Prevalence and Predictors of Colon and Prostate Cancer Screening Among Volunteer Firefighters: The United States Firefighter Cancer Assessment and Prevention Study

Details

• Personal Author:
  Austin E ; Black K ; Black TM ; Burgess JL ; Caban-Martinez, Alberto J. ; Calkins MM ; Edwards DL ; Graber JM ; Hinton KM ; Hollerbach BS ; Kubiel BS ; Shah NN ; Steinberg MB
• Description:
  Background: Although firefighters have increased risk for colon and prostate cancer, limited information exists on screening practices for these cancers in volunteer firefighters who compose two-thirds of the US fire service. We estimated the prevalence of colon and prostate cancer screening among volunteer firefighters using eligibility criteria from 4 evidence-based screening recommendations and evaluated factors influencing screening. Methods: We evaluated colon (n = 569) and prostate (n = 498) cancer screening prevalence in a sample of US volunteer firefighters using eligibility criteria from the US Preventive Services Taskforce (USPSTF), National Fire Protection Association, American Cancer Society, and National Comprehensive Cancer Network. We assessed associations with fire service experience, demographics, and cancer risk perception based on USPSTF guidelines. Results: For those eligible based on USPSTF guidelines, colon and prostate cancer screening prevalence was 51.7% (95% CI: 45.7, 57.8) and 48.8% (95% CI: 40.0, 57.6), respectively. Higher odds of colon and prostate cancer screening were observed with older age and with some college education compared to those with less education. Fire service experience and cancer risk perception were not associated with screening practices. Conclusion: This is the first large study to assess colon and prostate cancer screening among US volunteer firefighters based on different screening guidelines. Our findings suggest gaps in cancer prevention efforts in the US volunteer fire service. Promoting cancer screening education and opportunities for volunteer firefighters by their fire departments, healthcare professionals, and public health practitioners, may help to address the gaps. [Description provided by NIOSH]
• Subjects:
  Firefighters Occupational Health Preventive Medicine Safety
• Keywords:
  Author Keywords: Cancer Screening Colon Cancer Disease Prevention Fire Fighters Firefighters Medical Screening Occupational Cancer Prevention And Control Preventive Medicine Prostate Cancer
• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Arizona ; Florida ; Kansas ; New Jersey ; Ohio ; OSHA Region 10 ; OSHA Region 2 ; OSHA Region 4 ; OSHA Region 5 ; OSHA Region 7 ; OSHA Region 9 ; Tennessee ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DFSE - Division of Field Studies and Engineering
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  483-495
• Volume:
  67
• Issue:
  5
• NIOSHTIC Number:
  nn:20069449
• Citation:
  Am J Ind Med 2024 May; 67(5):483-495
• Contact Point Address:
  Nimit N. Shah, MPH, Department of Biostatistics and Epidemiology, Rutgers School of Public Health, 683 Hoes Ln West, Piscataway, NJ 08854
• Email:
  nns52@sph.rutgers.edu
• Federal Fiscal Year:
  2024
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:03dcef88ec0810c6dd8049d0b93aaf957ec9c281117d773d67bcfa966ba9daca395b6b6893ab98ecf435bb1a984d92d243eb6b3154c31eb070ed147e84dd1942
• Download URL:
  https://stacks.cdc.gov/view/cdc/207899/cdc_207899_DS1.pdf
• File Type:
  [PDF - 816.18 KB ]