Cardiovascular Risk Factors of Taxi Drivers

Elshatarat, Rami A.; Burgel, Barbara J.

doi:10.1007/s11524-016-0045-x

Cited by 41 publications

(63 citation statements)

References 30 publications

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“…The obligatory nature of these medical check-ups provides an opportunity for early recognition of undiagnosed diabetes and to improve the patient’s adherence to medical recommendations. A diagnosis of prediabetes states should result in further diagnostic steps, health education and the implementation of preventive activities in the workplace, which are known to be effective [ 21 , 22 ]. Periodical prophylactic examinations of workers, therefore, can successfully fit in the modern model of active diagnosis of asymptomatic population diseases and thus give public health system benefits.…”

Section: Discussionmentioning

confidence: 99%

Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients’ Adherence to Medical Recommendations?

Marcinkiewicz

Hanke

Kałużny

et al. 2018

IJERPH

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Worldwide epidemiological data indicates insufficient diagnosis of diabetes as an increasing public health problem. In the search for solutions to this disadvantageous situation, occupational medicine health services seem to open up a unique opportunity to recognize some abnormalities in the early stages, especially among the asymptomatic working-age population. 316 workers underwent obligatory prophylactic examinations. In patients with twice assayed FGL ≥ 126 mg/dL (7.0 mmol/L) an additional intervention was implemented, including further diagnostic processes and therapy in General Practice (GP), followed by examination by an occupational health specialist within 3 months. The diagnosis of previously unknown diabetes was established among 2.5% of examined workers. All patients referred to the GP due to detected glycaemia impairment visited their doctor and finished the diagnostic process, took up therapy constrained by the occupational health physician to show the effects of intervention within 3 months. Prophylactic medical check-ups allow improved compliance and medical surveillance over glycaemia impairment in patients with prediabetes states, unknown diabetes or uncontrolled clinical course of diabetes. Considering fasting glucose level during mandatory prophylactic examination helps effective prevention of diabetes and its complications and thus provides public health system benefits.

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Section: Discussionmentioning

confidence: 99%

Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients’ Adherence to Medical Recommendations?

Marcinkiewicz

Hanke

Kałużny

et al. 2018

IJERPH

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“…Also, the cross sectional nature of the study does not allow one to determine cause and effect. Lastly, the participants self-report of information may be inaccurately reported due to social desirability (e.g., reporting being physically active or eating fruits and vegetables), or embarrassment (e.g., under-reporting alcohol use) [58].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Driving to Better Health: Screening for Hypertension and Associated Factors Among Commercial Taxi Drivers in Buffalo City Metropolitan Municipality, South Africa

Adedokun¹,

Goon²,

Owolabi³

et al. 2017

TOPHJ

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Background:Hypertension is a critical public health issue in South Africa. Commercial taxi drivers constitute a vulnerable group who are predisposed to hypertension due to the nature of their work. Yet, unlike other population sub-groups, their health status and lifestyle behaviour have rarely been investigated.Objective:To screen for hypertension and the associated risks factors among commercial taxi drivers in Buffalo City Metropolitan Municipality (BCMM), South Africa.Methods:This was a cross-sectional, descriptive study of a convenience sample of 403 commercial taxi drivers in BCMM. The modified WHO STEPwise questionnaire was used for obtaining demographic and behavioural information from the participants. Blood pressure (BP), blood glucose and anthropometric measurements followed standard procedure. Pre-hypertension was defined as systolic BP of 120-139 mmHg and diastolic BP of 80-89 mmHg and hypertension was defined as a systolic BP ≥140mmHg and/or diastolic BP of ≥90mmHg, self-reported history of hypertension or current medication use. Descriptive and inferential statistics were used to determine the prevalence and associated factors of hypertension. A p-value ≤ 0.05 was considered statistically significant.Results:The study participants were 98.8% male, age ranged from 20 to 74 years, with a mean age of 43.3 years (SD±12.5).The prevalence of pre-hypertension was 33.7% and hypertension was 57.0%. After adjusting for confounders, age>35 years (p=0.004), obesity and alcohol use (p<0.001), period of driving>5years (p=0.028) and diabetes (P=0.003) were significant predictors of hypertension.Conclusion:The prevalence of hypertension among commercial taxi drivers in BCMM is high and associated with ageing and other cardiovascular risk factors. There is a need for interventions aimed at promoting healthy lifestyle and reduction of hypertension among this group, particularly the older ones.

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“…Exercise physiologists, sports medicine and rehabilitation researchers modified the Borg physical exertion scale to differentiate mental effort from physical effort in a wide range of work and sports activities . In an analysis of cardiovascular risk factors of this sample, taxi drivers with high perceived mental exertion were 2.6 times as likely to have a high cardiovascular disease risk profile . Additionally, perceived mental exertion was moderately and significantly associated with self‐reported low back pain in taxi drivers …”

Section: Introductionmentioning

confidence: 99%

Associations between daily‐on‐the job hassles with perceived mental exertion and depression symptoms in taxi drivers

Burgel

Elshatarat

2019

American J Industrial Med

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Introduction Taxi drivers experience frequent hassles that may contribute to mental exertion and depression symptoms. Aim Mental exertion and depression symptoms in taxi drivers are explored in association with hassles, effort‐reward imbalance, job strain, and iso‐strain. Methods Personal interviews were conducted with 130 drivers in San Francisco. Results Mental exertion averaged 4.5 (±2.68) and physical exertion averaged 3.71 (±2.1) on 0 to 10 Borg scales. Based on the Center for Epidemiological Studies‐Depression scale, 38% had depression symptoms. Mental exertion and depression symptoms correlated with job strain, iso‐strain and effort‐reward imbalance in anticipated directions, lending construct validity to the Borg mental exertion scale. Physical exertion, night shift, stressful personal events, and being uninsured for healthcare predicted mental exertion. Lack of respect by dispatchers and stressful personal events predicted depression symptoms. Conclusion Selected hassles may be remedied by communication trainings, emphasizing mutual respect. Recognition and treatment of depression in taxi drivers are important.

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Cardiovascular Risk Factors of Taxi Drivers

Cited by 41 publications

References 30 publications

Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients’ Adherence to Medical Recommendations?

Can Periodical Examinations of Employees Be Useful in Detection of Glycaemia Impairment and Improving Patients’ Adherence to Medical Recommendations?

Driving to Better Health: Screening for Hypertension and Associated Factors Among Commercial Taxi Drivers in Buffalo City Metropolitan Municipality, South Africa

Associations between daily‐on‐the job hassles with perceived mental exertion and depression symptoms in taxi drivers

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