Evidence map›Paper›PMID 40802719›Full record

ArticlePloS one2025

Exploring outdoor workers' knowledge, attitudes, practices, and perceived risks of heatwaves in Nepal.

Sudim Sharma, Sabina Marasini, Anjali Joshi, Nripa Raj Dangaura, Lava Raj Timsina, Deepa Guragain, Biraj Man Karmacharya

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Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Sudim SharmaGroup for Technical Assistance, Nepal.ORCID https://orcid.org/0000-0002-4782-8257
Sabina MarasiniKathmandu University Hospital Dhulikhel Hospital, Nepal.
Anjali JoshiKathmandu University Hospital Dhulikhel Hospital, Nepal.
Nripa Raj DangauraKathmandu University Hospital Dhulikhel Hospital, Nepal.ORCID https://orcid.org/0000-0002-4401-0863
Lava Raj TimsinaHealth Foundation Nepal, Nepal.
Deepa GuragainKathmandu University Hospital Dhulikhel Hospital, Nepal.
Biraj Man KarmacharyaKathmandu University Hospital Dhulikhel Hospital, Nepal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rise in global temperatures due to climate change has intensified the frequency and severity of heat waves, disproportionately affecting outdoor workers. This is particularly concerning in low- and middle-income countries like Nepal, where inadequate policies and limited awareness leave outdoor workers highly vulnerable. This study explores the knowledge, attitudes, practices (KAP), and perceived risks of heatwaves among outdoor workers in Nepal.

methodsA cross-sectional mixed-method study was conducted across eight districts in five provinces of Nepal, surveying 356 outdoor workers from five occupational groups: street vendors, agricultural workers, rickshaw drivers/pullers, laborers, and service workers. Eleven focus group discussions (FGDs) were conducted to gain deeper insights. Descriptive statistics were used to assess KAP scores, while Kernel-Based Regularized Least Square (KRLS) analysis examined the variations in practice scores among groups. Thematic analysis was applied to FGDs. The quantitative analysis was done in STATA-14, and the qualitative analysis was conducted manually.

resultsThe average age of participants in the study was 37.2 years (SD = 10.5), and just over half (57%) were male. On average, they had worked outdoors for about 10.7 years (SD = 8.6). Among all participants, 43% had heard of heatwaves, 86.2% were aware of heat-related incidents, and 78.6% had personally experienced them. Awareness about heatwave was positively associated with the practices of heat protection for the overall sample (practice score = 1.46, p < 0.001). Age was found to be negatively associated with the practices of heat protection (practice score = -0.03, p < 0.001). Compared to females, males had lesser practices of heat protection (practice score = -0.97, p < 0.001).

conclusionHeatwaves pose significant health risks, particularly for vulnerable outdoor workers who often lack knowledge about protective measures. This highlights an urgent need for government-led interventions and awareness programs at both community and policy levels to address and mitigate heat stress.

Indexed as

Health Knowledge, Attitudes, PracticeHot TemperatureAdultClimate ChangeCross-Sectional StudiesFemaleFocus GroupsHeat Stress DisordersHumansMaleMiddle AgedNepalSurveys and QuestionnairesYoung Adult

Identifiers

PMID40802719
PMCPMC12349071

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LicenceCC BY
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Registered trials

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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.