Retrospective Assessment of Risk Factors for Head and Neck Cancer Among World Trade Center General Responders

Details

• Personal Author:
  Black K ; Black TM ; Bover Manderski MT ; Crane MA ; Dasaro CR ; Giuliano AR ; Graber JM ; Harrison D ; Lucchini RG ; Luft BJ ; Moline J ; Ohman Strickland P ; Passannante MR ; Steinberg MB ; Todd AC ; Udasin IG
• Description:
  Objective: To assess the reliability of a questionnaire designed to reconstruct risk factors for head and neck cancer relative to the 9/11 World Trade Center (WTC) response and over the lifetime. Methods: As part of a nested case-control study, 200 WTC Health Program (WTCHP) General Responder Cohort (GRC) members completed a newly-developed study questionnaire via telephone (with a trained interviewer) or online (self-administered). We assessed agreement between measures of tobacco and alcohol use in our questionnaire results and data collected previously during WTCHP-GRC monitoring visits using Cohens Kappa (k) and intraclass correlation coefficient (ICC) for categorical and continuous measures, respectively. We compared agreement by disease status, survey mode, and year of WTCHP enrollment. Results: We observed high agreement between measures of lifetime, pre-WTC, and post-WTC smoking prevalence (all k > 0.85) and smoking duration (all ICC > 0.84). There was moderate agreement between measures of smoking frequency (ICC: 0.61-0.73). Agreement between measures of smoking frequency, but not duration, differed by disease status, and agreement between smoking measures was higher for participants who completed our survey by phone than by web. Among cases, there were no differences based on enrollment in the WTCHP before or after diagnosis. Conclusion: Agreement between measures was generally high, although potential reporting bias and a mode effect that should be considered when interpreting analyses of self-reported data in this population; however differential misclassification appears to be minimal. Our questionnaire may be useful for future studies examining similar behavioral risk factors among disaster-exposed populations. [Description provided by NIOSH]
• Subjects:
  Alcoholic Beverages Emergency Responders Occupational Health Risk Assessment Risk Factors Safety September 11 Terrorist Attacks Smoke Smokers Surveys And Questionnaires Tobacco Products

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• Keywords:
  Alcohol Alcoholic Beverages Author Keywords: Behavioral Risk Factors Cancer Emergency Responders First Responders Monitoring Systems Questionnaire Questionnaires Reliability Rescue Workers Risk Factors Smoking Tobacco Tobacco Smoke World Trade Center World Trade Center (WTC) WTC

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• ISSN:
  2296-2565
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Florida ; New Jersey ; New York ; OSHA Region 2 ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  8
• NIOSHTIC Number:
  nn:20061788
• Citation:
  Front Public Health 2020 Nov; 8:488057
• Contact Point Address:
  Michelle T. Bover Manderski, Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, NJ
• Email:
  bovermi@rutgers.edu
• Federal Fiscal Year:
  2021
• Performing Organization:
  Rutgers Biomedical and Health Sciences - School of Public Health, Piscataway, New Jersey
• Peer Reviewed:
  True
• Start Date:
  20160901
• Source Full Name:
  Frontiers in Public Health
• End Date:
  20180831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:91c5066a85b9b16a2f55d725af8ee4729ac10e8aaf59793aac9c30aabc04a37122d9add1ed3886c1fb7c693e1341cc9a4accf6dee548415b2020d740a7ef47e6
• Download URL:
  https://stacks.cdc.gov/view/cdc/225174/cdc_225174_DS1.pdf
• File Type:
  [PDF - 174.27 KB ]