Mortality and cancer incidence in a cohort of male paid Australian firefighters

Journal article


Glass, D. C., Pircher, Sabine Lydia Maria, Del Monaco, A., Vander Hoorn, S and Sim, M. R.. (2016). Mortality and cancer incidence in a cohort of male paid Australian firefighters. Occupational and Environmental Medicine. 73(11), pp. 761 - 771. https://doi.org/10.1136/oemed-2015-103467
AuthorsGlass, D. C., Pircher, Sabine Lydia Maria, Del Monaco, A., Vander Hoorn, S and Sim, M. R.
Abstract

Objectives: To investigate mortality and cancer incidence of paid male Australian firefighters and of subgroups of firefighters by era of first employment, duration of employment and number and type of incidents attended. Methods: Participating fire agencies supplied records of individual firefighters including their job histories and incidents attended. The cohort was linked to the Australian National Death Index and Australian Cancer Database. SMRs and SIRs were calculated. Firefighters were grouped into tertiles by duration of employment and by number of incidents attended and relative mortality ratios and relative incidence ratios calculated. Analyses were carried out separately for full-time and part-time male firefighters. Results: Compared to the Australian population, there were significant increases in overall risk of cancer, for all paid firefighters SIR 1.09 (95% CI 1.03 to 1.14), in prostate cancer, full-time firefighters 1.23 (95% CI 1.10 to 1.37), part-time 1.51 (1.28 to 1.77), and melanoma full-time 1.45 (95% CI 1.26 to 1.66), part-time firefighters 1.43 (95% CI 1.15 to 1.76). Kidney cancer was associated with longer service in internal analyses for paid firefighters. Prostate cancer was associated with longer service and increased attendance at fires, particularly structural fires for full-time firefighters.The overall risk of mortality was significantly decreased and almost all major causes of death were significantly reduced for paid firefighters. Conclusions: Male paid firefighters have an increased risk of cancer. They have reduced mortality compared with the general population, which is likely to be a result of a strong healthy worker effect and likely lower smoking rates among firefighters compared with the Australian population.

Year2016
JournalOccupational and Environmental Medicine
Journal citation73 (11), pp. 761 - 771
PublisherB M J Group
ISSN1351-0711
Digital Object Identifier (DOI)https://doi.org/10.1136/oemed-2015-103467
Page range761 - 771
Research GroupCentre for Health and Social Research
Publisher's version
File Access Level
Controlled
Place of publicationUnited Kingdom
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Mortality and cancer incidence at a fire training college
Glass, D. C., Del Monaco, A., Pircher, Sabine, Vander Hoorn, S. and Sim, M. R.. (2016). Mortality and cancer incidence at a fire training college. Occupational Medicine. 66(7), pp. 536 - 542. https://doi.org/10.1093/occmed/kqw079