AI Article Synopsis

  • Sleepiness is a significant risk factor for road accidents but has been overlooked in low- and middle-income countries like Fiji, where the study was conducted.
  • A survey of 752 drivers on Viti Levu revealed that 17% of them were not fully alert while driving, with notably higher rates of sleepiness among younger drivers aged 15-24.
  • The findings suggest that addressing sleep-related issues among drivers could help reduce road traffic injuries in Fiji and similar regions.

Article Abstract

Introduction: Sleepiness has been shown to be a risk factor for road crashes in high-income countries, but has received little attention in low- and middle-income countries. We examined the prevalence of sleepiness and sleep-related disorders among drivers of four-wheel motor vehicles in Fiji.

Method: Using a two-stage cluster sampling roadside survey conducted over 12 months, we recruited a representative sample of people driving four-wheel motor vehicles on the island of Viti Levu, Fiji. A structured interviewer-administered questionnaire sought self-report information on driver characteristics including sleep-related measures.

Results: The 752 motor vehicle drivers recruited (84% response rate) were aged 17-75 years, with most driving in Viti Levu undertaken by male subjects (93%), and those identifying with Indian (70%) and Fijian (22%) ethnic groups. Drivers who reported that they were not fully alert accounted for 17% of driving, while a further 1% of driving was undertaken by those who reported having difficulty staying awake or feeling sleepy. A quarter of the driving time among 15-24-year-olds included driving while sleepy or not fully alert, with a similar proportion driving while chronically sleep deprived (ie, with less than five nights of adequate sleep in the previous week=27%). Driving while acutely or chronically sleep deprived was generally more common among Fijians compared with Indians.

Conclusions: Driving while not fully alert is relatively common in Fiji. Sleepiness while driving may be an important contributor to road traffic injuries in this and other low- and middle-income countries.

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Source
http://dx.doi.org/10.1136/injuryprev-2012-040570DOI Listing

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