Evidence map›Paper›PMID 42232941›Full record

ArticleFrontiers in public health2026

Heat-related illness symptoms and mental health in Florida farmworkers.

Andrea Daniela Castellano, Rodrigo Puentes, Ernesto Ruiz, Iliana Yamileth Rodriguez, Vicki Stover Hertzberg, Linda A McCauley, Roxana C Chicas

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Andrea Daniela CastellanoUniversity of Pennsylvania School of Nursing, Philadelphia, PA, United States.
Rodrigo PuentesGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Ernesto RuizFarmworker Association of Florida, Apopka, FL, United States.
Iliana Yamileth RodriguezEmory University Emory College of Arts and Sciences, Atlanta, GA, United States.
Vicki Stover HertzbergEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, United States.
Linda A McCauleyEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, United States.
Roxana C ChicasEmory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Farmworkers face disproportionate occupational heat exposure and high rates of heat-related illness (HRI), and emerging evidence suggests associations between heat exposure and adverse mental health outcomes. Objective: This exploratory pilot study aimed to (1) characterize the burden of depression, anxiety, and climate change psychological distress among Florida farmworkers relative to national benchmarks, (2) explore cross-sectional associations between HRI symptoms and mental health outcomes, and (3) examine cross-sectional associations between perceived impacts of Florida Senate Bill 1718 (S.B. 1718) and mental health outcomes. Methods: In July 2024, 53 adult farmworkers (58% female, 42% male) were recruited through the Farmworker Association of Florida (FWAF) in Apopka and Pierson, Florida. Community health workers verbally administered the PHQ-9, GAD-7, CCPD scale, an eight-symptom HRI checklist, and two investigator-developed items on S.B. 1718. Workday heat index was derived from the Florida Automated Weather Network. Analyses included descriptive statistics, Fisher's exact tests, and linear and logistic regression adjusted for age, sex, and agricultural tenure. Results: Moderate-to-severe anxiety, depression, and climate change psychological distress were observed in 21, 25, and 34% of participants, respectively, exceeding U.S. adult and Hispanic-adult benchmarks. Cross-sectional associations were observed between the number of same-day HRI symptoms and each mental health outcome (all Significance: This study addresses an empirical gap at the intersection of occupational heat exposure, immigration policy, and mental health among farmworkers in the southeastern United States. The findings identify mental health as an under recognized dimension of farmworker occupational health and point to the need for integrated approaches that link heat-safety protections, routine mental health screening in community-based settings, and attention to the policy environments that shape healthcare access. Larger, longitudinal studies are needed to confirm these associations and to guide the scale and design of such integrated responses.

Indexed as

FarmersHeat Stress DisordersHot TemperatureMental HealthAdultAnxietyClimate ChangeCross-Sectional StudiesDepressionFemaleFloridaHumansMaleMiddle AgedPilot Projectsanxietydepressionfarmworkersheat-related illness (HRI)mental healthoccupational health

Identifiers

PMID42232941
PMCPMC13223001

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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.