{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T20:43:21Z","timestamp":1790714601830,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,8,12]],"date-time":"2023-08-12T00:00:00Z","timestamp":1691798400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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\u2010thirds of the US fire service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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\u2010response relationship was observed between more monthly firefighting calls and receiving screening. Cancer risk perception was not associated with screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23524","type":"journal-article","created":{"date-parts":[[2023,8,13]],"date-time":"2023-08-13T06:38:01Z","timestamp":1691908681000},"page":"897-903","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Prevalence and predictors of skin cancer screening among a sample\u00a0of US\u00a0volunteer firefighters"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7540-8444","authenticated-orcid":false,"given":"Nimit N.","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health The State University of New Jersey Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael B.","family":"Steinberg","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Robert Wood Johnson Medical School The State University of New Jersey New Brunswick New Jersey USA"},{"name":"Division of Cancer Prevention and Control, Cancer Institute of New Jersey The State University of New Jersey New Brunswick New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5960-1308","authenticated-orcid":false,"given":"Alberto J.","family":"Caban\u2010Martinez","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Leonard M. Miller School of Medicine University of Miami Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Austin","sequence":"additional","affiliation":[{"name":"Department of Environmental and Occupational Health Sciences, School of Public Health University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2362-9509","authenticated-orcid":false,"given":"Jefferey L.","family":"Burgess","sequence":"additional","affiliation":[{"name":"Department of Community, Environment, and Policy, Mel and Enid Zuckerman College of Public Health University of Arizona Tucson Arizona USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6350-8210","authenticated-orcid":false,"given":"Brittany S.","family":"Hollerbach","sequence":"additional","affiliation":[{"name":"Center for Fire, Rescue, and EMS Health Research NDRI\u2010USA, Inc Leawood Kansas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Derrick L.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Department of Counseling and Psychology Tennessee Tech University Cookeville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor M.","family":"Black","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health The State University of New Jersey Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Black","sequence":"additional","affiliation":[{"name":"Division of Clinical Research and Occupational Medicine, Rutgers Environmental and Occupational Health Sciences Institute Rutgers the State University of New Jersey Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleigh M.","family":"Hinton","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health The State University of New Jersey Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian S.","family":"Kubiel","sequence":"additional","affiliation":[{"name":"Toms River Board of Fire Commissioners Toms River New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith M.","family":"Graber","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health The State University of New Jersey Piscataway New Jersey USA"},{"name":"Division of Cancer Prevention and Control, Cancer Institute of New Jersey The State University of New Jersey New Brunswick New Jersey USA"},{"name":"Division of Clinical Research and Occupational Medicine, Rutgers Environmental and Occupational Health Sciences Institute Rutgers the State University of New Jersey Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.32199"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.shaw.2023.02.003"},{"key":"e_1_2_11_4_1","unstructured":"IARC Working Group on the Evaluation of Carcinogenic Risks to Humans.\u00a0Painting firefighting and shiftwork.2010. International Agency for Research on Cancer. World Health Organization. IARC monographs on the evaluation of carcinogenic risks to humans. International Agency for Research on Cancer; Distributed by WHO Press: viii 804."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(22)00390-4"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2023.4342"},{"key":"e_1_2_11_7_1","unstructured":"National Fire Protection Association. NFPA 1582 Standard on Comprehensive Occupational Medical Program for Fire Departments.2022."},{"key":"e_1_2_11_8_1","unstructured":"FahyREB SteinG.US Fire Department Profile 2020.2022.https:\/\/www.nfpa.org\/-\/media\/Files\/News-and-Research\/Fire-statistics-and-reports\/Emergency-responders\/osfdprofile.pdf"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-17-0092"},{"key":"e_1_2_11_10_1","unstructured":"National Fire Protection Association.The Fifth Needs Assessment of the US Fire Service.2021.https:\/\/www.nfpa.org\/News-and-Research\/Data-research-and-tools\/Emergency-Responders\/Needs-assessment"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000002102"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18073730"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamadermatol.2017.4254"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e318268cf63"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0251785"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.14935"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000037"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/annweh\/wxaa066"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.1623"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.23524","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T06:23:55Z","timestamp":1694499835000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.23524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,12]]},"references-count":18,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1002\/ajim.23524"],"URL":"https:\/\/doi.org\/10.1002\/ajim.23524","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,12]]},"assertion":[{"value":"2023-05-18","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}