Paola Louzado-Feliciano1, Katerina M Santiago, Laura Paule, Geovanny Rivera, Natasha Schaefer Solle, Marija Miric, Eddy Perez-Then, Alberto J Caban-Martinez. 1. Department of Public Health Sciences, University of Miami, Miller School of Medicine, Miami, Florida (Louzado-Feliciano, Santiago, and Dr Caban-Martinez); Department of Physical Medicine and Rehabilitation, University of Miami, Miller School of Medicine, Miami, Florida (Dr Caban-Martinez); Department of Medicine, University of Miami, Miller School of Medicine, Miami, Florida (Dr Solle and Dr Caban-Martinez); Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, Florida (Dr Solle and Dr Caban-Martinez); Emory College of Arts and Sciences, Emory University, Atlanta, Georgia (Dr Paule); National District Fire Rescue Service, Santo Domingo, Dominican Republic (Dr Rivera); O&M Medical School (O&Med), Santo Domingo, Dominican Republic (Dr Miric and Dr Perez-Then); Two Oceans in Health Research Enterprise, Santo Domingo, Dominican Republic (Dr Miric and Dr Perez-Then).
Abstract
OBJECTIVES: Characterize occupational cancer risk perceptions and attitudes toward cancer prevention practices among firefighters in the Dominican Republic. METHODS: Focus group discussions and key informant interviews were conducted in June 2019 among firefighters from three fire departments. Themes were inductively created using a qualitative descriptive approach. RESULTS: Thirty-seven firefighters were interviewed with a group mean age of 36.2 ± 10.3 years, of which 97.3% were male, and 37.1% worked at least 10 years. Six themes emerged: 1) availability of personal protective equipment (PPE); 2) toxic exposure during fire suppression; 3) work-related stress; 4) lack of workplace health promotion activities; 5) Dominican culture impacts medical checkups; and 6) expensive medical copays limits healthcare access. CONCLUSION: Dominican firefighters are willing to adopt cancer prevention practices, however organizational barriers (ie, PPE availability, cultural barriers, and health promotion practices) limit engagement.
OBJECTIVES: Characterize occupational cancer risk perceptions and attitudes toward cancer prevention practices among firefighters in the Dominican Republic. METHODS: Focus group discussions and key informant interviews were conducted in June 2019 among firefighters from three fire departments. Themes were inductively created using a qualitative descriptive approach. RESULTS: Thirty-seven firefighters were interviewed with a group mean age of 36.2 ± 10.3 years, of which 97.3% were male, and 37.1% worked at least 10 years. Six themes emerged: 1) availability of personal protective equipment (PPE); 2) toxic exposure during fire suppression; 3) work-related stress; 4) lack of workplace health promotion activities; 5) Dominican culture impacts medical checkups; and 6) expensive medical copays limits healthcare access. CONCLUSION: Dominican firefighters are willing to adopt cancer prevention practices, however organizational barriers (ie, PPE availability, cultural barriers, and health promotion practices) limit engagement.
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