Biomedical and Clinical Research Centre, University of Cape Coast, Cape Coast, Ghana.
Department of Health, Physical Education and Health, University of Cape Coast, Cape Coast, Ghana.
BMC Public Health. 2024 Oct 24;24(1):2944. doi: 10.1186/s12889-024-20465-1.
Psychosocial work factors significantly influence both organisational and worker health. Poor management of these factors can create precarious working conditions, risking drivers' health. This review maps evidence on the health impact of these factors and health interventions targeting the working conditions and unhealthy habits of commercial drivers.
The search was conducted in four main databases (PubMed, Central, JSTOR and Dimensions Ai) and other sources like Google Scholar. In All, 28,039 articles were retrieved and through a rigorous screening process, 68 records were included in this scoping review.
This review found that drivers work in precarious conditions like long driving hours, low job resources and social support, low job control, poor remuneration, workplace abuse and sexual harassment, work-family conflict, lone driving hour, irregular shift work, lack or insufficient breaks during work hours and difficult access to social protection and sanitation facilities. These precarious working conditions may expose drivers to mental health issues, cardiovascular diseases, HIV/AIDs, stroke, chronic fatigue, kidney and bladder issues and musculoskeletal pains. Most health promotion interventions target behaviour at the individual level, such as the benefits of a healthy diet and exercise, with little effort to improving working conditions.
Employers in the road transport sector need to implement health promotion interventions that focus on drivers' well-being. Additionally, improving working conditions and enforcing occupational health and safety standards in the road transport sector are essential for creating a safe and healthy workplace for all commercial drivers.
心理社会工作因素对组织和工人的健康都有重大影响。这些因素管理不善会造成不稳定的工作条件，危及驾驶员的健康。本综述旨在梳理这些因素对健康的影响的证据，并针对商业驾驶员的工作条件和不健康习惯进行健康干预。
在四个主要数据库（PubMed、Central、JSTOR 和 Dimensions Ai）和其他来源（如 Google Scholar）中进行了检索。共检索到 28,039 篇文章，通过严格的筛选过程，有 68 篇记录被纳入本范围综述。
本综述发现，驾驶员的工作条件不稳定，如长时间驾驶、低工作资源和社会支持、低工作控制、低薪酬、工作场所虐待和性骚扰、工作-家庭冲突、单独驾驶时间、不规则轮班工作、工作时间缺乏或休息不足以及难以获得社会保护和卫生设施。这些不稳定的工作条件可能使驾驶员面临心理健康问题、心血管疾病、艾滋病毒/艾滋病、中风、慢性疲劳、肾脏和膀胱问题以及肌肉骨骼疼痛。大多数健康促进干预措施侧重于个人层面的行为，如健康饮食和运动的好处，但很少努力改善工作条件。
道路运输部门的雇主需要实施以驾驶员福祉为重点的健康促进干预措施。此外，改善道路运输部门的工作条件和执行职业健康和安全标准对于为所有商业驾驶员创造一个安全和健康的工作场所至关重要。
