Unequal Exposure: Examining Outdoor Work And Climate Exposure In The US

Outdoor workers face growing exposure to poor air quality, wildfire smoke, and extreme heat, yet protections remain uneven across states and incomplete federally, and little is known about outdoor workers. We combined data from national labor-force surveys with occupation-based exposure data and county-level environmental indicators on air quality, wildfire, and heat waves to describe and compare outdoor and indoor workers. Outdoor workers accounted for 21.9 percent of the workforce in 2023. About 16.9 percent of outdoor workers lived in counties with the highest frequency of unhealthy air quality days, and nearly one-third lived in counties with the highest wildfire (32.4 percent) and heat wave (31.4 percent) risks. Compared with indoor workers, outdoor workers had higher rates of uninsurance, more self-employment, lower access to paid sick leave, and higher rates of work injuries. Results identified outdoor workforces with elevated climate-related risks and differences in coverage and job arrangements, informing federal, state, and local prevention, standards, and enforcement.

Authors

Institutions

Publication Details

Journal
Health Affairs
Published
2026-05-01
DOI
https://doi.org/10.1377/hlthaff.2025.01659
Primary Topic
Climate Change and Health Impacts
Type
article
Field-Weighted Citation Impact
0.00
Controls
|||
ALL TIME
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEP
OCT
article

Unequal Exposure: Examining Outdoor Work And Climate Exposure In The US

Vincent Pancini, Lisa Clemans-Cope, L C Dubay, Avani Pugazhendhi
Health Affairs
Climate Change and Health Impacts
article

Unequal Exposure: Examining Outdoor Work And Climate Exposure In The US

Vincent Pancini, Lisa Clemans-Cope, L C Dubay, Avani Pugazhendhi
article en

Abstract

Outdoor workers face growing exposure to poor air quality, wildfire smoke, and extreme heat, yet protections remain uneven across states and incomplete federally, and little is known about outdoor workers. We combined data from national labor-force surveys with occupation-based exposure data and county-level environmental indicators on air quality, wildfire, and heat waves to describe and compare outdoor and indoor workers. Outdoor workers accounted for 21.9 percent of the workforce in 2023. About 16.9 percent of outdoor workers lived in counties with the highest frequency of unhealthy air quality days, and nearly one-third lived in counties with the highest wildfire (32.4 percent) and heat wave (31.4 percent) risks. Compared with indoor workers, outdoor workers had higher rates of uninsurance, more self-employment, lower access to paid sick leave, and higher rates of work injuries. Results identified outdoor workforces with elevated climate-related risks and differences in coverage and job arrangements, informing federal, state, and local prevention, standards, and enforcement.

Health AffairsVol. 45(5)
Urban Institute (US)
Climate action
Openalex Percentile: Top 8%
Climate Change and Health Impacts
AI Navigator

Ask Laika to Summarize, Analyze, and Connect papers live on the map.

Summarize Papers & Methodologies

Extract key findings, datasets, and comparative methods across publications.

Benchmark Rankings & Visual Analytics

Rank top research institutions, authors, funders, topics, and journals by Field-Weighted Citation Impact (FWCI) and paper volume with instant charts.

Connect Distant Disciplines

Bridge topological clusters on the map to find hidden collaborative intersections.

Unequal Exposure: Examining Outdoor Work And Climate Exposure In The US — Vincent Pancini, Lisa Clemans-Cope, et al. · Health Affairs (2026) | TGRS Research Map | TGRS