{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T17:13:41Z","timestamp":1793121221156,"version":"4.5.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T00:00:00Z","timestamp":1708128000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Investment Corporation"},{"name":"German Ministry of Economic Development and Cooperation"},{"name":"Ingenio San Antonio"},{"name":"Swedish Research Council for Health","award":["2019-01548"],"award-info":[{"award-number":["2019-01548"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Assess the impact of environmental heat and a rest-shade-hydration (RSH) intervention against heat stress on productivity of piece-paid Mesoamerican sugarcane cutters. These workers are at a high risk of chronic kidney disease of non-traditional origin (CKDnt), from the severe heat stress they experience due to heavy work under hot conditions. RSH interventions in these populations improve kidney health outcomes, but their impact on productivity has yet to be examined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We accessed routine productivity data from seed (SC, N = 749) and burned (BCC, N = 535) sugarcane cutters observed over five harvest seasons with increasing RSH intervention at a large Nicaraguan sugarcane mill. Hourly field-site wet-bulb globe temperature (WBGT) was recorded by mill staff and summarized as a daily mean. Mixed linear regression was used to model daily productivity, adjusting for age (18\u201329, 30\u201344, and &amp;gt;45 years), sex, WBGT (&amp;lt;28, 28\u201329, 29\u201330, 30\u201331, and &amp;gt;31 \u00b0C) on the same and preceding day, harvest season (2017\u201318 to 2021\u201322), month, and acclimatization status (&amp;lt;1, 1\u20132, and &amp;gt;2 weeks).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was an inverse dose\u2013response relationship between SC productivity and WBGT on the same and preceding days, decreasing by approximately 3%\/\u00b0C WBGT. Productivity increased during the study period, i.e. coinciding with RSH scale-up, by approximately 19% in SC and 9% in BCC.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Agricultural worker productivity was expected lower on hotter days, strengthening the interest in all stakeholders to mitigate increasing global temperatures and their impact. Despite decreasing the total time allocated for work each day, an RSH intervention appears to result in increased productivity and no apparent loss in productivity.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/annweh\/wxae007","type":"journal-article","created":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T16:06:30Z","timestamp":1708185990000},"page":"366-375","source":"Crossref","is-referenced-by-count":29,"title":["Impact of heat and a rest-shade-hydration intervention program on productivity of piece-paid industrial agricultural workers at risk of chronic kidney disease of nontraditional origin"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9779-6820","authenticated-orcid":false,"given":"Erik","family":"Hansson","sequence":"first","affiliation":[{"name":"La Isla Network , 2219 California NW Unit 52, 20008 Washington, District of Columbia , United States"},{"name":"Occupational and Environmental Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg , Box 414, 413 90 Gothenburg , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Jakobsson","sequence":"additional","affiliation":[{"name":"La Isla Network , 2219 California NW Unit 52, 20008 Washington, District of Columbia , United States"},{"name":"Occupational and Environmental Medicine, School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg , Box 414, 413 90 Gothenburg , Sweden"},{"name":"Occupational and Environmental Medicine, Sahlgrenska University Hospital , Box 414, 413 90 Gothenburg , Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Glaser","sequence":"additional","affiliation":[{"name":"La Isla Network , 2219 California NW Unit 52, 20008 Washington, District of Columbia , United 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