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

Details

• Alternative Title:
  Am J Health Promot
• 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. Truckers 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.
  
  
• Subjects:
  Article Automobile Driving Body Mass Index Colonic Neoplasms Colorectal Neoplasms Cross-Sectional Studies Diabetes Mellitus Gastrointestinal Diseases Gender Role Humans Motor Vehicles Obesity Occupational Health Prevalence Risk Factors United States

  More +
• Source:
  Am J Health Promot. 36(7):1142-1151
• Pubmed ID:
  35410488
• Pubmed Central ID:
  PMC9420779
• Document Type:
  Journal Article
• Funding:
  K01 CA234319/CA/NCI NIH HHSUnited States/ ; K01 OH009794/OH/NIOSH CDC HHSUnited States/
• Volume:
  36
• Issue:
  7
• NIOSHTIC Number:
  nn:121148
• Collection(s):
  CDC Public Access National Institute for Occupational Safety and Health
• 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 ]