Preventing Work Injuries and Chronic Illnesses in Truckers

描述（由申请人提供）：这项针对商用卡车司机的研究将通过以下方式解决健康状况不佳、受伤、慢性病和疾病的预防问题：目的（1）从来自2个不同州的许多公司的横断面研究中，确定1,000名商用卡车司机中这些问题的风险因素和患病率，目的（2）将最新的商业驾驶员体检（CDME）结果与其他问题、血液检查和尿液分析进行比较，以了解CDME的潜在改进，目的（3）开发和试点测试卡车驾驶员健康促进计划（工作场所健康，长途饮食和锻炼，轮子）。这项研究旨在强调缩短卡车司机职业生涯的因素，导致缩短CDL认证（最长< 2年），并提供机动车碰撞和其他伤害的风险。目标1。我们正在调查的问题范围包括驾驶员限制的最常见原因：糖尿病，肥胖，缺乏身体活动，高血压，血脂异常，心血管疾病，烟草使用，睡眠障碍，腰痛以及非处方药和处方药的使用。方法包括小组电子问卷调查;测量身高、体重、血压、心率、颈/胸/腰/臀围、尿分析和空腹血糖、血红蛋白A1 c、血脂和高敏C反应蛋白的血液检测。问题包括自我报告的机动车事故、险些发生的事故和事故记录。巢式病例对照研究将评估振动暴露（随机选择50例有腰痛的病例和100例无腰痛的对照）。目标二。每例受试者的最新CDME信息将由一个设盲的医生小组进行评价，以分类认证状态。他们还将根据本研究的整个结果组合中的所有测量结果对CDME状态进行单独分类。这些因素被认为是最重要的改变认证状态将是最高的候选人的建议，以改善CDME。目标3：焦点小组、问卷调查和卡车停靠站访问将用于制定WHEEL计划，该计划旨在考虑这些工人的独特需求，包括那些排除或缩短认证的风险因素和疾病，以减轻体重。WHEEL将在35名卡车司机身上进行试点测试，以确定是否接受，并确定全面干预设计的效应大小。

DESCRIPTION (provided by applicant): This study of commercial truck drivers will address the prevention of poor health status, injuries, chronic illnesses and diseases by: Aim (1) identifying risk factors and prevalence of these problems among 1,000 commercial truck drivers from a cross sectional study drawn from many companies in 2 diverse states, Aim (2) comparing the most recent Commercial Driver Medical Examination (CDME) results with additional questions, blood tests and urinalyses for potential improvements in the CDME, and Aim (3) developing and pilot-testing a truck driver health promotion program (Worksite Health, Eating and Exercising for the Long Haul, WHEEL). This study is designed to emphasize the factors that shorten truck driver's careers, result in shortened CDL certifications (< 2-year max.), and provide risks for motor vehicle crashes and other injuries. Aim 1. The spectrum of problems we are investigating includes the most common reasons for driver restrictions: diabetes mellitus, obesity, physical inactivity, hypertension, dyslipidemia, cardiovascular disease, tobacco use, sleep disorders, low back pain and over the counter and prescription medication use. Methods will include electronically administered questionnaires in small groups; measured height, weight, blood pressure, heart rate, neck/chest/waist/hip circumferences, urinalyses, and blood testing for fasting glucose, hemoglobin A1c, lipid profile, and highly sensitive C-reactive protein. Questions include self reported motor vehicle crashes, near-miss crashes, and records of crashes. A nested case-control study will assess vibration exposures (random selection of 50 cases with and 100 controls without low back pain). Aim 2. Each subject's most recent CDME information will be evaluated by a blinded panel of physicians to categorize certification status. They will also separately categorize the CDME status based upon all measures from the entire battery of results from this study. Those factors found to be most important in changing certification status will be the highest candidates for recommendations to improve the CDME. Aim 3. Focus groups, questionnaires and truck stop visits will be used to develop the WHEEL program aimed at weight reduction considering the unique needs of these workers, including those risk factors and illnesses that preclude or shorten certifications. WHEEL will be pilot-tested on 35 truck drivers for acceptance and to determine effect size for design of a full intervention.