Risk of obstructive sleep apnea among taxi-motorbike drivers in Parakou city in West Africa and associated factors with road traffic accidents.

Autor: Ade S; Faculty of Medicine, 247620University of Parakou, Parakou, Benin., Flatin MC; Faculty of Medicine, 247620University of Parakou, Parakou, Benin., Wachinou PA; Faculty of Health Sciences, 107790University of Abomey-Calavi, Cotonou, Benin., Badirou AS; Faculty of Medicine, 247620University of Parakou, Parakou, Benin., Cissé IM; Faculty of Medicine, 247620University of Parakou, Parakou, Benin., Adjobimey M; Faculty of Health Sciences, 107790University of Abomey-Calavi, Cotonou, Benin., Agodokpessi G; Faculty of Health Sciences, 107790University of Abomey-Calavi, Cotonou, Benin., Harries AD; International Union Against Tuberculosis and Lung Diseases, Paris, France.; Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Jazyk: angličtina
Zdroj: Chronic respiratory disease [Chron Respir Dis] 2022 Jan-Dec; Vol. 19, pp. 14799731211063231.
DOI: 10.1177/14799731211063231
Abstrakt: Objectives: Obstructive sleep apnea (OSA) is an underdiagnosed chronic respiratory disease, causing excessive daytime sleepiness (EDS) and road traffic accidents (RTA). This study aimed to determine the risk of OSA among taxi-motorbike drivers (TMD) and factors associated with RTA in Parakou, Benin.
Methods: A cross-sectional comparative study was carried out between July and September 2020, including 225 TMD and 450 motorbike drivers other than TMD (non-TMD). A multiple logistic regression was then performed to determine factors associated with RTA.
Results: The mean age of participants was 38.2 ± 10.2 and 36.6 ±10.9 years, respectively, for TMD and non-TMD ( p = .048). The average daily working time was 10.7 ± 2.3H and 9.1±3.5H, respectively, for TMD and non-TMD ( p < .001). Average sleeping time was comparable in both groups (7.5±1.4H vs 7.4±1.4H; p = .415). TMD significantly more complained of non-restorative sleep (38.7% vs 18.4%; p < .001) but less of EDS (20.0% vs 28.7%; p = .015). Abdominal obesity predominated in TMD (13.8% vs 4.4%; p < .001). An increased risk of OSA (NoSAS score ≥8) was diagnosed in 25.8% TMD and 26.7% non-TMD ( p = .805). Overall, 25.8% of TMD and 18.4% of non-TMD ( p = .027) reported at least one RTA in the last 12 months. After adjusted analysis, the unique factor associated with RTA was a daily sleeping pills consumption (aOR=2.2; 95%CI = 1.2-3.8; p = .006).
Conclusion: There is need to improve systematic screening and diagnosis of OSA in both TMD and non-TMD and reinforce the regulation and consumption of sleeping pills.
Databáze: MEDLINE