Understanding health needs of professional truck drivers to inform health services: a pre-implementation qualitative study in a Canadian Province.
Health needs
Health services
Professional truck drivers
Qualitative method
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
10 Oct 2024
10 Oct 2024
Historique:
received:
05
03
2024
accepted:
03
10
2024
medline:
11
10
2024
pubmed:
11
10
2024
entrez:
10
10
2024
Statut:
epublish
Résumé
Long-haul truck drivers experience multiple challenges, including increased health risks. A large percentage of professional truck drivers (PTDs) suffer from numerous chronic physical health conditions such as obesity, hypertension, diabetes, heart disease, sleep disorders, etc.) as well as poor mental health and social challenges. Furthermore, this population experiences numerous barriers related to accessing health care services including primary care and resources to improve their health. PTDs living in rural and remote areas are at higher risk. The objective of this study is to understand the views of PTDs and the trucking industry on health and personalized healthcare interventions and services. In-depth semi-structured interviews were conducted with twenty-six individuals with contextual knowledge and experience in the trucking ecosystem, to better understand the needs, expectations, and preferences of PTDs based in New Brunswick (Canada), related to their health (physical, mental, and social). Analysis of the audiotape recording was conducted using thematic content analysis. Three major themes emerged from the qualitative analysis describing PTDs' health needs, existing health and preventive services, as well as recommendations for personalized healthcare interventions and services to be implemented: (1) "My life as a trucker!" Understanding needs and challenges, (2) "Taking care of myself, do you think it is easy while you're on the road?" Describing drivers and motivators for better health, and (3) "Can you hear what we need?" Translating needs into recommendations for tailored health services and preventative services. A highly demanding work environment and lack of timely access to integrated primary care negatively affect PTDs' health. Results of this study shed light on how to tailor primary care to improve its responsiveness and adequacy to PTDs' needs and realities. PTDs-sensitive integrated services, including multicomponent interventions (health education, coaching for lifestyle changes, and social support), are still lacking within the New Brunswick health system.
Identifiants
pubmed: 39390468
doi: 10.1186/s12889-024-20280-8
pii: 10.1186/s12889-024-20280-8
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2775Subventions
Organisme : Fondation de la recherche en santé du Nouveau-Brunswick
ID : 2017-HRSI-1420
Organisme : Fondation de la recherche en santé du Nouveau-Brunswick
ID : 2017-HRSI-1420
Organisme : Fondation de la recherche en santé du Nouveau-Brunswick
ID : 2017-HRSI-1420
Organisme : Fondation de la recherche en santé du Nouveau-Brunswick
ID : 2017-HRSI-1420
Organisme : Medavie Foundation NB
ID : 2018
Organisme : Medavie Foundation NB
ID : 2018
Informations de copyright
© 2024. The Author(s).
Références
Canadian Trucking Alliance. (2020, May 8). Thank a Trucker! – Updated May 8. https://cantruck.ca/thank-a-trucker/
Crizzle AM, Malik SS, Toxopeus R. The impact of COVID-19 on the work environment in long-haul truck drivers. J Occup Environ Med. 2021;63(12):1073–7. https://doi.org/10.1097/JOM.0000000000002379 .
doi: 10.1097/JOM.0000000000002379
pubmed: 34860203
pmcid: 8630933
Shattell M, Apostolopoulos Y, Sönmez S, Griffin M. Occupational stressors and the mental health of truckers. Issues Ment Health Nurs. 2010;31(9):561–8. https://doi.org/10.3109/01612840.2010.488783 .
doi: 10.3109/01612840.2010.488783
pubmed: 20701418
Apostolopoulos Y, Sönmez S, Shattell M, Haldeman L, Strack R, Jones V. Barriers to truck drivers’ healthy eating: environmental influences and health promotion strategies. J Workplace Behav Health. 2011;26(2):122–43. https://doi.org/10.1080/15555240.2011.573754 .
doi: 10.1080/15555240.2011.573754
Crizzle AM, Bigelow P, Adams D, Gooderham S, Myers AM, Thiffault P. Health and wellness of long-haul truck and bus drivers: a systematic literature review and directions for future research. J Transp Health. 2017;7:90–109. https://doi.org/10.1016/j.jth.2017.05.359 .
doi: 10.1016/j.jth.2017.05.359
Lemke MK, Oberlin DJ, Apostolopoulos Y, Hege A, Sönmez S, Wideman L. Work, physical activity, and metabolic health: understanding insulin sensitivity of long-haul truck drivers. Work: J Prev Assess Rehabilitation. 2021;69(1):225–33. https://doi.org/10.3233/WOR-213472 .
doi: 10.3233/WOR-213472
Government of Canada. (2023b, June 12). Commercial vehicle drivers hours of service regulation (SOR/2005 – 313). Justice Laws Website. https://laws-lois.justice.gc.ca/PDF/SOR-2005-313.pdf
Crizzle AM, Wawzonek PA, Bigelow PL. Health comparisons between Truck drivers and the General Population using the Canadian Community Health Survey. J Occup Environ Med. 2024;66(1):20–7. https://doi.org/10.1097/JOM.0000000000002988 . Epub 2023 Oct 2. PMID: 37800354.
doi: 10.1097/JOM.0000000000002988
pubmed: 37800354
Birdsey J, Sieber WK, Chen GX, Hitchcock EM, Lincoln JE, Nakata A, Robinson CF, Sweeney MH. National Survey of US Long-Haul Truck Driver Health and Injury: health behaviors. J Occup Environ Med. 2015;57(2):210-6. https://doi.org/10.1097/JOM.0000000000000338 . PMID: 25654523.
Apostolopoulos Y, Sönmez S, Shattell MM, Belzer M. Worksite-induced morbidities among truck drivers in the United States. AAOHN Journal: Official J Am Association Occup Health Nurses. 2010;58(7):285–96. https://doi.org/10.3928/08910162-20100625-01 .
doi: 10.3928/08910162-20100625-01
Government of Canada. (2023a, May 4). Canada’s health care system. https://www.canada.ca/en/health-canada/services/canada-health-care-system.html#a1
Canadian TA. (2021, June 8). Platform provides free mental health services during pandemic. https://cantruck.ca/platform-provides-free-mental-health-services-during-pandemic/
Johnson JK, Terry AL, Vingilis E. Providing healthcare and fitness to drive assessments for long-haul truck drivers: a qualitative study of family physicians and nurse practitioners. J Transp Health. 2021;24:101324. https://doi.org/10.1016/j.jth.2021.101324 .
doi: 10.1016/j.jth.2021.101324
Apostolopoulos Y, Sönmez S, Shattell MM, Gonzales C, Fehrenbacher C. Health survey of U.S. long-haul truck drivers: work environment, physical health, and healthcare access. Work. 2013;46(1):113 – 23. https://doi.org/10.3233/WOR-121553 . PMID: 23324711.
Goldstein AO. Affordable care? Ann Fam Med. 2015;13(4):370–2. https://doi.org/10.1370/afm.1806 .
doi: 10.1370/afm.1806
pubmed: 26195685
pmcid: 4508181
Shattell M, Apostolopoulos Y, Collins C, Sönmez S, Fehrenbacher C. Trucking Organization and Mental Health Disorders of Truck Drivers. Issues Ment Health Nurs. 2012;33(7):436–44. https://doi.org/10.3109/01612840.2012.665156 .
doi: 10.3109/01612840.2012.665156
pubmed: 22757596
Staško JC, Neale AV. Health care risks and access within the community of Michigan over-the-road truckers. Work: J Prev Assess Rehabilitation. 2007;29(3):205–11.
Angeles R, McDonough B, Howard M, et al. Primary health care needs for a priority population: a survey of professional truck drivers. Work. 2014;49:175–81.
doi: 10.3233/WOR-131649
pubmed: 23803430
Krueger G, Brewster R, Dick V, Inderbitzen RE, Staplin LK. Health and wellness programs for commercial drivers. Commercial Truck Bus Saf Synthesis Program. 2007;15:88. https://doi.org/10.17226/23161 .
doi: 10.17226/23161
Ng MK, Yousuf B, Bigelow PL, Van Eerd D. Effectiveness of health promotion programmes for truck drivers: a systematic review. Health Educ J. 2015;74(3):270–86. https://doi.org/10.1177/0017896914533953 .
doi: 10.1177/0017896914533953
Johnson JK, Vingilis E, Terry AL. Qualitative Study of Long-Haul Truck Drivers’ Health and Healthcare Experiences. J Occup Environ Med. 2021;63(3):230–237. https://doi.org/10.1097/JOM.0000000000002107 . PMID: 33652446.
Creswell JW, Poth CN. Qualitative inquiry and research design. 4th ed. Thousand Oaks, CA: Sage; 2018.
Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334–40.
doi: 10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G
pubmed: 10940958
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19:349–57. https://doi.org/10.1093/intqhc/mzm042 .
doi: 10.1093/intqhc/mzm042
pubmed: 17872937
Kite ME, Whitley BE, Kraus R. Non-judgmental attitude in qualitative research. Principles of research in behavioral science. Routledge; 2018. pp. 531–66.
Gwet KL. Handbook of inter-rater reliability: the definitive guide to measuring the extent of agreement among raters. 4th ed. Advanced Analytics: LLC,; 2014.
Miles MB, Huberman AM, Saldana J. (2019). Qualitative Data Analysis: A Methods Sourcebook. London: Sage. 4th edition. 408 Pages. https://doi.org/150635307X.
Thiese M, Hanowski R, Moffitt G, Kales S, Porter R, Ronna B, Hartenbaum N, Hegmann K. A retrospective analysis of cardiometabolic health in a large cohort of truck drivers compared to the American working population. Am J Ind Med. 2017;61. https://doi.org/10.1002/ajim.22795 .
Schroeder S, Tan CM, Urlacher B, Heitkamp T. The role of rural and Urban Geography and gender in Community Stigma around Mental Illness. Health Educ Behav. 2021;48(1):63–73. Epub 2020 Nov 20. PMID: 33218261.14.
doi: 10.1177/1090198120974963
pubmed: 33218261
Vahdat S, Hamzehgardeshi L, Hessam S, Hamzehgardeshi Z. Patient involvement in Health Care decision making: a review. Iran Red Crescent Med J. 2014;16(1):e12454. https://doi.org/10.5812/ircmj.12454 .
doi: 10.5812/ircmj.12454
pubmed: 24719703
pmcid: 3964421
Heaton K, Combs B, Griffin R. Truck Drivers’ Use of the Internet: A Mobile Health Lifeline. Workplace Health Saf. 2017;65(6):240–247. doi: 10.1177/2165079916665401. Epub 2016 Nov 2. PMID: 27807256 32.
Snyder P, Carbone E, Heaton K, Hammond S. Program evaluation of fit to Pass
doi: 10.1177/21650799231193587
pubmed: 37646375