Prevalence and factors associated with road traffic crashes among truck drivers in Southeast Iran

Habybabady, Raheleh Hashemi; Okati-Aliabad, Hassan; Sabouri, Mohammad; Mohammadi, Mahdi; Ansari-Moghaddam, Alireza · 2025 · PLOS One

DOI: 10.1371/journal.pone.0320974

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11981204/pdf/

archive: archived pipeline: cataloged verified

Summary

Cross-sectional questionnaire study of N=592 truck drivers in southeast Iran (multi-stage sampling, Nov 2022–Feb 2023, mean age 37.4 ± 8.9 yr, mean driving history 13.7 ± 7.6 yr) examining the prevalence and risk factors for road traffic crashes (RTCs) over the previous 3 years. 28.4% reported a crash in the prior 3 years (12.1% one, 10% two, 6.3% three or more); 24.2% reported a lifetime sleep-related crash, 40.5% a fatigue-related crash, and 6.9% a fatal crash. Forty-two percent of crashes occurred between midnight and 6 a.m. Multiple logistic regression identified independent predictors of RTC involvement: drug use (OR 2.03), texting on a mobile (OR 2.88), seat-belt non-use (OR 1.81), accumulated traffic fines (OR 8.18–17.78 in dose-response), sleeping pills (OR 2.52), sleep-driving (OR 11.30), ≥8 consecutive driving hours without break (OR 3.02), fatigue while driving (OR 1.98), high visual demand (OR 1.23), and higher neuroticism (OR 1.05).

Key finding

Iranian truck drivers' 3-year crash prevalence is 28.4%, with sleep-driving (OR 11.3), texting (OR 2.88), drug use (OR 2.03), and prior fines (OR up to 17.8) the strongest independent predictors (N=592).

Methodology

secondary_analysis

Sample size: 592

Quality score: 5 / 5

Topics