沙特阿拉伯年轻驾驶员中困倦驾驶患病率的性别差异。

Gender Differences in Prevalence of Sleepy Driving Among Young Drivers in Saudi Arabia.

作者信息

Alqurashi Yousef D, Alqarni Abdullah S, Albukhamsin Faisal Maher, Alfaris Abdullah Abdulaziz, Alhassan Bader Ibrahim, Ghazwani Waleed Khalid, Altammar Abdulaziz Abdulrahman, Aleid Mutlaq Eid, Almutary Hayfa, Aldhahir Abdulelah M, Alessy Saleh A, Almusally Rayyan, Alsaid Abir, Mahmoud Mahmoud Ibrahim, Qutub Hatem Othman, Sebastian Tunny, Alghnam Suliman, Polkey Michael I

机构信息

Respiratory Care Department, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Medical Surgical Nursing Department, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

Nat Sci Sleep. 2024 Feb 1;16:53-62. doi: 10.2147/NSS.S439161. eCollection 2024.

DOI:10.2147/NSS.S439161

PMID:38322016

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10844006/

Abstract

INTRODUCTION

Sleepy driving is associated with Motor Vehicles Accidents (MVAs). In Saudi Arabia, previous studies have addressed this association among men only. Therefore, the aim of this study was to compare the prevalence of sleepy driving and associated factors between genders.

METHODS

In a cross-sectional study design, we offered a self-administered online questionnaire to 3272 participants from different regions of Saudi Arabia. The questionnaire included 46 questions covering sociodemographics, driving habits, sleeping habits, Epworth Sleepiness Scale, and Berlin questionnaire to assess the risk of sleep apnea. Univariable and multivariable logistic regression analyses were used to determine the significant factors associated with self-reported sleepy driving, defined as operating a motor vehicle while feeling sleepy in the preceding six months.

RESULTS

Of the 3272 invitees, 2958 (90%) completed the questionnaire, of which 1414 (48%) were women. The prevalence of sleepy driving in the preceding six months was 42% (men: 50% and women 32%, p<0.001). Specifically, participants reported the following: 12% had had to stop their vehicle due to sleepiness (men: 16.2% and women 7%, p<0.001), 12.4% reported near-miss accidents (men: 16.2% and women: 8.2%, p<0.001) and 4.2% reported an accident due to sleepiness (men: 4.3% and women: 4%, p=0.645). In multivariable analysis, being male, younger age, use of any type of medications, shift working, working more than 12 hours per day, driving duration of 3-5 hours per day, driving experience of more than 2 years, excessive daytime sleepiness and risk of having obstructive sleep apnea were all associated with increased likelihood of falling asleep while driving in the preceding 6 months.

CONCLUSION

Sleepy driving and MVA are prevalent in both gender but was higher in men. Future public health initiatives should particularly focus on men, since men reported a greater likelihood of both sleep-related MVA and "near miss" events.

摘要

引言

疲劳驾驶与机动车事故（MVA）相关。在沙特阿拉伯，以往的研究仅探讨了男性中的这种关联。因此，本研究的目的是比较不同性别之间疲劳驾驶的患病率及相关因素。

方法

在一项横断面研究设计中，我们向来自沙特阿拉伯不同地区的3272名参与者提供了一份自填式在线问卷。问卷包括46个问题，涵盖社会人口统计学、驾驶习惯、睡眠习惯、爱泼华嗜睡量表以及用于评估睡眠呼吸暂停风险的柏林问卷。单变量和多变量逻辑回归分析用于确定与自我报告的疲劳驾驶相关的显著因素，自我报告的疲劳驾驶定义为在过去六个月内感到困倦时驾驶机动车。

结果

在3272名受邀者中，2958人（90%）完成了问卷，其中1414人（48%）为女性。过去六个月内疲劳驾驶的患病率为42%（男性：50%，女性：32%，p<0.001）。具体而言，参与者报告如下：12%的人因困倦不得不停车（男性：16.2%，女性：7%，p<0.001），12.4%的人报告了险些发生的事故（男性：16.2%，女性：8.2%，p<0.001），4.2%的人报告了因困倦导致的事故（男性：4.3%，女性：4%，p=0.645）。在多变量分析中，男性、年龄较小、使用任何类型的药物、轮班工作、每天工作超过12小时、每天驾驶时长3至5小时、驾驶经验超过2年、白天过度嗜睡以及患有阻塞性睡眠呼吸暂停的风险均与过去6个月内驾驶时入睡可能性增加相关。