与扑灭森林大火(野火)有关的非呼吸系统健康风险和死亡率:系统回顾。

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Asmare Gelaw, Win Wah, Deborah C Glass, Malcolm R Sim, Ryan Hoy, Janneke Berecki-Gisolf, Karen Walker-Bone
{"title":"与扑灭森林大火(野火)有关的非呼吸系统健康风险和死亡率:系统回顾。","authors":"Asmare Gelaw, Win Wah, Deborah C Glass, Malcolm R Sim, Ryan Hoy, Janneke Berecki-Gisolf, Karen Walker-Bone","doi":"10.1007/s00420-025-02138-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Bushfires (also known as wildland or forest fires) expose emergency responders to occupational hazards under exceptional circumstances. Whilst the health impacts of structural firefighting have been studied, less is known about the non-respiratory health impacts or risk of mortality amongst bush firefighters, who can be volunteers. More information about health risks is needed to generate effective prevention strategies.</p><p><strong>Objective: </strong>To critically evaluate and synthesise the published evidence about the non-respiratory health risks and risk of mortality associated with bushfire fighting.</p><p><strong>Methods: </strong>A systematic literature search was conducted in Medline, Scopus, and Embase to identify studies evaluating morbidity or mortality or associated risk factors among bushfire fighters. The quality of included studies was evaluated twice independently using a specific quality assessment tool.</p><p><strong>Results: </strong>Twenty-seven studies were included. 11(41%) were assessed as moderate quality and 16(59%) as low quality. There is a growing body of evidence for adverse short-term impacts of bushfire fighting on mental health and injuries. Linkage studies showed that volunteer firefighters had lower mortality and cancer risk in their late forties compared to the general population.</p><p><strong>Conclusion: </strong>Most studies relied on cross-sectional and retrospective designs without comparison groups, limiting the ability to draw robust conclusions. It is essential to conduct higher-quality research using prospective designs and longer-term follow-up to better understand the health outcomes of bushfire fighting, particularly given the anticipated increase in the frequency and severity of bushfires.</p>","PeriodicalId":13761,"journal":{"name":"International Archives of Occupational and Environmental Health","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Non-respiratory health risks and mortality associated with fighting bushfires (wildfires): a systematic review.\",\"authors\":\"Asmare Gelaw, Win Wah, Deborah C Glass, Malcolm R Sim, Ryan Hoy, Janneke Berecki-Gisolf, Karen Walker-Bone\",\"doi\":\"10.1007/s00420-025-02138-7\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Bushfires (also known as wildland or forest fires) expose emergency responders to occupational hazards under exceptional circumstances. Whilst the health impacts of structural firefighting have been studied, less is known about the non-respiratory health impacts or risk of mortality amongst bush firefighters, who can be volunteers. More information about health risks is needed to generate effective prevention strategies.</p><p><strong>Objective: </strong>To critically evaluate and synthesise the published evidence about the non-respiratory health risks and risk of mortality associated with bushfire fighting.</p><p><strong>Methods: </strong>A systematic literature search was conducted in Medline, Scopus, and Embase to identify studies evaluating morbidity or mortality or associated risk factors among bushfire fighters. The quality of included studies was evaluated twice independently using a specific quality assessment tool.</p><p><strong>Results: </strong>Twenty-seven studies were included. 11(41%) were assessed as moderate quality and 16(59%) as low quality. There is a growing body of evidence for adverse short-term impacts of bushfire fighting on mental health and injuries. Linkage studies showed that volunteer firefighters had lower mortality and cancer risk in their late forties compared to the general population.</p><p><strong>Conclusion: </strong>Most studies relied on cross-sectional and retrospective designs without comparison groups, limiting the ability to draw robust conclusions. It is essential to conduct higher-quality research using prospective designs and longer-term follow-up to better understand the health outcomes of bushfire fighting, particularly given the anticipated increase in the frequency and severity of bushfires.</p>\",\"PeriodicalId\":13761,\"journal\":{\"name\":\"International Archives of Occupational and Environmental Health\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-04-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Archives of Occupational and Environmental Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00420-025-02138-7\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Archives of Occupational and Environmental Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00420-025-02138-7","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

摘要

背景:丛林火灾(也称为荒地或森林火灾)使应急人员在特殊情况下暴露于职业危害中。虽然对结构消防对健康的影响进行了研究,但对丛林消防员(可能是志愿者)的非呼吸系统健康影响或死亡风险知之甚少。需要更多关于健康风险的信息,以制定有效的预防战略。目的:批判性地评价和综合已发表的与森林火灾灭火相关的非呼吸系统健康风险和死亡风险的证据。方法:在Medline, Scopus和Embase中进行系统的文献检索,以确定评估丛林消防员发病率或死亡率或相关危险因素的研究。使用特定的质量评估工具对纳入研究的质量进行两次独立评估。结果:纳入27项研究。11例(41%)为中等质量,16例(59%)为低质量。越来越多的证据表明,扑灭森林大火对心理健康和伤害有不利的短期影响。关联研究表明,与普通人群相比,志愿消防员在40多岁时的死亡率和癌症风险较低。结论:大多数研究依赖于横断面和回顾性设计,没有对照组,限制了得出可靠结论的能力。必须利用前瞻性设计和长期后续行动开展高质量的研究,以便更好地了解森林火灾灭火的健康结果,特别是考虑到森林火灾的频率和严重程度预计会增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Non-respiratory health risks and mortality associated with fighting bushfires (wildfires): a systematic review.

Background: Bushfires (also known as wildland or forest fires) expose emergency responders to occupational hazards under exceptional circumstances. Whilst the health impacts of structural firefighting have been studied, less is known about the non-respiratory health impacts or risk of mortality amongst bush firefighters, who can be volunteers. More information about health risks is needed to generate effective prevention strategies.

Objective: To critically evaluate and synthesise the published evidence about the non-respiratory health risks and risk of mortality associated with bushfire fighting.

Methods: A systematic literature search was conducted in Medline, Scopus, and Embase to identify studies evaluating morbidity or mortality or associated risk factors among bushfire fighters. The quality of included studies was evaluated twice independently using a specific quality assessment tool.

Results: Twenty-seven studies were included. 11(41%) were assessed as moderate quality and 16(59%) as low quality. There is a growing body of evidence for adverse short-term impacts of bushfire fighting on mental health and injuries. Linkage studies showed that volunteer firefighters had lower mortality and cancer risk in their late forties compared to the general population.

Conclusion: Most studies relied on cross-sectional and retrospective designs without comparison groups, limiting the ability to draw robust conclusions. It is essential to conduct higher-quality research using prospective designs and longer-term follow-up to better understand the health outcomes of bushfire fighting, particularly given the anticipated increase in the frequency and severity of bushfires.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信