Mortality and cancer incidence in a cohort of male paid Australian firefighters
Mortality and cancer incidence in a cohort of male paid Australian firefighters
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DOI：
10.1136/oemed-2015-103467
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发表时间：
2016-11-01
影响因子：
4.9
通讯作者：
Sim, M. R.
中科院分区：
文献类型：
--
作者：
Glass, D. C.;Pircher, S.;Sim, M. R.
目的调查死亡率和癌症的发病率支付男性澳大利亚消防员和消防员的第一次就业的时代，就业时间和数量和类型的事件attended.Methods参与消防机构提供记录的个人消防员，包括他们的工作历史和事件出席的亚组。该队列与澳大利亚国家死亡指数和澳大利亚癌症数据库相关联。计算SMR和SIR。消防队员被分为三分之一的就业时间和出席的事件和相对死亡率和相对发病率计算的数量。分别对全职和兼职男性消防员进行分析。结果与澳大利亚人口相比，所有有偿消防员的癌症总体风险显着增加，SIR为1.09（95% CI 1.03至1.14），在前列腺癌中，全职消防员1.23（95% CI 1.10至1.37），兼职1.51（1.28至1.77），黑色素瘤全职1.45（95% CI 1.26至1.66），兼职消防员1.43（95% CI 1.15至1.76）。肾癌与有偿消防员内部分析中的长期服务有关。前列腺癌与更长的服务和火灾出勤率增加有关，特别是全职消防员的结构性火灾。死亡率的总体风险显着下降，几乎所有的主要死亡原因显着降低了有偿firefighters.Conclusions男性有偿消防员患癌症的风险增加。与一般人群相比，他们的死亡率降低了，这可能是由于健康工人的影响，以及与澳大利亚人口相比，消防员的吸烟率可能较低。
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.