{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T09:11:10Z","timestamp":1760692270631,"version":"build-2065373602"},"reference-count":15,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"US National Institutes of Environmental Health Sciences","award":["P30 ES006694","T32 ES007091"],"award-info":[{"award-number":["P30 ES006694","T32 ES007091"]}]},{"DOI":"10.13039\/100008464","name":"Federal Emergency Management Agency","doi-asserted-by":"publisher","award":["EMW-2015-FP-00848","EMW-2019-FP-00526, EMW-2022-FP-00788"],"award-info":[{"award-number":["EMW-2015-FP-00848","EMW-2019-FP-00526, EMW-2022-FP-00788"]}],"id":[{"id":"10.13039\/100008464","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2025,7,7]]},"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Despite biological and environmental plausibility, risk factors for infertility have not yet been studied among female firefighters. In this exploratory analysis, we investigated the burden of infertility among a subset of US firefighters enrolled in the Health and Wellness of Women Firefighters Study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Women firefighters enrolled in the study responded to surveys administered in 2017 and 2019, reporting on their work environment, reproductive health, infertility history and fertility treatment history among those with infertility. Demographics and reproductive history of firefighters were compared by reported history of infertility. Log binomial regression models were used to estimate the association between occupational factors and risk of infertility.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 562 firefighters in our analysis, 168 of these women (30%) reported a history of infertility. A longer length of employment as a firefighter was associated with a modest, but non-statistically significant, increased relative risk of experiencing infertility (1.39, 95% CI 0.86 to 2.24).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This exploratory analysis highlights an opportunity to further examine infertility and impaired fertility among firefighters. Future studies may focus on comparing the burden of infertility in firefighters to the general population and evaluating the influence of additional occupational factors.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/oemed-2024-109967","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T17:20:30Z","timestamp":1753982430000},"page":"403-405","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Infertility burden among women firefighters: a cross-sectional exploratory analysis"],"prefix":"10.1136","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4469-0213","authenticated-orcid":false,"given":"Alesia M","family":"Jung","sequence":"first","affiliation":[{"name":"Health Sciences, Exponent Inc, Menlo Park, California, USA"},{"name":"Epidemiology and Biostatistics, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara A","family":"Jahnke","sequence":"additional","affiliation":[{"name":"Center for Fire Rescue & EMS Health Research, NDRI-USA, Leawood, Kansas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie K","family":"Dennis","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie L","family":"Bell","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jefferey L","family":"Burgess","sequence":"additional","affiliation":[{"name":"Community, Environment, and Policy, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie V","family":"Farland","sequence":"additional","affiliation":[{"name":"Epidemiology and Biostatistics, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA"},{"name":"Obstetrics and Gynecology, The University of Arizona College of Medicine, Tucson, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"2025101701300845000_82.8.403.1","doi-asserted-by":"crossref","DOI":"10.1186\/s12940-021-00800-4","article-title":"Occupational factors and miscarriages in the US fire service: a cross-sectional analysis of women firefighters","volume":"20","author":"Jung","year":"2021","journal-title":"Environ 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Epidemiol"},{"key":"2025101701300845000_82.8.403.7","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20085472","article-title":"An Exploratory Analysis of Firefighter Reproduction through Survey Data and Biomonitoring","volume":"20","author":"Engelsman","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"2025101701300845000_82.8.403.8","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19105981","article-title":"Anti-M\u00fcllerian Hormone Levels among Female Firefighters","volume":"19","author":"Davidson","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025101701300845000_82.8.403.9","first-page":"354","article-title":"Evaluating the Effect of Depression, Anxiety, and Post-Traumatic Stress Disorder on Anti-M\u00fcllerian Hormone Levels Among Women Firefighters","volume":"34","author":"Valenti","year":"2025","journal-title":"J Womens Health (Larchmt)"},{"key":"2025101701300845000_82.8.403.10","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1016\/j.fertnstert.2019.04.044","article-title":"Disparities in accessing infertility care in the United States: results from the National Health and Nutrition Examination Survey, 2013-16","volume":"112","author":"Kelley","year":"2019","journal-title":"Fertil Steril"},{"key":"2025101701300845000_82.8.403.11","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1007\/s10995-018-2468-3","article-title":"Maternal and Child Health Among Female Firefighters in the U.S","volume":"22","author":"Jahnke","year":"2018","journal-title":"Matern Child Health J"},{"key":"2025101701300845000_82.8.403.12","first-page":"150","article-title":"The effect of physical activity on fertility: a mini-review","volume":"4","author":"Mussawar","year":"2023","journal-title":"F S 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