Okawara Makoto, Tokutsu Kei, Hirashima Keiki, Ishimaru Tomohiro, Fujino Yoshihisa
Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan.
Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan.
Saf Health Work. 2024 Jun;15(2):208-212. doi: 10.1016/j.shaw.2024.04.002. Epub 2024 Apr 16.
Traffic accidents involving professional drivers have serious societal repercussions. Unique occupational stressors and health risks exacerbate the likelihood of traffic accidents among professional drivers. This study explores the association between presenteeism-impaired work performance due to working while unwell-and traffic accident risk among professional taxi drivers in Japan.
A prospective cohort study was conducted from June 2022 to February 2023, involving taxi drivers from a single company in Fukuoka Prefecture, Japan. Presenteeism was assessed using the Work Functioning Impairment Scale (WFun). Primary outcome involved the number of self-reported minor traffic accidents. The incidence rate ratio (IRR) of minor traffic accident occurrences was estimated using a Poisson regression analysis, adjusted for confounders including sex, age, and driving experience.
Of 838 targeted drivers, 435 were included in the analysis. Higher baseline work functioning impairment was associated with a significant trend of increasing IRR of minor traffic accidents ( for trend = 0.045). A dose-response relationship was seen between the degree of presenteeism and incidence rate of minor traffic accidents.
Higher levels of presenteeism were associated with an increased risk of traffic accidents among taxi drivers. The findings underscore the need for socio-economic support and prioritized health management to mitigate traffic accident risk among professional drivers. This study highlights the importance of managing non-critical health issues alongside serious health conditions for safer driving practices among professional drivers in Japan.
涉及职业司机的交通事故会产生严重的社会影响。独特的职业压力源和健康风险加剧了职业司机发生交通事故的可能性。本研究探讨了日本职业出租车司机因带病工作导致的出勤主义——工作表现受损——与交通事故风险之间的关联。
2022年6月至2023年2月进行了一项前瞻性队列研究，涉及日本福冈县一家公司的出租车司机。使用工作功能受损量表（WFun）评估出勤主义。主要结果包括自我报告的轻微交通事故数量。使用泊松回归分析估计轻微交通事故发生的发病率比（IRR），并对包括性别、年龄和驾驶经验在内的混杂因素进行调整。
在838名目标司机中，435名被纳入分析。较高的基线工作功能受损与轻微交通事故IRR增加的显著趋势相关（趋势检验P = 0.045）。在出勤主义程度与轻微交通事故发生率之间存在剂量反应关系。
较高水平的出勤主义与出租车司机交通事故风险增加相关。研究结果强调需要社会经济支持和优先进行健康管理，以降低职业司机的交通事故风险。本研究强调了在日本职业司机中，除了严重健康状况外，管理非严重健康问题对于安全驾驶的重要性。
