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Large percentages of career (18.4%) and volunteer (16.8%) firefighters used smokeless tobacco. Conclusions Smoking among firefighters is associated with other significant health and safety risks. High rates of smokeless tobacco use suggest that the fire service is an important target for intervention.
Responding to continued and increased tobacco use in an exposed and concerned workforce, the FDNY Bureau of Health Services instituted the “Tobacco Free with FDNY” tobacco-cessation program.
In the only recent population-based prevalence study of tobacco use among firefighters (both career and volunteer) conducted in the eight state Midwestern region, Haddock, Jitnarin, Poston, Tuley, and Jahnke (2011) found that the unadjusted rate of smoking among male career firefighters was 13.6% and the age-standardized rate using the data from the Department of Defense was 16.2%