Cancer Incidence in World Trade Center Rescue and Recovery Workers by Race and Ethnicity

Details

• Personal Author:
  Boffetta P ; Brackbill RM ; Carwile M ; Cone, James E. ; Dasaro CR ; Farfel MR ; Goldfarb DG ; Hall C ; Khalifeh M ; Li J ; Prezant DJ ; Qiao B ; Schymura MJ ; Shapiro MZ ; Todd AC ; Yung J ; Zeig-Owens R
• Description:
  Introduction: It is unclear whether differences in health outcomes by racial and ethnic groups among World Trade Center (WTC) rescue and recovery workers reflect those of the population of New York State (NYS) or show distinct patterns. We assessed cancer incidence in WTC workers by self-reported race and ethnicity, and compared it to population figures for NYS. Methods: A total of 61,031 WTC workers enrolled between September 11, 2001 and January 10, 2012 were followed to December 31, 2015. To evaluate the association between race/ethnicity and cancer risk, Poisson regression analysis was used to estimate hazard ratios (HR) adjusted for WTC exposure, age, calendar year, sex and, for lung cancer, cigarette smoking. Results: In comparison to Whites, Black workers had a higher incidence of prostate cancer (HR = 1.99, 95% CI = 1.69-2.34) and multiple myeloma (HR = 3.57, 95% CI = 1.97-6.45), and a lower incidence of thyroid (HR = 0.41, 95% CI = 0.22-0.78) and colorectal cancer (HR = 0.57; 95% CI = 0.33-0.98). Hispanic workers had a higher incidence of liver cancer (HR = 4.03, 95% CI = 2.23-7.28). Compared with NYS population, White workers had significantly higher incidence of prostate cancer (HR = 1.26, 95% CI = 1.18-1.35) and thyroid cancer (HR = 1.80, 95% CI = 1.55-2.08), while Black workers had significantly higher incidence of prostate cancer (HR = 1.22, 95% CI = 1.05-1.40). Conclusion: Cancer incidence in WTC workers generally reflects data from the NYS population, but some differences were identified that merit further investigation. [Description provided by NIOSH]
• Subjects:
  Emergency Responders Epidemiology Neoplasms Occupational Health Race Factors Safety September 11 Terrorist Attacks
• Keywords:
  Author Keywords: Cancer Incidence Cancer Rates Disaster Recovery First Responders Race/Ethnicity Racial Factors Rescue Workers World Trade Center WTC
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement ; Contract
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  66
• Issue:
  12
• NIOSHTIC Number:
  nn:20068534
• Citation:
  Am J Ind Med 2023 Dec; 66(12):1048-1055
• Contact Point Address:
  Paolo Boffetta, Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY 11794
• Email:
  paolo.boffetta@stonybrookmedicine.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  Albert Einstein College of Medicine, Inc., Bronx, New York
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20200831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f47a599a98530180955400b1c2b7b336c980adc6bd73c7be9105be57423186a8cdca8b2521b7aff30fcdc12c7373b0082d8cb52d6964060f1e002f3fe054c581
• Download URL:
  https://stacks.cdc.gov/view/cdc/207145/cdc_207145_DS1.pdf
• File Type:
  [PDF - 709.37 KB ]