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Abstract
Commercial drivers are essential to the economic recovery, yet their work exposes them to many health and safety hazards. Research to improve driver health should be designed with an understanding of both the complex occupational environment and the risk management context. We present results of a small pilot study of driver health concerns and behaviors to illustrate concepts and frameworks from human health risk assessment and management that may assist in the design and translation of driver and other worker health research. The pilot study surveyed eighteen long-haul truck drivers at a truck stop using an instrument adapted from the International Physical Activity Questionnaire and a transient community needs assessment developed for the US Antarctic Program Recreation and Wellness Survey. Respondents’ characteristics and health concerns reflect existing literature: mostly male of older age with musculo-skeletal and chronic health conditions. The two most common barriers to physical activity were lack of time and physical limitations. Applying cumulative risk assessment and risk-based decision-making frameworks, we suggest that preventive health management opportunities can be improved for this transient community of workers through actions of employers, truck stop owners and their communities. Considering cumulative risk assessment and risk-based decision making in research design can facilitate holistic research considering co-exposures, risk factors and mitigators across multiple domains of health to inform worker protection.
References
Abt, E., Rodricks, J. V., Levy, J. I., Zeise, L., & Burke, T. A. (2010). Science and decisions: advancing risk assessment. Risk analysis : an official publication of the Society for Risk Analysis, 30(7), 1028-1036. doi:10.1111/j.1539-6924.2010.01426.x
Apostolopoulos, Y., Sönmez, S., Hege, A., & Lemke, M. (2016). Work Strain, Social Isolation and Mental Health of Long-Haul Truckers. Occupational Therapy in Mental Health, 32(1), 50-69. doi:10.1080/0164212X.2015.1093995
Combs, B., Heaton, K., Raju, D., Vance, D. E., & Sieber, W. K. (2018). A Descriptive Study of Musculoskeletal Injuries in Long-Haul Truck Drivers: A NIOSH National Survey. Workplace health & safety, 66(10), 475-481. doi:10.1177/2165079917750935
Cybersecurity & Infrastructure Security, A. (2020). [Guidance on the essential critical infrastructure workforce]. Available at: https://www.cisa.gov/publication/guidance-essential-critical-infrastructure-workforce
EPA. (2003). Framework for Cumulative Risk Assessment. Retrieved from https://www.epa.gov/sites/production/files/2014-11/documents/frmwrk_cum_risk_assmnt.pdf
Farzaneh, R., Penbrooke, T., & Zietsman, J. (2018) Workshop 3. Freight, Air Quality, Occupational Health: Truck Driver Wellness Pilot Study. Available at: https://events.tti.tamu.edu/conference/2019-carteeh-symposium/program/.
Federal Motor Carrier Safety, A. (2011). Hours of Service of Drivers. Federal Register, 76(248), 81134-81188. Available at: https://www.govinfo.gov/content/pkg/FR-2011-12-27/pdf/2011-32696.pdf
Fox, M. A., Niemeier, R. T., Hudson, N., Siegel, M. R., & Dotson, G. S. (2021). Cumulative Risks from Stressor Exposures and Personal Risk Factors in the Workplace: Examples from a Scoping Review. International journal of environmental research and public health, 18(11), 10.3390/ijerph18115850. doi:5850
Fox, M. A., Spicer, K., Chosewood, L. C., Susi, P., Johns, D. O., & Dotson, G. S. (2018). Implications of applying cumulative risk assessment to the workplace. Environment international, 115, 230-238. doi:S0160-4120(17)31986-4
Garbarino, S., Guglielmi, O., Sannita, W. G., Magnavita, N., & Lanteri, P. (2018). Sleep and Mental Health in Truck Drivers: Descriptive Review of the Current Evidence and Proposal of Strategies for Primary Prevention. International journal of environmental research and public health, 15(9), 10.3390/ijerph15091852. doi:E1852
Healthy Trucking of America. (2021). Healthy Trucking of America: Healthy Solutions to Keep America Moving. https://www.healthytruck.org/
Hege, A., Lemke, M. K., Apostolopoulos, Y., & Sönmez, S. (2018). Occupational health disparities among U.S. long-haul truck drivers: the influence of work organization and sleep on cardiovascular and metabolic disease risk. PLOS One, 13(11), e0207322. doi:10.1371/journal.pone.0207322
Hege, A., Lemke, M. K., Apostolopoulos, Y., Whitaker, B., & Sönmez, S. (2019). Work-Life Conflict among U.S. Long-Haul Truck Drivers: Influences of Work Organization, Perceived Job Stress, Sleep, and Organizational Support. International journal of environmental research and public health, 16(6), 984. doi:910.3390/ijerph16060984. doi:10.3390/ijerph16060984
Horton, R. (2020). Offline: COVID-19 is not a pandemic. The Lancet, 396(10255), 874. https://doi.org/10.1016/S0140-6736(20)32000-6
International Physical Activity Questionnaire (IPAQ). (2022). Downloadable questionnaires. Available at: https://sites.google.com/site/theipaq/questionnaire_links
Lemke, M. K., Apostolopoulos, Y., Hege, A., Wideman, L., & Sönmez, S. (2017). Work organization, sleep and metabolic syndrome among long-haul truck drivers. Occupational medicine (Oxford, England), 67(4), 274-281. doi:10.1093/occmed/kqx029
Lemke, M. K., Apostolopoulos, Y., & Sönmez, S. (2020). Syndemic frameworks to understand the effects of COVID-19 on commercial driver stress, health, and safety. Journal of transport & health, 18, 100877. doi:10.1016/j.jth.2020.10087
Lentz, T. J., Dotson, G. S., Williams, P. R., Maier, A., Gadagbui, B., Pandalai, S. P., . . . Mumtaz, M. (2015). Aggregate Exposure and Cumulative Risk Assessment--Integrating Occupational and Non-occupational Risk Factors. Journal of occupational and environmental hygiene, 12 Suppl 1, 112. doi:10.1080/15459624.2015.1060326
Maier, A., Williams, P. R. D., & Dotson, G. S. (2017). Risks in Combination: Addressing cumulative risk in the occupational environment. The Synergist, May 2017. Available at: https://synergist.aiha.org/201705-risks-in-combination
National Institute for Occupational Safety & Health (2015). Hierarchy of Controls. Available at: https://www.cdc.gov/niosh/topics/hierarchy/default.html
National Research Council Committee on Improving Risk Analysis Approaches Used by the U.S. EPA. (2009). Science and Decisions: Advancing Risk Assessment. doi:NBK214630
Newnam, S., Koppel, S., Molnar, L. J., Zakrajsek, J. S., Eby, D. W., & Blower, D. (2020). Older truck drivers: How can we keep them in the workforce for as long as safely possible? Safety Science, 121, 589-593. https://doi.org/10.1016/j.ssci.2019.02.024
Niemeier, R. T., Williams, P. R. D., Rossner, A., Clougherty, J. E., & Rice, G. E. (2020). A Cumulative Risk Perspective for Occupational Health and Safety (OHS) Professionals. International journal of environmental research and public health, 17(17), 6342. doi: 6310.3390/ijerph17176342.
Penbrooke, T.L. (2010). US Antarctica Recreation Program Review, Needs Assessment, and Plan. Contracted by Raytheon Polar Services for the National Science Foundation. GreenPlay, LLC. Broomfield, CO.
Rolling Strong. (2019). Rolling Strong: Corporate Wellness. Available at: https://rollingstrong.com/corporate-wellness/
Schulte, P. A., Pandalai, S., Wulsin, V., & Chun, H. (2012). Interaction of occupational and personal risk factors in workforce health and safety. American Journal of Public Health, 102(3), 434-448. doi:10.2105/AJPH.2011.300249
Thiese, M. S., Moffitt, G., Hanowski, R. J., Kales, S. N., Porter, R. J., & Hegmann, K. T. (2015). Repeated Cross-Sectional Assessment of Commercial Truck Driver Health. Journal of occupational and environmental medicine, 57(9), 1022-1027. doi:10.1097/JOM.0000000000000522
U.S. Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans, 2nd edition. Washington, DC: U.S. Department of Health and Human Services. Available at: https://health.gov/our-work/nutrition-physical-activity/physical-activity-guidelines/current-guidelines
Williams, P. R., Dotson, G. S., & Maier, A. (2012). Cumulative Risk Assessment (CRA): transforming the way we assess health risks. Environmental science & technology, 46(20), 10868-10874. doi:10.1021/es3025353
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Copyright (c) 2022 Mary Fox, Teresa Penbrooke, Reza Farzaneh, Mariyah Rahman, Tara Ramani, Josias Zietsman