Centre de formation médicale du Nouveau-Brunswick, Université de Moncton, 50 Rue de la Francophonie, Moncton, New Brunswick, E1A 7R1, Canada.
School of Psychology, Université de Moncton, Moncton, NB, Canada.
BMC Public Health. 2024 Oct 10;24(1):2775. doi: 10.1186/s12889-024-20280-8.
Long-haul truck drivers experience multiple challenges, including increased health risks. A large percentage of professional truck drivers (PTDs) suffer from numerous chronic physical health conditions such as obesity, hypertension, diabetes, heart disease, sleep disorders, etc.) as well as poor mental health and social challenges. Furthermore, this population experiences numerous barriers related to accessing health care services including primary care and resources to improve their health. PTDs living in rural and remote areas are at higher risk. The objective of this study is to understand the views of PTDs and the trucking industry on health and personalized healthcare interventions and services.
In-depth semi-structured interviews were conducted with twenty-six individuals with contextual knowledge and experience in the trucking ecosystem, to better understand the needs, expectations, and preferences of PTDs based in New Brunswick (Canada), related to their health (physical, mental, and social). Analysis of the audiotape recording was conducted using thematic content analysis.
Three major themes emerged from the qualitative analysis describing PTDs' health needs, existing health and preventive services, as well as recommendations for personalized healthcare interventions and services to be implemented: (1) "My life as a trucker!" Understanding needs and challenges, (2) "Taking care of myself, do you think it is easy while you're on the road?" Describing drivers and motivators for better health, and (3) "Can you hear what we need?" Translating needs into recommendations for tailored health services and preventative services.
A highly demanding work environment and lack of timely access to integrated primary care negatively affect PTDs' health. Results of this study shed light on how to tailor primary care to improve its responsiveness and adequacy to PTDs' needs and realities. PTDs-sensitive integrated services, including multicomponent interventions (health education, coaching for lifestyle changes, and social support), are still lacking within the New Brunswick health system.
长途卡车司机面临多种挑战，包括健康风险增加。很大比例的职业卡车司机（PTD）患有多种慢性身体健康问题，如肥胖、高血压、糖尿病、心脏病、睡眠障碍等，以及心理健康不佳和社会挑战。此外，该人群在获得医疗保健服务方面存在诸多障碍，包括初级保健和改善健康的资源。居住在农村和偏远地区的 PTD 面临更高的风险。本研究的目的是了解 PTD 和卡车运输行业对健康和个性化医疗干预措施和服务的看法。
对 26 名具有卡车运输生态系统背景知识和经验的个人进行了深入的半结构化访谈，以更好地了解新不伦瑞克省（加拿大）的 PTD 与健康（身体、心理和社会）相关的需求、期望和偏好。使用主题内容分析对录音带的分析进行了分析。
定性分析得出了三个主要主题，描述了 PTD 的健康需求、现有的健康和预防服务，以及实施个性化医疗干预措施和服务的建议：（1）“我的卡车司机生活！”了解需求和挑战，（2）“照顾好自己，你觉得在路上容易吗？”描述司机和促进健康的因素，（3）“你能听到我们的需求吗？”将需求转化为定制健康服务和预防服务的建议。
高要求的工作环境和缺乏及时获得综合初级保健服务会对 PTD 的健康产生负面影响。本研究的结果揭示了如何调整初级保健以提高其对 PTD 需求和现实的响应能力和充分性。新不伦瑞克省卫生系统仍然缺乏针对 PTD 的敏感综合服务，包括多组分干预措施（健康教育、生活方式改变的辅导和社会支持）。
