The wildland firefighter exposure and health effect (WFFEHE) study: cohort characteristics and health behavior changes in context
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2 20 2024
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Source: Ann Work Expo Health. 68(2):122-135
Details:
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Alternative Title:Ann Work Expo Health
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Description:Objectives:
Work is an under-recognized social determinant of health. There is limited research describing US wildland firefighter (WFF) workforce demographics or how work associates with WFF health behaviors. In this study researchers characterized a WFF cohort and tested hypotheses that WFFs used tobacco, alcohol, and sugar-sweetened beverages (SSBs) differently over the course of the fire season and that different fire crews may exhibit different behavior patterns.
Methods:
Researchers collected data in the field with 6 WFF crews during 2 consecutive fire seasons (2018 and 2019). WFF crews completed questionnaires before and after each season. WFFs with an initial preseason questionnaire and at least 1 follow-up questionnaire were included (n = 138). Descriptive statistics summarized WFFs’ baseline demographic, employment, and health characteristics. Linear mixed models were used to test for changes in WFFs’ substance use over time and assess crew-level differences. A meta-analysis of WFF longitudinal studies’ population characteristics was attempted to contextualize baseline findings.
Results:
WFFs were predominately male, less than 35 yr of age, non-Hispanic White, and had healthy weight. Smokeless tobacco use and binge drinking were prevalent in this cohort (52% and 78%, respectively, among respondents). Longitudinal analyses revealed that during the fire season WFFs’ use of tobacco and SSBs increased and the number of days they consumed alcohol decreased. Crew-level associations varied by substance. The meta-analysis was not completed due to cross-study heterogeneity and inconsistent reporting.
Discussion:
WFF agencies can promote evidence-based substance use prevention and management programs and modify working conditions that may influence WFF stress or substance use.
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Source:
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Pubmed ID:38164597
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Pubmed Central ID:PMC10922597
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Volume:68
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Issue:2
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Supporting Files:No Additional Files