Ding Ding, Gebel Klaus, Phongsavan Philayrath, Bauman Adrian E, Merom Dafna
Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia.
Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, New South Wales, Australia; School of Public Health, Tropical Medicine, and Rehabilitation Sciences, James Cook University, Cairns, Queensland, Australia.
PLoS One. 2014 Jun 9;9(6):e94602. doi: 10.1371/journal.pone.0094602. eCollection 2014.
Driving is a common part of modern society, but its potential effects on health are not well understood.
The present cross-sectional study (n = 37,570) examined the associations of driving time with a series of health behaviors and outcomes in a large population sample of middle-aged and older adults using data from the Social, Economic, and Environmental Factor Study conducted in New South Wales, Australia, in 2010.
Multiple logistic regression was used in 2013 to examine the associations of usual daily driving time with health-related behaviors (smoking, alcohol use, diet, physical activity, sedentary behavior, sleep) and outcomes (obesity, general health, quality of life, psychological distress, time stress, social functioning), adjusted for socio-demographic characteristics.
Findings suggested that longer driving time was associated with higher odds for smoking, insufficient physical activity, short sleep, obesity, and worse physical and mental health. The associations consistently showed a dose-response pattern and more than 120 minutes of driving per day had the strongest and most consistent associations with the majority of outcomes.
This study highlights driving as a potential lifestyle risk factor for public health. More population-level multidisciplinary research is needed to understand the mechanism of how driving affects health.
驾驶是现代社会的常见组成部分，但其对健康的潜在影响尚未得到充分理解。
本横断面研究（n = 37,570）利用2010年在澳大利亚新南威尔士州进行的社会、经济和环境因素研究的数据，在大量中老年人群样本中考察了驾驶时间与一系列健康行为及结果之间的关联。
2013年采用多重逻辑回归分析，在对社会人口学特征进行调整后，考察日常驾驶时间与健康相关行为（吸烟、饮酒、饮食、身体活动、久坐行为、睡眠）及结果（肥胖、总体健康状况、生活质量、心理困扰、时间压力、社会功能）之间的关联。
研究结果表明，驾驶时间越长，吸烟、身体活动不足、睡眠不足、肥胖以及身心健康状况较差的几率越高。这些关联始终呈现剂量反应模式，每天驾驶超过120分钟与大多数结果之间的关联最为强烈且一致。
本研究强调驾驶是公共健康的一个潜在生活方式风险因素。需要开展更多基于人群的多学科研究，以了解驾驶影响健康的机制。
