Associations between taxi drivers' aggressive driving behavior and sleep, cognition, and psychological factors: negative binomial regression analysis.

Aggressive driving behavior is a significant predictor of traffic accidents. In particular, the driving behavior of taxi drivers is a critical issue that can impact the safety of both drivers and passengers. This study explored the sleep, cognitive, and psychological factors associated with taxi drivers' aggressive driving behavior. In this descriptive study, a self-report questionnaire was distributed to taxi drivers in Seoul and Gyeonggi Province from August 22 to December 30, 2022. In all, 992 respondents were analyzed using negative binomial regression. The mean score for aggressive driving behavior among taxi drivers was 13.76 ± 11.47, with sub-scores of 3.46 ± 3.48 for lapse, 3.31 ± 3.16 for error, and 6.99 ± 5.76 for violation. Contributing factors included sleep disorders, cognitive decline, and psychological factors. A higher score for aggressive driving behavior was associated with an increased severity of insomnia and daytime sleepiness, higher rates of cognitive failure, and elevated levels of depression and stress. Our findings highlight the importance of addressing the sleep, cognitive, and psychological factors associated with aggressive driving behaviors among taxi drivers. Further study is needed to evaluate the causal relationship. In addition, it is imperative to develop educational programs and interventions to manage these issues effectively.