Prevalence and predictors of skin cancer screening among a sample of US volunteer firefighters.

Autor: Shah NN; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, The State University of New Jersey, Piscataway, New Jersey, USA., Steinberg MB; Division of General Internal Medicine, Robert Wood Johnson Medical School, The State University of New Jersey, New Brunswick, New Jersey, USA.; Division of Cancer Prevention and Control, Cancer Institute of New Jersey, The State University of New Jersey, New Brunswick, New Jersey, USA., Caban-Martinez AJ; Department of Public Health Sciences, Leonard M. Miller School of Medicine, University of Miami, Miami, Florida, USA., Austin E; Department of Environmental and Occupational Health Sciences, School of Public Health, University of Washington, Seattle, Washington, USA., Burgess JL; Department of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA., Hollerbach BS; Center for Fire, Rescue, and EMS Health Research, NDRI-USA, Inc, Leawood, Kansas, USA., Edwards DL; Department of Counseling and Psychology, Tennessee Tech University, Cookeville, Tennessee, USA., Black TM; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, The State University of New Jersey, Piscataway, New Jersey, USA., Black K; Division of Clinical Research and Occupational Medicine, Rutgers Environmental and Occupational Health Sciences Institute, Rutgers the State University of New Jersey, Piscataway, New Jersey, USA., Hinton KM; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, The State University of New Jersey, Piscataway, New Jersey, USA., Kubiel BS; Toms River Board of Fire Commissioners, Toms River, New Jersey, USA., Graber JM; Department of Biostatistics and Epidemiology, Rutgers School of Public Health, The State University of New Jersey, Piscataway, New Jersey, USA.; Division of Cancer Prevention and Control, Cancer Institute of New Jersey, The State University of New Jersey, New Brunswick, New Jersey, USA.; Division of Clinical Research and Occupational Medicine, Rutgers Environmental and Occupational Health Sciences Institute, Rutgers the State University of New Jersey, Piscataway, New Jersey, USA.
Jazyk: angličtina
Zdroj: American journal of industrial medicine [Am J Ind Med] 2023 Oct; Vol. 66 (10), pp. 897-903. Date of Electronic Publication: 2023 Aug 12.
DOI: 10.1002/ajim.23524
Abstrakt: Background: Firefighters have a higher risk of melanoma incidence and mortality compared to the general population. In the United States (US), the National Fire Protection Association recommends all firefighters receive annual skin cancer screening through visual skin examination by a clinician. However, there is limited information on skin cancer screening practices among volunteer firefighters who comprise two-thirds of the US fire service.
Methods: This cross-sectional study of 552 US volunteer firefighters estimated the prevalence of skin cancer screening and evaluated associations with their fire service experience, demographics, sun protection practices, and cancer risk perception.
Results: The prevalence of receiving skin cancer screening among volunteer firefighters was 26.1% (95% confidence interval [CI]: 22.4, 29.8). The odds of being screened for skin cancer, compared to not being screened, were twice as high for firefighters who used sunscreen (odds ratio [OR]: 2.35, 95% CI: 1.48, 3.73) and who perceived their skin likely to burn with prolonged sun exposure (OR: 1.81, 95% CI: 1.10, 3.00). Older age, some college education, and family history of skin cancer were also positively associated with skin cancer screening. A positive exposure-response relationship was observed between more monthly firefighting calls and receiving screening. Cancer risk perception was not associated with screening.
Conclusion: To our knowledge, this is the first large study to assess skin cancer screening among US volunteer firefighters. Our findings suggest gaps in skin cancer prevention efforts in the volunteer fire service. Additional assessment of skin cancer prevention practices within volunteer fire departments could help address these gaps.
(© 2023 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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