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Author: Tangsangwornthamma, Chaturon
Resulting in 1 citation.
1. Tangsangwornthamma, Chaturon
Association of Injuries in Truck and Bus Drivers with Alcohol and Drug Misuse
M.P.H. Thesis, Department of Public Health, Icahn School of Medicine at Mount Sinai, 2017
Cohort(s): NLSY79
Publisher: ProQuest Dissertations & Theses (PQDT)
Keyword(s): Alcohol Use; Drug Use; Injuries; Job Hazards; Occupations; Substance Use

Permission to reprint the abstract has not been received from the publisher.

BACKGROUND: Truck and bus drivers face the possibility of serious injury and death from highway traffic incidents, particularly caused by alcohol and drug use. Previous studies have not yet demonstrated whether truck and bus drivers who have drinking patterns consistent with heavy drinking, alcohol dependence and prescription or recreational drug use have an increased injury experience.

METHODS: Using data from the National Longitudinal Survey of Youth 1979 (NLSY79), we performed a retrospective, longitudinal cohort study to quantify risk and patterns of injury in participants with a job that included truck and bus driver during 1992 to 2000. Proportional hazard regression was used to evaluate the risk of injury by alcohol and drug misuse status.

RESULTS: Study included 150 subjects, 18.7% reported an injury as a driver in the study period. Unadjusted Cox proportional regression analysis revealed that heavy drinkers were at slightly increased risk of injury (HR [95%CI] = 1.04 [0.46, 2.36]), but did not reach significance in unadjusted and adjusted analysis. For survival analysis, similar pattern of injuries were found among alcohol, prescribed painkillers and sedatives users compared to non-user subjects. Heroin use was the only variable strongly associated with injury (HR = 3.59 [1.07, 12.03]).

CONCLUSION: Heavy drinking, alcohol dependence, and prescription or recreational drug use were not significantly associated with injury among truck and bus drivers in a U.S. labor force sample, while heroin use appeared to increase the risk. Further research with a larger sample size is needed to support these results.

Bibliography Citation
Tangsangwornthamma, Chaturon. Association of Injuries in Truck and Bus Drivers with Alcohol and Drug Misuse. M.P.H. Thesis, Department of Public Health, Icahn School of Medicine at Mount Sinai, 2017.