Prevalence of cold-related symptoms among Thai chicken meat industry workers: association with workplace temperature and thermal insulation of clothing

  • CHOTIPHAN Chotirot
    Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Thailand
  • AUTTANATE Nipaporn
    Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Thailand
  • MARUO Suchinda Jarupat
    Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Thailand
  • NÄYHÄ Simo
    Center for Environmental and Respiratory Health Research, University of Oulu, Finland
  • JUSSILA Kirsi
    Finnish Institute of Occupational Health, Finland
  • RISSANEN Sirkka
    Finnish Institute of Occupational Health, Finland
  • SRIPAIBOONKIJ Penpatra
    School of Public Health, Physiotherapy and Sports Science, Woodview House, University College Dublin, Ireland
  • IKÄHEIMO Tiina M
    Center for Environmental and Respiratory Health Research, University of Oulu, Finland
  • JAAKKOLA Jouni JK
    Center for Environmental and Respiratory Health Research, University of Oulu, Finland
  • PHANPRASIT Wantanee
    Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Thailand

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<p>This study determined the association of cold-related symptoms with workplace temperature and thermal insulation of clothing among Thai chicken industry workers. Three hundred workers were interviewed regarding cold-related symptoms, which were regressed on worksite temperature and protective clothing. In total, 80% of workers reported respiratory symptoms; 23%, cardiac symptoms; 62%, circulation disturbances; 42%, thirst; 56%, drying of the mouth; and 82%, degradation of their performance. When adjusted for personal characteristics, respiratory symptoms were 1.1‒2.2 times more prevalent at −22‒10°C than at 10‒23°C. At −22‒10°C, cardiac symptoms increased by 45%, chest pain by 91%, peripheral circulation disturbances by 25%, and drying of the mouth by 57%. Wearing protective clothing with at least 1.1 clo units was associated with marked reductions in symptom prevalence. Therefore, temperatures lower than 10°C increased prevalence of cold-related symptoms, which are largely preventable by appropriate clothing use.</p>

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