Over the years, there has been a downward trend in the prevalence of deaths from heart disease, attributed to improved healthcare access, advancements in sanitation, and a reduction in smoking (Centers for Disease Control and Prevention [CDC], 1999). However, recent data indicate a concerning reversal in this trend, with an increase in heart disease-related deaths (Martin et al., 2024).

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Empirical literature examining the health and wellness of emergency responders has continued to grow over the past decade. Yet there is a relative absence of literature on 911 telecommunicators, who are often the "first, first responders" in an emergency. Examination of work-related factors that enhance risk for stress and adverse outcomes may improve current prevention and intervention efforts in this population. Civilian 911 calltakers and dispatchers from the state of California (N = 833) participated in an online study to...

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