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Purpose of review <p>Migrant and ethnic minority (MEM) outdoor workers might be at increased risk for heat-related illnesses (HRI), due to environmental exposures, heavy physical work, limited control over workplace conditions and language and cultural barriers. This review aims to synthesize the literature on health impacts of occupational heat exposure among MEM outdoor workers, including risk factors, heat-related perception and behaviour and healthcare utilization.</p> Recent findings <p>Seventy-six publications were included. Most were conducted in the US, where the weighted prevalence for at least one HRI symptom was 48.8%. These numbers were higher in most non-US countries. On average, in the US, 60.9% reported being concerned about heat and 60.4% having had HRI training. Many workers reported drinking more water when hot (91.7%) and feeling comfortable taking water breaks (92%) while fewer reported acclimatizing at the start of the season (43.7%) or changing working hours (34%) or activities (32.2%) due to heat. Qualitative studies reported reasons for working faster with less breaks, including fear of losing work and earning more when getting paid by the piece. Data on access to healthcare was limited.</p> Summary <p>While research advances on MEM workers´ heat-related vulnerability, risk factors and healthcare utilization, there is a need to strengthen prevention efforts to reduce the burden of heat in this population.</p>

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Occupational Heat Stress Among Migrant and Ethnic Minority Outdoor Workers: A Scoping Review

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年3月24日

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  • Lena van Selm,
  • Sarah Williams,
  • Francesca de’Donato,
  • Erica Briones-Vozmediano,
  • Jan Stratil,
  • Gaby Sroczynski,
  • Cathryn Tonne,
  • Manuela De Sario,
  • Ana Requena-Méndez

摘要

Purpose of review

Migrant and ethnic minority (MEM) outdoor workers might be at increased risk for heat-related illnesses (HRI), due to environmental exposures, heavy physical work, limited control over workplace conditions and language and cultural barriers. This review aims to synthesize the literature on health impacts of occupational heat exposure among MEM outdoor workers, including risk factors, heat-related perception and behaviour and healthcare utilization.

Recent findings

Seventy-six publications were included. Most were conducted in the US, where the weighted prevalence for at least one HRI symptom was 48.8%. These numbers were higher in most non-US countries. On average, in the US, 60.9% reported being concerned about heat and 60.4% having had HRI training. Many workers reported drinking more water when hot (91.7%) and feeling comfortable taking water breaks (92%) while fewer reported acclimatizing at the start of the season (43.7%) or changing working hours (34%) or activities (32.2%) due to heat. Qualitative studies reported reasons for working faster with less breaks, including fear of losing work and earning more when getting paid by the piece. Data on access to healthcare was limited.

Summary

While research advances on MEM workers´ heat-related vulnerability, risk factors and healthcare utilization, there is a need to strengthen prevention efforts to reduce the burden of heat in this population.