Evidence map›Paper›PMID 34036432›Full record

ArticleInternational archives of occupational and environmental health2021

Understanding occupational heat exposure in the United States and proposing a quantifying stress index.

Samain Sabrin, Wesley C Zech, Rouzbeh Nazari, Maryam Karimi

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
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

4 authors at 2 institutions in 1 country.

Samain SabrinDepartment of Civil, Construction, and Environmental Engineering, The University of Alabama At Birmingham, Hoehn Engineering Building, Room Number 140, 1075 13th Street South, Birmingham, 35294-4440, AL, USA. sabrins8@uab.edu.ORCID http://orcid.org/0000-0002-7626-0226
Wesley C ZechDepartment of Civil, Construction, and Environmental Engineering, The University of Alabama At Birmingham, Hoehn Engineering Building, Room Number 140, 1075 13th Street South, Birmingham, 35294-4440, AL, USA.ORCID http://orcid.org/0000-0002-8176-5122
Rouzbeh NazariDepartment of Civil, Construction, and Environmental Engineering, The University of Alabama At Birmingham, Hoehn Engineering Building, Room Number 140, 1075 13th Street South, Birmingham, 35294-4440, AL, USA.ORCID http://orcid.org/0000-0002-0664-438X
Maryam KarimiDepartment of Civil, Construction, and Environmental Engineering, The University of Alabama At Birmingham, Hoehn Engineering Building, Room Number 140, 1075 13th Street South, Birmingham, 35294-4440, AL, USA.ORCID http://orcid.org/0000-0002-9603-818X
Alabama Department of Public Health · USUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMillions of workers exposed to the outdoor environment are extremely susceptible to extreme heat. Although several articles analyzed heat-related illnesses, injuries, fatalities at the country level, few investigated regional and state statistics especially for OSHA Region 4 and the state of Alabama, U.S, which we explored in this study.

methodsWe studied the number of heat-days over 90 °F (32.2 °C) heat-index within our study area, analyzed heat-related injury and illnesses to calculate their incidence rate during 2015 to 2019, observed the nature of such incidents, their monthly occurrence, and incidence trend over average air temperature. We conducted a comparative analysis of heat-related fatalities between construction and all industries. The existing heat regulations by OSHA and some state agencies have also been summarized.

resultsWe observed the highest mean, maximum heat-days and injury-illness rate in the south and southeast part of Region 4; increase in incidence rate from 0.03 in 2017 to 0.28 per 10,000 employees in 2018 for the contiguous U.S; highest injury-illness rate (HIR) in OSHA Region 1, 4 and 6; highest HIR in Lee, Montgomery, Mobile and Madison counties of Alabama; 34.7% (construction) and 31.3% (all industries) of all cases experiencing nonclassifiable heat-light effects; high fatalities in construction industry with a trend of 1 death/5 years; increased mortality in all occupations with 1 death/2.4 years. We also proposed a Heat-Stress Index (HSI) as a routine heat-stress measure on jobsite.

conclusionThe findings from this research and the proposed index can help in understanding heat-related risk at a regional level and implementing workplace interventions.

Indexed as

Heat-Shock ResponseHeat Stress DisordersHot TemperatureHumansIndustryOccupational DiseasesOccupational ExposureUnited StatesExtreme heat daysHeat IndexHeat-stressOccupational exposureRisk assessment

Identifiers

PMID34036432
OpenAlexW3164311945

What OpenQuestion holds

Textmetadata
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.