Driver fatigue has received increased attention during recent years and is now considered to be a major contributor to approximately 15–30% of all crashes. However, little is known about fatigue in city bus drivers. It is hypothesized that city bus drivers suffer from sleepiness, which is due to a combination of working conditions, lack of health and reduced sleep quantity and quality. The overall aim with the current study is to investigate if severe driver sleepiness, as indicated by subjective reports of having to fight sleep while driving, is a problem for city based bus drivers in Sweden and if so, to identify the determinants related to working conditions, health and sleep which contribute towards this. The results indicate that driver sleepiness is a problem for city bus drivers, with 19% having to fight to stay awake while driving the bus 2–3 times each week or more and nearly half experiencing this at least 2–4 times per month. In conclusion, severe sleepiness, as indicated by having to fight sleep during driving, was common among the city bus drivers. Severe sleepiness correlated with fatigue related safety risks, such as near crashes.

A lack of transport opportunities has been shown to be a barrier for accessibility and social inclusion in contemporary society. In rural and sparsely populated areas, access to public transport is often poor compared to urban areas, leading to fewer possibilities to participate in normal relationships and activities among rural dwellers. Based on qualitative interviews with rural dwellers in Sweden, the aim of this study was to explore how access to transport can meet the needs of mobility and activity participation in everyday life and how different modes of transport are being used. The study has been permeated by the time-geographical perspective, which considers people’s use of time and space and the restrictions they face in order to carry out activities, including travel. The results show that travel by private car plays a central role in realizing everyday activities for rural dwellers, as well as a perception of the car as being the norm in contemporary society. Frequent car use is the consequence of a combination of time-space restrictions, habit, and a lack of services, activities, and public transport in rural areas. Poor public transport services limit children’s and adolescents’ independent mobility in particular. Further, the physical environment influences the ability to use public transport, for example if roads and bus stops are seen as unsafe. Based on the results of the study, several measures and improvements are proposed that could increase mobility and accessibility in rural areas and reduce car dependency.

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