Interventions to promote mental and physical health in changing working environments due to climate change, sustainable work practices, and work in green jobs: the EU INTERCAMBIO project - 09/11/25

Doi : 10.1016/j.joclim.2025.100620 
Michelle C. Turner 1, 2, 3, , Xavier Basagaña 1, 2, 3, Alex Burdorf 4, Irina Guseva Canu 5, Alexander Gorny 6, Henrik A. Kolstad 6, Karin Broberg 7, 8, Anjoeka Pronk 9, Jenny Selander 8, Ingrid Sivesind Mehlum 10, 11, 12, Pieter van Baal 13, Sara Svensson 14, Neil Pearce 15, Bernice Scholten 9, Lode Godderis 16, 17, Kurt Straif 1, Manosij Ghosh 16, Susana Viegas 18, Maria Albin 8, Jordi Julvez 19, Joana Porcel 1, Manolis Kogevinas 1, 2, 3
on behalf of the

INTERCAMBIO Study Group

1 Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain 
2 Universitat Pompeu Fabra (UPF), Barcelona, Spain 
3 CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain 
4 Erasmus MC, Rotterdam, the Netherlands 
5 Unisanté, University of Lausanne, Lausanne, Switzerland 
6 Aarhus University, Aarhus, Denmark 
7 Lund University, Lund, Sweden 
8 Karolinska Institute, Stockholm, Sweden 
9 Netherlands Organisation for Applied Scientific Research (TNO), Utrecht, The Netherlands 
10 Copenhagen University Hospital Bispebjerg and Frederiksberg, Copenhagen, Denmark 
11 University of Copenhagen, Copenhagen, Denmark 
12 National Institute of Occupational Health (STAMI), Oslo, Norway 
13 Erasmus School of Health Policy & Management (ESHPM), Rotterdam, the Netherlands 
14 Halmstad University, Halmstad, Sweden 
15 London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom 
16 KU Leuven, Leuven, Belgium 
17 Idewe, External Service for Prevention and Protection at Work, Heverlee, Belgium 
18 NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, REAL, CCAL, NOVA University Lisbon, Lisbon, Portugal 
19 Clinical and Epidemiological Neuroscience (NeuroÈpia), Pere Virgili Institute for Health Research (IISPV), Reus, Spain 

Corresponding author: Michelle C Turner, Barcelona Institute for Global Health (ISGlobal), Doctor Aiguader, 88, Barcelona, Spain, 08003. Tel. +34 932 147 397Barcelona Institute for Global Health (ISGlobal)Doctor Aiguader, 88Barcelona08003Spain

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Highlights

Work environments are rapidly changing in Europe due to climate change and expansion of work in green jobs
The EU INTERCAMBIO project is the first large-scale initiative to systematically assess mental and physical health effects of occupational exposures through intervention-based research across multiple industries and countries
This research protocol provides an overview of the main aims of the project, including of intervention studies being initiated in outdoor construction, healthcare, public transit, renewable energy, and waste management/recycling
Increased intervention-based research is needed regarding impacts of climate change and the green transition on worker health and well-being in Europe and globally

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Abstract

Introduction

Work environments are rapidly changing in Europe, with climate change, the transition to the circular economy, and expansion of work in green jobs among key factors. Research and interventions are urgently needed to promote worker health and well-being. The EU INTERCAMBIO project is the first large-scale initiative to systematically assess mental and physical health effects of climate change and green transition-related occupational exposures through intervention-based research using a common methodological framework across multiple industries and countries.

Methods

INTERCAMBIO will 1) promote advanced research methods throughout the work; 2) evaluate occupational heat, cold, and solar ultraviolet radiation exposures and potential short- and long-term mental and physical health effects in observational studies; 3) evaluate impacts of specific workplace interventions in five key industries, namely outdoor construction, healthcare, public transit, renewable energy, and waste management/recycling; 4) model socio-economic impacts of interventions and develop a policy framework for social protection and decent green jobs; and 5) coordinate stakeholder engagement and develop a new health research agenda.

Results

Targeted multidisciplinary workplace interventions developed with co-creation methodology in a broad range of strategic, rapidly evolving industries will be evaluated, considering the multifaceted impact of climate change and the green transition on workers.

Conclusion

INTERCAMBIO will fill important data gaps and provide an evidence-base for protecting workers’ health. While INTERCAMBIO focusses on specific industries in the European context, further intervention-based research is also needed more broadly in industries worldwide.

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Keywords : climate change, green transition, intervention, mixed-methods, occupation

Abbreviations : BDNF, CRP, DGEBA, DGEBF, EDA, EMA, ER, HRV, ID, IFN, IL, ISO, ICAM, JEMs, NGAL, PPE, PRODISQ, RD, SAA, TNF, UV, VCAM, WBGT, WHO


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