Long Distance Driving and Self–Induced Sleep Deprivation among Automobile Drivers

Philip, Pierre; Taillard, Jacques; Guilleminault, Christian; Salva, M. A. Quera; Bioulac, Bernard; Ohayon, Maurice M.

doi:10.1093/sleep/22.4.475

Cited by 92 publications

(53 citation statements)

References 11 publications

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“…Working under sleep deprivation increases fatigue and risk of driver behavioral errors and violation [6-10, 25, 26]. RTCs from work to home is one of the major causes of injury and deaths among drivers [3][4][5][6][7]13] because of these conflicts between physiological needs and social or professional activities [27], understanding the human limits of fatigue and sleep deprivation are becoming key issues in accident prevention.…”

Section: Discussionmentioning

confidence: 99%

“…Studies largely conducted in high-income and middle income countries suggest driver sleepiness is a significant contributor to the burden of RTI (road traffic injuries) [1][2][3][4][5][6], with a three to six-fold increased risk of road crashes [2,3,13,14], and population attributable estimates as high as 22% [5,24].…”

Section: Discussionmentioning

confidence: 99%

“…Road traffic safety and accidents are a major public health problem everywhere worldwide [1][2][3][4][5][6]. However, regional differences in traffic safety between countries are considerable.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, estimating their contribution to RTC crashes is important for the development and prioritization of interventions to prevent those crashes and injuries. Reported the proportion of crashes attributable to sleepiness vary from one country to another country in the United State is 1% to 3% [1], in France is 10% [2,3], and in Australia is 33% [3]. The prevalence of driver sleepiness, fatigue and tiredness and their impact on the incidence of RTC and road traffic injuries are documented well [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Aggressive Behaviour, Sleeping, and Fatigue on Road Traffic Crashes as Comparison between Minibus/Van/Pick-up and Commercial Taxi Drivers

Bener¹,

Özkan²,

Yıldırım³

et al. 2017

JTTE

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Abstract:No study has been conducted to determine the relationship between RTC (road traffic crashes) and depression, anxiety and stress scale (DASS-21), tiredness, fatigues and sleeping. The aim of the present study was to examine the effect of aggressive driver behaviour, fatigue and sleeping on RTC comparison between commercial taxi and minibus/van/pick-up cars drivers. A cross-sectional study included a representative sample of 2,300 drivers of which 1,786 drivers (77.6%) agreed to participate. The Manchester DBQ (Driver Behaviour Questionnaire) was used to measure the aberrant driving behaviours leading to accidents. The study is based on the measurement using the depression anxiety stress scales (DASS-21). Participants completed a DASS-21 questionnaire with items related to socio-demographic information, BMI (body mass index), driving experience, fatigue , sleeping, adherence to traffic laws (including speed limits and wearing seat belt), and drivers' driving records. Univariate and multivariate statistical analyses were performed. In a representative sampling, the age distribution of the participants ranged from 25 to 65 years with the mean age 38.3±10.2 and the mean annual mileage (km) per month was 14,587±1,741 (p < 0.001). There was a significant difference found between both group minibus/van/pick-up and commercial taxi drivers regarding of their age group (p < 0.001), education (p = 0.003), history of accident (p = 0.003), seat belt use (p = 0.022) time of accident (p = 0.005); crossing red light (p < 0.001), excessive speed limits (p = 0.002), BMI group (p = 0.022), physical activity (p = 0.003), annual mileage in km (p < 0.001), number of working days (p = 0.010) and hours (p = 0.030); number of sleeping hours (p = 0.025), CD music listening (p = 0.010), mobile phone use (p = 0.001), soft drinking (p = 0.002) and cigarette smoking habit (p < 0.001). When the history of RTC was assessed, minibus/van/pick-ups were more likely to be involved in accidents compared to commercial taxi drivers and there was a highly statistically significant difference between both groups. Furthermore, minibus/van/pick-up drivers have more sleeping disorders and fatigue severity compared to commercial taxi drivers. This study revealed that minibus/van/pick-up drivers exhibited more depression, anxiety and stress symptoms compared to commercial taxi drivers. DASS-21 variables were found to contribute significantly to the explanation of the RTC involvement rate. Chronic fatigue and acute sleepiness, and overtime or heavy work-load on car drivers significantly increases the risk of a car crash which a car occupant can be injured or killed. Reductions in RTC may be achieved if fewer people drive when they have fatigue or are sleepy or have been deprived of sleep or drive during rush hours.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of Aggressive Behaviour, Sleeping, and Fatigue on Road Traffic Crashes as Comparison between Minibus/Van/Pick-up and Commercial Taxi Drivers

Bener¹,

Özkan²,

Yıldırım³

et al. 2017

JTTE

View full text Add to dashboard Cite

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“…We questioned, apart from organic sleep disorders, if modifications of the sleep-wake schedules could be responsible for sleepiness at the wheel. Studying large populations of drivers 6,7) , we demonstrated that long-distance driving was very frequently associated with sleep curtailment. Our first study performed on a freeway rest stop area in 1993, showed that 50% of drivers (n = 567 drivers) reduced their sleep duration in the 24 h before departure for a longdistance journey 6) .…”

Section: Sleepiness and Behaviourmentioning

confidence: 97%

Sleepiness of Occupational Drivers

Philip

2005

Ind Health

103

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Drowsiness and sleeping at the wheel are now identified as the reasons behind fatal crashes and highway accidents caused by occupational drivers. For many years, fatigue has been associated to risk of accidents but the causes of this symptom were unclear. Extensive or nocturnal driving was associated to accidents but few reports differentiated fatigue from sleepiness. In the early nineties, epidemiological data started investigating sleepiness and sleep deprivation as cause of accidents. Sleepiness at the wheel, sleep restriction and nocturnal driving have been incriminated in 20% of traffic accidents. Drugs affecting the central nervous system (i.e., narcotic analgesics, anti histamine drugs), nocturnal breathing disorders and narcolepsy have been also associated with an increasing risk of accidents. Treatments improving daytime vigilance (i.e., nasal Continuous Positive Airway Pressure) reduce significantly the risk of traffic accidents for a reasonable economical cost. Sleep disorders among occupational drivers need to be systematically investigated. Chronic daytime sleepiness is still under diagnosed and sleep disorders (i.e. obstructive sleep apnea syndrome) are not enough explored and treated in this exposed population of sedentary males. Drivers education and work schedules integrating notions of sleep hygiene as well as promotion of sleep medicine could significantly improve road safety.

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Maintenance of Wakefulness Test, obstructive sleep apnea syndrome, and driving risk

Philip

Sagaspe²,

Taillard

et al. 2008

Annals of Neurology

108

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Long Distance Driving and Self–Induced Sleep Deprivation among Automobile Drivers

Abstract: The results of the study highlight variables (long-distance driving, youth, sleep restriction) that are frequently associated with sleep-related accidents.

Cited by 92 publications

References 11 publications

The Impact of Aggressive Behaviour, Sleeping, and Fatigue on Road Traffic Crashes as Comparison between Minibus/Van/Pick-up and Commercial Taxi Drivers

The Impact of Aggressive Behaviour, Sleeping, and Fatigue on Road Traffic Crashes as Comparison between Minibus/Van/Pick-up and Commercial Taxi Drivers

Sleepiness of Occupational Drivers

Maintenance of Wakefulness Test, obstructive sleep apnea syndrome, and driving risk

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