• Natasha Schaefer Solle, Alberto J Caban-Martinez, Rachel A Levy, BreAnn Young, David Lee, Tyler Harrison, and Erin Kobetz.
• Sylvester Comprehensive Cancer Center, University of Miami, Miller School of Medicine, Miami, Florida.
• Am. J. Ind. Med. 2018 Jan 1; 61 (1): 77-84.

PurposeDespite hazardous exposures to cancer-causing agents in the line of duty, the main health and safety concerns of active firefighters have yet to be studied. We compare the perceptions of health and cancer risks between rookie and experienced firefighters.MethodsFocus groups were used to investigate potential risk of job exposures, and broad-based concerns regarding work and health. An 18-item demographic survey was also administered. Five focus group sessions were conducted with a total of 57 firefighters.ResultsOur findings indicate that both rookie and experienced firefighters have a "high risk, high reward" mindset and identify injury, chronic disease, and stress as main health concerns. Experienced firefighters reported a shift in firefighter culture related to health.ConclusionThe perception of health and cancer risk of rookie and experienced firefighters differ in the prioritization of their concerns, however both groups equally report occupational cancer risk as their main health concern.© 2017 Wiley Periodicals, Inc.

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