{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T18:50:51Z","timestamp":1787856651752,"version":"build-2784847793"},"reference-count":84,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T00:00:00Z","timestamp":1682294400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008464","name":"United States Department of Homeland Security","doi-asserted-by":"publisher","award":["EMW-2018-FP-00562"],"award-info":[{"award-number":["EMW-2018-FP-00562"]}],"id":[{"id":"10.13039\/100008464","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Career firefighters are at considerable risk for chronic diseases, including an increased risk of various cancers, compared to the general population. Over the last two decades, several systematic reviews and large cohort studies have demonstrated that firefighters have statistically significant increases in overall and site-specific cancer incidence and site-specific cancer mortality compared to the general population. Exposure assessment and other studies have documented exposures to a variety of carcinogens in fire smoke and within the fire station. Other occupational factors such as shift work, sedentary behavior, and the fire service food culture may also contribute to this working population\u2019s increased cancer risk. Furthermore, obesity and other lifestyle behaviors such as tobacco use, excessive alcohol consumption, poor diet, inadequate physical activity, and short sleep duration have also been associated with an increased risk of certain firefighting-associated cancers. Putative prevention strategies are proposed based on suspected occupational and lifestyle risk factors.<\/jats:p>","DOI":"10.3390\/cancers15092442","type":"journal-article","created":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T01:37:01Z","timestamp":1682386621000},"page":"2442","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review"],"prefix":"10.3390","volume":"15","author":[{"given":"Amalia","family":"Sidossis","sequence":"first","affiliation":[{"name":"Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02138, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5167-3975","authenticated-orcid":false,"given":"Fan-Yun","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02138, USA"},{"name":"Division of Occupational Medicine, Cambridge Health Alliance\/Harvard Medical School, Cambridge, MA 02139, USA"},{"name":"Institute of Health and Welfare Policy, National Yang Ming Chiao Tung University, Taipei 112, Taiwan"},{"name":"Occupational Medicine, Department of Family Medicine, National Yang Ming Chiao Tung University Hospital, Yilan 260, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8690-8567","authenticated-orcid":false,"given":"Maria S.","family":"Hershey","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02138, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kishor","family":"Hadkhale","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02138, USA"},{"name":"Division of Occupational Medicine, Cambridge Health Alliance\/Harvard Medical School, Cambridge, MA 02139, USA"},{"name":"Faculty of Social Sciences Health Sciences (Epidemiology), Tampere University, 33100 Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7712-4664","authenticated-orcid":false,"given":"Stefanos N.","family":"Kales","sequence":"additional","affiliation":[{"name":"Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA 02138, USA"},{"name":"Division of Occupational Medicine, Cambridge Health Alliance\/Harvard Medical School, Cambridge, MA 02139, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1093\/occmed\/kqw079","article-title":"Mortality and cancer incidence at a fire training college","volume":"66","author":"Glass","year":"2016","journal-title":"Occup. 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