History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study

BackgroundSleep difficulties among professional drivers are a major concern for health and safety as they can be associated with increased tiredness while driving and can be related to an increased risk of accidents. Several lifestyle-related risk factors can have an important impact on sleep. This...

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Main Authors: Lucia Palandri, Elena Righi, Patrizia Melloni, Fabriziomaria Gobba, Federico Ricci, Alberto Modenese
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1658465/full
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author Lucia Palandri
Lucia Palandri
Elena Righi
Elena Righi
Patrizia Melloni
Fabriziomaria Gobba
Federico Ricci
Alberto Modenese
Alberto Modenese
author_facet Lucia Palandri
Lucia Palandri
Elena Righi
Elena Righi
Patrizia Melloni
Fabriziomaria Gobba
Federico Ricci
Alberto Modenese
Alberto Modenese
author_sort Lucia Palandri
collection DOAJ
description BackgroundSleep difficulties among professional drivers are a major concern for health and safety as they can be associated with increased tiredness while driving and can be related to an increased risk of accidents. Several lifestyle-related risk factors can have an important impact on sleep. This study aims to investigate whether a history of work accidents or near misses is associated with abnormal sleepiness among a sample of Italian professional drivers, considering individual and occupational factors that may influence this relationship.MethodsFrom 2018 to 2022, we conducted a cross-sectional study recruiting professional drivers attending mandatory health and safety training courses in accordance with Italian legislation. Participants completed a six-section questionnaire including personal information, sleep-related difficulties, occupational data, habits, history of accidents and near misses, and the Epworth Sleepiness Scale (ESS). We used multiple logistic regression models to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for abnormal sleepiness.ResultsThe sample comprised 884 workers, predominantly male (99%), with mean age 49.4 years. Our study showed associations between several risk factors and excessive sleepiness. Consuming alcohol showed an increased probability of higher ESS scores. Similarly, snoring and having a history of occupational accidents or near misses showed increased probability of abnormal sleepiness.ConclusionThis study suggests a potential association between a history of near misses and abnormal sleepiness among professional drivers. The observed relationship underscores the need to address underlying sleep disorders, such as undiagnosed sleep apnea, which may contribute to excessive sleepiness and compromised safety. Drivers with a history of work accidents or near misses should be considered for screening programs targeting abnormal sleepiness, as these events may serve as early warning signs. Educational interventions to raise awareness and promote better sleep hygiene among this at-risk group could play a crucial role in improving both occupational health and road safety. Despite limitations inherent to self-reported data, our findings offer valuable insights for targeted prevention strategies.
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spelling doaj-art-db62012e42244432b73213c47cf00d492025-07-17T05:25:38ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.16584651658465History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional studyLucia Palandri0Lucia Palandri1Elena Righi2Elena Righi3Patrizia Melloni4Fabriziomaria Gobba5Federico Ricci6Alberto Modenese7Alberto Modenese8Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, ItalyStudio Specialistico di Medicina del Lavoro, Poviglio, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, ItalyClinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, Modena, ItalyBackgroundSleep difficulties among professional drivers are a major concern for health and safety as they can be associated with increased tiredness while driving and can be related to an increased risk of accidents. Several lifestyle-related risk factors can have an important impact on sleep. This study aims to investigate whether a history of work accidents or near misses is associated with abnormal sleepiness among a sample of Italian professional drivers, considering individual and occupational factors that may influence this relationship.MethodsFrom 2018 to 2022, we conducted a cross-sectional study recruiting professional drivers attending mandatory health and safety training courses in accordance with Italian legislation. Participants completed a six-section questionnaire including personal information, sleep-related difficulties, occupational data, habits, history of accidents and near misses, and the Epworth Sleepiness Scale (ESS). We used multiple logistic regression models to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for abnormal sleepiness.ResultsThe sample comprised 884 workers, predominantly male (99%), with mean age 49.4 years. Our study showed associations between several risk factors and excessive sleepiness. Consuming alcohol showed an increased probability of higher ESS scores. Similarly, snoring and having a history of occupational accidents or near misses showed increased probability of abnormal sleepiness.ConclusionThis study suggests a potential association between a history of near misses and abnormal sleepiness among professional drivers. The observed relationship underscores the need to address underlying sleep disorders, such as undiagnosed sleep apnea, which may contribute to excessive sleepiness and compromised safety. Drivers with a history of work accidents or near misses should be considered for screening programs targeting abnormal sleepiness, as these events may serve as early warning signs. Educational interventions to raise awareness and promote better sleep hygiene among this at-risk group could play a crucial role in improving both occupational health and road safety. Despite limitations inherent to self-reported data, our findings offer valuable insights for targeted prevention strategies.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1658465/fullwork accidentsnear missprofessional driversEpworth Sleepiness Scalesleep
spellingShingle Lucia Palandri
Lucia Palandri
Elena Righi
Elena Righi
Patrizia Melloni
Fabriziomaria Gobba
Federico Ricci
Alberto Modenese
Alberto Modenese
History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
Frontiers in Public Health
work accidents
near miss
professional drivers
Epworth Sleepiness Scale
sleep
title History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
title_full History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
title_fullStr History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
title_full_unstemmed History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
title_short History of occupational accidents and near misses and sleepiness in Italian professional drivers: a cross-sectional study
title_sort history of occupational accidents and near misses and sleepiness in italian professional drivers a cross sectional study
topic work accidents
near miss
professional drivers
Epworth Sleepiness Scale
sleep
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1658465/full
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