Self-Reported Cardiovascular Disease in Career Firefighters with and Without World Trade Center Exposure

Details

• Personal Author:
  Cohen H ; Hall CB ; Mueller AK ; Prezant DJ ; Singh A ; Webber MP ; Zeig-Owens R
• Description:
  Objective: To assess the effect of World Trade Center (WTC) exposure on cardiovascular disease (CVD) in career firefighters. Methods: Firefighters from four US cities completed health questionnaires that provide information about demographics, CVD diagnoses, and CVD risk factors. Firefighters were also compared with respondents of the 2019 National Health Interview Survey. Results: Greater WTC exposure was positively associated with combined coronary artery disease, myocardial infarction, and angina (termed "CAD") when comparing WTC-exposed with non-WTC-exposed firefighters. Compared with the National Health Interview Survey population, firefighters had lower odds of CAD and stroke. Conclusions: An occupationally appropriate comparison is important to mitigate potential bias from the healthy worker effect. While the risk of CVD in WTC-exposed and non-WTC-exposed firefighters was significantly lower than a general US population, we observed an exposure gradient where greater WTC exposure was associated with greater odds of CVD. [Description provided by NIOSH]
• Subjects:
  Cardiovascular Diseases Cardiovascular System Demography Firefighters Occupational Health Safety September 11 Terrorist Attacks Surveys And Questionnaires
• Keywords:
  Author Keywords: Cardiovascular Disease Cardiovascular Disease Demographic Characteristics Fire Fighters Firefighting Occupational Exposure Questionnaires World Trade Center WTC
• ISSN:
  1076-2752
• 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
• Pages in Document:
  135-140
• Volume:
  66
• Issue:
  2
• NIOSHTIC Number:
  nn:20068703
• Citation:
  J Occup Environ Med 2024 Feb; 66(2):135-140
• Contact Point Address:
  Rachel Zeig-Owens, DrPH, FDNY Headquarters, 9 Metrotech Center 1PP-11E03, Brooklyn, NY 11201
• Email:
  Rachel.Zeig-Owens@fdny.nyc.gov
• Federal Fiscal Year:
  2024
• Performing Organization:
  Albert Einstein College of Medicine, Bronx, New York
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20210831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:08c20d3912ef01928cc7dbffc0dc87588a6ea8724c7f18c80141dac8ac274e8710a8c3067627bdd637fee403362c094a8b9de88ada442f2d50f3957e35c35014
• Download URL:
  https://stacks.cdc.gov/view/cdc/207290/cdc_207290_DS1.pdf
• File Type:
  [PDF - 2.53 MB ]