FCI Publications
Find our full list of published work to date, from PFAS to firefighting foam and cancer risk to survivorship.
2022
Schaefer Solle N, Legros A, Jackson R, Rangan A, Beaver CC, Kling H, Khan F, Koru-Sengul T, Penedo FJ, Caban-Martinez AJ, Kobetz EN. Understanding Cancer Survivorship among Firefighters: A Mixed-Method Study. Int J Environ Res Public Health. 2022 Dec 24;20(1):257. doi: 10.3390/ijerph20010257. PMID: 36612579; PMCID: PMC9819887.
Snapp HA, Schaefer Solle N, Millet B, Rajguru SM. Subclinical Hearing Deficits in Noise-Exposed Firefighters. Int J Environ Res Public Health. 2022;19(17):11028. Published 2022 Sep 3. doi:10.3390/ijerph191711028
PMID: 36078744
2018
Harrison TR, Muhamad JW, Yang F, et al. Firefighter attitudes, norms, beliefs, barriers, and behaviors toward post-fire decontamination processes in an era of increased cancer risk. J Occup Environ Hyg. 2018;15(4):279-284. doi:10.1080/15459624.2017.1416389
PMID: 29283320
Harrison TR, Yang F, Morgan SE, et al. The Invisible Danger of Transferring Toxins with Bunker Gear: A Theory-Based Intervention to Increase Postfire Decontamination to Reduce Cancer Risk in Firefighters. J Health Commun. 2018;23(12):999-1007. doi:10.1080/10810730.2018.1535633
PMID: 30346894
2017
Anderson DA, Harrison TR, Yang F, Wendorf Muhamad J, Morgan SE. Firefighter perceptions of cancer risk: Results of a qualitative study. Am J Ind Med. 2017;60(7):644-650. doi:10.1002/ajim.22726
PMID: 28616888
Harrison, TR, Yang, F, Anderson, D, et al. Resilience, culture change, and cancer risk reduction in a fire rescue organization: Clean gear as the new badge of honor. J Contingencies and Crisis Management. 2017; 25: 171– 181. https://doi.org/10.1111/1468-5973.12182
Wiley Online Library
2025
Testoff, Addison & Koru-Sengul, Tulay & Solle, Natasha & Vidot, Denise & Lee, David & Kobetz, Erin & Caban-Martinez, Alberto. (2025). Predictors of Ever Using Marijuana among U.S. First Responders. Journal of Occupational & Environmental Medicine. 10.1097/JOM.0000000000003310.
2024
Caban-Martinez, Alberto & Louzado-Feliciano, Paola & Green, Aimee & Garibaldi, Johanna & Lee, David & Solle, Natasha & Kobetz, Erin. (2024). O-185 EFFECTS OF PER- AND POLYFLUOROALKYL SUBSTANCES (PFAS) ON THE METABOLOME OF U.S. AIRPORT AND STRUCTURAL FIREFIGHTERS: EVIDENCE FROM THE NATIONAL FIREFIGHTER CANCER INITIATIVE. Occupational Medicine. 74. 10.1093/occmed/kqae023.0948.
Testoff, Addison & Pauley, Jeffrey & Brewer, Michael & Weidlich, Christopher & Koru-Sengul, Tulay & Solle, Natasha & Caban-Martinez, Alberto. (2024). Mental Health Disorders, Organizational Stigma, and Health Service Utilization among U.S. Fire Investigators: A Cross-Sectional Survey. Journal of occupational and environmental medicine. 66. 10.1097/JOM.0000000000003173.
Millet, Barbara & Kobetz, Erin & Solle, Natasha & Caban-Martinez, Alberto. (2024). Perceptions of Cancer Risk and Gear Decontamination Among Aircraft Rescue and Firefighting Firefighters: Insights from a Mixed Methods Study. Journal of Occupational & Environmental Medicine. 67. 10.1097/JOM.0000000000003257.
2023
Kling HE, Koru-Sengul T, Schaefer Solle N, Louzado-Feliciano P, Lee DJ, Kobetz EN, Caban-Martinez AJ. Weight Status and Binge Drinking Among Male and Female Florida Firefighters. J Occup Environ Med. 2023 Aug 1;65(8):e565-e570. doi: 10.1097/JOM.0000000000002894. Epub 2023 May 28. PubMed PMID: 37253243; PubMed Central PMCID: PMC10524551.
2022
Kling HE, Maldonado L, St George SM, et al. Firefighter Well-Being Defined and Operationalized at the Organizational and Worker Level: A Qualitative Study. J Occup Environ Med. 2022;64(11):e736-e743. doi:10.1097/JOM.0000000000002685
Fayne R, Forouzandeh M, De Bedout V, et al. Skin cancer screening using total body photography and digital dermoscopy: A pilot study among Florida firefighters. J Am Acad Dermatol. 2022;86(3):700-703. doi:10.1016/j.jaad.2021.01.106
PMID: 33684491
Testoff AC, Schaefer Solle N, Shafazand S, Louzado-Feliciano P, Lee DJ, Koru-Sengul T, Kobetz EN, Caban-Martinez AJ. Sleep Latency and Post-Traumatic Stress Disorder Among Retired Career Florida Firefighters: Evidence From the Advancing Epidemiology of Retired Firefighters Aging Longitudinally Cohort. J Occup Environ Med. 2022 Dec 1;64(12):e851-e856. doi: 10.1097/JOM.0000000000002722. Epub 2022 Oct 7. PubMed PMID: 36221257; PubMed Central PMCID: PMC9729374.
2021
Caban-Martinez AJ, Silvera CA, Santiago KM, et al. COVID-19 Vaccine Acceptability Among US Firefighters and Emergency Medical Services Workers: A Cross-Sectional Study. J Occup Environ Med. 2021;63(5):369-373. doi:10.1097/JOM.0000000000002152
PMID: 33560073
Caban-Martinez AJ, Hughes J, Bator C. A Total Worker Health Approach to Skin Exposure Assessment: Experiences from the Firefighter Cancer Initiative. Ann Work Expo Health. 2021;65(2):143-147. doi:10.1093/annweh/wxaa066
PMID: 32618337
Graham EL, Khaja S, Caban-Martinez AJ, Smith DL. Firefighters and COVID-19: An Occupational Health Perspective. J Occup Environ Med. 2021;63(8):e556-e563. doi:10.1097/JOM.0000000000002297 PMID: 34138822
A.J. Caban-Martinez, U. Bakali, D. Urwin et al., Environmental/Occupational Exposures among First Responders of the Surfside Building Collapse, Annals of Epidemiology, https://doi.org/10.1016/j.annepidem.2021.08.009
2020
Kling H, Santiago K, Benitez L, Schaefer Solle N, Caban-Martinez AJ. Characterizing Objective and Self-Reported Levels of Physical Activity Among Florida Firefighters Across Weight Status Category: A Cross-Sectional Pilot Study. Workplace Health Saf. 2020;68(11):513-518. doi:10.1177/2165079920925505
Caban-Martinez AJ, Schaefer-Solle N, Santiago K, et al. Epidemiology of SARS-CoV-2 antibodies among firefighters/paramedics of a US fire department: a cross-sectional study. Occup Environ Med. 2020;77(12):857-861. doi:10.1136/oemed-2020-106676
PMID: 32764107
Louzado-Feliciano P, Griffin KA, Santiago KM, et al. Fire Service Organizational-Level Characteristics Are Associated With Adherence to Contamination Control Practices in Florida Fire Departments: Evidence From the Firefighter Cancer Initiative. J Occup Environ Med. 2020;62(9):e508-e514. doi:10.1097/JOM.0000000000001953
PMID: 32890221
Marimon MO, Schaefer Solle N, Santiago KM, Fonseca M, Dietz N, Caban-Martinez AJ. Diversity and Inclusion Leaders in US Fire Departments Impact the Type and Number of Diversity and Inclusion Programs Offered. J Occup Environ Med. 2020;62(1):e13-e16. doi:10.1097/JOM.0000000000001780
PMID: 31790062
2019
Caban-Martinez AJ, Schaefer Solle N, Santiago KM, et al. Impact of Organizational-level Factors on Cancer Screening Activities in Fire Departments: A Cross-sectional Study from the Sylvester Firefighter Cancer Initiative. Cancer Prev Res (Phila). 2019;12(5):335-342. doi:10.1158/1940-6207.CAPR-18-0496
PMID: 30872268
McClure LA, Koru-Sengul T, Hernandez MN, et al. Availability and accuracy of occupation in cancer registry data among Florida firefighters. PLoS One. 2019;14(4):e0215867. Published 2019 Apr 30. doi:10.1371/journal.pone.0215867
PMID: 31039169
Caban-Martinez AJ, Solle NS, Feliciano PL, et al. Use of Aqueous Film-Forming Foams and Knowledge of Perfluorinated Compounds Among Florida Firefighters. J Occup Environ Med. 2019;61(5):e227-e231. doi:10.1097/JOM.0000000000001566
PMID: 31045850
2018
Moore KJ, Koru-Sengul T, Alvarez A, et al. Safety Gear Decontamination Practices Among Florida Firefighters: Analysis of a Text-Based Survey Methodology. Workplace Health Saf. 2018;66(11):522-529. doi:10.1177/2165079918754331
PMID: 29480764
Moore KJ, Caban-Martinez AJ, Kirsner RS, et al. Firefighter Skin Cancer and Sun Protection Practices: Evidence From the Florida Firefighter Cancer Initiative. JAMA Dermatol. 2018;154(2):219-221. doi:10.1001/jamadermatol.2017.4254
PMID: 29238830
2024
Testoff, A.C. & Green, A.J. & Garibaldi, J. & Koru-Sengul, T. & Solle, N. & Kobetz, E.N. & Caban-Martinez, Alberto. (2024). PREDICTORS OF INFLAMMATION IN FIREFIGHTERS BASED ON MACHINE LEARNING MODELS. Annals of Epidemiology. 97. 10.1016/j.annepidem.2024.07.021.
2023
Ahn S, Pinheiro PS, McClure LA, Hernandez DR, Caban-Martinez AJ, Lee DJ. An examination of psychometric properties of study quality assessment scales in meta-analysis: Rasch measurement model applied to the firefighter cancer literature. PLoS One. 2023;18(7):e0284469. doi: 10.1371/journal.pone.0284469. eCollection 2023. PubMed PMID: 37494348; PubMed Central PMCID: PMC10370747.
Lee DJ, Ahn S, McClure LA, Caban-Martinez AJ, Kobetz EN, Ukani H, Boga DJ, Hernandez D, Pinheiro PS. Cancer risk and mortality among firefighters: a meta-analytic review. Front Oncol. 2023;13:1130754. doi: 10.3389/fonc.2023.1130754. eCollection 2023. PubMed PMID: 37251928; PubMed Central PMCID: PMC10213433.
2021
Millet B. Integrating User-Centered Design Into the Sylvester Firefighter Cancer Initiative’s Personal Exposure Reporter. Ergonomics in Design. 2021;0(0). https://doi.org/10.1177/10648046211051196 Sage Journals
McClure LA, Koru-Sengul T, Hernandez MN, Caban-Martinez AJ, Kobetz EN, Lee DJ. Comparing cancer risk estimates using occupational record linkage approaches in male Florida firefighters. Am J Ind Med. 2021;64(2):78-83. doi:10.1002/ajim.23205
PMID: 33283309
2022
Ogunsina K, Koru-Sengul T, Rodriguez V, et al. A comparative analysis of histologic types of thyroid cancer between career firefighters and other occupational groups in Florida. BMC Endocr Disord. 2022;22(1):222. Published 2022 Sep 2. doi:10.1186/s12902-022-01104-5
PMID: 36056343
Ogunsina K, Koru-Sengul T, Rodriguez V, et al. Correlates of Positive Thyroid Peroxidase Antibodies Among Firefighters: A Cross-Sectional-Study. J Endocr Soc. 2022;6(10):bvac125. Published 2022 Aug 23. doi:10.1210/jendso/bvac125
PMID: 36111276
2018
Schaefer Solle N, Caban-Martinez AJ, Levy RA, et al. Perceptions of health and cancer risk among newly recruited firefighters in South Florida. Am J Ind Med. 2018;61(1):77-84. doi:10.1002/ajim.22785
PMID: 29090827
2024
Testoff, A.C. & Stewart, A. & Gallimore-Wilson, D. & Gray, A.J. & Louzado-Feliciano, Paola & Bakali, Umer & Koru-Sengul, T. & Solle, N & Kobetz, E.N. & Caban-Martinez, Alberto. (2024). Blood serum PFAS levels in a sample of U.S. firefighters. Annals of Epidemiology. 97. 10.1016/j.annepidem.2024.07.079.
Bakali, Umer & Baum, Jeramy & Louzado-Feliciano, Paola & Killawala, Chitvan & Santiago, Katerina & Pauley, Jeffrey & Dikici, Emre & Solle, Natasha & Kobetz, Erin & Bachas, Leonidas & Deo, Sapna & Caban-Martinez, Alberto & Daunert, Sylvia. (2024). Characterization of fire investigators' polyaromatic hydrocarbon exposures using silicone wristbands. Ecotoxicology and Environmental Safety. 116349. 10.1016/j.ecoenv.2024.116349.
2022
Kafkoutsou AL, Yang YP, Zeynaloo E, et al. Impact of Firefighting Aqueous Film-Forming Foams on Human Cell Proliferation and Cellular Mortality. J Occup Environ Med. 2022;64(5):e340-e344. doi:10.1097/JOM.0000000000002527
PMID: 35250009
Kafkoutsou, Alexia & Bakali, Umer & Santiago, Katerina & Dikici, Emre & Solle, Natasha & Kobetz, Erin & Deo, Sapna & Daunert, Sylvia & Caban-Martinez, Alberto. (2022). Rapid bioanalytical screening for the assessment of internalized exposure to Polycyclic Aromatic Hydrocarbons in clinical samples of Florida Firefighters. ISEE Conference Abstracts. 2022. 10.1289/isee.2022.P-0887.
2021
Bakali et al. 2021, Mapping carcinogen exposure across urban fire incident response arenas using passive silicone-based samplers.
DOI: http://dx.doi.org/10.1016/j.ecoenv.2021.112929
2020
Caban-Martinez AJ, Louzado-Feliciano P, Santiago KM, et al. Objective Measurement of Carcinogens Among Dominican Republic Firefighters Using Silicone-Based Wristbands. J Occup Environ Med. 2020;62(11):e611-e615. doi:10.1097/JOM.0000000000002006 PMID: 32826549
Baum JLR, Bakali U, Killawala C, et al. Evaluation of silicone-based wristbands as passive sampling systems using PAHs as an exposure proxy for carcinogen monitoring in firefighters: Evidence from the firefighter cancer initiative. Ecotoxicol Environ Saf. 2020;205:111100. doi:10.1016/j.ecoenv.2020.111100 PMID: 32911453
2018
Caban-Martinez AJ, Kropa B, Niemczyk N, et al. The "Warm Zone" Cases: Environmental Monitoring Immediately Outside the Fire Incident Response Arena by Firefighters. Saf Health Work. 2018;9(3):352-355. doi:10.1016/j.shaw.2017.12.003 PMID: 30370169
2025
Goodrich, Jaclyn & Furlong, Melissa & Urwin, Derek & Gabriel, Jamie & Hughes, Jeff & Jung, Alesia & Calkins, Miriam & DuBose, Kathleen & Caban-Martinez, Alberto & Solle, Natasha & Beitel, Shawn & Burgess, Jefferey. (2025). Epigenetic Modifications Associated With Wildland-Urban Interface (WUI) Firefighting. Environmental and molecular mutagenesis. 10.1002/em.70002.
2024
Valenti, Michelle & Farland, Leslie & Huang, Kaiwen & Liu, Yiwen & Beitel, Shawn & Jahnke, Sara & Hollerbach, Brittany & Clair, Caitlin & Gulotta, John & Kolar, Jamie & Urwin, Derek & Louzado-Feliciano, Paola & Baker, Jordan & Jack, Kepra & Caban-Martinez, Alberto & Goodrich, Jaclyn & Burgess, Jefferey. (2024). Evaluating the Effect of Depression, Anxiety, and Post-Traumatic Stress Disorder on Anti-Müllerian Hormone Levels Among Women Firefighters. Journal of women's health (2002). 10.1089/jwh.2024.0534.
Shah, Nimit & Wackowski, Olivia & Jahnke, Sara & Roy, Jason & Hollerbach, Brittany & Edwards, Derrick & Caban-Martinez, Alberto & Calkins, Miriam & Austin, Elena & Black, Taylor & Awadalla, Josephine & Grant, Casey & Kubiel, Brian & Graber, Judith. (2024). Firefighter- and Fire Department-Level Barriers and Promoters of Physical Activity and Fitness Among Volunteer Firefighters: A Qualitative Study Using Semistructured Interviews. Journal of occupational and environmental medicine. 66. 10.1097/JOM.0000000000003222.
2023
Nwanaji-Enwerem JC, Cardenas A, Goodrich JM, Furlong MA, Jung AM, Collender PA, Caban-Martinez AJ, Grant C, Beitel SC, Littau S, Urwin DJ, Gabriel JJ, Hughes J, Gulotta J, Wallentine D, Burgess JL. Occupational Years of Service and Leukocyte Epigenetic Aging: Relationships in United States Firefighters. J Occup Environ Med. 2023 May 1;65(5):e312-e318. doi: 10.1097/JOM.0000000000002817. Epub 2023 Feb 15. PubMed PMID: 36787539; PubMed Central PMCID: PMC10171280.
Williams, E. C., Ma, Y., Loo, D. M., Schaefer Solle, N., Millet, B., Harris, K., Snapp, H. A., & Rajguru, S. M. (2023). Monitoring Occupational Noise Exposure in Firefighters Using the Apple Watch. International Journal of Environmental Research and Public Health, 20(3), 2315. https://doi.org/10.3390/ijerph20032315
2022
Tyner HL, Burgess JL, Grant L, et al. Neutralizing Antibody Response to Pseudotype Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Differs Between mRNA-1273 and BNT162b2 Coronavirus Disease 2019 (COVID-19) Vaccines and by History of SARS-CoV-2 Infection. Clin Infect Dis. 2022;75(1):e827-e837. doi:10.1093/cid/ciab1038 PMID: 34928334
Yoon SK, Hegmann KT, Thiese MS, et al. Protection with a Third Dose of mRNA Vaccine against SARS-CoV-2 Variants in Frontline Workers. N Engl J Med. 2022;386(19):1855-1857. doi:10.1056/NEJMc2201821 PMID: 35385628
Burgess JL, Fisher JM, Nematollahi A, et al. Serum per- and polyfluoroalkyl substance concentrations in four municipal US fire departments [published online ahead of print, 2022 Jul 21]. Am J Ind Med. 2022;10.1002/ajim.23413. doi:10.1002/ajim.23413 PMID: 35864570
2021
Caban-Martinez AJ, Gaglani M, Olsho LEW, et al. COVID-19 Vaccination Perspectives and Illnesses Among Law Enforcement Officers, Firefighters, and Other First Responders in the US, January to September 2021. JAMA Netw Open. 2022;5(7):e2222640. Published 2022 Jul 1. doi:10.1001/jamanetworkopen.2022.22640
PMID: 35852804
Naleway AL, Grant L, Caban-Martinez AJ, et al. Incidence of SARS-CoV-2 infection among COVID-19 vaccinated and unvaccinated healthcare personnel, first responders, and other essential and frontline workers: Eight US locations, January-September 2021. Influenza Other Respir Viruses. 2022;16(3):585-593. doi:10.1111/irv.12956
PMID: 35023288
Edwards LJ, Fowlkes AL, Wesley MG, et al. Research on the Epidemiology of SARS-CoV-2 in Essential Response Personnel (RECOVER): Protocol for a Multisite Longitudinal Cohort Study. JMIR Res Protoc. 2021;10(12):e31574. Published 2021 Dec 3. doi:10.2196/31574
PMID: 34662287
Thompson MG, Burgess JL, Naleway AL, et al. Prevention and Attenuation of Covid-19 with the BNT162b2 and mRNA-1273 Vaccines. N Engl J Med. 2021;385(4):320-329.kk doi:10.1056/NEJMoa2107058 PMID: 34192428
Thompson MG, Burgess JL, Naleway AL, et al. Interim Estimates of Vaccine Effectiveness of BNT162b2 and mRNA-1273 COVID-19 Vaccines in Preventing SARS-CoV-2 Infection Among Health Care Personnel, First Responders, and Other Essential and Frontline Workers - Eight U.S. Locations, December 2020-March 2021. MMWR Morb Mortal Wkly Rep. 2021;70(13):495-500. Published 2021 Apr 2. doi:10.15585/mmwr.mm7013e3
PMID: 33793460
Kadiwar P, Shah N, Black T, et al. Dietary Intake Among Members of a Volunteer Fire Department Compared With US Daily Dietary Recommendations. J Occup Environ Med. 2021;63(2):147-150. doi:10.1097/JOM.0000000000002102
PMID: 33273397
Solle NS, Santiago KM, Louzado Feliciano P, et al. Perceptions of Work-Related Health and Cancer Risks Among Women Firefighters: A Qualitative Study. J Occup Environ Med. 2021;63(12):e846-e852. doi:10.1097/JOM.0000000000002386
PMID: 34538836
Goodrich JM, Calkins MM, Caban-Martinez AJ, et al. Per- and polyfluoroalkyl substances, epigenetic age and DNA methylation: a cross-sectional study of firefighters. Epigenomics. 2021;13(20):1619-1636. doi:10.2217/epi-2021-0225
PMID: 34670402
Goodrich JM, Calkins MM, Caban-Martinez AJ, et al. Per- and polyfluoroalkyl substances, epigenetic age and DNA methylation: a cross-sectional study of firefighters. Epigenomics. 2021;13(20):1619-1636. doi:10.2217/epi-2021-0225
PMID: 34670402
Graber JM, Black TM, Shah NN, et al. Prevalence and Predictors of Per- and Polyfluoroalkyl Substances (PFAS) Serum Levels among Members of a Suburban US Volunteer Fire Department. Int J Environ Res Public Health. 2021;18(7):3730. Published 2021 Apr 2. doi:10.3390/ijerph18073730
PMID: 33918459
Goodrich JM, Furlong MA, Caban-Martinez AJ, et al. Differential DNA Methylation by Hispanic Ethnicity Among Firefighters in the United States. Epigenet Insights. 2021;14:25168657211006159. Published 2021 Mar 26. doi:10.1177/25168657211006159
PMID: 35036834
Demers PA, DeMarini DM, Fent KW, et al. Carcinogenicity of occupational exposure as a firefighter. Lancet Oncol. 2022;23(8):985-986. doi:10.1016/S1470-2045(22)00390-4 PMID: 35780778
Louzado-Feliciano P, Santiago KM, Paule L, et al. Perceptions of Occupational Cancer Risk and Prevention Among Dominican Republic Firefighters: A Qualitative Study. J Occup Environ Med. 2022;64(3):e131-e135. doi:10.1097/JOM.0000000000002466 PMID: 35244089
Moore KJ, Koru-Sengul T, Alvarez A, et al. Safety Gear Decontamination Practices Among Florida Firefighters: Analysis of a Text-Based Survey Methodology. Workplace Health Saf. 2018;66(11):522-529. doi:10.1177/2165079918754331 PMID: 29480764