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Objective: Research examining the responders of the World Trade Center terrorist attacks of 9/11 has found that Hispanic responders are at greater risk for posttraumatic stress disorder (PTSD) than non-Hispanic White responders. However, no studies have examined how acculturation may influence the relationship between coping and PTSD in Hispanic 9/11 responders. This novel study is the first to examine differences in coping and PTSD among Hispanic responders by level of acculturation. Methods: The sample is composed of 845 Hispanic 9/11 responders who were seen at the World Trade Center Health Program and participated in a web-based survey. Using logistic and multiple linear regression, we examined how acculturation is related to their coping strategies and risk for PTSD. We also tested for interaction to examine whether level of acculturation moderated the relationship between coping and PTSD symptom severity. Results: Key findings revealed that higher acculturation is associated with the use of substances, venting, and humor to cope, while lower acculturation is associated with the use of active coping and self-distraction in this sample. We also found that less acculturated responders were more likely to experience more severe PTSD. Lastly, our findings revealed that Hispanics who are more acculturated and used substances to cope had more severe PTSD than less acculturated responders. Conclusion: These findings highlight the need to consider the role of acculturation in Hispanic responders' coping and PTSD. Clinical Impact StatementThis study contributes to our understanding of sociocultural risk factors that contribute to mental health disparities among Hispanic first responders.

Background Prior research has indicated that posttraumatic growth (PTG) often co-occurs with symptoms of posttraumatic stress disorder (PTSD). However, it is yet unclear what longitudinal patterns of posttraumatic symptom levels may predict the development of PTG. Methods World Trade Center (WTC) rescue and recovery workers (2038 police and 2103 non-traditional responders) were assessed an average of 3, 6, 8, and 12 years post-9/11/2001. Responders’ WTC-related PTSD symptoms were characterized by No/Low Symptom, Worsening/Subtly Worsening, Steeply Worsening (only for non-traditional responders), Improving, and Chronic trajectories. PTSD symptom trajectories were examined as predictors of PTG, which was assessed using total scores on the Posttraumatic Growth Inventory-Short Form. Results Across both occupational groups, being female, older, Hispanic, and experiencing more post-9/11 traumatic events were independently associated with self-reported PTG. Among police responders, a greater number of WTC exposures and supportive family members while working at the WTC site were linked to higher PTG. Among non-traditional responders, Black race/ethnicity, less education, fewer pre-9/11 traumatic events, and the presence of support while working at the WTC site were additionally linked to higher PTG. Only the moderate PTSD symptom trajectories (ie, worsening and improving) for police responders and all symptomatic trajectories for non-traditional responders were associated with higher levels of PTG. Conclusions Symptomatic 12-year trajectories of PTSD symptoms and certain sociodemographic characteristics, stressor exposures, and supportive resources were associated with PTG in traditional and non-traditional WTC responders. Results provide insight into subgroups of WTC responders who may benefit from PTG-promoting interventions, as well as potentially modifiable targets to help foster PTG in this population.

Suryakencana Street in the Suryakencana Chinatown Area, Bogor City is famous for its culinary delights. Although currently the culinary diversity in Suryakencana continues to grow, the presence of other culinary spots in Bogor has made Suryakencana's culinary name start to fade. To be able to restore and strengthen the image of the Suryakencana Area as a tourist visit route, new attractors are needed. The existence of the new attractor can improve the image of the Chinatown area, elevate Chinatown culture and make the Suryakencana area a culinary tourism area and Chinatown culture. The urban acupuncture method is used in selecting points that need to be "healed" as well as selecting new functions as attractors with the aim of improving the image of the faded Chinatown area. The selection of cultural functions as attractors is realized in a cultural center that is not only a place for cultural performances, but also can accommodate the needs of the local community for the need for shared space, expression space, and commercial space. Suryakencana Cultural Center can be a new magnet for this area. This cultural center will also be a link between the northern area of ​​the area where there are temples and markets, with the southern area which is the culinary area. The presence of this cultural center makes the culture in the Suryakencana Chinatown area to survive in line with the development of the city of Bogor. Keywords: Acupuncture; Attractor; Chinatown; Culture; Suryakencana Abstrak Jalan Suryakencana di Kawasan Pecinan Suryakencana, Kota Bogor terkenal akan kulinernya. Walaupun saat ini keragaman kuliner di Suryakencana terus bertambah namun kehadiran titik kuliner lain di Bogor menjadikan nama besar kuliner Suryakencana mulai pudar. Untuk dapat mengembalikan dan memperkuat citra Kawasan Suryakencana sebagai jalur kunjungan wisata, diperlukan attractor baru. Keberadaan attractor baru tersebut dapat meningkatkan citra kawasan pecinan, mengangkat budaya pecinan dan menjadikan kawasan Suryakencana sebagai kawasan wisata kuliner dan budaya pecinan. Metode  urban acupuncture digunakan dalam memilih titik yang perlu di “sembuhkan” serta pemilihan fungsi baru sebagai attractor dengan tujuan meningkatkan citra kawasan pecinan yang sudah pudar. Pemilihan fungsi budaya sebagai attractor diwujudkan dalam sebuah cultural centre yang tidak hanya menjadi tempat pertunjukan budaya, tetapi juga bisa mengakomodir kebutuhan masyarakat setempat akan kebutuhan ruang bersama, ruang ekspresi, serta ruang komersil. Suryakencana Cultural Center dapat menjadi magnet baru bagi kawasan ini. Cultural centre ini juga akan menjadi penghubung antara area utara kawasan yang mana terdapat vihara dan pasar, dengan area selatan yang merupakan area kuliner. Kehadiran Cultural Centre ini membuat budaya pada Kawasan Pecinan Suryakencana dapat bertahan sejalan dengan berkembangnya Kota Bogor.