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Perceptions of Heat Risk to Health: A Qualitative Study of Professional Bus Drivers and Their Managers in Jinan, China
State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, 155 Changbai Road, Changping District, Beijing 102206, China
School of Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC), Beijing 100073, China
Jinan Municipal Center for Disease Control and Prevention, 2 Weiliu Road, Jinan 250021, Shandong, China
Shandong University Climate Change and Health Center, 44 Wenhua Road, Jinan 250012, Shandong, China
* Author to whom correspondence should be addressed.
Received: 17 October 2013; in revised form: 17 December 2013 / Accepted: 3 January 2014 / Published: 28 January 2014
Abstract: Summer extreme heat threatens the health of individuals, especially persons who are involved in outdoor activities. Ensuring the normal function of a city, bus drivers are among those who participate in outdoor physical activities and are exposed to excessive heat in hot summer weather. This qualitative study was performed to explore professional bus drivers’ in-depth views of extreme heat risks to their health, and ultimately develop targeted advice and policy interventions for city bus drivers. An interview-based study was performed among professional bus drivers in Jinan, China, including four focus groups with professional bus drivers (n = 37) and three interviews with their managers (n = 14). Five central themes or categories from the bus driver interviews were found: concerns about summer heat; health effects related to extreme heat; adaptive measures; barriers in implementing these adaptive measures; and suggested interventions. The beneficial role of cooling facilities (particularly air-conditioning) during extreme heat are addressed. The barriers not only impede the implementation of behavioral adaptive measures but also enhance the negative attitudes of bus drivers towards their effectiveness. The responsibilities of managers in promoting preventive actions are addressed.
Keywords: occupational driver; heat; risk perception; public health
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Cite This Article
MDPI and ACS Style
Zhou, L.; Xin, Z.; Bai, L.; Wan, F.; Wang, Y.; Sang, S.; Liu, S.; Zhang, J.; Liu, Q. Perceptions of Heat Risk to Health: A Qualitative Study of Professional Bus Drivers and Their Managers in Jinan, China. Int. J. Environ. Res. Public Health 2014, 11, 1520-1535.
Zhou L, Xin Z, Bai L, Wan F, Wang Y, Sang S, Liu S, Zhang J, Liu Q. Perceptions of Heat Risk to Health: A Qualitative Study of Professional Bus Drivers and Their Managers in Jinan, China. International Journal of Environmental Research and Public Health. 2014; 11(2):1520-1535.
Zhou, Lin; Xin, Zheng; Bai, Li; Wan, Fangjun; Wang, Yongming; Sang, Shaowei; Liu, Shouqin; Zhang, Ji; Liu, Qiyong. 2014. "Perceptions of Heat Risk to Health: A Qualitative Study of Professional Bus Drivers and Their Managers in Jinan, China." Int. J. Environ. Res. Public Health 11, no. 2: 1520-1535.