Availability and accuracy of occupation in cancer registry data among Florida firefighters
| Autor: | Monique N. Hernandez, Laura A. McClure, David J. Lee, Natasha Schaefer Solle, Jill MacKinnon, Alberto J. Caban-Martinez, Erin Kobetz, Tulay Koru-Sengul |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Critical Care and Emergency Medicine Multivariate analysis Economics Social Sciences Geographical locations 0302 clinical medicine Neoplasms Medicine and Health Sciences Ethnicities Medicine Registries 030212 general & internal medicine Young adult Multidisciplinary Careers Middle Aged 030210 environmental & occupational health Professions Oncology Cohort Florida Female Research Article Employment Adult Science MEDLINE Odds Young Adult 03 medical and health sciences Diagnostic Medicine Occupational Exposure Supervisors Cancer Detection and Diagnosis Humans Aged business.industry Cancer medicine.disease United States Cancer registry Logistic Models Increased risk Labor Economics Firefighters People and Places North America Multivariate Analysis Population Groupings business Demography |
| Zdroj: | PLoS ONE, Vol 14, Iss 4, p e0215867 (2019) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | ObjectivesOccupational exposures significantly contribute to the risk of adverse cancer outcomes, and firefighters face many carcinogenic exposures. Occupational research using cancer registry data, however, is limited by missing and inaccurate occupation-related fields. The objective of this study is to determine the frequency and predictors of missing and inaccurate occupation data for a cohort of career firefighters in a state cancer registry.MethodsWe conducted a linkage between data from the Florida Cancer Data System (1981-2014) and the Florida State Fire Marshal's Office (1972-2012). The percentage and the odds of having a firefighting-related occupation code in the cancer record were calculated, adjusting for other occupation and cancer-related factors.ResultsAmong 3,928 career firefighters, nearly half (47%) were missing a registry-dervived occupation code and only 17% had a firefighting-related code. Males were more likely to have a firefighting-related code (OR = 2.31;95%CI: 1.41-3.76), as were those with more recent diagnoses (OR1992-2002 = 2.98;95%CI: 1.57-5.67; OR2003-2014 = 11.40;95%CI: 6.17-21.03), and those of younger ages (OR45-64y = 1.26;95%CI: 1.03-1.54; OR20-44y = 2.26;95%CI: 1.73-2.95).ConclusionsAccurate occupation data is key for identifying increased risk of advserse cancer outcomes. Cancer registry occupation fields, however, are overwhelmingly missing for firefighters and are missing disproportionally by sociodemographic and diagnosis characteristics. This study highlights the lack of accurate occupation data available for hypothesis-driven cancer research. Cancer registry linkage with external occupational data sources represents an essential resource for conducting studies among at-risk populations such as firefighters. |
| Databáze: | OpenAIRE |
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