Cancer risk among firefighters and police in the Ontario workforce.
Occup Environ Med
; 79(8): 533-539, 2022 08.
Article
em En
| MEDLINE
| ID: mdl-35354650
ABSTRACT
OBJECTIVE:
Firefighters and police often work in high-stress, complex environments with known and suspected carcinogenic exposures. We aimed to characterise cancer incidence among firefighters and police.METHODS:
The Occupational Disease Surveillance System (ODSS) was used to identify workers employed as firefighters or police in Ontario. A cohort of workers were identified using lost-time workers' compensation claims data and followed for cancer in the Ontario Cancer Registry (1983-2020). Cox proportional hazard models were used to estimate HRs and 95% CIs for primary site-specific cancer diagnoses adjusted for age at start of follow-up, birth year and sex.RESULTS:
A total of 13 642 firefighters and 22 595 police were identified in the cohort. Compared with all other workers in the ODSS, firefighters and police had increased risk of prostate cancer (firefighters HR=1.43, 95% CI 1.31 to 1.57; police HR=1.47, 95% CI 1.35 to 1.59), colon cancer (firefighters HR=1.39, 95% CI 1.19 to 1.63; police HR=1.39, 95% CI 1.21 to 1.60) and skin melanoma (firefighters HR=2.38, 95% CI 1.99 to 2.84; police HR=2.27, 95% CI 1.96 to 2.62). Firefighters also had increased risk of cancer of the pancreas, testis and kidney, as well as non-Hodgkin's lymphoma and leukaemia. Police had increased risk of thyroid, bladder and female breast cancer. When compared directly with the police, firefighters had an elevated risk of mesothelioma and testicular cancer.CONCLUSIONS:
Firefighters and police demonstrated some similar as well as some unique cancer risks. Findings from this larger worker population may have important implications for workplace and policy-level changes to improve preventative measures and reduce potential exposures to known carcinogenic hazards.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Testiculares
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Exposição Ocupacional
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Bombeiros
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Neoplasias
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Doenças Profissionais
Tipo de estudo:
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Female
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Humans
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Male
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article