昆明市出租车司机疲劳与相关健康和安全危险因素

Analysis of Fatigue and Related Health and Safety Risk Factors Among Taxi Drivers in Kunming

目的确定昆明市出租车司机群体的疲劳发生率,了解出租车司机的一般工作和健康状况,并确定与疲劳驾驶相关的危险因素.方法随机选取昆明市400名出租车司机为研究对象.采用自填式问卷调查方式,调查个人资料、社会习惯、工作模式和睡眠模式,同时测量身高和体重.采Epworth嗜睡量表评价疲劳和嗜睡水平.多元逻辑回归分析调整后的比值比,95%置信区间和出租车司机疲劳的危险因素的关系.结果出租车司机群体患肥胖、高血压、糖尿病和高胆固醇的比例很高;疲劳驾驶与睡眠不足或睡眠质量差、额外兼职工作和每天驾车时间>10 h有关.结论针对出租车司机的工作和健康状况,可为下一步干预提供参考,提高生产力和道路安全.

Objective To determine the prevalence of fatigue among taxi drivers in Kunming city, to better understand their general working and health conditions,and to determine the risk factors associated with fatigued driving.Methods A total of 400 taxi drivers were randomly selected for participation in a self-administered questionnaire survey, which included height and weight measurements. The response rate was 88.3%. The survey consisted of four main categories： personal particulars,social habits,work patterns and sleep profile. The Epworth Sleepiness Scale was used to estimate the level of daytime sleepiness and fatigue. Multiple logistic regression analysis was used to estimate the adjusted odd ratios and 95% confidence interval associated with risk factors related to fatigue among taxi drivers. Results A high proportion of taxi drivers were obese and had self-reported hypertension,diabetes mellitus and high cholesterol. Driver fatigue was associated with very poor/poor self-rating of quality of sleep,having an additional part-time job,and driving more than 10 hours a day. Conclusion The findings of the present study will improve awareness of the work and health conditions of taxi drivers,and contribute toward efforts to achieve a healthier workforce. A lower prevalence of fatigued driving may lead to lower risks of road traffic accidents,lower economic loss,higher productivity,and safer roads for all.