Key result
Firefighters had significantly higher odds of malignant cancer death (OR 1.19; 95% CI 1.08-1.30) but no difference in cardiovascular mortality compared to matched non-firefighters.
Case-Control
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BACKGROUND: Firefighters are exposed to toxic agents increasing their risk for cancer and cardiovascular disease. We examined the odds of cancer and cardiovascular mortality of firefighters relative to a matched group of non-firefighters from the general population. METHODS: Firefighter death records were matched to four non-firefighter death records on age at time of death, sex, race, ethnicity, and year of death. Exact odds ratios, 95% confidence intervals, and P-values were calculated using conditional logistic regression to compare groups. RESULTS: The odds of death due to malignant cancers was significantly higher for firefighters than non-firefighters (OR: 1.19; 95%CI 1.08, 1.30). There was no difference in the odds of death for cardiovascular diseases, including ischemic heart disease, between the two groups. CONCLUSIONS: The study suggests the importance of early and effective cancer prevention strategies among firefighters including worksite health promotion programs and incumbent physical activity evaluation.
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Muegge et al. (2018) conducted a case-control in Cancer and cardiovascular mortality. Firefighting occupation (toxic agent exposure) vs. Matched non-firefighters from the general population was evaluated on Death due to malignant cancers and cardiovascular diseases (OR 1.19, 95% CI 1.08-1.30). Firefighters had significantly higher odds of malignant cancer death (OR 1.19; 95% CI 1.08-1.30) but no difference in cardiovascular mortality compared to matched non-firefighters.
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