Mental health of UK firefighters

Scientific Reports, Год журнала: 2023, Номер 13(1)

Опубликована: Янв. 10, 2023

Exposure to trauma, high-stress situations, and disrupted sleep are well known risk factors affecting firefighters' mental health. Little is about the association between exposure fire contaminants health disorders. The UK Firefighter Contamination Survey assessed capacity for occupational contaminants. Participants were invited anonymously complete its 64 questions online. Logistic regression analyses associations self-reported disorders proxies of contaminant exposure. Results found that firefighters who notice soot in their nose/throat more than a day after attending fires (Odds Ratio (OR) = 1.8, 1.4-2.4), those remain personal protective equipment (PPE) over 4 h (OR 1.9, 1.2-3.1), nearly twice as likely report Significantly increased odds ratios all three outcomes interest (anxiety, depression and/or any disorders) also among take PPE home clean. Sleeping problems reported by 61% firefighters. These 4.2 times disorder 4.2, 3.7-4.9), 2.9 anxiety 2.9, 2.4-3.5) 2.3 2.3, 1.9-2.8) when compared did not issues. Effective decontamination measures within Fire Rescue Services, together with wellness, may play crucial role protecting

Язык: Английский

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Environmental health of wildland firefighters: a scoping review

Fire Ecology, Год журнала: 2024, Номер 20(1)

Опубликована: Фев. 5, 2024

Abstract Background Wildland firefighters are likely to experience heightened risks safety, health, and overall well-being as changing climates increase the frequency intensity of exposure natural hazards. Working at intersection resource management emergency response, wildland have multidimensional careers that often incorporate elements from disparate fields accomplish tasks suppressing preventing wildfires. Thus, they distinctly different job duties than other (e.g., structural firefighters) environmental health unique their work. We conducted a systematic scoping review scientific literature addresses firefighter health. Our goal was identify studies specifically addressed (as opposed in broader sense), geographic demographic trends, sample sizes, patterns analysis, common categories research. Results Most clustered few highly developed countries, United States within California Idaho. Many fail consider impact factors may on results. The number published annually is increasing themes broadening include social psychological topics; however, most authors field an average < 3 articles. Conclusions three areas we believe imminent priorities for researchers policymakers, including lack diversity study geography demography, need more complex interactive analyses exposure, prioritization research funding focus.

Язык: Английский

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Wildfire Smoke: Health Effects, Mechanisms, and Mitigation

Environmental Science & Technology, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 8, 2024

Wildfires are becoming more frequent and intense on a global scale, raising concerns about their acute long-term effects human health. We conducted systematic review of the current epidemiological evidence wildfire health risks meta-analysis to investigate association between smoke exposure various outcomes. discovered that increases risk premature deaths respiratory morbidity in general population. Meta-analysis cause-specific mortality revealed had strongest associations with cardiovascular (RR: 1.018, 95% CI: 1.014-1.021), asthma hospitalization 1.054, 1.026-1.082), emergency department visits 1.117, 1.035-1.204) Subgroup analyses age found adults elderly were susceptible cardiopulmonary smoke. Next, we systematically addressed toxicological mechanisms smoke, including direct toxicity, oxidative stress, inflammatory reactions, immune dysregulation, genotoxicity mutations, skin allergies, inflammation, others. discuss mitigation strategies public interventions, regulatory measures, personal actions. conclude by highlighting research limitations future directions for research, such as elucidating complex interactions components health, developing personalized assessment tools, improving resilience adaptation mitigate wildfires changing climate.

Язык: Английский

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Post-incident psychosocial interventions after a traumatic incident in the workplace: a systematic review of current research evidence and clinical guidance

European journal of psychotraumatology, Год журнала: 2023, Номер 14(2)

Опубликована: Ноя. 23, 2023

Background: After a traumatic incident in the workplace organisations want to provide support for their employees prevent PTSD. However, what is safe and effective offer has not yet been established, despite many offering some form of intervention after event.

Язык: Английский

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Occupational and environmental factors influencing morale of United States federal wildland firefighters

International Journal of Wildland Fire, Год журнала: 2023, Номер 32(12), С. 1663 - 1676

Опубликована: Дек. 8, 2023

Background Wildland firefighters have physically and psychologically demanding jobs that can result in social, economic health-related stress. Previous studies examined the physiological physical effects of a career wildland fire, but fewer addressed psychological effects, to date, none directly analysed hiring work experiences firefighters. Aims We surveyed experiences, health well-being, morale firefighters, explored factors improve recruitment retention, summarised broad patterns. Methods conducted voluntary anonymous survey 708 federal via an online platform over 2 months 2022. Key results Respondents reported dissatisfaction with processes, low base salaries, poor mental outcomes, safety concerns. also high importance training, performance feedback environment their retention field. found significant firefighting on family status. Conclusions report experiencing morale, financial stress, personal life strain outcomes. Implications These data provide framework establish future policy research priorities highlight need for organisational actions change.

Язык: Английский

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The role of organizational supports in mitigating mental ill health in firefighters: A cohort study in Alberta, Canada

American Journal of Industrial Medicine, Год журнала: 2021, Номер 64(7), С. 593 - 601

Опубликована: Май 4, 2021

Abstract Introduction Little is known about the effectiveness of ongoing mental health support in reducing impacts a traumatic deployment. Methods A cohort firefighters was established among those deployed to devastating wildfire Alberta, Canada May 2016. Firefighters completed three questionnaires: at recruitment giving details exposures, first follow‐up reporting supports before, during, and after fire second follow‐up, least 30 months fire, with screening questionnaires for anxiety, depression, posttraumatic stress disorder (PTSD). Fire chiefs were interviewed provisions. The impact on ill estimated, adjusting clustering within service potential confounders. Results Of 1234 cohort, 840 questionnaire supports. In total, 78 82 interviewed. Analysis included 745 from 67 services. Only 45.8% reports peer concordant between chiefs. After confounding, odds ratios (OR) reported by both chief firefighter depressive disorder: OR = 0.22, 95% confidence interval (CI), 0.08–0.61; anxiety 0.45, CI, 0.24–0.82; PTSD: 0.62, 0.37–1.02. Symptoms depression but not PTSD reduced resiliency training before offered 48 h return Conclusion results suggest protective its availability poorly recognized. somewhat less responsive, perhaps reflecting cumulative effects previous exposures.

Язык: Английский

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Dynamic Psychotherapy as a PTSD Treatment for Firefighters: A Case Study

Healthcare, Год журнала: 2022, Номер 10(3), С. 530 - 530

Опубликована: Март 14, 2022

In Portugal, forest fires are responsible for disasters that tend to be repeated annually, leading dramatic consequences, such as those have occurred in 2017, with the destruction of hundreds houses and deaths dozens people. Firefighters who exposed these potentially traumatic events considered a high-risk group development stress-related disorders. The aim this study was monitor progress two firefighters symptoms post-traumatic stress disorder (PTSD) treated through dynamic psychotherapy (DP) assess feasibility implementing intervention within fire departments. A female firefighter male firefighter, similar sociodemographic characteristics PTSD symptom severity, were selected verify treatment applicability both genders. symptomatology changes assessed set instruments (PHQ-15, PCL-5, BSI, DASS, CALPAS-P) applied every three months over 15 (including pre-treatment, period, post-treatment). DP seemed an effective symptoms, patients showing state increasing improvement even after end treatment. acceptability firefighters, adherence, therapeutic alliance, reduction suggest inside Portuguese

Язык: Английский

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The Effect of Second-Victim-Related Distress and Support on Work-Related Outcomes in Tertiary Care Hospitals in Kelantan, Malaysia

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(11), С. 6454 - 6454

Опубликована: Май 26, 2022

After a patient safety incident, the involved healthcare providers may experience sustained second-victim distress and reduced professional efficacy, with subsequent negative work-related outcomes cultivation of resilience. This study aims to investigate factors affecting resilience hypothetical triad support as mediators: colleague, supervisor, institutional support. cross-sectional recruited 733 from three tertiary care hospitals in Kelantan, Malaysia. Three steps hierarchical linear regression were developed for both (negative resilience). Four multiple mediator models analyzed. Second-victim distress, contributed significantly all models. Colleague partially mediated relationship defining effects efficacy on resilience, whereas colleague supervisor outcomes. Similar results found regarding triads producing similar results. As mediators, ameliorated effect suggesting an important role having good support, especially after encountering incidents.

Язык: Английский

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A brief descriptive analysis of a pilot study of peer support training and supervision for Texas firefighters

Baylor University Medical Center Proceedings, Год журнала: 2024, Номер 37(6), С. 934 - 937

Опубликована: Сен. 30, 2024

Peer support has been shown to reduce the incidence and severity of mental health disorders among firefighters. This pilot project had two aims: (1) assess training satisfaction knowledge, self-efficacy, skills development Texas firefighters participating in International Association Fire Fighters (IAFF) Support Training, (2) determine if newly trained peer specialists would use monthly phone supervision.

Язык: Английский

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Cocoa ( Theobroma cacao L.) photobiological effect on human fibroblast cells (HFF-1) exposed to ultraviolet B (UVB) radiation

Journal of Toxicology and Environmental Health, Год журнала: 2024, Номер unknown, С. 1 - 15

Опубликована: Дек. 15, 2024

This study aimed to investigate the in vitro photobiological action of cocoa solution on a human fibroblast cell line (HFF-1) exposed ultraviolet B (UVB) radiation. Three experimental models were utilized, where cells treated with different concentrations as follows: 50; 100; 250; 500; 750; 1000 or 1500 µg/ml and concomitantly UVB 7 kJ/m2 for 10 min. The following parameters examined 1) analysis pre-treatment cocoa; 2) investigation co-treatment activity at time exposure; 3) effect post-treatment damage initiated by UVB. Cocoa exhibited biological only model almost all tested compared alone. Further, displayed higher levels proliferation evidenced decrease basal reactive oxygen species (ROS) nitric oxide (NO). In addition, also modulated cycle absence exposure increasing G2/M phase, although this did not generate significant changes Therefore, data demonstrated that improved cell-based control rates an important reparative against fibroblasts. may thus be considered potential beneficial agent utilized UVB-damaged skin cells.

Язык: Английский

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