Nearly one in five Massachusetts workers are outdoors. A new tool maps who.
Researchers built an occupation-by-occupation exposure matrix to identify who's most exposed to climate-related heat on the job — construction workers, men, and Native American workers topped the list.
| Group | Value (%) |
|---|---|
| Construction workers | 80.2 |
| American Indian/Alaska Native workers | 29.2 |
| Male workers | 28.1 |
| Female workers | 6.4 |
| All Massachusetts workers | 17.5 |
As summer heat intensifies, the workers most exposed to it aren't evenly distributed across the population — they cluster heavily in specific industries, genders, and racial groups. A study published this month in the Journal of Occupational & Environmental Medicine builds a tool specifically designed to identify who those workers are, using Massachusetts as its test case [s1].
What the researchers built
Rather than surveying workers directly about their heat exposure, the researchers developed what they call an Outdoor Occupational Exposure Matrix — a system that assigns an outdoor-or-indoor exposure level to each occupation category [s1]. They then applied that matrix to American Community Survey data from 2018 to 2022 to estimate how many Massachusetts workers actually work outdoors, and characterize who they are [s1].
Who works outdoors, by the numbers
The analysis estimated that 17.5% of Massachusetts workers — nearly 641,000 people — work outdoors [s1]. That exposure was heavily concentrated by industry: 80.2% of construction workers were classified as working outdoors, far above the statewide average [s1]. The gap by sex was substantial too: 28.1% of male workers worked outdoors compared with 6.4% of female workers [s1]. By race and ethnicity, the highest outdoor-work percentage was among American Indian/Alaska Native, non-Hispanic/non-Latino workers, at 29.2% [s1].
Why a matrix like this matters
Climate-related heat research has historically had to choose between two imperfect options: broad population-level heat mortality data that doesn't distinguish who was actually exposed to heat while working, or narrow, resource-intensive surveys of specific occupational groups that don't scale to a full workforce. An occupation-based exposure matrix offers a middle path — it lets researchers estimate outdoor exposure across an entire state's workforce using existing labor-force survey data, without having to survey every worker directly about their working conditions [s1].
What the researchers say it's for
The study's authors describe the matrix as a resource intended for climate-related health research and practice broadly [s1], with a specific practical aim: understanding the number and demographic characteristics of workers likely to be exposed to outdoor heat can inform planning and the equitable implementation of prevention efforts [s1] — meaning heat-safety programs, workplace protections, and public health outreach could, in principle, be targeted using this kind of occupational breakdown rather than applied uniformly across a workforce where actual heat exposure varies enormously by job.
What the data does and doesn't capture
This is a Massachusetts-specific analysis built on national labor-force survey categories, and the researchers themselves describe it as a demonstration of the matrix methodology using Massachusetts as a case study — the specific percentages reported here describe that state's workforce during 2018–2022, not a national estimate, though the underlying method could in principle be applied to other states' workforce data [s1]. The matrix also measures exposure at the level of an occupation category rather than tracking any individual worker's actual heat exposure on a given day, so it identifies who is more likely to face outdoor heat as a structural feature of their job, not who has already experienced a specific heat-related illness [s1].
Sources
- Identifying workers at risk of exposure to climate-related health hazards using the Outdoor Occupational Exposure Matrix: A characterization of the Massachusetts workforce — Journal of Occupational & Environmental Medicine , June 30, 2026
Heat, outdoor work and the kidney: what the MENA evidence adds up to
A regional review finds heat-protection for outdoor workers still leans on limiting work hours, while separate papers link chronic heat exposure among Gulf migrant labourers to a non-traditional form of kidney disease.
Brighter nights are linked to heart remodelling and higher cardiovascular risk
In UK Biobank participants tracked with wrist light sensors, high nighttime light exposure was tied to thickened, weaker heart muscle and 24–33% higher risks of heart attack, stroke and heart failure.
After a cyclone hits India's coast, psychiatric medicine sales jump for a year
A five-year panel study found sales of mental-disorder medicines rose 144% in a cyclone's landfall year and 173% the next in coastal districts, with no measurable effect further inland.
A global tally puts 2023's heat deaths near 180,000, over half tied to warming
The 2023 heatwave was associated with an estimated 178,486 excess deaths worldwide, a 2025 analysis finds, with climate change responsible for 54%. Europe's share was 47,690, held down by adaptation.