Factors Associated with Colorectal Cancer Prevalence Among Long-Haul Truck Drivers in the United States

Details

• Journal Article:
  American Journal of Health Promotion
• Personal Author:
  Rogers, Charles R. ; May, Folasade P. ; Petersen, Ethan ; Brooks, Ellen ; Lopez, Jasmine A. ; Kennedy, Carson D. ; Thiese, Matthew S.
• Description:
  Purpose: To determine the age-adjusted association between colorectal cancer (CRC) risk factors and CRC prevalence among long-haul truck drivers (aged 21-85), after adjustment for age. Design: Pooled cross-sectional analysis using Commercial Driver Medical Exam (CDME) data. Setting. National survey data from January 1, 2005, to October 31, 2012. Participants: 47,786 commercial motor vehicle drivers in 48 states. Measures: CRC prevalence was the primary outcome; independent variables included demographics, body mass index (BMI), and concomitant medical conditions. Analysis: Kruskal-Wallis tests to analyze continuous variables; Fischer's exact tests to analyze categorical variables; univariate and multivariable logistic regression for rare events (Firth method) to quantify the association between the independent variables of interest and CRC prevalence. Odds ratios (ORs) and 95% confidence intervals (CIs) were adjusted for age, gender, years with current employer, year of exam, and BMI in a multivariate logistic regression. Results: Many factors were statistically significant. Obesity (OR = 3.14; 95% CI = 1.03-9.61) and increasing age (OR = 1.10 per year; 95% CI = 1.07-1.13) were significantly associated with CRC prevalence. ruckers with 4 or more concomitant medical conditions were significantly more likely to have CRC (OR = 7.03; 95% CI = 1.83-27.03). Conclusions: Our findings highlight mutable risk factors and represent an opportunity for intervention that may decrease CRC morbidity and mortality among truck drivers, a unique population in the United States estimated to live up to 16 years less than the general population. [Description provided by NIOSH]
• Subjects:
  Aging Cross-Sectional Studies Demography Gastrointestinal System Morbidity Mortality Motor Vehicles Neoplasms Occupational Health Risk Factors Safety

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• Keywords:
  Author Keywords: Body Mass Index; Colonic Neoplasms; Diabetes Mellitus; Gastrointestinal Diseases; Occupational Health; Gender Role Colorectal Cancer; Truck Drivers; Long Work Hours; Age Groups; Cancer; Demographic Characteristics; Body Mass Index; BMI; Intervention; Mortality Rates; Morbidity Rates;
• Source:
  Am J Health Promot 2022 Sep; 36(7):1142-1151
• ISSN:
  0890-1171
• Pubmed ID:
  35410488
• Pubmed Central ID:
  PMC9420779
• Document Type:
  Text
• Funding:
  K01 CA234319/CA/NCI NIH HHSUnited States/ ; K01 OH009794/OH/NIOSH CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 8 ; OSHA Region 9 ; Utah
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  18 pdf pages
• Volume:
  36
• Issue:
  7
• NIOSHTIC Number:
  nn:20065937
• Contact Point Address:
  Charles R. Rogers, PhD, MPH, MS, MCHES®, Department of Family & Preventive Medicine, University of Utah School of Medicine, 375 Chipeta Way, Suite A, Salt Lake City, UT 84108
• Email:
  Charles.Rogers@utah.edu
• Federal Fiscal Year:
  2022
• Performing Organization:
  University of Utah
• Peer Reviewed:
  True
• Collection(s):
  National Institute for Occupational Safety and Health CDC Public Access
• Main Document Checksum:
  urn:sha-512:297a284fc8bc9bcb70ecad57cd640c01e2f85378f1d29a4ea62478db6d768c049feb9fd4a2e0eb8e5bb93ca1ed873630839389ed35f5d6984251ac26a2b6154d
• Download URL:
  https://stacks.cdc.gov/view/cdc/121148/cdc_121148_DS1.pdf
• File Type:
  [PDF - 106.38 KB ]