Abstract:Objetivos. Comparar los niveles de cansancio, somnolencia y sus repercusiones entre conductores formales e informales de ómnibus interprovinciales. Evaluar las condiciones laborales en ambos grupos de estudio. Materiales y métodos. Se realizó un estudio transversal comparativo con muestreo no probabilístico. Se incluyó 100 empresas de transporte terrestre, de las cuales 17 fueron formales según registros oficiales del Ministerio de Transportes y Comunicaciones (MTC), asimismo, los conductores se catalogaron co… Show more
“…The frequency of EDS is found to be doubled than the results obtained by Rosales Mayor 18 in Peruvian bus drivers also from the Lima-Huancayo route (27.8% versus 14.0%) in a cross-sectional study conducted between July and August 2007. The frequency of EDS is similar to that obtained by Deza-Becerra 22 in drivers of inter-provincial buses from Chiclayo (25.0%), a city on the northern coast of Peru, possibly due to similar occupational characteristics of drivers 17,22,28 . This could indicate an increase in the prevalence of EDS in informal interprovincial transport drivers, possibly due to a worsening of their working conditions linked to informality, the increased prevalence of factors associated with EDS or both conditions 29 .…”
Section: Discussionsupporting
confidence: 84%
“…Another factor associated with EDS was seniority, which showed that those with ten or more years as drivers had a higher risk of developing EDS, which has also been reported by McCartt 12 in long-distance truck drivers in the United States of America which is explained by the increase in the level of exposure to driving. Added to this are the harmful effects of occupational stress caused by the frequency of day and night shifts that drivers undergo who may be affected by the existing informality even in companies classified as formal 17,36 .…”
Section: Discussionmentioning
confidence: 99%
“…Another limitation was that all drivers participating in the study were male; however, this does not represent a bias (as women are not considered in the study) but a characteristic of the study population since in Peru this work activity is performed almost exclusively by males. [17][18][19]22 .…”
Section: Discussionmentioning
confidence: 99%
“…Informality in the interprovincial transport of passengers is a major problem in Peru because drivers have a disorderly schedule rotation that often prevents them from complying with the statutory rest time and when they sleep, they do it in the warehouse or trunk of the bus and not in a room designated for this purpose which can lead to excessive drowsiness during driving and massive transport accidents [17][18][19] . For these reasons, the Peruvian Government has implemented various policies aimed at the formalization of companies and drivers as well as operations against informality in transport 20 .…”
Objective: To determine the factors associated with excessive daytime sleepiness (EDS) in informal interprovincial transport drivers of the Lima-Huancayo central highway (Peru) from January to March 2018. Methods: Cross-sectional study. The drivers were weighed and measured, then individual, sociodemographic, and occupational data were obtained which were recorded in a data collection form, then the Epworth Sleepiness Scale (ESS) was applied to the drivers. The prevalence and EDS-associated factors in drivers were obtained from this data. The multivariate analysis of the possible associated factors for EDS was performed with binary logistic regression, obtaining the adjusted odds ratio (AOR). Results: 162 drivers participated in the study. The average age was 42.0 ± 10.2 years (Range of 21-62 years), all the participants were male. 55. 6% had a technical degree, 42.0% were married and 55.6% had two to three children. The mean time of experience as a driver was 17.0 ± 6.8 years, 54.9% were overweight, and 32.1% were obese. 27.8% of drivers had EDS, the multivariate analysis found that the EDS-associated factors of the drivers were obesity (AOR=3.8, 95% CI: 1.422-10.233), having 10 or more years of experience as a driver (AOR=3.1, 95% CI: 1.342-7.189) and overweight (AOR=2.9 CI 95%: 1.216-7.096).
Conclusion:There is a high prevalence of EDS in informal drivers of interprovincial transport of the central high-altitude highway studied. Obesity was the main factor associated with EDS, along with being overweight and having 10 or more years of experience as a driver.
“…The frequency of EDS is found to be doubled than the results obtained by Rosales Mayor 18 in Peruvian bus drivers also from the Lima-Huancayo route (27.8% versus 14.0%) in a cross-sectional study conducted between July and August 2007. The frequency of EDS is similar to that obtained by Deza-Becerra 22 in drivers of inter-provincial buses from Chiclayo (25.0%), a city on the northern coast of Peru, possibly due to similar occupational characteristics of drivers 17,22,28 . This could indicate an increase in the prevalence of EDS in informal interprovincial transport drivers, possibly due to a worsening of their working conditions linked to informality, the increased prevalence of factors associated with EDS or both conditions 29 .…”
Section: Discussionsupporting
confidence: 84%
“…Another factor associated with EDS was seniority, which showed that those with ten or more years as drivers had a higher risk of developing EDS, which has also been reported by McCartt 12 in long-distance truck drivers in the United States of America which is explained by the increase in the level of exposure to driving. Added to this are the harmful effects of occupational stress caused by the frequency of day and night shifts that drivers undergo who may be affected by the existing informality even in companies classified as formal 17,36 .…”
Section: Discussionmentioning
confidence: 99%
“…Another limitation was that all drivers participating in the study were male; however, this does not represent a bias (as women are not considered in the study) but a characteristic of the study population since in Peru this work activity is performed almost exclusively by males. [17][18][19]22 .…”
Section: Discussionmentioning
confidence: 99%
“…Informality in the interprovincial transport of passengers is a major problem in Peru because drivers have a disorderly schedule rotation that often prevents them from complying with the statutory rest time and when they sleep, they do it in the warehouse or trunk of the bus and not in a room designated for this purpose which can lead to excessive drowsiness during driving and massive transport accidents [17][18][19] . For these reasons, the Peruvian Government has implemented various policies aimed at the formalization of companies and drivers as well as operations against informality in transport 20 .…”
Objective: To determine the factors associated with excessive daytime sleepiness (EDS) in informal interprovincial transport drivers of the Lima-Huancayo central highway (Peru) from January to March 2018. Methods: Cross-sectional study. The drivers were weighed and measured, then individual, sociodemographic, and occupational data were obtained which were recorded in a data collection form, then the Epworth Sleepiness Scale (ESS) was applied to the drivers. The prevalence and EDS-associated factors in drivers were obtained from this data. The multivariate analysis of the possible associated factors for EDS was performed with binary logistic regression, obtaining the adjusted odds ratio (AOR). Results: 162 drivers participated in the study. The average age was 42.0 ± 10.2 years (Range of 21-62 years), all the participants were male. 55. 6% had a technical degree, 42.0% were married and 55.6% had two to three children. The mean time of experience as a driver was 17.0 ± 6.8 years, 54.9% were overweight, and 32.1% were obese. 27.8% of drivers had EDS, the multivariate analysis found that the EDS-associated factors of the drivers were obesity (AOR=3.8, 95% CI: 1.422-10.233), having 10 or more years of experience as a driver (AOR=3.1, 95% CI: 1.342-7.189) and overweight (AOR=2.9 CI 95%: 1.216-7.096).
Conclusion:There is a high prevalence of EDS in informal drivers of interprovincial transport of the central high-altitude highway studied. Obesity was the main factor associated with EDS, along with being overweight and having 10 or more years of experience as a driver.
“…En la mayoría de los casos esto se presenta en los conductores, puesto que, muchas veces recorren trayectos largos tanto por el día y noche, siendo este último el que mayor cansancio provoca por la ausencia de sueño. En tal sentido, en muchas investigaciones [13] indican que la mitad de los conductores evaluados tienen menos horas de sueño en el periodo de 24 horas, es decir, mayormente conducen el vehículo durante la noche sin dormir y eso hace que sientan mayor cansancio o fatiga en la madrugada [17].…”
En las últimas décadas, la cantidad de accidentes de tránsito debido a la fatiga o somnolencia del conductor ha provocado cuantiosas pérdidas humanas y materiales. A su vez, la venta en el parque automotor se ha masificado lo cual indica que posiblemente en los siguientes años si no se toma las medidas pertinentes para detectar la fatiga existirá un incremento en los accidentes automovilísticos. Este trabajo de investigación propone el desarrollo de un sistema de detección de fatiga en los conductores que permita alertar sobre sobre su estado mientras esté conduciendo mediante el uso de técnicas de visión artificial y machine learning. Las técnicas de estos dos campos de estudio se interceptan para generar modelos supervisados con un alto rendimiento al momento de clasificar el estado de fatiga en los conductores. En este estudio se ha trabajado con un dataset de imágenes frontales enfocándonos en la característica fisiológica de los ojos obteniendo resultados preliminares prometedores en la detección de fatiga en tiempo real.
El reconocimiento de los traumatismos causados por el tránsito como un problema de salud pública viene tomando fuerza en los últimos años (1,2) . La Revista Peruana de Medicina Experimental y Salud Pública no es ajena a este progreso y dedica este número especial de la Revista a dicho tema. Incluso la terminología utilizada comúnmente, "accidentes de tránsito", es una barrera para lograr comprender las distintas aristas de este problema. En contraste, el término "traumatismos causados por el tránsito" fue ampliamente adoptado en el Informe mundial sobre prevención de los traumatismos causados por el tránsito, elaborado por la Organización Mundial de la Salud en el año 2004 (1) . El uso, para algunos inadecuado, del término accidentes de tránsito, limita la comprensión de lo mucho que se puede hacer para prevenir estos eventos. Dado el uso cotidiano del término "accidentes de tránsito" en nuestro medio, y a fin de generar familiaridad y contribuir en el uso adecuado del término "traumatismos causados por el tránsito", en este artículo se usará, en la medida de lo posible, este último. Este editorial no intenta reflejar una revisión de lo publicado sobre el tema en nuestro medio; en cierta medida este número especial, a través de sus distintas contribuciones, reflejará la evidencia disponible sobre el tema en el país.
EL CONTEXTO DE LOS TRAUMATISMOS CAUSADOS POR EL TRÁNSITO EN EL PERÚEs igualmente importante conocer cuáles son los actores e interlocutores claves involucrados en la toma de medidas para minimizar este problema. No es sino hasta hace poco que el sector salud se viene involucrando en este asunto; tradicionalmente, su participación ha estado circunscrita a acciones recuperativas en las víctimas de un evento vinculado con el tránsito. Sin embargo, los retos en este campo, como se indica en este editorial, son mayores.
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