Barriers and predictors of physical fitness among volunteer firefighters

志愿消防员身体健康的障碍和预测因素

• 批准号: 10314462
• 负责人: Nimit N Shah
• 金额: $ 3.83万
• 依托单位: RBHS-SCHOOL OF PUBLIC HEALTH
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10314462
• 关键词: Acute; Address; Adverse effects; Affect; Age; Age-Years; Award; Behavioral; Cardiovascular Diseases; Cardiovascular system; Cessation of life; Characteristics; Chronic; Cohort Studies; Colorectal; Colorectal Cancer; Communities; Data; Data Collection; Diet; Emergency response; Employment; Equilibrium; Event; Face; Family; Fatigue; Fiber; Fire - disasters; Focus Groups; Future; Goals; Grant; Health; Health Promotion; Health Status; Health behavior; Heat Stress Disorders; High Prevalence; Incidence; Individual; Injury; Intervention; Knowledge; Lead; Life; Maintenance; Malignant Neoplasms; Malignant neoplasm of prostate; Methods; Middle Insomnia; New Jersey; Obesity; Occupational Health; Outcome; Overweight; Physical Fitness; Population; Prevention; Prostate; Protocols documentation; Recommendation; Regression Analysis; Research; Research Infrastructure; Resources; Risk; Services; Surveys; Time; Training; United States; base; cardiorespiratory fitness; cardiovascular health; career; evidence base; fire fighter; fitness; high body mass index; improved; physical conditioning; programs; promoter; respiratory; respiratory health; therapy design; volunteer

PROJECT SUMMARY Cardiovascular disease is the leading cause of on-duty deaths among firefighters. Firefighters incur acute health risks including injury, fatigue, heat stress, and cardiovascular strain while protecting our communities. Appropriate physical fitness is an essential part of reducing these risks. Poor physical fitness, including low cardiorespiratory fitness and high body mass index, can contribute to increased risks of adverse cardiovascular, respiratory, and cancer (colorectal, prostate) outcomes, all major concerns among firefighters. The United States has 1.1 million firefighters, 67% of whom are volunteer firefighters. However, most firefighter heath research is conducted among career (paid) firefighters. While volunteer firefighters train for, and perform the same tasks as career firefighters, they differ in key ways that may lead to lower physical fitness maintenance. Volunteer firefighters are always on call for emergency responses, do not spend extended time in the fire station, and are expected to maintain training while balancing their primary employment and family life, reducing opportunity for fire-department promoted health programs. In this proposal, we investigate the predictors and barriers of physical fitness among volunteer firefighters, which are critical for developing health promotion programs targeted at this understudied majority. The proposed mixed-methods project will be conducted within the research infrastructure of the New Jersey Firefighter Cancer Assessment and Prevention Study, and will use previously collected survey data on firefighting and behavioral factors, and focus group data on individual- and fire-department level factors affecting physical fitness among volunteer firefighters. Volunteer firefighters will be compared to career firefighters from the national Fire Fighter Cancer Cohort Study. The proposed project has three specific aims: (1) To identify factors associated with physical fitness among firefighters and assess differences among volunteer and career firefighters; (2) To qualitatively explore potential individual- and fire-department level influences on physical fitness among volunteer firefighters; and, (3) To employ a mixed-methods analysis by triangulating quantitative and qualitative data regarding factors associated with physical fitness among volunteer firefighters. Multivariable regression analysis will be used to assess effects of behavioral factors and firefighter service exposures on physical fitness among volunteer firefighters compared with those for career firefighters. Thematic analysis will be used to generate an in-depth understanding of the barriers and promoters of physical fitness among volunteer firefighters. A convergent mixed-methods analysis will integrate quantitative and qualitative findings to explore how and why health behaviors and volunteer firefighting characteristics influence physical fitness. By investigating the predictors and barriers of physical fitness among volunteer firefighters, specific physical fitness and health promotion strategies can be informed.

项目概要 心血管疾病是消防员因公死亡的主要原因。消防员面临严重健康问题 风险包括受伤、疲劳、热应激和心血管紧张，同时保护我们的社区。 适当的身体健康是降低这些风险的重要组成部分。身体素质差，包括低 心肺健康和高体重指数可能会增加心血管不良风险， 呼吸系统和癌症（结直肠癌、前列腺癌）的后果，都是消防员关心的主要问题。美国 有110万消防员，其中67%是志愿消防员。然而，大多数消防员健康研究是 在职业（付费）消防员中进行。志愿消防员接受训练并执行与消防员相同的任务 作为职业消防员，他们在关键方面存在差异，可能导致体能维持水平较低。志愿者 消防员随时待命以应对紧急情况，不会在消防站停留太长时间，并且 预计将继续接受培训，同时平衡主要工作和家庭生活，从而减少 消防部门推广健康计划。在本提案中，我们研究了物理因素的预测因素和障碍 志愿消防员的健康状况，这对于制定针对此的健康促进计划至关重要 未得到充分研究的大多数。 拟议的混合方法项目将在新泽西州的研究基础设施内进行 消防员癌症评估和预防研究，并将使用之前收集的调查数据 消防和行为因素，以及个人和消防部门层面影响因素的焦点小组数据 志愿消防员的身体素质。志愿消防员将与职业消防员进行比较 国家消防员癌症队列研究。拟议项目有三个具体目标： (1) 确定 与消防员身体健康相关的因素并评估志愿者和职业之间的差异 消防员； (2) 定性探讨个人和消防部门层面对身体的潜在影响 志愿消防员的健康状况； (3) 通过三角测量进行定量分析，采用混合方法分析 以及有关志愿消防员身体健康相关因素的定性数据。多变量 回归分析将用于评估行为因素和消防员服务暴露对 志愿消防员与职业消防员的身体健康状况比较。专题分析将 用于深入了解志愿者身体健康的障碍和促进因素 消防员。聚合混合方法分析将整合定量和定性研究结果来探索 健康行为和志愿者消防特征如何以及为何影响身体健康。经过 调查志愿消防员身体健康的预测因素和障碍，具体身体健康 并可以了解健康促进策略。