Evidence map›Paper›PMID 29940975›Full record

ArticleEnvironmental health : a global access science source2018

Cancer prevalence among flight attendants compared to the general population.

Eileen McNeely, Irina Mordukhovich, Steven Staffa, Samuel Tideman, Sara Gale, Brent Coull

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Aircrew Health: A Systematic Review of Physical Agents as Occupational Risk Factors.International journal of environmental research and public health · 2023
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  6. Estrogen signaling is necessary for the sex difference in simulated jet lag in mice.American journal of physiology. Endocrinology and metabolism · 2025
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  12. Occupational variation in incidence of oropharyngeal cancer in the Nordic countries.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Eileen McNeelyDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Dr, Boston, MA, 02215, USA.
Irina MordukhovichDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Dr, Boston, MA, 02215, USA. imordukh@hsph.harvard.edu.
Steven StaffaDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Samuel TidemanDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Sara GaleDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Dr, Boston, MA, 02215, USA.
Brent CoullDepartment of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Harvard University · US

Funding

FAMRI CIA 150083
6 · The paper itself

Abstract

backgroundFlight attendants are an understudied occupational group, despite undergoing a wide range of adverse job-related exposures, including to known carcinogens. In our study, we aimed to characterize the prevalence of cancer diagnoses among U.S. cabin crew relative to the general population.

methodsIn 2014-2015, we surveyed participants of the Harvard Flight Attendant Health Study. We compared the prevalence of their self-reported cancer diagnoses to a contemporaneous cohort in the National Health and Nutrition Examination Survey (NHANES 2013-2014) using age-weighted standardized prevalence ratios (SPRs). We also analyzed associations between job tenure and the prevalence of selected cancers, using logistic regression and adjusting for potential confounders.

resultsCompared to NHANES participants with a similar socioeconomic status (n = 2729), flight attendants (n = 5366) had a higher prevalence of every cancer we examined, especially breast cancer, melanoma, and non-melanoma skin cancer among females. SPR for these conditions were 1.51 (95% CI: 1.02, 2.24), 2.27 (95% CI: 1.27, 4.06), and 4.09 (95% CI: 2.70, 6.20), respectively. Job tenure was positively related to non-melanoma skin cancer among females, with borderline associations for melanoma and non-melanoma skin cancers among males. Consistent with previous studies, we observed associations between job tenure and breast cancer among women who had three or more children.

conclusionsWe observed higher rates of specific cancers in flight attendants compared the general population, some of which were related to job tenure. Our results should be interpreted in light of self-reported health information and a cross-sectional study design. Future longitudinal studies should evaluate associations between specific exposures and cancers among cabin crew.

Indexed as

AviationAdultAerospace MedicineCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeoplasmsOccupational DiseasesPrevalenceUnited StatesYoung AdultCancerEnvironmental healthFlight attendantsOccupational epidemiology

Identifiers

PMID29940975
PMCPMC6019786
OpenAlexW2806930696

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.