Preventing Work Injuries and Chronic Illnesses in Truckers

预防卡车司机的工伤和慢性病

• 批准号: 7490631
• 负责人: KURT HEGMANN
• 金额: $ 29.75万
• 依托单位: UNIVERSITY OF UTAH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-01 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7490631
• 关键词: Preventing; Work; Injuries; Chronic; Illnesses

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.

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预防不良健康状况、伤害、慢性病和疾病：目的(1)从两个不同州的多家公司进行横断面研究，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)将最新的商业司机体检结果与其他问题、血液测试和尿液分析进行比较，以潜在地改善CDME，以及Aim(3)开发和试点测试卡车司机健康促进计划(工作场所健康，长途饮食和锻炼，车轮)。这项研究旨在强调缩短卡车司机职业生涯的因素，导致CDL证书缩短(最多两年)，并为机动车碰撞和其他伤害提供风险。目的1.我们正在调查的一系列问题包括限制驾驶的最常见原因：糖尿病、肥胖、缺乏体力活动、高血压、血脂异常、心血管疾病、吸烟、睡眠障碍、下腰痛和非处方药的使用。方法将包括以小组形式进行电子问卷调查；测量身高、体重、血压、心率、颈部/胸部/腰围/臀围、尿液分析，以及空腹血糖、血红蛋白A1c、血脂和高敏C反应蛋白的血液测试。问题包括自己报告的机动车撞车事故、险些发生的撞车事故和撞车记录。一项嵌套的病例对照研究将评估振动暴露(随机选择50名有腰痛的患者和100名无下腰痛的对照组)。目标2.每个受试者的最新CDME信息将由一个盲目的医生小组进行评估，以对认证状态进行分类。他们还将根据整个研究结果的所有衡量标准对CDME状态进行单独分类。那些被认为是改变认证地位最重要的因素将是改进CDME的建议的最高候选者。目标3.将利用焦点小组、问卷调查和卡车停靠站访问来制定旨在减轻体重的车轮计划，考虑到这些工人的独特需求，包括那些阻碍或缩短认证的风险因素和疾病。车轮将在35名卡车司机身上进行先导测试，以进行验收并确定完全干预设计的影响大小。