{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:49:07Z","timestamp":1790729347478,"version":"4.1.0"},"reference-count":122,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T00:00:00Z","timestamp":1614729600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Firefighters are exposed to carcinogens that may increase their risk of developing many types of occupational cancer. Many systematic reviews (SRs) have been produced with sometimes conflicting conclusions. In this overview of reviews, we aim to assess the conclusion consistency across the available systematic reviews on the cancer risk in firefighters. Literature searches were conducted in several indexed databases and grey literature to retrieve systematic reviews aiming to evaluate cancer incidence or cancer mortality in firefighters. Results from included SRs were analyzed according to the tumour site. Out of 1054 records identified by the search in the databases, a total of 11 SRs were ultimately included. The original studies (n = 104) analyzed in the SRs were published between 1959 and 2018. The results consistently reported a significant increase in the incidence of rectal, prostate, bladder and testicular cancers as well as mesothelioma and malignant melanoma in firefighters compared to the general population. The SRs also indicate that death rates from rectal cancer and non-Hodgkin\u2019s lymphoma are higher among firefighters. Consistent SR results suggest that several types of cancer may be more frequent in firefighters than in the general population.<\/jats:p>","DOI":"10.3390\/ijerph18052519","type":"journal-article","created":{"date-parts":[[2021,3,3]],"date-time":"2021-03-03T20:29:48Z","timestamp":1614803388000},"page":"2519","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["Cancer Incidence and Mortality among Firefighters: An Overview of Epidemiologic Systematic Reviews"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6537-8325","authenticated-orcid":false,"given":"Elena","family":"Laroche","sequence":"first","affiliation":[{"name":"School of Administration Sciences, Universit\u00e9 TELUQ, Quebec, QC G1K 9H6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"L\u2019Esp\u00e9rance","sequence":"additional","affiliation":[{"name":"School of Administration Sciences, Universit\u00e9 TELUQ, Quebec, QC G1K 9H6, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,3,3]]},"reference":[{"key":"ref_1","unstructured":"IARC, World Health Organization, and International Agency for Research on Cancer (2010). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, WHO."},{"key":"ref_2","unstructured":"Guidotti, G.T. (2014). Health Risks and Occupation as a Firefighter: A Report Prepared for the Department of Veterans\u2019 Affairs."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1039","DOI":"10.1093\/oxfordjournals.aje.a115745","article-title":"Fire fighters and risk of cancer: An assessment and overview of the epidemiologic evidence","volume":"132","author":"Howe","year":"1990","journal-title":"Am. J. Epidemiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.jclinepi.2009.06.005","article-title":"Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement","volume":"62","author":"Moher","year":"2009","journal-title":"J. Clin. Epidemiol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.jclinepi.2015.06.005","article-title":"ROBIS: A new tool to assess risk of bias in sys-tematic reviews was developed","volume":"69","author":"Whiting","year":"2016","journal-title":"J. Clin. Epidemiol."},{"key":"ref_6","unstructured":"Samet, J.M., and Bhavsar, B. (2019, October 19). An Occupational Health Investigation of Cancer Among Fire Fighters in Anne Arundel County, Mary-land. Available online: https:\/\/firefightercancersupport.org\/wp-content\/uploads\/2013\/06\/occupational_health_investigation_of_cancer_among_firefighters_in_aacomd.pdf."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1097\/01.jom.0000246229.68697.90","article-title":"Cancer risk among firefighters: A review and meta-analysis of 32 studies","volume":"48","author":"LeMasters","year":"2006","journal-title":"J. Occup. Environ. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"223","DOI":"10.3200\/AEOH.61.5.223-231","article-title":"Risk of Cancer Among Firefighters: A Quantitative Review of Selected Malignancies","volume":"61","author":"Youakim","year":"2006","journal-title":"Arch. Environ. Occup. Heal."},{"key":"ref_9","first-page":"82","article-title":"Occupational and environmental risk factors of adult primary brain cancers: A systematic review","volume":"2","author":"Gomes","year":"2011","journal-title":"Int. J. Occup. Environ. Med."},{"key":"ref_10","unstructured":"Crawford, J.O., Winski, T., McElvenny, D., Graveling, R., and Dixon, K. (2017). Firefighters and Cancer: The Epidemiological Evidence, Institute of Occupational Medicine. Research Report TM\/17\/01."},{"key":"ref_11","first-page":"1","article-title":"Prostate cancer in firefighting and police work: A systematic review and meta-analysis of epidemiologic studies","volume":"16","author":"Sritharan","year":"2017","journal-title":"Environ. Health Glob. Access Sci. Source"},{"key":"ref_12","unstructured":"Institut de Recherche Robert-Sauv\u00e9 en Sant\u00e9 et en S\u00e9curit\u00e9 du Travail (2018). Revue de la Litt\u00e9rature \u00c9pid\u00e9miologique sur le Risque de Cancer chez les Pompiers, Institut de Recherche Robert-Sauv\u00e9 en Sant\u00e9 et en S\u00e9curit\u00e9 du Travail. Rapport R-1011."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2639","DOI":"10.1002\/ijc.32199","article-title":"Cancer incidence and mortality among firefight-ers","volume":"145","author":"Jalilian","year":"2019","journal-title":"Int. J. Cancer"},{"key":"ref_14","unstructured":"Institute of Occupational Medicine (2010). Occupational Health Risks in Firefighters, Institute of Occupational Medicine. Strategic Consulting Report P530 Prepared by Graveling, R.A.; Crawford, J.O."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1002\/ajim.4700110608","article-title":"Mortality of a municipal-worker cohort: IV. Fire fighters","volume":"11","author":"Vena","year":"1987","journal-title":"Am. J. Ind. Med."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Higgins, J.P.T., Thomas, J., Chandler, J., Cumpston, M., Li, T., Page, M.J., and Welch, V.A. (2019, October 19). Cochrane Handbook for Systematic Re-views of Interventions version 6.0 (updated July 2019); Cochrane. Available online: www.training.cochrane.org\/handbook.","DOI":"10.1002\/9781119536604"},{"key":"ref_17","unstructured":"Cochrane Consumers and Communication Review Group (2019, October 19). Study Quality Guide. Guide for Review Authors on Assessing Study Quality, Available online: https:\/\/cccrg.cochrane.org\/sites\/cccrg.cochrane.org\/files\/public\/uploads\/StudyQualityGuide_May%202013.pdf."},{"key":"ref_18","unstructured":"Institut de Recherche Robert-Sauv\u00e9 en Sant\u00e9 et en S\u00e9curit\u00e9 du Travail (2007). Risques de Cancer du C\u00f4lon et du Rectum Chez les Pompiers, Institut de Recherche Robert-Sauv\u00e9 en Sant\u00e9 et en S\u00e9curit\u00e9 du Travail. Rapport R-515."},{"key":"ref_19","unstructured":"Canadian Cancer Statistics Advisory Committee (2019). Canadian Cancer Statistics 2019, Canadian Cancer Society. Available online: http:\/\/www.cancer.ca\/en\/cancer-information\/cancer-101\/canadian-cancer-statistics\/?region=on#ixzz6FLzAonTu."},{"key":"ref_20","unstructured":"The Industrial Injuries Advisory Council (2019, October 19). Testicular Cancer in Fire Fighters, Available online: http:\/\/www.effua.org\/wp-content\/uploads\/2017\/09\/TESTICULAR-CANCER-IN-FIRE-FIGHTERS.pdf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1002\/ajim.23086","article-title":"Cancer risk among career male and female Florida firefighters: Evidence from the Florida Firefighter Cancer Registry (1981\u20132014)","volume":"63","author":"Lee","year":"2020","journal-title":"Am. J. Ind. Med."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1136\/ebmed-2017-110713","article-title":"Guidelines for reporting meta-epidemiological methodology research","volume":"22","author":"Murad","year":"2017","journal-title":"Evid. Based Med."},{"key":"ref_23","first-page":"227","article-title":"Mortality in city firemen. II. A study of mortality in firemen of a city fire department","volume":"20","author":"Mastromatteo","year":"1959","journal-title":"AMA Arch. Ind. Heal."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1080\/15287397509529309","article-title":"Occupation and bowel cancer","volume":"1","author":"Berg","year":"1975","journal-title":"J. Toxicol. Environ. Health Part A"},{"key":"ref_25","unstructured":"Milham, S.J. (1976). Occupational Mortality in Washington State, 1950\u20131971."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1093\/jnci\/59.4.1147","article-title":"Associations of cancer site and type with occupation and industry from the Third National Cancer Survey Interview","volume":"59","author":"Williams","year":"1977","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1136\/oem.35.2.104","article-title":"Mortality among Boston firefighters, 1915\u20131975","volume":"35","author":"Musk","year":"1978","journal-title":"Occup. Environ. Med."},{"key":"ref_28","unstructured":"Petersen, G.R., and Milham, S. (1980). Occupational Mortality in the State of California, 1959\u20131961."},{"key":"ref_29","unstructured":"Lewis, S.S., Bierman, H.R., and Faith, M.R. (1982). Cancer Mortality among Los Angeles City Fire Fighters, Institute for Cancer and Blood Research. Report to the city of Los Angeles Fire Department."},{"key":"ref_30","first-page":"1123","article-title":"Setting Priorities for Occupational Cancer Research and Control: Synthesis of the Results of Occupational Disease Surveillance Studies2","volume":"71","author":"Wegman","year":"1983","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_31","first-page":"37","article-title":"A Follow-up Study of a Ten-Percent Sample of the Canadian Labor Force. I. Cancer Mortality in Males, 1965\u2013732","volume":"70","author":"Lindsay","year":"1983","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1136\/oem.41.2.183","article-title":"Mortality of fire fighters in Western Australia","volume":"41","author":"Eliopulos","year":"1984","journal-title":"Occup. Environ. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1002\/ajim.4700060304","article-title":"Leukemia incidence by occupation in the portland-vancouver metropolitan area","volume":"6","author":"Morton","year":"1984","journal-title":"Am. J. Ind. Med."},{"key":"ref_34","first-page":"1039","article-title":"Mortality Patterns among U.S. Veterans by Occupation. I. Cancer","volume":"75","author":"Walrath","year":"1985","journal-title":"J. Natl. Cancer Inst."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1002\/ajim.4700090603","article-title":"Mortality in police and firefighters in New Jersey","volume":"9","author":"Feuer","year":"1986","journal-title":"Am. J. Ind. Med."},{"key":"ref_36","unstructured":"Rosenstock, L., Demers, P., and Heyer, N. (1987). Northwest fire fighter mortality 1945\u20131983, University of Washington. Occupational Medicine Program."},{"key":"ref_37","unstructured":"Gallagher, R.P., Cancer Control Agency of British Columbia, and Workers\u2019 Compensation Board of British Columbia (1989). Occupational mortality in British Columbia, 1950\u20131984, Cancer Control Agency of British Columbia."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1002\/ajim.4700170407","article-title":"Cohort mortality study of seattle fire fighters: 1945-1983","volume":"17","author":"Heyer","year":"1990","journal-title":"Am. J. Ind. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1002\/ajim.4700180106","article-title":"Cancer incidence among Massachusetts firefighters, 1982\u20131986","volume":"18","author":"Sama","year":"1990","journal-title":"Am. J. Ind. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1136\/oem.47.12.805","article-title":"A cohort study on the mortality of firefighters","volume":"47","author":"Hansen","year":"1990","journal-title":"Occup. Environ. Med."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"169","DOI":"10.2105\/AJPH.80.2.169","article-title":"An analysis of occupational risks for brain cancer","volume":"80","author":"Brownson","year":"1990","journal-title":"Am. J. Public Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1002\/ajim.4700190309","article-title":"An epidemiologic study of cancer and other causes of mortality in San Francisco firefighters","volume":"19","author":"Beaumont","year":"1991","journal-title":"Am. J. Ind. Med."},{"key":"ref_43","first-page":"82","article-title":"Risk of death among Honolulu fire fighters","volume":"50","author":"Grimes","year":"1991","journal-title":"Hawaii Med. J."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1093\/oxfordjournals.aje.a116431","article-title":"Cancer identification using a tumor registry versus death certificates in occupational cohort studies in the United States","volume":"136","author":"Demers","year":"1992","journal-title":"Am. J. Epidemiol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1136\/oem.49.9.664","article-title":"Mortality among firefighters from three northwestern United States cities","volume":"49","author":"Demers","year":"1992","journal-title":"Occup. Environ. Med."},{"key":"ref_46","unstructured":"Hrubec, Z., Blair, A.E., Rogot, E., and Vaught, J. (1992). Mortality Risks by Occupation among U.S. Veterans of Known Smoking Status."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1002\/ajim.4700230410","article-title":"A case-control study of multiple myeloma and occupation","volume":"23","author":"Demers","year":"1993","journal-title":"Am. J. Ind. Med."},{"key":"ref_48","first-page":"33","article-title":"Cancer incidence in Melbourne Metropolitan Fire Brigade members, 1980\u20131989","volume":"5","author":"Giles","year":"1993","journal-title":"Health Rep."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1002\/ajim.4700230608","article-title":"Mortality of urban firefighters in Alberta, 1927-1987","volume":"23","author":"Guidotti","year":"1993","journal-title":"Am. J. Ind. Med."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1002\/ajim.4700260612","article-title":"Mortality among fire fighters: A 27 state survey","volume":"26","author":"Burnett","year":"1994","journal-title":"Am. J. Ind. Med."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/ajim.4700260108","article-title":"Mortality among fire fighters in metropolitan Toronto","volume":"26","author":"Aronson","year":"1994","journal-title":"Am. J. Ind. Med."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/ajim.4700250208","article-title":"Mortality and cancer incidence in Stockholm fire fighters","volume":"25","author":"Tornling","year":"1994","journal-title":"Am. J. Ind. Med."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1007\/BF01830258","article-title":"Cancer incidence among firefighters in Seattle and Tacoma, Washington (United States)","volume":"5","author":"Demers","year":"1994","journal-title":"Cancer Causes Control."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1002\/ajim.4700270606","article-title":"United States non-Hodgkin\u2019s lymphoma surveillance by occupation 1984-1989: A twenty-four state death certificate study","volume":"27","author":"Figgs","year":"1995","journal-title":"Am. J. Ind. Med."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1007\/BF01720297","article-title":"Mortality amongst Paris fire-fighters","volume":"11","author":"Deschamps","year":"1995","journal-title":"Eur. J. Epidemiol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1111\/j.1464-410X.1995.tb07410.x","article-title":"Occupational risk lor renal cell carcinoma. A case-control study based on the New Zealand Cancer Registry","volume":"75","author":"Delahunt","year":"1995","journal-title":"BJU Int."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1097\/00043764-199512000-00004","article-title":"Occupational mortality among firefighters: Assessing the association","volume":"37","author":"Guidotti","year":"1995","journal-title":"J. Occup. Environ. Med."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/S0194-59989570280-6","article-title":"Diesel exhaust, diesel fumes, and laryngeal cancer","volume":"112","author":"Muscat","year":"1995","journal-title":"Otolaryngol. Neck Surg."},{"key":"ref_59","unstructured":"OPCS (1995). Occupational Health: Decennial Supplement. The Registrar General\u2019s Decennial Supplement for England and Wales."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1002\/ajim.4700270112","article-title":"Occupational associations with lung cancer in two Ontario cities","volume":"27","author":"Finkelstein","year":"1995","journal-title":"Am. J. Ind. Med."},{"key":"ref_61","first-page":"334","article-title":"Testicular cancer in fire fighters: A cluster investigation","volume":"108","author":"Bates","year":"1995","journal-title":"N. Z. Med. J."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1093\/ije\/25.1.14","article-title":"Male Cancer Incidence by Occupation: New Zealand, 1972\u20131984","volume":"25","author":"Firth","year":"1996","journal-title":"Int. J. Epidemiol."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1002\/(SICI)1097-0274(199607)30:1<83::AID-AJIM14>3.0.CO;2-4","article-title":"Congenital anomalies among the offspring of fire fighters","volume":"30","author":"Aronson","year":"1996","journal-title":"Am. J. Ind. Med."},{"key":"ref_64","unstructured":"Donnan, S.P.B. (1996). Study of Mortality and Cancer Incidence in Firefighters in Britain: A Third Report, 1965\u20131993."},{"key":"ref_65","first-page":"1134","article-title":"Race-Specific Cancer Mortality in US Firefighters: 1984\u20131993","volume":"40","author":"Lee","year":"1998","journal-title":"J. Occup. Environ. Med."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1002\/(SICI)1097-0274(199811)34:5<421::AID-AJIM2>3.0.CO;2-T","article-title":"Occupational risk factors and prostate cancer in U.S. Blacks and Whites","volume":"34","author":"Krstev","year":"1998","journal-title":"Am. J. Ind. Med."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"838","DOI":"10.1093\/aje\/152.9.838","article-title":"Occupation and Adult Gliomas","volume":"152","author":"Carozza","year":"2000","journal-title":"Am. J. Epidemiol."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/ajim.1040","article-title":"Cohort mortality study of Philadelphia firefighters","volume":"39","author":"Baris","year":"2001","journal-title":"Am. J. Ind. Med."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1002\/ajim.1097","article-title":"Is testicular cancer an occupational disease of fire fighters?","volume":"40","author":"Bates","year":"2001","journal-title":"Am. J. Ind. Med."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1002\/ajim.1052","article-title":"A case-control study of the relationship between the risk of colon cancer in men and exposures to occupational agents","volume":"39","author":"Goldberg","year":"2001","journal-title":"Am. J. Ind. Med."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1136\/oem.58.9.590","article-title":"Occupational risk factors for male bladder cancer: Results from a population based case cohort study in the Netherlands","volume":"58","author":"Zeegers","year":"2001","journal-title":"Occup. Environ. Med."},{"key":"ref_72","first-page":"s78","article-title":"Cancer mortality among Florida firefighters","volume":"155","author":"Ma","year":"2002","journal-title":"Am. J. Epidemiol."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1002\/ajim.10178","article-title":"Firefighting and risk of testicular cancer: Results from a German population-based case-control study","volume":"43","author":"Stang","year":"2003","journal-title":"Am. J. Ind. Med."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1097\/01.jom.0000069245.06498.48","article-title":"Occupation and Adult Gliomas in the San Francisco Bay Area","volume":"45","author":"Krishnan","year":"2003","journal-title":"J. Occup. Environ. Med."},{"key":"ref_75","first-page":"183","article-title":"Occupation and the risk of lung cancer by histologic types and morphologic distribution: A case control study in Turkey","volume":"59","author":"Elci","year":"2004","journal-title":"Monaldi Arch. Chest Dis."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1007\/s10552-004-1448-7","article-title":"A case?control study of occupational risk factors for bladder cancer in Canada","volume":"15","author":"Gaertner","year":"2004","journal-title":"Cancer Causes Control."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/01.jom.0000116805.62079.d6","article-title":"A Population-Based Case-Control Study of Occupation and Renal Cell Carcinoma Risk in Iowa","volume":"46","author":"Zhang","year":"2004","journal-title":"J. Occup. Environ. Med."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1097\/01.jom.0000116961.48464.6b","article-title":"A Prospective Study of Occupation and Prostate Cancer Risk","volume":"46","author":"Zeegers","year":"2004","journal-title":"J. Occup. Environ. Med."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/cncr.20312","article-title":"Breast carcinoma in men: A population-based study","volume":"101","author":"Giordano","year":"2004","journal-title":"Cancer"},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1002\/ajim.20160","article-title":"Mortality in Florida professional firefighters, 1972 to 1999","volume":"47","author":"Ma","year":"2005","journal-title":"Am. J. Ind. Med."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"883","DOI":"10.1097\/01.jom.0000235862.12518.04","article-title":"Cancer Incidence in Florida Professional Firefighters, 1981 to 1999","volume":"48","author":"Ma","year":"2006","journal-title":"J. Occup. Environ. Med."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"S174","DOI":"10.1097\/00001648-200611001-00438","article-title":"Registry-Based Case-Control Study of Cancer in California Firefighters","volume":"17","author":"Bates","year":"2006","journal-title":"Epidemiology"},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1002\/ajim.20446","article-title":"Registry-based case\u2013control study of cancer in California firefighters","volume":"50","author":"Bates","year":"2007","journal-title":"Am. J. Ind. Med."},{"key":"ref_84","doi-asserted-by":"crossref","unstructured":"Suarez, B., L\u00f3pez-Abente, G., Mart\u00ednez, C., Navarro, C., Tormo, M.J., Rosso, S., Schraub, S., Gaf\u00e0, L., Sancho-Garnier, H., and Wechsler, J. (2007). Occupation and skin cancer: The results of the HELIOS-I multicenter case-control study. BMC Public Health, 7.","DOI":"10.1186\/1471-2458-7-180"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1093\/aje\/kwj343","article-title":"Exposure to Diesel and Gasoline Engine Emissions and the Risk of Lung Cancer","volume":"165","author":"Parent","year":"2006","journal-title":"Am. J. Epidemiol."},{"key":"ref_86","unstructured":"World Health Organization, International Agency for Research on Cancer (2010). IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, WHO."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1002\/ajim.20549","article-title":"Cancer incidence among male Massachusetts firefighters, 1987\u20132003","volume":"51","author":"Kang","year":"2008","journal-title":"Am. J. Ind. Med."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1136\/oem.2007.035014","article-title":"High risk occupations for non-Hodgkin\u2019s lymphoma in New Zealand: Case-control study","volume":"65","author":"Mannetje","year":"2008","journal-title":"Occup. Environ. Med."},{"key":"ref_89","unstructured":"Glass, D. (2009). Final Report on Queensland Fire Fighters\u2019 Cancer Incidence Study."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1002\/ajim.20663","article-title":"Identification of occupational cancer risk in British Columbia: A population-based case-control study of 2,998 lung cancers by histopathological subtype","volume":"52","author":"MacArthur","year":"2009","journal-title":"Am. J. Ind. Med."},{"key":"ref_91","unstructured":"Coggon, D., Harris, E.C., Brown, T., Rice, S., and Palmer, K.T. (2009). Occupational Mortality in England and Wales, 1991\u20132000."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1093\/occmed\/kqs116","article-title":"Non-cancer occupational health risks in firefighters","volume":"62","author":"Crawford","year":"2012","journal-title":"Occup. Med."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1136\/oem.2009.046250","article-title":"Occupation and renal cell cancer in Central and Eastern Europe","volume":"67","author":"Heck","year":"2009","journal-title":"Occup. Environ. Med."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1136\/oem.2009.046680","article-title":"Occupational exposure to polycyclic aromatic hydrocarbons and lung cancer risk: A multicenter study in Europe","volume":"67","author":"Olsson","year":"2009","journal-title":"Occup. Environ. Med."},{"key":"ref_95","first-page":"A19","article-title":"Cancer incidence among Nordic firefighters (abstract)","volume":"173","author":"Demers","year":"2011","journal-title":"Am. J. Epidemiol."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"3821","DOI":"10.3390\/ijerph8103821","article-title":"Identification of Occupational Cancer Risks in British Columbia, Canada: A Population-Based Case\u2014Control Study of 1,155 Cases of Colon Cancer","volume":"8","author":"Fang","year":"2011","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/S0140-6736(11)60989-6","article-title":"Early assessment of cancer outcomes in New York City firefighters after the 9\/11 attacks: An observational cohort study","volume":"378","author":"Webber","year":"2011","journal-title":"Lancet"},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1002\/ajim.20906","article-title":"Lung cancer and occupation: A new zealand cancer registry-based case-control study","volume":"54","author":"Corbin","year":"2010","journal-title":"Am. J. Ind. Med."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.envres.2011.04.003","article-title":"Occupational exposure to diesel and gasoline emissions and lung cancer in Canadian men","volume":"111","author":"Villeneuve","year":"2011","journal-title":"Environ. Res."},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1002\/ajim.22068","article-title":"Cancer morbidity of professional emergency responders in Korea","volume":"55","author":"Ahn","year":"2012","journal-title":"Am. J. Ind. Med."},{"key":"ref_101","doi-asserted-by":"crossref","unstructured":"Karami, S., Colt, J.S., Schwartz, K., Davis, F.G., Ruterbusch, J.J., Munuo, S.S., Wacholder, S., Stewart, P., Graubard, B., and Rothman, N. (2012). A case\u2013control study of occupation\/industry and renal cell carcinoma risk. BMC Cancer, 12.","DOI":"10.1186\/1471-2407-12-344"},{"key":"ref_102","doi-asserted-by":"crossref","unstructured":"Villeneuve, P.J., The Canadian Cancer Registries Epidemiology Research Group, Parent, M.-\u00c9., Harris, S., and Johnson, K.C. (2012). Occupational exposure to asbestos and lung cancer in men: Evidence from a population-based case-control study in eight Canadian provinces. BMC Cancer, 12.","DOI":"10.1186\/1471-2407-12-595"},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1097\/JOM.0b013e318289ee8b","article-title":"Occupation and head and neck cancer risk in men: Results from the ICARE study, a French population-based case-control study","volume":"55","author":"Guida","year":"2013","journal-title":"J. Occup. Environ. Med."},{"key":"ref_104","doi-asserted-by":"crossref","unstructured":"Santi, I., Kroll, L.E., Dietz, A., Becher, H., and Ramroth, H. (2013). Occupation and educational inequalities in laryngeal cancer: The use of a job index. BMC Public Health, 13.","DOI":"10.1186\/1471-2458-13-1080"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"985","DOI":"10.1002\/ajim.22218","article-title":"Mesothelioma and employment in massachusetts: Analysis of cancer registry data 1988-2003","volume":"56","author":"Roelofs","year":"2013","journal-title":"Am. J. Ind. Med."},{"key":"ref_106","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1136\/oemed-2013-101662","article-title":"Mortality and cancer incidence in a pooled cohort of US firefighters from San Francisco, Chicago and Philadelphia (1950\u20132009)","volume":"71","author":"Daniels","year":"2014","journal-title":"Occup. Environ. Med."},{"key":"ref_107","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1136\/oemed-2013-101803","article-title":"Cancer incidence among firefighters: 45 years of follow-up in five Nordic countries","volume":"71","author":"Pukkala","year":"2014","journal-title":"Occup. Environ. Med."},{"key":"ref_108","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1093\/occmed\/kqu080","article-title":"Cancer incidence and mortality in serving whole-time Scottish firefighters 1984\u20132005","volume":"64","author":"Ide","year":"2014","journal-title":"Occup. Med."},{"key":"ref_109","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1002\/ajim.22434","article-title":"French firefighter mortality: Analysis over a 30-year period","volume":"58","author":"Amadeo","year":"2015","journal-title":"Am. J. Ind. Med."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1002\/ajim.22466","article-title":"Risk of cancer among firefighters in California, 1988-2007","volume":"58","author":"Tsai","year":"2015","journal-title":"Am. J. Ind. Med."},{"key":"ref_111","doi-asserted-by":"crossref","unstructured":"Ahn, Y.S., and Jeong, K.S. (2015). Mortality due to malignant and non-malignant diseases in Korean professional emergency responders. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0139255"},{"key":"ref_112","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1136\/oemed-2014-102671","article-title":"Exposure-response relationships for select cancer and non-cancer health outcomes in a cohort of U.S. firefighters from San Francisco, Chicago and Philadelphia (1950\u20132009)","volume":"72","author":"Daniels","year":"2015","journal-title":"Occup. Environ. Med."},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1136\/oemed-2014-102601","article-title":"World Trade Center-related physical and mental health burden among New York City Fire Department emergency medical service workers","volume":"73","author":"Yip","year":"2015","journal-title":"Occup. Environ. Med."},{"key":"ref_114","first-page":"761","article-title":"Mortality and cancer incidence in a cohort of male paid Australian firefighters","volume":"73","author":"Glass","year":"2016","journal-title":"Occup. Environ. Med."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1136\/oemed-2016-103573","article-title":"Natural resource-based industries and prostate cancer risk in Northeastern Ontario: A case\u2013control study","volume":"73","author":"Sritharan","year":"2016","journal-title":"Occup. Environ. Med."},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/s12940-016-0185-1","article-title":"Occupation, industry, and the risk of prostate cancer: A case-control study in Montr\u00e9al, Canada","volume":"15","author":"Parent","year":"2016","journal-title":"Environ. Health"},{"key":"ref_117","first-page":"132","article-title":"The Australian Work Exposures Study: Prevalence of Occupational Exposure to Formaldehyde","volume":"60","author":"Driscoll","year":"2015","journal-title":"Ann. Occup. Hyg."},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"1137","DOI":"10.1097\/JOM.0000000000000878","article-title":"Lung Cancer Among Firefighters: Smoking-Adjusted Risk Estimates in a Pooled Analysis of Case-Control Studies","volume":"58","author":"Bigert","year":"2016","journal-title":"J. Occup. Environ. Med."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.canep.2017.04.006","article-title":"Occupation and risk of prostate cancer in Canadian men: A case-control study across eight Canadian provinces","volume":"48","author":"Sritharan","year":"2017","journal-title":"Cancer Epidemiol."},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1136\/oemed-2017-104660","article-title":"Long-term follow-up for cancer incidence in a cohort of Danish firefighters","volume":"75","author":"Petersen","year":"2017","journal-title":"Occup. Environ. 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