title: Organizational factors and office workers' health after the World Trade Center terrorist attacks: long-term physical symptoms, psychological distress, and work productivity.
abstract: 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.
  
  
  CONCLUSIONS
  Organizational variables may modify health and productivity outcomes after a large-scale traumatic event in the workplace.
authors.affiliation: Department of Environmental and Occupational Health, School of Public Health, University of Medicine and Dentistry of New Jersey, NJ 08854, USA. oosinubi@eohsi.rutgers.edu
authors.forename: Omowunmi Y O
authors.initials: OY
authors.lastname: Osinubi
authors.forename: Sampada K
authors.initials: SK
authors.lastname: Gandhi
authors.forename: Pamela
authors.initials: P
authors.lastname: Ohman-Strickland
authors.forename: Cheryl
authors.initials: C
authors.lastname: Boglarsky
authors.forename: Nancy
authors.initials: N
authors.lastname: Fiedler
authors.forename: Howard
authors.initials: H
authors.lastname: Kipen
authors.forename: Mark
authors.initials: M
authors.lastname: Robson
mesh_terms: D000328:Adult; D004526:Efficiency; D005260:Female; D006261:Headache / Q000523:psychology; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008016:Life Change Events; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000209:etiology; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D016272:Occupational Health; D015279:Organizational Culture; D010865:Pilot Projects; D047851:September 11 Terrorist Attacks / Q000523:psychology*; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D013997:Time Factors; D017132:Workplace / Q000523:psychology*