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How organizational factors affect firefighter cancer screening

Posted: Sept. 26, 2019

A recent study involving fire departments in Florida examined how organizational factors can influence the implementation of firefighter cancer screening and other occupational safety and health activities.

Research has found firefighters in the United States are at greater risk for developing respiratory, digestive and urinary tract cancers than the general U.S. population. The research community continues to look at the exposure pathways of known contaminants and ways to mitigate the risk for firefighters.

What is less known is how organizational characteristics of fire departments may either help or hinder the establishment of departmental cancer screening programs.

Study setting

Researchers surveyed 126 firefighters representing different departments throughout Florida on occupational health and safety, cancer screening and decontamination practices.

The researchers looked at six major organizational characteristics:

  • Workforce size.
  • Number of health and safety officers.
  • Geographic location (rural, urban, suburban, mixed area).
  • Department type (volunteer, career, combination).
  • Leadership support.
  • Occupational safety and health capacity (budgeted staff or fire department committees).

The study also looked at whether departments offered screenings for full body skin, colorectal or cervical cancer.


Forty-four percent of Florida fire departments reported some type of cancer screening activity within the last 12 months.

Departments with two or more health and safety officers were far more likely to offer cancer screening activities than those departments with fewer than two.

Fire department size, budget, geographic location, degree of leadership support and department type had no apparent correlation with the likelihood of cancer screening programs. These types of organizational characteristics were not true obstacles to the delivery of cancer screening activities.


Employing two or more health and safety officers in a department seems to increase the chances of a department establishing a cancer screening program.

Having champions within the department for cancer screening and for broader occupational safety and health programs was a greater factor for cancer screening than any other organizational factor, including budget, department type and other staffing.

Learn more about this research

Summary information for this article was provided by the NETC Library. Read the research paper.

Caban-Martinez, A., Solle, N., Santiago, K., Lee, D., Koru-Sengul, T., Bator, C., Babinec, F., Halas, J/, Kobetz, E. (2019). Impact of organizational-level activities in fire departments: a cross-sectional study from the Sylvester Firefighter Cancer Initiative. Cancer Prevention Research: published online March 14, 2019. DOI: 10.1158/1940-6207.CApe-18-0496.

This summary is for informational purposes only. As such, the content does not reflect any official positions, policies or guidelines on behalf of the sender, the U.S. Fire Administration, Federal Emergency Management Agency, the Department of Homeland Security, nor any other federal agencies, departments or contracting entities. Similarly, this summary does not represent in any manner an official endorsement or relationship to any private or public companies, organizations/associations, or any authors or individuals cited or websites associated within the article.

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