Driver sleepiness and risk of motor vehicle crash injuries: A population-based case control study in Fiji (TRIP 12)

Autor: Elizabeth Robinson, Josephine Herman, Berlin Kafoa, Shanthi Ameratunga, Jennie Connor, Iris Wainiqolo, Rod Jackson, Eddie McCaig
Rok vydání: 2014
Předmět:
Male
Poison control
Occupational safety and health
Risk Factors
Surveys and Questionnaires
Work Schedule Tolerance
Odds Ratio
Prevalence
Cluster Analysis
Orthopedics and Sports Medicine
Policy Making
Fatigue
General Environmental Science
education.field_of_study
Accidents
Traffic
Middle Aged
3. Good health
Motor Vehicles
Female
medicine.symptom
Adult
Adolescent
Population
Workload
Pacific Islands
Article
Developing countries
Sleep Apnea Syndromes
Environmental health
Injury prevention
medicine
Accidents
Occupational
Fiji
Humans
Traffic
Risk factor
education
Occupational Health
business.industry
Automobile driving
Odds ratio
Sleep deprivation
Case-Control Studies
Accidents
Attributable risk
Sleep Deprivation
Wounds and Injuries
General Earth and Planetary Sciences
Surgery
Sleep
business
human activities
Zdroj: Injury
ISSN: 0020-1383
DOI: 10.1016/j.injury.2013.06.007
Popis: A B S T R A C T Introduction: Published studies investigating the role of driver sleepiness in road crashes in low and middle-income countries have largely focused on heavy vehicles. We investigated the contribution of driver sleepiness to four-wheel motor vehicle crashes in Fiji, a middle-income Pacific Island country. Method: The population-based case control study included 131 motor vehicles involved in crashes where at least one person died or was hospitalised (cases) and 752 motor vehicles identified in roadside surveys (controls). An interviewer-administered questionnaire completed by drivers or proxies collected information on potential risks for crashes including sleepiness while driving, and factors that may influence the quantity or quality of sleep. Results: Following adjustment for confounders, there was an almost six-fold increase in the odds of injury-involved crashes for vehicles driven by people who were not fully alert or sleepy (OR 5.7, 95%CI: 2.7, 12.3), or those who reported less than 6 h of sleep during the previous 24 h (OR 5.9, 95%CI: 1.7, 20.9). The population attributable risk for crashes associated with driving while not fully alert or sleepy was 34%, and driving after less than 6 h sleep in the previous 24 h was 9%. Driving by people reporting symptoms suggestive of obstructive sleep apnoea was not significantly associated with crash risk. Conclusion: Driver sleepiness is an important contributor to injury-involved four-wheel motor vehicle crashes in Fiji, highlighting the need for evidence-based strategies to address this poorly characterised risk factor for car crashes in less resourced settings.
Databáze: OpenAIRE
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