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Mortality and cancer incidence in a cohort of male paid Australian firefighters

Occupational and environmental medicine (London, England), 2016-11, Vol.73 (11), p.761-771 [Peer Reviewed Journal]

Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;2016 BMJ Publishing Group ;Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. ;Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing ;ISSN: 1351-0711 ;EISSN: 1470-7926 ;DOI: 10.1136/oemed-2015-103467 ;PMID: 27456156

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Title:
Mortality and cancer incidence in a cohort of male paid Australian firefighters
Author: Glass, D C ; Pircher, S ; Del Monaco, A ; Hoorn, S Vander ; Sim, M R
Subjects: Adult ; Australia - epidemiology ; Cancer incidence ; Cancer mortality rates ; Cancer risk ; Cause of Death ; Cohort Studies ; Data collection ; Databases, Factual ; Employment ; Employment termination ; Evacuations & rescues ; Fire fighting ; Firefighters ; Firefighters - statistics & numerical data ; Fires ; Health risk assessment ; Humans ; Incidence ; Length of employment ; Male ; Melanoma ; Middle Aged ; Mortality ; Neoplasms - epidemiology ; Neoplasms - mortality ; Occupational Diseases - epidemiology ; Occupational Diseases - mortality ; Occupational Exposure - adverse effects ; Population ; Prostate cancer ; Risk Factors ; Skin cancer ; Structural firefighting ; Studies ; Tumors ; Workplace ; Young Adult
Is Part Of: Occupational and environmental medicine (London, England), 2016-11, Vol.73 (11), p.761-771
Description: ObjectivesTo investigate mortality and cancer incidence of paid male Australian firefighters and of subgroups of firefighters by era of first employment, duration of employment and number and type of incidents attended.MethodsParticipating fire agencies supplied records of individual firefighters including their job histories and incidents attended. The cohort was linked to the Australian National Death Index and Australian Cancer Database. SMRs and SIRs were calculated. Firefighters were grouped into tertiles by duration of employment and by number of incidents attended and relative mortality ratios and relative incidence ratios calculated. Analyses were carried out separately for full-time and part-time male firefighters.ResultsCompared to the Australian population, there were significant increases in overall risk of cancer, for all paid firefighters SIR 1.09 (95% CI 1.03 to 1.14), in prostate cancer, full-time firefighters 1.23 (95% CI 1.10 to 1.37), part-time 1.51 (1.28 to 1.77), and melanoma full-time 1.45 (95% CI 1.26 to 1.66), part-time firefighters 1.43 (95% CI 1.15 to 1.76). Kidney cancer was associated with longer service in internal analyses for paid firefighters. Prostate cancer was associated with longer service and increased attendance at fires, particularly structural fires for full-time firefighters.The overall risk of mortality was significantly decreased and almost all major causes of death were significantly reduced for paid firefighters.ConclusionsMale paid firefighters have an increased risk of cancer. They have reduced mortality compared with the general population, which is likely to be a result of a strong healthy worker effect and likely lower smoking rates among firefighters compared with the Australian population.
Publisher: England: BMJ Publishing Group Ltd
Language: English
Identifier: ISSN: 1351-0711
EISSN: 1470-7926
DOI: 10.1136/oemed-2015-103467
PMID: 27456156
Source: MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Mortality and cancer incidence in a cohort of male paid Australian firefighters

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