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dc.contributor.authorShah, N.N.
dc.contributor.authorSteinberg, M.B.
dc.contributor.authorCaban-Martinez, A.J.
dc.contributor.authorAustin, E.
dc.contributor.authorBurgess, J.L.
dc.contributor.authorHollerbach, B.S.
dc.contributor.authorEdwards, D.L.
dc.contributor.authorBlack, T.M.
dc.contributor.authorBlack, K.
dc.contributor.authorHinton, K.M.
dc.contributor.authorKubiel, B.S.
dc.contributor.authorGraber, J.M.
dc.date.accessioned2024-08-18T22:57:34Z
dc.date.available2024-08-18T22:57:34Z
dc.date.issued2023-08-12
dc.identifier.citationShah NN, Steinberg MB, Caban-Martinez AJ, et al. Prevalence and predictors of skin cancer screening among a sample of US volunteer firefighters. Am J Ind Med. 2023; 66: 897-903. doi:10.1002/ajim.23524
dc.identifier.issn0271-3586
dc.identifier.pmid37573478
dc.identifier.doi10.1002/ajim.23524
dc.identifier.urihttp://hdl.handle.net/10150/674632
dc.description.abstractBackground: Firefighters have a higher risk of melanoma incidence and mortality compared to the general population. In the United States (US), the National Fire Protection Association recommends all firefighters receive annual skin cancer screening through visual skin examination by a clinician. However, there is limited information on skin cancer screening practices among volunteer firefighters who comprise two-thirds of the US fire service. Methods: This cross-sectional study of 552 US volunteer firefighters estimated the prevalence of skin cancer screening and evaluated associations with their fire service experience, demographics, sun protection practices, and cancer risk perception. Results: The prevalence of receiving skin cancer screening among volunteer firefighters was 26.1% (95% confidence interval [CI]: 22.4, 29.8). The odds of being screened for skin cancer, compared to not being screened, were twice as high for firefighters who used sunscreen (odds ratio [OR]: 2.35, 95% CI: 1.48, 3.73) and who perceived their skin likely to burn with prolonged sun exposure (OR: 1.81, 95% CI: 1.10, 3.00). Older age, some college education, and family history of skin cancer were also positively associated with skin cancer screening. A positive exposure-response relationship was observed between more monthly firefighting calls and receiving screening. Cancer risk perception was not associated with screening. Conclusion: To our knowledge, this is the first large study to assess skin cancer screening among US volunteer firefighters. Our findings suggest gaps in skin cancer prevention efforts in the volunteer fire service. Additional assessment of skin cancer prevention practices within volunteer fire departments could help address these gaps. © 2023 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC.
dc.language.isoen
dc.publisherJohn Wiley and Sons Inc
dc.rights© 2023 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License.
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectcancer screening
dc.subjectclinical visual skin examinations
dc.subjectfirefighters
dc.subjectoccupational cancer prevention and control
dc.subjectskin cancer
dc.titlePrevalence and predictors of skin cancer screening among a sample of US volunteer firefighters
dc.typeArticle
dc.typetext
dc.contributor.departmentDepartment of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health, University of Arizona
dc.identifier.journalAmerican Journal of Industrial Medicine
dc.description.noteOpen access article
dc.description.collectioninformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
dc.eprint.versionFinal Published Version
dc.source.journaltitleAmerican Journal of Industrial Medicine
refterms.dateFOA2024-08-18T22:57:34Z


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© 2023 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License.
Except where otherwise noted, this item's license is described as © 2023 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC. This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License.