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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e31815e92bd
Original Articles

Organizational Factors and Office Workers' Health After the World Trade Center Terrorist Attacks: Long-Term Physical Symptoms, Psychological Distress, and Work Productivity

Osinubi, Omowunmi Y. O. MD, MSc, FRCA; Gandhi, Sampada K. MBBS, MPH; Ohman-Strickland, Pamela PhD; Boglarsky, Cheryl PhD; Fiedler, Nancy PhD; Kipen, Howard MD, MPH; Robson, Mark PhD, MPH

Continued Medical Education
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Objective: To assess if organizational factors are predictors of workers’ health and productivity after the World Trade Center attacks.

Methods: We conducted a survey of 750 workers and compared those who had direct exposures to the World Trade Center attacks (south of Canal Street workers; primary victims) with those less directly exposed (north of Canal Street workers; other victims and non-victims).

Results: South of Canal Street workers reported headache more frequently than north of Canal Street workers did (P = 0.0202). Primary victims reported headache and cough more frequently than did other victims and non-victims (P = 0.0086 and 0.0043, respectively). Defensive organizational culture was an independent predictor of cough and job stress, and job stress was an independent predictor of on-the-job productivity losses.

Conclusion: Organizational variables may modify health and productivity outcomes after a large-scale traumatic event in the workplace.

©2008The American College of Occupational and Environmental Medicine


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