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Factors Associated With Truck Crashes in a Large Cross Section of Commercial Motor Vehicle Drivers

Thiese, Matthew S. PhD, MSPH; Ott, Ulrike PhD, MSPH; Robbins, Riann BS; Effiong, Atim MPH; Murtaugh, Maureen PhD, MS; Lemke, Melissa R. MS; Deckow-Schaefer, Gwen OT; Kapellusch, Jay PhD; Wood, Eric MD, MPH; Passey, Deborah BS; Hartenbaum, Natalie MD, MPH; Garg, Arun PhD; Hegmann, Kurt T. MD, MPH


Table 5 was omitted from the article that appeared on page 1098 of the October issue. The article has been corrected and replaced online. The publisher regrets the error.

Journal of Occupational and Environmental Medicine. 57(12):e161, December 2015.

Journal of Occupational and Environmental Medicine: October 2015 - Volume 57 - Issue 10 - p 1098–1106
doi: 10.1097/JOM.0000000000000503

Objective: This large, cross-sectional study calculated prevalence of disorders and assessed factors associated with self-reported lifetime crashes.

Methods: Truck drivers (n = 797) completed computerized questionnaires reporting crashes, demographics, psychosocial factors, and other elements, as well as had taken measurements (eg, height, weight, serum, and blood pressure).

Results: Most drivers were male (n = 685, 85.9%), and the mean body mass index was 32.9 ± 7.5 kg/m2 with 493 (61.9%) being obese. Many drivers (n = 326, 39.9%) experienced at least one, with 132 (16.6%) having multiple, lifetime, reportable crashes. Many factors were associated with crashes, including increasing age, increasing truck driving experience, male sex, alcohol, low back pain, heart disease, and feeling tense. The most consistent associations with crashes were pulse pressure, cell phone use, and feeling physically exhausted after work.

Conclusions: Modifiable factors associated with self-reported crashes were identified. These suggest targeted interventions may reduce risks of crashes.

Rocky Mountain Center for Occupational and Environmental Health (Drs Thiese, Ott, Wood, and Hegmann, Mss Robbins, Effiong, and Passey), Department of Family & Preventive Medicine; Associate Professor (Dr Murtaugh), Division of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City; Department of Industrial & Manufacturing Engineering (Ms Lemke, Dr Kapellusch, Dr Garg, and Ms Deckow-Schaefer), Center for Ergonomics, University of Wisconsin–Milwaukee; and Occumedix, Inc (Dr Hartenbaum), Dresher, Pa.

Address correspondence to: Matthew S. Thiese, PhD, MSPH, Rocky Mountain Center for Occupational and Environmental Health, Department of Family & Preventive Medicine, University of Utah School of Medicine, 391 Chipeta Way, Ste C, SLC, UT 84108 (

This research was supported in part by a grant from the Centers for Disease Control and Prevention (NIOSH), 1R01OH009155--01.

Natalie Hartenbaum is President of Occumedix, Review Officer/Medical Advisor for Occupational Health of FirstLab, Medical Director for Sunoco, Inc, and Medical Director of the Federal Reserve Bank of Philadelphia.

Kurt Hegmann and Matthew S. Thiese are consultants for ACOEM.

The other authors declared no potential conflicts of interest.

Copyright © 2015 by the American College of Occupational and Environmental Medicine