 40 years were randomly selected. Compared to pre-9/11 interviewees, post-9/11 interviewees showed significantly less self-reported marijuana use, marijuana use per test results, and cocaine use per test results. Law enforcement and social–structural explanations for the findings are discussed.

Keywords

Substance use Disasters Epidemiology Terrorist attacks PTSD 

References

  1. 1.
    North CS, Smith EA, Spitznagel EL. Posttraumatic stress disorder in survivors of a mass shooting. Am J Psychiatry. 1994;151:82–88.PubMedGoogle Scholar
  2. 2.
    Smith EA, North CS, McCool RE, Shea JM. Acute postdisaster psychiatric disorder: Identification of persons at risk. Am J Psychiatry. 1990;147(2):202–206.PubMedGoogle Scholar
  3. 3.
    Melnik TA, Baker CT, Adams ML, et al. Psychological and emotional effects of the September 11 attacks on the World Trade Center-Connecticut, New Jersey, and New York, 2001. J Am Med Assoc. 2002;288(12):1467–1468.CrossRefGoogle Scholar
  4. 4.
    Vlahov D, Galea S, Resnick H, et al. Increased use of cigarettes, alcohol, and marijuana among Manhattan, New York residents after the September 11th Terrorist Attacks. Am J Epidemiol. 2002;155(11):988–996.PubMedCrossRefGoogle Scholar
  5. 5.
    Zywiak WH, Stout RL, Trefry WB, et al. Alcohol relapses associated with September 11, 2001: A case report. Subst Abuse. 2003;24(2):123–128.CrossRefGoogle Scholar
  6. 6.
    Galea S, Ahern J, Resnick H, et al. Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346(13):982–987.PubMedCrossRefGoogle Scholar
  7. 7.
    Hoge CW, Pavlin JA, Milliken CS. Psychological sequelae of September 11. N Engl J Med. 2002;347(6):443–444.PubMedCrossRefGoogle Scholar
  8. 8.
    Schlenger WE, Caddell JM, Ebert L, et al. Psychological reactions to terrorist attacks: Findings from the National Study of Americans’ Reactions to September 11. J Am Med Assoc. 2002;288(5):581–588.CrossRefGoogle Scholar
  9. 9.
    North CS, Nixon S, Shariat S, et al. Psychiatric disorders among survivors of the Oklahoma City bombing. J Am Med Assoc. 1999;282(8):755–762.CrossRefGoogle Scholar
  10. 10.
    Cohen R, Holman EA, McIntosh D, Poulin M, Gil-Rivas V. Nationwide longitudinal study of psychological responses to September 11. J Am Med Assoc. 2002;288(10):1235–1244.CrossRefGoogle Scholar
  11. 11.
    Price RK, Risk NK, Haden AH, Lewis CE, Spitznagel EL. Post-traumatic stress disorder, drug dependence, and suicidality among male Vietnam veterans with a history of heavy drug use. Drug Alcohol Depend. 2004;76(Suppl7):S31–S43.PubMedCrossRefGoogle Scholar
  12. 12.
    Swendsen J, Merikangas K. The comorbidity of depression and substance use disorder. Clin Psychol Rev. 2000;20:173–189.PubMedCrossRefGoogle Scholar
  13. 13.
    Brown P, Stout R, Mueller T. Posttraumatic stress disorder and substance abuse and relapse among women: A pilot study. Psychol Addict Behav. 1996;10:124–128.CrossRefGoogle Scholar
  14. 14.
    Stewart S. Alcohol abuse in individuals exposed to trauma: A critical review. Psychol Bull. 1996;120:83–112.PubMedCrossRefGoogle Scholar
  15. 15.
    Schuster M, Stein B, Jaycox L, et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med. 2001;345:1507–1512.PubMedCrossRefGoogle Scholar
  16. 16.
    Creson D, Schmitz J, Sayre S, Rhoades H. Stress and behavior change in a substance-abusing population following September 11, 2001. Addictive Disorders & Their Treatment. 2003;2(2):59–61.CrossRefGoogle Scholar
  17. 17.
    Richman JA, Wislar JS, Flaherty JA, Fendrich M, Rospenda K. Effects on alcohol use and anxiety of the September 11, 2001, attacks and chronic work stressors: A longitudinal cohort study. Am J Public Health. 2004;94(11):2010–2015.PubMedGoogle Scholar
  18. 18.
    Perrine M, Schroder K, Forester R, McGonagle-Moulton P, Huessy F. The impact of the September 11, 2001, terrorist attacks on alcohol consumption and distress: Reactions to a national trauma 300 miles from Ground Zero. J Stud Alcohol. 2004;65:5–15.PubMedGoogle Scholar
  19. 19.
    Levy PS, Lemeshow S. Sampling of Populations: Methods and Applications. New York, New York: Wiley; 1991.Google Scholar
  20. 20.
    Bryant BE. Respondent selection in a time of changing household composition. J Market Res. 1975;12:112–135.CrossRefGoogle Scholar
  21. 21.
    American Association for Public Opinion Research [AAPOR]. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates Surveys. Ann Arbor, Michigan: American Association for Public Opinion Research; 2000.Google Scholar
  22. 22.
    Groves RM, Couper MP. Nonresponse in Household Interview Surveys. New York, New York: Wiley; 1998.Google Scholar
  23. 23.
    Wolff K, Farrell M, Marsden J, et al. A review of biological indicators of illicit drug use: Practical considerations and clinical usefulness. Addiction. 1999;94:1279–1298.PubMedCrossRefGoogle Scholar
  24. 24.
    Cone EJ. New developments in biological measures of drug prevalence. In: Harrison L, Hughes A, eds. The Validity of Self-Reported Drug Use: Improving the Accuracy of Survey Estimates. Rockville, Maryland: NIDA Research Monograph 167, US Department of Health and Human Services; 1997:108–129.Google Scholar
  25. 25.
    Jehanli A, Brannan S, Moore L, Spiehler V. Blind trials of an onsite saliva drug test. J Forensic Sci. 2001;46:206–212.Google Scholar
  26. 26.
    Fendrich M, Johnson TP, Wislar JS, Hubbell A. Drug test feasibility in a general population household survey. Drug Alcohol Depend. 2003;73:237–250.CrossRefGoogle Scholar
  27. 27.
    Fendrich M, Johnson TP, Wislar JS, Hubbell A, Spiehler V. The utility of drug testing in epidemiological research: Results from a general population survey. Addiction. 2004;99:197–208.PubMedCrossRefGoogle Scholar
  28. 28.
    Fendrich M, Johnson TP. Race/ethnicity differences in the validity of self-reported drug use: Results from a household survey. J Urban Health. 2005;82(Suppl3):iii67–iii81.PubMedGoogle Scholar
  29. 29.
    Office of Applied Studies. Summary of findings from the 2000 National Household Survey on Drug Abuse (DHHS Publication No. SMA 01-3549, NHSDA Series: H-13). Rockville, Maryland: Substance Abuse and Mental Health Services Administration; 2001.Google Scholar
  30. 30.
    Back S, Sonne SC, Killeen T, Dansky BS, Brady KT. Comparative profiles of women with PTSD and comorbid cocaine or alcohol dependence. Am J Drug Alcohol Abuse. 2003;29(1):169–189.PubMedCrossRefGoogle Scholar
  31. 31.
    StataCorp. Stata Statistical Software: Release 9. College Station, Texas: StataCorp LP; 2005.Google Scholar
  32. 32.
    Fendrich M, Johnson TP, Sudman S, Wislar JS, Spiehler V. Validity of drug use reporting in a high risk community sample: A comparison of cocaine and heroin survey reports with hair tests. Am J Epidemiol. 1999;149:955–962.PubMedGoogle Scholar
  33. 33.
    Galea S, Nandi A, Vlahov D. The social epidemiology of substance use. Epidemiol Rev. 2004;26:36–52.PubMedCrossRefGoogle Scholar
  34. 34.
    Collins R, Ellickson P, Hays R, McCaffrey D. Effects of incentive size and timing on response rates to a follow-up wave of a longitudinal mailed survey. Evaluation Review. 2000;24(4):347–363.CrossRefGoogle Scholar
  35. 35.
    Voigt L, Koepsell T, Daling J. Characteristics of telephone survey respondents according to willingness to participate. Am J Epidemiol. 2003;157:66–73.CrossRefGoogle Scholar
  36. 36.
    US Drug Enforcement Agency. Successes in the Fight Against Drugs. Accessed on September 27, 2007. Available at http://www.usdoj.gov/dea/statistics.html#seizures. 2006.
  37. 37.
    Putnam R. Better Together: The Report of the Saguaro Seminar on Civic Engagement in America. 2002. Accessed on October 31, 2006. Available at http://www.bettertogether.org/thereport.html.
  38. 38.
    Skocpol T. Will 9/11 and the war on terror revitalize American civic democracy? PSonline. September, 2002; 537–540. Accessed on September 9, 2006. Available at http://www.apsanet.org.
  39. 39.
    Lindstrom M. Social capital, the miniaturization of community and high alcohol consumption: A population-based study. Alcohol Alcoholism. 2005;40(6):556–562.CrossRefGoogle Scholar
  40. 40.
    Curran E. The relationship between social capital and substance use by high school students. J Alcohol Drug Educ. 2007;51(2):59–73.Google Scholar
  41. 41.
    Lunborg P. Social capital and substance use among Swedish adolescents—an explorative study. Soc Sci Med. 2005;61(6):1151–1158.PubMedCrossRefGoogle Scholar

Copyright information

© The New York Academy of Medicine 2008

Authors and Affiliations

  • Adam M. Lippert
    • 1
    • 4
  • Michael Fendrich
    • 1
    • 2
  • Timothy P. Johnson
    • 3
  1. 1.Center for Addiction and Behavioral Health ResearchMilwaukeeUSA
  2. 2.Helen Bader School of Social WelfareUniversity of Wisconsin-MilwaukeeMilwaukeeUSA
  3. 3.Survey Research LaboratoryUniversity of Illinois-ChicagoChicagoUSA
  4. 4.University of Wisconsin-MilwaukeeMilwaukeeUSA

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