Cited by 76Thermoregulation and physiological responsesClimate Change and Health ImpactsAgriculture and Farm Safety

The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.

Occupation and Environmental Heat-Associated Deaths in Maricopa County, Arizona: A Case-Control Study

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Petitti, Diana B., Harlan, Sharon L., Chowell-Puente, Gerardo, Ruddell, Darren·2013·PLoS ONE

Abstract

BACKGROUND: Prior research shows that work in agriculture and construction/extraction occupations increases the risk of environmental heat-associated death. PURPOSE: To assess the risk of environmental heat-associated death by occupation. METHODS: This was a case-control study. Cases were heat-caused and heat-related deaths occurring from May-October during the period 2002-2009 in Maricopa County, Arizona. Controls were selected at random from non-heat-associated deaths during the same period in Maricopa County. Information on occupation, age, sex, and race-ethnicity was obtained from death certificates. Logistic regression analysis was used to estimate odds ratios for heat-associated death. RESULTS: There were 444 cases of heat-associated deaths in adults (18+ years) and 925 adult controls. Of heat-associated deaths, 332 (75%) occurred in men; a construction/extraction or agriculture occupation was described on the death certificate in 115 (35%) of these men. In men, the age-adjusted odds ratios for heat-associated death were 2.32 (95% confidence interval 1.55, 3.48) in association with construction/extraction and 3.50 (95% confidence interval 1.94, 6.32) in association with agriculture occupations. The odds ratio for heat-associated death was 10.17 (95% confidence interval 5.38, 19.23) in men with unknown occupation. In women, the age-adjusted odds ratio for heat-associated death was 6.32 (95% confidence interval 1.48, 27.08) in association with unknown occupation. Men age 65 years and older in agriculture occupations were at especially high risk of heat-associated death. CONCLUSION: The occurrence of environmental heat-associated death in men in agriculture and construction/extraction occupations in a setting with predictable periods of high summer temperatures presents opportunities for prevention.

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Crossref · 10.1371/journal.pone.0062596

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  • Among U.S. workers in all industries, Hispanic men were found to have significantly higher age-adjusted odds ratio for heat-related mortality (OR = 2.69; 95% CI 1.79-4.05), along with Native-American men (OR = 2.43; 95% CI 1.79-4.05), compared to non-Hispanic white male workers.

    “Among U.S. workers in all industries, Hispanic men were found to have significantly higher age-adjusted odds ratio for heat-related mortality (OR = 2.69; 95% CI 1.79–4.05), along with Native-American men (OR = 2.43; 95% CI 1.79–4.05), compared to non-Hispanic white male workers.”

    From Assessing Heat Stress and Health among Construction Workers in a Changing Climate: A Review (2018) · cites this paper as [17]

    The Results (Table 3) report the stated age-adjusted odds ratios relative to non-Hispanic white men, and both are statistically significant. But the Native American men's 95% CI is 1.04–5.65, not 1.79–4.05. The Methods describe deaths in Maricopa County, Arizona, rather than a study of U.S. workers in all industries. (LLM, conf=0.94)

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  • A number of studies have reported significantly lower number of HRI claims among female workers compared to male workers.

    “A number of studies have reported significantly lower number of HRI claims among female workers compared to male workers [3,14,17].”

    From Assessing Heat Stress and Health among Construction Workers in a Changing Climate: A Review (2018) · cites this paper as [17]

    The Results report that 332 of 444 heat-associated deaths (75%) occurred in men, so the paper does show fewer deaths among women. It studies deaths, not heat-related illness (HRI) claims among workers, and does not report a statistical test showing that women workers filed significantly fewer claims than men. (LLM, conf=0.83)

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  • In Arizona, the proportion of heat-related mortality was higher for workers aged 35-49 (112, 25.2% of cases) and 50-65 (114, 25.7% of cases) among construction and agricultural workers.

    “In the state of Arizona, U.S., Petitti et al. (2013) [17] found that the proportion of heat-related mortality was higher for workers aged 35–49 (112, 25.2% of cases) and 50–65 (114, 25.7% of cases) among construction and agricultural workers.”

    From Assessing Heat Stress and Health among Construction Workers in a Changing Climate: A Review (2018) · cites this paper as [17]

    Table 1 (Results; page unavailable) reports 112 (25.2%) cases aged 35–49 and 114 (25.7%) aged 50–64, but these are percentages of all heat-associated death cases, not of construction and agricultural workers. The claim also changes 50–64 to 50–65 and describes a Maricopa County study as a statewide Arizona finding. (LLM, conf=0.91)

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  • A similar trend was observed in female workers when non-Hispanic white women were used as the reference group (Hispanic women; OR = 2.79; 95% CI 1.56-7.0), but an even higher odds ratio for heat-related deaths was observed among Native-American female workers (OR = 3.81; 95% CI 1.51-9.57).

    “A similar trend was observed in female workers when non-Hispanic white women were used as the reference group (Hispanic women; OR = 2.79; 95% CI 1.56–7.0), but an even higher odds ratio for heat-related deaths was observed among Native-American female workers (OR = 3.81; 95% CI 1.51–9.57) [17].”

    From Assessing Heat Stress and Health among Construction Workers in a Changing Climate: A Review (2018) · cites this paper as [17]

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Metadata

Authors
Petitti, D. B., Harlan, S. L., Chowell-Puente, G., & Ruddell, D.
Affiliations
  • Arizona State University (US)
  • University of Southern California (US)
Corresponding author
Petitti, Diana B.
Venue
PLoS ONE
Published
2013-05-29
Volume
8
Issue
5
Pages
e62596
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2011625196
Cited by
70
References
21
Citations by year
2026: 5 · 2025: 7 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 6 · 2020: 4 · 2019: 9 · 2018: 7 · 2017: 5 · 2016: 7 · 2015: 6 · 2014: 5
FWCI
4.18
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Arizona State University Library Digital Repository (Arizona State University) (submittedVersion, cc-by)
  • Digital Archive @ GSU (submittedVersion, cc-by)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Counseling And Psychological Services Dissertations (Georgia State University) (submittedVersion, cc-by)
Funders
National Science Foundation (0816168)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Thermoregulation and physiological responses
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Agriculture and Farm Safety
Keywords
heat-related mortality, heat exposure, occupational risk, sex differences, older men, Maricopa County
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Agriculture, Arizona, Cause of Death, Death Certificates, Environment, Female, Hot Temperature, Humans, Male, Middle Aged, Occupations, Public Health, Regression Analysis, Risk Factors, Seasons, Case-Control Studies, Occupational Exposure, Young Adult, Construction Industry, Public Health Surveillance

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