Prevalence of daytime sleepiness in taxi drivers and evaluation of its relationship with traffic accidents

Authors

DOI:

https://doi.org/10.5281/zenodo.13840362

Keywords:

Excessive Daytime Sleepiness, Traffic Accident, Eppworth Sleepiness Scale

Abstract

Introduction: Sleepiness is a condition that has a negative effect on motor andc ognitive performance. In this study, sociodemographic characteristics of taxi drivers and their effects on daytime sleepiness conditions and the relationship between traffic accidents and daytime sleepiness were aimed. Methods: In this cross-sectional study, 160 taxi drivers participated in the survey. The questionnarie that including the sociodemographic characteristics, working conditions, healthy lifestyle behaviors, body mass index (BMI), previous traffic and work accidents, perceived Health status of the participants, Eppworth Sleepiness Scale (ESS) and General Health Questionnaire (GHQ)-12 were used. Descriptive and univariate analyzes as well as correlations and linear regression analyzes were performed. Results: All drivers are male and average age is 44.9 ± 10.9. 88% of drivers rated their perceived health as good -too good. The frequency of those who have traffic accidents is 66.2% and the frequency of those who have occupational accidents is 68,1%. The mean of the ESS scores is 2.7 ± 2.4. There were statistically significant correlations between ESS scores and alcohol consumption amounts, traffic accidents, number of work accidents, number of nightwork, BMI, GHQ-12 scores. Correlation coefficients were 0.19, 0.26, 0.27, 0.27, 0.30, 0.30 respectively. The mean score of the ESS was 3.10 ± 2.66 for those who had an accident and 1.96 ± 1.75 for those who did not (p=0.007). Conclusion: In this study, daytime sleepiness was associated with traffic accidents. In addition, drivers' working conditions and healthy lifestyle behaviors affect sleepiness. The arrangement of the working hours of the drivers and the promotion of healthy life behaviors may mitigate the daytime sleepiness. In this way, traffic accidents and occupational accidents can be reduced.

References

Pizza F, Contardı S, Mondini S, Trentin L, Cirignotta F. Daytime sleepiness and driving performance in patients with obstructivesleep apnea: comparison of the MSLT, the MWT, and a simulated driving task. Sleep 2009; 32.3: 382-391.

MaycockG. Driver sleepiness as a factor in car and HGV accidents. TRL Report 1995; 169.

Lloberes P, Levy G, Descals C, Sampol G, Roca A, Sagales T. Self-reported sleepiness while driving as a risk factor for traffic accidents in patients with obstructive sleep apnoea syndrome and in non-apnoeic snorers. Respiratory medicine 2000; 94.10: 971-976.

Connor J, Whitlock G, Norton R, Jackson R. The role of driver sleepiness in car crashes: a systematic review of epidemiological studies. Accident Analysis & Prevention 2001; 33.1: 31-41.

Connor J, Norton R, Ameratunga S, Robinson E, Civil L, Dunn R, Bailey J, Jackson R.Driver sleepiness and risk of serious injury to car occupants: population based case control study. Bmj 2002; 324.7346: 1125.

World Health Organization. Global status report on road safety: time for action. World Health Organization 2009.

Ulusal Hastalık Yükü ve Maliyet Etkililik Projesi, Hastalık Yükü Final Rapor. Türkiye Cumhuriyeti Sağlık Bakanlığı Refik Saydam Hıfzıssıhha Merkezi Başkanlığı Hıfzıssıhha Mektebi Müdürlüğü, Başkent Üniversitesi." RSHMB Hıfzıssıhha Mektebi Müdürlüğü 2004.

Philip P, Ghorayeb I, Stoohs R, Menny JC, Dabadie P, Bioulac B, Guilleminault C.Determinants of sleepiness in automobile drivers. Journal of psychosomatic research 1996; 41.3: 279-288.

Cluydts R, De Valck E, Verstraeten E , Theys P. Daytime sleepiness and its evaluation. Sleep medicine reviews 2002; 6.2: 83-96.

Thorpy MJ. American Academy of SleepMedicine, The International Classification of Sleep Disorders, Diagnostic and Coding Manual, USA 2005.

Pérez-Carbonell L, Mignot E, Leschziner G, Dauvilliers Y. Understanding and approaching excessive daytime sleepiness. Lancet. 2022 Sep 24;400(10357):1033-1046. doi: 10.1016/S0140-6736(22)01018-2. Epub 2022 Sep 14. PMID: 36115367.

Young TB. Epidemiology of daytimesleepiness: definitions, symptomatology, andprevalence. TheJournal of clinicalpsychiatry 2004; 65.suppl 16: 12-16.

Braeckman L, Verpreat R, Van RE, Pevernagie D, Bacquer DD. Prevalence and correlates of poor sleep quality and daytime sleepiness in Belgian truck drivers. Chronobiology international 2011; 28.2: 126-134.

Lim SM, Chia SE.The prevalence of fatigue and associated health and safety risk factors among taxi drivers in Singapore. Singapore medical journal 2015; 56.2: 92-97.

Lyznicki JM,Doege TC, Davis RM.Sleepiness, driving, and motor vehicle crashes. Jama 1998; 279.23: 1908-1913.

Gylen E, Anttalainen U, Saaresranta T. Relationship between habitual sleep duration, obesity and depressivesymptoms in patients with sleep apnoea. Obesity research & clinical practice 2014; 8.5: 459-465.

Burgel BJ, Gillen M, White MC. Health and safety strategies of urban taxi drivers. Journal of Urban Health 2012; 89.4: 717-722.

Bawa MS, Srivastav M. Study the epidemiological profile of taxi drivers in the background of occupational environment, stress and personality characteristics. Indian J OccupEnvironMed 2013;17:108-113

Apostolopoulos Y, Sönmez S, Shattell MM, Belzer M. Worksite-induced morbidities of truck drivers in the United States. AAOHN Journal 2010; 58.7: 285-296

Johns MW. A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep1991; 14 (6):540-545.

Ağargün MY, Çilli AS, Kara H, Bilici M. Epworth Uykululuk Ölçeği'nin Geçerliği ve Güvenirliği. Türk Psikiyatri Dergisi 1999; 10 (4):261-267.

Goldberg DP,Gater R, Sartorıus N, Ustun TB, Pıccınellı M, Gureje O, Rutter C.The validity of two versions of the GHQ in the WHO study of mental illness in general healthcare. Psychological medicine 1997; 27.01: 191-197.

Kılıç C. Genel Sağlık Anketi: Güvenilirlik ve geçerlilik çalışması. Türk Psikiyatri Dergisi 1996; 7:3-9.

Selvi Y, Kandeğer A, Sayın AA. Gündüz Aşırı Uykululuğu. Psikiyatride Güncel Yaklaşımlar 2016; 8.2: 114-132.

Liu X, Uchiyama E, Kim K, Okawa E, Shibui K, Kudo Y, Doi Y, Minowa E, Ogihara R.Sleep loss and daytime sleepiness in the general adult population of Japan. Psychiatry research 2000; 93.1: 1-11.

Gülbay BE, Acıcan T, Doğan R, Baççıoğlu A, Güllü E, Karadağ G. Taksi sürücülerinde gündüz aşırı uyku hali ile trafik kazaları arasındaki ilişki.Tüberküloz ve Toraks Dergisi 2003; 51(4): 385-389.

Stoohs RA, Guilleminault C, Itoi A, Dement WC. Traffic accidents in commercial long-haul truck drivers: the influence of sleep-disordered breathing and obesity. Sleep-newyork 1994;17: 619-623.

Filomeno R, Ikeda A, Maruyama K, Wada H, Tanigawa T. Excessive daytime sleepiness and alcohol consumption among commercial drivers. Occup Med (Lond). 2019 Oct 1;69(6):406-411. doi: 10.1093/occmed/kqz091. PMID: 31263899.

Huhta R, Hirvonen K, Partinen M. Prevalence of sleep apnea and daytime sleepiness in professional truck drivers. Sleep Med. 2021 May;81:136-143. doi: 10.1016/j.sleep.2021.02.023. Epub 2021 Feb 16. PMID: 33676284.

Dagan Y, Doljansky JT, Green A, Weiner A. Body Mass Index (BMI) as a first-linescreening criterion for detection of excessive daytime sleepiness among Professional drivers. Traffic injury prevention 2006; 7.1: 44-48.

Chung KF, Kan KK, Yeung WF. Assessing insomnia in adolescents: Comparison of insomnia severity index, athens insomnia scale and sleep quality index. Sleep Medicine 2011; 12.5: 463-470.

Akkoyunlu ME, Kart L, Uludağ M, Bayram M, Alisha G, Özçelik H, Karaköse F, Sezer M. Şehir içi araç kullanan şoförlerde obstrüktif uyku apne sendromu semptomları ve trafik kazası ilişkisi. Tuberk Toraks 2013; 61.1: 33-37.

Lindberg E, Carter N, Gıslason T, Janson C. Role of snoring and daytime sleepiness in occupational accidents. American journal of respiratory and criticalcare medicine 2001; 164.11: 2031-2035.

Published

2024-09-28 — Updated on 2024-09-29

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How to Cite

Çağlayan, Çiğdem, Mercimek, B., Urgan, U., & Kıran, S. (2024). Prevalence of daytime sleepiness in taxi drivers and evaluation of its relationship with traffic accidents. HALK SAĞLIĞI ARAŞTIRMA VE UYGULAMALARI DERGİSİ, 2(2), 78–86. https://doi.org/10.5281/zenodo.13840362 (Original work published September 28, 2024)

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Research Articles