Health Scope

Published by: Kowsar

Provision of an Empirical Model to Estimate the Adaptive Capacity of Workers at Risk of Heat Stress

Mehdi Asghari 1 , Parvin Nassiri 2 , * , Mohammad Reza Monazzam 3 , Farideh Golbabaei 2 , Ali Aliakbar Shamsipour 4 and Hossein Arabalibeik 5
Authors Information
1 Department of Occupational Health, School of Public Health, Arak University of Medical Sciences, Arak, Iran
2 Professor, Department of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, IR Iran
3 Professor, Department of Occupational Health, School of Public Health and Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, IR Iran
4 Associate Professor, Department of Physical Geography, School of Geography, University of Tehran, Tehran, IR Iran
5 Research Center for Science and Technology in Medicine (RCSTIM), Tehran University of Medical Sciences, Tehran, IR Iran
Article information
  • Health Scope: February 2018, 7 (1); e63162
  • Published Online: December 10, 2017
  • Article Type: Research Article
  • Received: August 16, 2016
  • Revised: November 19, 2016
  • Accepted: January 13, 2017
  • DOI: 10.5812/jhealthscope.63162

To Cite: Asghari M, Nassiri P, Monazzam M R, Golbabaei F, Aliakbar Shamsipour A, et al. Provision of an Empirical Model to Estimate the Adaptive Capacity of Workers at Risk of Heat Stress, Health Scope. 2018 ; 7(1):e63162. doi: 10.5812/jhealthscope.63162.

Copyright © 2017, Journal of Health Scope. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited
1. Background
2. Methods
3. Results
4. Discussion
  • 1. Asghari M, Nassiri P, Monazzam MR, Golbabaei F, Arabalibeik H, Shamsipour A, et al. Weighting Criteria and Prioritizing of Heat stress indices in surface mining using a Delphi Technique and Fuzzy AHP-TOPSIS Method. J Environ Health Sci Eng. 2017;15(1). doi: 10.1186/s40201-016-0264-9. [PubMed: 28101366].
  • 2. Nassiri P, Monazzam MR, Golbabaei F, Dehghan SF, Rafieepour A, Mortezapour AR, et al. Application of Universal Thermal Climate Index (UTCI) for assessment of occupational heat stress in open-pit mines. Ind Health. 2017;55(5):437-43. doi: 10.2486/indhealth.2017-0018. [PubMed: 28804096].
  • 3. Vangelova K, Deyanov C, Ivanova M. Dyslipidemia in industrial workers in hot environments. Cent Eur J Public Health. 2006;14(1):15-7. [PubMed: 16705875].
  • 4. Schulte PA, Chun H. Climate change and occupational safety and health: establishing a preliminary framework. J Occup Environ Hyg. 2009;6(9):542-54. doi: 10.1080/15459620903066008. [PubMed: 19551548].
  • 5. Kjellstrom T, Gabrysch S, Lemke B, Dear K. The 'Hothaps' programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies. Glob Health Action. 2009;2. doi: 10.3402/gha.v2i0.2082. [PubMed: 20052425].
  • 6. Intergovernmental Panel on Climate Change (IPCC) . Fourth Assessment Report, Geneva. Cambridge: Cambridge University Press; 2007.
  • 7. Nilsson M, Kjellstrom T. Climate change impacts on working people: how to develop prevention policies. Glob Health Action. 2010;3. doi: 10.3402/gha.v3i0.5774. [PubMed: 21140000].
  • 8. NIOSH . Niosh criteria for a recommended standard: Occupational exposure to heat and hot environments. National Institute for Occupational Safety and Health; 1986.
  • 9. U.S. Department of Health and Human Services . Morbidity and mortality weekly report, heat-related deaths among crop workers, 1992-2006. United States; 2008. Report No.: 1017-1018.
  • 10. Inaba R, Mirbod SM. Comparison of subjective symptoms and hot prevention measures in summer between traffic control workers and construction workers in Japan. Ind Health. 2007;45(1):91-9. [PubMed: 17284880].
  • 11. US Department of Health and Human Services . Working in hot environments. Cincinnati, OH: NIOSH, Centers for Disease Control and Prevention (CDC); 2006.
  • 12. Bureau of Labor Statistics UOL. Fatal occupational injuries by event or exposure and major private industry. Washington, D.C: The National Census of Fatal Occupational Injury; 2009.
  • 13. Health CDoOSa . Heat - related illness prevention. California: Division of Occupational Safety and Health; 2007.
  • 14. Wolf J, Lorenzoni I, Few R, Abrahamson V, Raine R. Adapting to climate change: Thresholds, values, governance. Conceptual and practical barriers to adaptation: Vulnerability and responses to heat waves in the UK. In: Adger N, Lorenzoni I, O'Brien K, editors. Cambridge: Cambridge University Press; 2011. p. 181-96.
  • 15. Paavola J. Livelihoods, vulnerability and adaptation to climate change in Morogoro, Tanzania. Environ. Sci. Policy. 2008;11(7):642-54.
  • 16. Intergovernmental Panel on Climate Change (IPCC) . Third Assessment Report. United Nations Framework Convention on Climate Change, Marrakech; 2001. 982 p.
  • 17. Lundgren K, Kuklane K, Gao C, Holmer I. Effects of heat stress on working populations when facing climate change. Ind Health. 2013;51(1):3-15. [PubMed: 23411752].
  • 18. Vidal LA, Marle F, Bocquet JC. Using a Delphi process and the Analytic Hierarchy Process (AHP) to evaluate the complexity of projects. Expert Syst Appl. 2011;38(5):5388-405.
  • 19. Okoli C, Pawlowski SD. The Delphi method as a research tool: An example, design considerations and applications. Inf Manage. 2004;42(1):15-29.
  • 20. Ayag Z, Ozdemir RG. A fuzzy AHP approach to evaluating machine tool alternatives. J Intell Manuf. 2006;17(2):179-90.
  • 21. Gumus AT. Evaluation of hazardous waste transportation firms by using a two step fuzzy-AHP and TOPSIS methodology. Expert Syst Appl. 2009;36(2):4067-74.
  • 22. Hsieh TY, Lu ST, Tzeng GH. Fuzzy MCDM approach for planning and design tenders selection in public office buildings. Int J Proj Manage. 2004;22(7):573-84.
  • 23. Alavi I. Fuzzy AHP method for plant species selection in mine reclamation plans: Case study Sungun copper mine. Iran J Fuzzy Syst. 2014;11(5):23-38.
  • 24. Sung TI, Wu PC, Lung SC, Lin CY, Chen MJ, Su HJ. Relationship between heat index and mortality of 6 major cities in Taiwan. Sci Total Environ. 2013;442:275-81. doi: 10.1016/j.scitotenv.2012.09.068. [PubMed: 23178831].
  • 25. Xiang J, Bi P, Pisaniello D, Hansen A. Health impacts of workplace heat exposure: an epidemiological review. Ind Health. 2014;52(2):91-101. [PubMed: 24366537].
  • 26. Morioka I, Miyai N, Miyashita K. Hot environment and health problems of outdoor workers at a construction site. Ind Health. 2006;44(3):474-80. [PubMed: 16922192].
  • 27. Naughton MP, Henderson A, Mirabelli MC, Kaiser R, Wilhelm JL, Kieszak SM, et al. Heat-related mortality during a 1999 heat wave in Chicago. Am J Prev Med. 2002;22(4):221-7. [PubMed: 11988377].
  • 28. OSHA.NIOSH . Protecting workers from heat illness. Occupational Safety and Health Administration; 2011.
  • 29. CIC . Guidelines on site safety measures for working in hot weather. Construction Industry Council (CIC); 2013.
  • 30. Ministry of Health Law . Prevention of Heat Stress in the Workplace (In J). Ministry of Health Law; 2012.
  • 31. Jung AP, Dale RB, Bishop PA. Ambient-temperature beverages are consumed at a rate similar to chilled water in heat-exposed workers. J Occup Environ Hyg. 2007;4(1):54-7. doi: 10.1080/15459620601074916. [PubMed: 17162481].
  • 32. Jackson LL, Rosenberg HR. Preventing heat-related illness among agricultural workers. J Agromedicine. 2010;15(3):200-15. doi: 10.1080/1059924X.2010.487021. [PubMed: 20665306].
  • 33. DIR. Heat illness prevention etool. 2012. Available from:
  • 34. Bates GP, Schneider J. Hydration status and physiological workload of UAE construction workers: A prospective longitudinal observational study. J Occup Med Toxicol. 2008;3:21. doi: 10.1186/1745-6673-3-21. [PubMed: 18799015].
  • 35. Montazer S, Farshad AA, Monazzam MR, Eyvazlou M, Yaraghi AA, Mirkazemi R. Assessment of construction workers' hydration status using urine specific gravity. Int J Occup Med Environ Health. 2013;26(5):762-9. doi: 10.2478/s13382-013-0143-x. [PubMed: 24464540].
  • 36. NIOSH . Workplace safety and health topics. 2015.
  • 37. Bray P, Sokas R, Ahluwalia J. Heat-related illnesses: opportunities for prevention. J Occup Environ Med. 2010;52(8):844-5. doi: 10.1097/JOM.0b013e3181ed4c36. [PubMed: 20697228].
  • 38. Centers for Disease C.Prevention. Heat-related deaths among crop workers--United States, 1992--2006. MMWR Morb Mortal Wkly Rep. 2008;57(24):649-53. [PubMed: 18566563].
  • 39. Di Corleto R, Firth I, Coles G. Heat stress standard & documentation developed for use in the Australian environment. Austra Inst Occup Hyg. 2003.
  • 40. Jay O, Kenny GP. Heat exposure in the Canadian workplace. Am J Ind Med. 2010;53(8):842-53. doi: 10.1002/ajim.20827. [PubMed: 20623643].
  • 41. Parvari RA, Aghaei HA, Dehghan H, Khademi A, Maracy MR, Dehghan SF. The Effect of Fabric Type of Common Iranian Working Clothes on the Induced Cardiac and Physiological Strain Under Heat Stress. Arch Environ Occup Health. 2015;70(5):272-8. doi: 10.1080/19338244.2014.891965. [PubMed: 24971773].
  • 42. Tirgar ASA, Haji Ahmadi M, Hosseini R. Determination of susceptibility to heat-related disorders and prevention methods among agriculture workers. Jarvis Hall Tech Wing. 2012;1(1):39-46.
  • 43. Kovats RS, Jendritzky G. Climate change and Adaptation Strategies for Human Health. Heat-waves and human health. In: Menne B, Ebi KL, editors. Darmstadt: WHO; 2006. p. 63-97.
  • 44. Bates GP, Miller VS, Joubert DM. Hydration status of expatriate manual workers during summer in the middle East. Ann Occup Hyg. 2010;54(2):137-43. doi: 10.1093/annhyg/mep076. [PubMed: 19959561].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments