Perceptions of heat risk to health: a qualitative study of professional bus drivers and their managers in Jinan, China.
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.
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. zhoulin.scu@163.com.
Lin
L
Zhou
Jinan Municipal Center for Disease Control and Prevention, 2 Weiliu Road, Jinan 250021, Shandong, China. xinzheng121@163.com.
Zheng
Z
Xin
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. yan_lili407@126.com.
Li
L
Bai
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. wanfangjun1989@163.com.
Fangjun
F
Wan
Jinan Municipal Center for Disease Control and Prevention, 2 Weiliu Road, Jinan 250021, Shandong, China. wangyongming1211@tom.com.
Yongming
Y
Wang
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. sangshaowei1@163.com.
Shaowei
S
Sang
Jinan Municipal Center for Disease Control and Prevention, 2 Weiliu Road, Jinan 250021, Shandong, China. liushouqin@sina.com.
Shouqin
S
Liu
Jinan Municipal Center for Disease Control and Prevention, 2 Weiliu Road, Jinan 250021, Shandong, China. zhangji1967@hotmail.com.
Ji
J
Zhang
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. liuqiyong@icdc.cn.
Qiyong
Q
Liu
D002681:China; D002947:Cities; D055874:Extreme Heat / Q000009:adverse effects*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D016273:Occupational Exposure / Q000009:adverse effects*