| BMC Research Notes | |
| Lone workers attitudes towards their health: views of Ontario truck drivers and their managers | |
| Stephanie Laryea4  John J Riva3  Francine Marzanek-Lefebvre3  Lisa Dolovich2  Ricardo Angeles3  Michelle Howard3  Beatrice McDonough1  | |
| [1] Healthy Living Division, City of Hamilton Public Health Services, 1447 Upper Ottawa, Unit 10, Hamilton, ON L8W 3J6, Canada;Centre for Evaluation of Medicine, 105 Main Street East, Level P1, Hamilton, ON L8N 1G6, Canada;Department of Family Medicine, McMaster University, McMaster Innovation Park, Suite 201A, 175 Longwood Road South, Hamilton, ON L8P 0A1, Canada;Pan-American Health Organization/World Health Organization, Paramaribo, Suriname | |
| 关键词: Workplace health; Lifestyle; Chronic disease risk factors; Health and wellness; Truck drivers; | |
| Others : 1132762 DOI : 10.1186/1756-0500-7-297 |
|
| received in 2013-10-24, accepted in 2014-05-08, 发布年份 2014 | |
PDF
|
|
【 摘 要 】
Background
Truck driving is the second most common occupation among Canadian men. Transportation of goods via roads is of crucial importance for the Canadian economy. The industry is responsible annually for $17 billion in GDP and is projected to increase by 28% over the next 10 years. Recruitment is an issue with 20% of drivers projected to retire or leave the profession in the next 10 years. Despite the reliance on transport truck drivers for the delivery of goods which affects Canada’s economy and daily living of residents, little is known about the health care needs of this large cohort of primarily male lone workers from a drivers’ perspective. Transport truck drivers are independent workers whose non traditional workplace is their tractor, the truck stops and the journey on the road.
The objective of this study was to obtain a contextually informed description of lifestyle issues, health and disease risk factors experienced by drivers and perceived by their managers in the truck driving occupation.
Methods
Using a grounded theory approach, 4 focus groups were conducted with drivers (n = 16) and managers (n = 10) from two trucking companies in Southwestern Ontario to identify the lived experience of the drivers as it relates to preventable risks to health and wellness. A semi structured guided interview was used to explore the lifestyle context of transport truck driving and organizational aspects of the occupation (workplace culture, working conditions and health and wellness promotion).
Results
The predominant themes described stress, workplace, communication, lifestyle, driving culture, family, and fatigue concerns. In terms of the transportation work environment, drivers and managers were aware of the profession’s potential to foster lifestyle related chronic diseases but described challenges in making the profession more amenable to a healthy lifestyle.
Conclusions
Workplace environmental determinants are significant in shaping health behaviours. Chronic disease health risks were the main health concerns identified. Health risks were exacerbated by working conditions (job demands, work hours, financial pressure and the sedentary nature of the job). Workplace health strategies will need to take into account the unique challenges of the occupation.
【 授权许可】
2014 McDonough et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
|---|---|---|---|
| 20150304080358131.pdf | 195KB |
【 参考文献 】
- [1]Ontario Ministry of Transportation: Road Safety Annual Report (ORSAR). Toronto, Canada: Road Safety Program Office, Safety Policy & Education Branch; 2006.
- [2]Gill V, MacDonald A, Conference Board of Canada: Understanding the Truck Driver Supply and Demand Gap and Its Implications for the Canadian Economy. Toronto: Conference Board of Canada; 2013.
- [3]Statistics Canada: Labour (including labour market activity, industry and occupation). 2008. http://www.statcan.gc.ca/pub/71-222-x/2008001/sectione/e-jobs-professions-eng.htm webcite
- [4]Patel AV, Bernstein L, Deka A, Feigelson HS, Campbell PT, Gapstur SM, Colditz G, Thun M: Leisure time spent sitting in relation to total mortality in a prospective cohort of US adults. Am J Epidemiol 2010, 172(4):419-429.
- [5]Katzmarzyk PT, Church TS, Craig CL, Bouchard C: Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc 2009, 41(5):998-1005.
- [6]Marcinkiewicz A, Szosland D: Selected risk factors of diabetes mellitus among road transport drivers. Int J Occup Med Environ Health 2010, 23(20):175-180.
- [7]Dahl S, Kaerlev L, Jensen A, Tuchsen F, Hannerz H, Nielsen PS, Olsen J: Hospitalization for lifestyle related diseases in long haul drivers compared with other truck drivers and the working population at large. Work 2009, 33(3):345-353.
- [8]Bigert C, Gustavsson P, Hallgvist J, Hogstedt C, Lewne M, Plato N, Reuterwall C, Scheele P: Myocardial Infarction among professional drivers. Epidemiology 2003, 14(30):333-339.
- [9]Workplace Health and Safety Board (WSIB): Annual Report 2006. Toronto, Ontario; 2006.
- [10]Greene BL, Miller JD, Brown TM, Harshman RS, Richerson GT, Doyle JJ: Economic impact of the BP DownShift program on blood pressure control among commercial driver license employees. J Occup Environ Med 2009, 51(5):542-553.
- [11]Katzmarzyk P, Janessen I: The economic costs associated with physical inactivity and obesity in Canada: an update. Can J Appl Physiol 2004, 29(1):90-115.
- [12]Price Waterhouse Coopers: Building the Case for Wellness. England: London Price Waterhouse; 2008.
- [13]Anderson LM, Quinn TA, Glanz K, Ramirez G, Kahwati LC, Johnson DB, Buchanan LR, Archer R, Chattopadhyay S, Kalra GP, Katz D: The effectiveness of worksite nutrition and physical activity interventions for controlling employee overweight and obesity: a systematic review. Am J Prev Med 2009, 37(4):340-357.
- [14]Donorfio LKM, D’Ambrosio LA, Coughlin J, Mohyde M: Health, safety, self regulation and the older driver: It’s not just a matter of age. J Safety Res 2008, 3994:555-561.
- [15]Robinson CF, Burnett CA: Truck drivers and heart disease in the United States, 1979–1990. Am J Ind Med 2005, 47(2):113-119.
- [16]Solomon AJ, Doucette JT, Garland E, McGinn T: Healthcare and the long haul: Long distance truck drivers-a medically underserved population. Am J Ind Med 2004, 46(5):463-471.
- [17]Pope C, Mays N: Qualitative Research in Health Care 3rd edition. Oxford, UK: Blackwell Publishing, BMJ books; 2006.
- [18]Fereday J, Muir-Cochrane E: Demonstrating rigor using thematic analysis: a hybrid approach of inductive and deductive coding and theme development. Int J Qual Meth 2006, 5(1):2.
- [19]O’Neill M, Dupere S, Pederson A, Rootman I: Health Promotion in Canada: Critical Perspectives. 2nd edition. Toronto: Canadian Scholars Press; 2007:27.
- [20]Vollman AR, Anderson ET, McFarlane J: Canadian Community as Partner. New York: Lippincott Williams & Wilkins; 2004.
- [21]Apostolopoulos Y, Shattell MM, Sonmez S, Strack R, Haldeman L, Jones V: Active living in the trucking sector: Environmental barriers and health promotion strategies. J Phys Activ Health 2012, 9(2):259-269.
- [22]Ng MK, Yousej B, Bigelow P, VanErd D: A systematic Review of the Effectiveness of Health promotion programs for Truck Drivers 2012 unpublished document from School of Public Health and Health Systems of Waterloo.
- [23]Sorensen G, Stoddard A, Quintiliani L, Ebbeling C, Nagler E, Yang M, Periera L, Wallace L: Tobacco use cessation and weight management among motor freight workers: Results of the gear up for health study. Canc Causes Contr 2010, 21(12):2113-2122.
- [24]Apostolopoulos Y, Sonmez S, Shattell M, Belzer MH: Worksite induced morbidities of truck drivers in North America: a research meta-analysis of an underserved population. Am Assoc Occup Health Nurs J 2010, 58(7):285-296.
- [25]Conn VS, Hafdahl AR, Cooper PS, Brown LM, Lusk SL: Meta-analysis of workplace physical activity interventions. Am J Prev Med 2009, 37(4):330-339.
- [26]Shimotsu ST, French SA, Gerlach AF, Hannan PJ: Worksite environment physical activity and healthy food choices: Measurement of the worksite food and physical activity environment at four metropolitan bus garages. Int J Behav Nut Phys Act 2007, 4(17):1-8.
- [27]Apostolopoulos Y, Sonmez S, Shattell M, Haldeman L, Stack R, Jones V: Barriers to truck drivers’ health eating: environmental Influences and health promotion Strategies. J Workplace Behaviour Health 2011, 26:122-143.
- [28]Sieber WK, Robinson C, Birdsey J, Chen G, Hitchcock E, Lincoln J, Nakata A, Sweeney M: Obesity and other risk factors: the National Survey of U.S. Long-Haul Truck Driver Health and Injury. Am J Ind Med 2014, 1-12. doi:10.1002/ajim.22293. (online version)
- [29]Angeles R, McDonough B, Howard M, Dolovich L, Marzanek-Lefebvre F, Qian H, Riva JJ: Primary health care needs for a priority population: a survey of professional truck drivers. Work 2013, 00:1-7. doi:10:3233/WOR-131649.IOS press
PDF