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

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.This research was supported in part by the Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (NIOSH) Grant 5 R21 OH007713-02, and the NIEHS sponsored UMDNJ Center for Environmental Exposures and Disease, Grant NIEHS P30ES005022.This is a non-final version of an article published in final form in Journal of Occupational and Environmental Medicine (50(2):112-25, 2008 Feb) a publication of Lippincott, Williams & Wilkins. The published article is available at http://journals.lww.com/joem/Fulltext/2008/02000/Organizational_Factors_and_Office_Workers__Health.4.asp