Step On It! Impact of a Workplace New York City Taxi Driver Health Intervention to Increase Necessary Health Care Access

Gany, Francesca; Bari, Sehrish; Gill, Pavan; Loeb, Rebecca; Leng, Jennifer

doi:10.2105/ajph.2014.302122

Cited by 21 publications

(35 citation statements)

References 30 publications

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“…The questionnaire was developed by the Immigrant Health and Cancer Disparities (IHCD) Service at Memorial Sloan Kettering Cancer Center (MSKCC), and was informed by IHCD’s prior work with the NYC taxi community. (10; 12) The areas of inquiry included demographic, occupational, and health care and insurance access questions, self-reported health status and health behaviors, and knowledge about the ACA. Trained bi-lingual research staff recruited respondents from multiple occupational sites and community settings, including an airport holding lot, taxi garages, livery car bases, gas stations, driver-frequented restaurants, relief stands, and community and religious organizations.…”

Section: Methodsmentioning

confidence: 99%

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New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act

et al. 2015

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Objectives This study was conducted to assess New York City taxi drivers’ knowledge and perceptions of the Affordable Care Act (ACA). Methods A cross-sectional street-intercept study design was used to assess drivers’ knowledge about the ACA. A 146-item questionnaire was administered from September 12 to December 6, 2013 to 175 yellow taxi and for-hire vehicle drivers. Results 91% of drivers were foreign-born; 50% were uninsured. Mean knowledge about the ACA was quite low; 78% of the sample either knew nothing or only a little bit about the ACA. 77% wanted more information about the ACA. Greater English proficiency, more years driving a taxi, and knowledge of having or not having a pre-existing health condition (versus not knowing) were related to higher ACA knowledge levels. Knowledge of a pre-existing condition (whether they had one or not) compared to those who lacked such knowledge was also an important predictor of the perception of whether the ACA would have a positive impact. Conclusions To facilitate enrollment, efforts should focus on occupationally-focused initiatives that educate drivers at their places of work and leisure, to raise the overall knowledge levels and enrollment of the community.

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Section: Methodsmentioning

confidence: 99%

“…(9) In a 2011 study of 466 NYC taxi drivers, 55% were uninsured and 49% did not have a primary care provider. (10) In a 2010 survey of taxi drivers in Chicago by Apantaku-Onayem et al, 60% of drivers lacked health insurance. (11)…”

Section: Introductionmentioning

confidence: 99%

New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act

et al. 2015

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“…These are documented in several studies listed in Table 8 and include the following: a. Sedentary life style [92][93][94]96] b. Eating out frequently in traditional and non-traditional restaurants instead of cooking at home [97,98] c. Frequent vacations involving sumptuous dining and wining [99] d. Insufficient sleep or lack of sleep [100] e. Staying home watching television and movies all day [101,102] f. Shift work, night shift and unusual work schedules [103] g. Eating patterns and eating behaviours [104,105] h. Too much sitting instead of moving [94] i. Sudden discontinuation of smoking [106][107][108]111].…”

Section: Lifestyle and Behaviour Related Factors That Cause Obesmentioning

confidence: 99%

Assessment of Obesity, Presumed and Proven Causes and Prevention Strategies: A Review

Uzogara¹

2016

AOWMC

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The obesity epidemic has been widespread in many countries, and has several adverse consequences. So many factors, some probable, others verified and documented, are known to contribute to the obesity problem in developed and developing countries. Nutritionists and other health professionals need to be skilled in understanding these various causes and their health implications. They should also be able to assess excessive body weight in clinical and other settings. Armed with this knowledge, health professionals should therefore be able to advise consumers and clients struggling with weight management on cost-effective preventive strategies to prevent or reduce incidence of obesity. In addition, nutritionists should be able to advise food manufacturers to make and market healthy food products. This paper will address the growing concern on obesity epidemic by reviewing the presumed and published or proven causes of obesity and the various methods for measurement of obesity. Strategies for preventing obesity will also be discussed. Such strategies would include health education, lifestyle changes, physical activity, diet and behaviour modifications as well as reading food labels and proper food selection. Preventive strategies for obesity and overweight when properly implemented are very cost effective especially at personal and community levels and will ensure good health and wellness in many populations. Keywords IntroductionObesity and overweight trends have reached epidemic proportions in many countries [1][2][3][4][5][6][7][8], and have serious health and socio-economic consequences. In addition, obesity has negative medical, psychological and quality of life consequences, drains health care resources and reduces life expectancy. The International Obesity Task Force (IOTF) and WHO project that obesity rates worldwide would increase very significantly by 2025 unless appropriate intervention is taken [8,9]. In the USA, between 2011 & 2012, the percent of US adults aged 20 years and above who are obese was reported to be 35.1 %, while the percent of US adults who had excess body weight (overweight and obesity)in the same period was 69.0% according to published reports [2,10]. Obesity and related chronic diseases are no longer a problem of affluent countries alone, as poor developing countries, middle income countries or countries undergoing economic transition, are also affected by the epidemic [4,[6][7][8]. Global, national and state public health agencies as well as their nutritionists, researchers and educators have raised awareness or taken immediate action to arrest the increasing weight trends and obesity in adults, the youth and children [11][12][13][14][15][16]. Despite the high prevalence of obesity in many parts of the world, segments of populations (such as geriatric, very sick people, preschool children, pregnant & lactating women) suffer from underweight [7,[17][18][19]. In some developing countries, various types of unhealthy weight such as obesity, overweight and underweight, can coexist...

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“…Taxi drivers are predominantly male and frequently lack insurance coverage [2]. Given the sedentary lifestyle of this occupation, taxi drivers are often at greater risk for cardiovascular disease (CVD), among other chronic illnesses, than the general population [2,3]. In addition to higher risk of underlying chronic health conditions and lack of medical insurance, taxi drivers and chauffeurs frequently come into close contact with a large number of individuals through this occupation, placing them at a potentially greater risk of acquiring and transmitting infectious diseases.…”

Section: Introductionmentioning

confidence: 99%

“…While the sheer volume of interpersonal contact events experienced by commercial drivers makes this population a logical target for immunization, prevention efforts are likely to benefit both drivers and passengers with protection against influenza. While a number of occupation-based interventions have been successful at impacting lifestyle behaviors among taxi drivers [3], to our knowledge little has been done to protect this population from preventable infection such as influenza. We set out to assess the feasibility and uptake of a pop-up mass influenza vaccination clinic targeting taxi drivers in airport taxicab lots in Chicago, Illinois.…”

Section: Introductionmentioning

confidence: 99%

Taxi Drivers: A Target Population for the Prevention of Transmissible Disease?

2015

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We set out to assess the feasibility and uptake of an on-site influenza vaccination campaign targeting taxi drivers in airport taxicab lots in Chicago, Illinois. Influenza vaccine was provided by the Chicago Department of Public Health as this event aligned with ongoing efforts to provide influenza vaccinations throughout the city. Clinicians and clinic support staff were volunteers recruited from the University of Chicago Medicine and incorporated nursing staff, physicians, physician residents, and administrative support. Together, this allowed for a cost-effective approach to provide free influenza vaccines to the primarily uninsured taxi driver population. During these events, 545 taxi drivers received influenza vaccine in 2012 while 354 drivers were immunized in 2013. Nearly all drivers reported uninsured or under-insured status. The ability to use volunteers and healthcare organization's desires to meet the needs of the community, in collaboration with often under-staffed but highly dedicated local health departments have the potential to offer valuable public health services to underserved members of the community. Educational initiatives targeting vaccine hesitancy and misinformation may be necessary to improve immunization coverage among this population.

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Step On It! Impact of a Workplace New York City Taxi Driver Health Intervention to Increase Necessary Health Care Access

Abstract: This study provides encouraging results about the potential impact of an easy-to-deliver, easily scalable workplace intervention with a large, vulnerable population.

Cited by 21 publications

References 30 publications

New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act

New York City Taxi Drivers’ Knowledge and Perceptions of the Affordable Care Act

Assessment of Obesity, Presumed and Proven Causes and Prevention Strategies: A Review

Taxi Drivers: A Target Population for the Prevention of Transmissible Disease?

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