Perceptions of Work-Related Health and Cancer Risks Among Women Firefighters: A Qualitative Study.


Journal

Journal of occupational and environmental medicine
ISSN: 1536-5948
Titre abrégé: J Occup Environ Med
Pays: United States
ID NLM: 9504688

Informations de publication

Date de publication:
01 12 2021
Historique:
pubmed: 21 9 2021
medline: 1 3 2022
entrez: 20 9 2021
Statut: ppublish

Résumé

We use a qualitative method to gain further insight into women firefighters' experiences, perceptions of cancer, health, and safety risks in the fire service. We conducted six focus groups with U.S. women firefighters. Participants engaged in a 60 to 75-minute, semi-structured discussion and completed a sociodemographic questionnaire. A qualitative descriptive approach was used to inductively create themes. Data collection concluded when saturation was met. Forty-nine women firefighters participated. Qualitative results indicated the main health concerns include: occupational cancer risks including, risks related to hazardous exposures, sleep disruption and stress; and women's health concerns including, cancer, pregnancy and breastfeeding, and lack of resources. Women firefighters are concerned about their risk for cancer due to their occupation and identify a lack of resources specific to health and safety needs of women firefighters.

Identifiants

pubmed: 34538836
doi: 10.1097/JOM.0000000000002386
pii: 00043764-202112000-00015
pmc: PMC8814999
mid: NIHMS1755338
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

e846-e852

Subventions

Organisme : Intramural CDC HHS
ID : CC999999
Pays : United States

Informations de copyright

Copyright © 2021 American College of Occupational and Environmental Medicine.

Références

Frost DM, Beach TA, Crosby I, McGill SM. The cost and distribution of firefighter injuries in a large Canadian Fire Department. Work 2016; 55:497–504.
Stanley IH, Hom MA, Spencer-Thomas S, Joiner TE. Suicidal thoughts and behaviors among women firefighters: an examination of associated features and comparison of pre-career and career prevalence rates. J Affect Disord 2017; 221:107–114.
Silva AM, Wang J, Pierson RN Jr, et al. Extracellular water across the adult lifespan: reference values for adults. Physiol Meas 2007; 28:489–502.
Jahnke SA, Poston WS, Haddock CK, Murphy B. Firefighting and mental health: experiences of repeated exposure to trauma. Work 2016; 53:737–744.
Jahnke SA, Poston WS, Haddock CK, Jitnarin N, Hyder ML, Horvath C. The health of women in the US fire service. BMC Womens Health 2012; 12:39.
Association. N.F.P. U S Fire Department Profile 2018. 2020.
Campbell R. Patterns of Female Firefighter Injuries on the Fireground, in National Fire Protection Association. 2017; Qunicy, MA.
Jahnke SA, Poston WSC, Jitnarin N, Haddock CK. Maternal and Child Health Among Female Firefighters in the U.S. Matern Child Health J 2018; 22:922–931.
Ma F, Fleming LE, Lee DJ, Trapido E, Gerace TA. Cancer incidence in Florida professional firefighters, 1981 to 1999. J Occup Environ Med 2006; 48:883–888.
Daniels RD, Kubale TL, Yiin JH, et al. Mortality and cancer incidence in a pooled cohort of US firefighters from San Francisco, Chicago and Philadelphia (1950–2009). Occup Environ Med 2014; 71:388–397.
Lee DJ, Koru-Sengul T, Hernandez MN, et al. Cancer risk among career male and female Florida firefighters: evidence from the Florida Firefighter Cancer Registry (1981–2014). Am J Ind Med 2020; 63:285–299.
Trowbridge J, Gerona RR, Lin T, et al. Exposure to perfluoroalkyl substances in a cohort of women firefighters and office workers in San Francisco. Environ Sci Technol 2020; 54:3363–3374.
Glass DC, Del Monaco A, Pircher S, Vander Hoorn S, Sim MR. Mortality and cancer incidence among female Australian firefighters. Occup Environ Med 2019; 76:215–221.
Clarity C, Trowbridge J, Gerona R, et al. Associations between polyfluoroalkyl substance and organophosphate flame retardant exposures and telomere length in a cohort of women firefighters and office workers in San Francisco. Preprint medRxiv 2020; 2020.11.05.20226183.
Watkins ER, Walker A, Mol E, Jahnke S, Richardson AJ. Women firefighters’ health and well-being: an international survey. Womens Health Issues 2019; 29:424–431.
Schaefer Solle N, Caban-Martinez AJ, Levy RA, et al. Perceptions of health and cancer risk among newly recruited firefighters in South Florida. Am J Ind Med 2018; 61:77–84.
Grashow R, Bessonneau V, Gerona RR, et al. Integrating exposure knowledge and serum suspect screening as a new approach to biomonitoring: an application in firefighters and office workers. Environ Sci Technol 2020; 54:4344–4355.
Sparer EH, Prendergast DP, Apell JN, et al. Assessment of ambient exposures firefighters encounter while at the fire station: an exploratory study. J Occup Environ Med 2017; 59:1017–1023.
McClure LA, Koru-Sengul T, Hernandez MN, et al. Availability and accuracy of occupation in cancer registry data among Florida firefighters. PLoS One 2019; 14:e0215867.
Pinkerton L, Bertke SJ, Yiin J, et al. Mortality in a cohort of US firefighters from San Francisco, Chicago and Philadelphia: an update. Occup Environ Med 2020; 77:84–93.
Sandelowski M. Focus on research methods: whatever happened to qualitative description? Res Nurs Health 2000; 23:334–340.
SA J. Firefighter Health Research: Who's Next?, in FireRescue. 2015.
H.R.931 – Firefighter Cancer Registry Act of 2018. 2018.
Harrison TR, Yang F, Anderson D, et al. Resilience, cultural change, and cancer risk reduction in a fire rescue organization: clean gear as the new badge of honor. J Contingencies Crisis Manag 2017; 25:171–181.
Fent KW, Eisenberg J, Snawder J, et al. Systemic exposure to PAHs and benzene in firefighters suppressing controlled structure fires. Ann Occup Hyg 2014; 58:830–845.
Fritschi L, Glass DC. Firefighters and cancer: where are we and where to now? Occup Environ Med 2014; 71:525–526.
Keir JLA, Akhtar US, Matschke DMJ, et al. Polycyclic aromatic hydrocarbon (PAH) and metal contamination of air and surfaces exposed to combustion emissions during emergency fire suppression: implications for firefighters’ exposures. Sci Total Environ 2020; 698:134211.
Oliveira M, Costa S, Vaz J, et al. Firefighters exposure to fire emissions: impact on levels of biomarkers of exposure to polycyclic aromatic hydrocarbons and genotoxic/oxidative-effects. J Hazard Mater 2020; 383:121179.
LeMasters GK, Genaidy AM, Succop P, et al. Cancer risk among firefighters: a review and meta-analysis of 32 studies. J Occup Environ Med 2006; 48:1189–1202.
Glass DC, Del Monaco A, Pircher S, Vander Hoorn S, Sim MR. Mortality and cancer incidence among male volunteer Australian firefighters. Occup Environ Med 2017; 74:628–638.
Fent KW, Alexander B, Roberts J, et al. Contamination of firefighter personal protective equipment and skin and the effectiveness of decontamination procedures. J Occup Environ Hyg 2017; 14:801–814.
Fent KW, Evans DE, Booher D, et al. Volatile organic compounds off-gassing from firefighters’ personal protective equipment ensembles after use. J Occup Environ Hyg 2015; 12:404–414.
Kakizaki M, Kuriyama S, Sone T, et al. Sleep duration and the risk of breast cancer: the Ohsaki Cohort study. Br J Cancer 2008; 99:1502–1505.
Jiao L, Duan Z, Sangi-Haghpeykar H, Hale L, White DL, El-Serag HB. Sleep duration and incidence of colorectal cancer in postmenopausal women. Br J Cancer 2013; 108:213–221.
IARC IMVWG-. Carcinogenicity of night shift work. Lancet Oncol 2019; 20:1058–1059.
Fritschi L, Glass DC, Heyworth JS, et al. Hypotheses for mechanisms linking shiftwork and cancer. Med Hypotheses 2011; 77:430–436.
Li J, Bidlingmaier M, Petru R, Pedrosa Gil F, Loerbroks A, Angerer P. Impact of shift work on the diurnal cortisol rhythm: a one-year longitudinal study in junior physicians. J Occup Med Toxicol 2018; 13:23.
Barger LK, O’Brien CS, Rajaratnam SM, et al. Implementing a sleep health education and sleep disorders screening program in fire departments: a comparison of methodology. J Occup Environ Med 2016; 58:601–609.
Slama R, Bouyer J, Windham G, Fenster L, Werwatz A, Swan SH. Influence of paternal age on the risk of spontaneous abortion. Am J Epidemiol 2005; 161:816–823.

Auteurs

Natasha Schaefer Solle (NS)

Department of Medicine, University of Miami, Leonard M. Miller School of Medicine, Miami, Florida (Dr Solle); Department of Public Health Sciences, University of Miami, Leonard M. Miller School of Medicine, Miami, Florida (Ms Santiago, Ms Louzado Feliciano, and Dr Caban-Martinez); Sylvester Comprehensive Cancer Center, University of Miami, Leonard M. Miller School of Medicine, Miami, Florida (Dr Solle and Dr Caban-Martinez); Division of Field Studies and Engineering (DFSE), National Institute for Occupational Safety and Health, Cincinnati, Ohio (Dr Calkins and Dr Fent); Center for Fire, Rescue & EMS Health Research, National Development & Research Institutes, Leawood, Kansas (Dr Jahnke); San Francisco Fire Department, SF, California (Ms Parks and Ms Buren); Fire Protection Research Foundation, Quincy, Massachusetts (Grant); Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona (Dr Burgess).

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