Effects of insomnia on risky driving behavior among bus drivers: The mediating effect of mental health

Jiao, Yujun; Wang, Xuesong; Zhao, Xudong; Hurwitz, David

doi:10.1016/j.aap.2023.107419

Cited by 5 publications

(1 citation statement)

References 57 publications

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“…Previous studies on professional drivers have reported that the presence of SDB is associated with hypertension, cardiovascular diseases, and metabolic syndrome 9 , 11 . It has also been reported that poor sleep associated with SDB leads to psychological disorders, such as anxiety and depression, in professional drivers 12 . These studies indicate management of SDB in professional drivers would be important for their health.…”

Section: Introductionmentioning

confidence: 99%

Risk factors for collisions attributed to microsleep-related behaviors while driving in professional truck drivers

Sawatari,

Kumagai,

Kawaguchi

et al. 2024

Sci Rep

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Sleep-disordered breathing (SDB) is prevalent among professional drivers. Although SDB is a known risk factor for truck collisions attributed to microsleep-related behaviors at the wheel (TC-MRBs), the usefulness of overnight pulse oximetry for predicting TC-MRBs is debatable. This retrospective study assessed the association between overnight pulse oximetry parameters, the Epworth Sleepiness Scale (ESS), and TC-MRBs, confirmed by dashcam footage. This study included 108 matched professional truck drivers (TC-MRBs: N = 54; non-TC-MRBs: N = 54), with a mean age and body mass index of 41.9 ± 11.3 years and 23.0 ± 3.7 kg/m2, respectively. Night-time drivers, 4% oxygen desaturation index (ODI), and nadir oxygen saturation (SpO2) were associated with TC-MRBs (odds ratio [95% confidence interval]: 25.63 [5.88–111.77], p < 0.0001; 2.74 [1.02–7.33], p = 0.045; and 3.87 [1.04–14.39], p = 0.04, respectively). The area under the curve of 4% ODI and nadir SpO2 for TC-MRBs were 0.50 and 0.57, respectively. In conclusion, night-time driving, 4% ODI, and nadir SpO2 were significantly associated with TC-MRBs in professional truck drivers. However, the sensitivity of overnight pulse oximetry parameters to predict TC-MRBs in a real-world application was poor. Therefore, combining subjective and objective assessments such as dashcam video footage may be needed to achieve high accuracy for predicting TC-MRBs among professional truck drivers.

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Section: Introductionmentioning

confidence: 99%