Medical conditions and driving fitness of older Singaporean taxi drivers

Ml, Chan; Wong, Yin Kwan; Ng, Reuben; Koh, Gerald

doi:10.1093/occmed/kqz025

Cited by 5 publications

(3 citation statements)

References 6 publications

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“…Surveys conducted internationally and, in the US, have reported that taxi, truck and bus drivers are at higher risk of developing obesity, diabetes and hypertension [2,[4][5][6][7]. Studies on taxi drivers have shown higher prevalence of smoking, physical inactivity and unhealthy eating practices [8][9][10][11][12][13][14][15]. NYC taxi drivers have been found to have lower insurance coverage, faced discrimination, and higher prevalence of hyperglycemia and obesity [2,15].…”

Section: Introductionmentioning

confidence: 99%

Qualitative study of knowledge, perception, behavior and barriers associated with cardiovascular disease risk among overweight and obese Hispanic taxi drivers of South Bronx, NYC

et al. 2020

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Background Taxi drivers are prone to developing cardiovascular disease (CVD) risk factors by adopting poor health behaviors due to their work environment. The population of Hispanic taxi drivers in inner city South Bronx, NYC, have not been studied. The goal of our qualitative study is to understand the perception, knowledge, behavior and barriers that influence CVD risk in overweight and obese inner-city Hispanic drivers. Methods A cross-sectional qualitative study was conducted among community-based taxi drivers in South Bronx, NYC. Hispanic taxi drivers with body mass index of greater than 25 kg/m2 were screened and recruited for the study. Focus groups were organized to evaluate CVD and obesity risk factors through open-ended questions. The discussions were recorded, transcribed and analyzed using standard qualitative techniques. The Health Belief Model framework was applied to understand and evaluate likelihood of promoting health behaviors in this population based on the findings from the focus groups. Results We conducted 3 focus groups (N = 25) and themes that emerged were evaluated. Through the Health Belief Model framework, Hispanic taxi driver participants reported demanding and stressful work shifts, barriers to better nutrition and good health, poor support systems, and low self-efficacy in overcoming barriers to improve their risk for CVD, due to lower perceived benefits and greater perceived barriers. Conclusions Inner-city Hispanic NYC taxi drivers have several contributing factors and barriers leading to a poor CVD risk and high body weight profile. Understanding their knowledge, perception and barriers the drivers face in improving their CVD risk, underscores the importance of community outreach programs to develop a framework in empowering and improving the health of this population.

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Section: Introductionmentioning

confidence: 99%

Qualitative study of knowledge, perception, behavior and barriers associated with cardiovascular disease risk among overweight and obese Hispanic taxi drivers of South Bronx, NYC

et al. 2020

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“…This test has been used in various studies to evaluate the field of vision of various age groups and work, especially drivers in Iran and the world. [ 17 45 46 ] According to the executive instructions, the criteria for medical qualification of applicants for various types of driving licenses in Iran, has been proposed as the only criterion for assessing the field of vision. [ 43 ] To perform this test, the examiner sits at a distance of 3 feet or 90 cm from the subject and at a level equal to him.…”

Section: Discussionmentioning

confidence: 99%

Introducing practical tools for fit to drive assessment of the elderly

Bahrampouri

Khankeh

Hosseini

et al. 2021

Journal of Education and Health Promotion

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Today, as age increases, the demand for independent living has increased. Since driving is one of the safest and preferred ways for the elderly to travel, paying close attention to the accurate assessment of the elderly's driving ability can prevent traffic accidents in this age group. The purpose of this study was to identify and introduce practical tools for drive assessment fitness of the elderly. This systematic review was conducted according to Cochrane methodology and reported findings according to PRISMA. The following databases were searched from PubMed, ISI web of knowledge, Scopus, ProQuest, Medlib, SID, Magiran, Iran doc, and Iran Medex based on the population intervention comparison outcome method. The total records involving 12 main tools were assessed from 26 selected records in the final evaluation. The research findings indicated the selection of seven tools in the psycho-cognitive function domain such as TMT-B, Clock Drawing Test, MAZE, Montreal Cognitive Assessment, GDS-15, MMSE, and ACE-R, three tools in the sensory function domain such as Snellen, Confrontation Visual field, and Whispered Voice Test, and also two tools in motor function domain such as Rapid pace walk, and Manual test of the range of motion. The findings led to selecting practical, accurate, and fast tools for widespread use for the assessment of driving competencies of the elderly. Therefore, it is recommended that the selected tools be used in practical batteries to assess the driving skills of the elderly.

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“…Previous research advised that monitoring work-related fatigue can help employers and occupational health agencies to develop preventative strategies to increase sustainable employability, given that the need for recovery is an important predictor of future sickness absence [35,62]. A study in older taxi drivers recommended preventive screening and early interventions [63]. This screening can be in the form of a preventive medical examination with an associated advice on identified problem areas.…”

Section: Discussionmentioning

confidence: 99%

Work Ability and Vitality in Coach Drivers: An RCT to Study the Effectiveness of a Self-Management Intervention during the Peak Season

Schaaijk

Nieuwenhuijsen

Frings‐Dresen

2019

IJERPH

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Background: This randomized controlled trial (RCT) evaluates the effectiveness of a self-management toolbox designed to maintain work ability and vitality in coach drivers over their peak season. Methods: The intervention group received a self-management intervention providing advice aimed at increasing work ability and vitality. These suggestions targeted three specific domains: work–recovery–rest balance, food and drink intake, and physical activity. At the beginning (March), middle (July), and end (October) of the coach sector peak season, work ability, vitality, work-related fatigue, psychosomatic health, sleep complaints, and perceived mental exertion of coach drivers were assessed through questionnaires. Results: A total of 96 drivers participated in the study. Access to the toolbox did not result in significant differences between groups. Work ability and vitality decreased significantly in both groups, falling from 7.8 ± 1.3 to 7.3 ± 1.6 and from 63 ± 16.7 to 55 ± 18.7, respectively. Work-related fatigue increased from 35 ± 31.9 to 52 ± 35.3. Psychosomatic health complaints, sleep complaints, and perceived mental exertion also increased significantly. Conclusions: The uptake of the intervention was too low to determine if this toolbox can maintain work ability and vitality in coach drivers when compared with a control group. Overall work ability and vitality decrease significantly as the peak season progresses, while work-related fatigue accumulates. Other interventions should be explored to ensure sustainable employability in this population.

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Medical conditions and driving fitness of older Singaporean taxi drivers

Cited by 5 publications

References 6 publications

Qualitative study of knowledge, perception, behavior and barriers associated with cardiovascular disease risk among overweight and obese Hispanic taxi drivers of South Bronx, NYC

Qualitative study of knowledge, perception, behavior and barriers associated with cardiovascular disease risk among overweight and obese Hispanic taxi drivers of South Bronx, NYC

Introducing practical tools for fit to drive assessment of the elderly

Work Ability and Vitality in Coach Drivers: An RCT to Study the Effectiveness of a Self-Management Intervention during the Peak Season

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