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Myocardial infarction among professional drivers.

Carolina Bigert1, Per Gustavsson, Johan Hallqvist

  • 1Department of Occupational and Environmental Health, Stockholm Center of Public Health, Sweden. carolina.bigert@smd.sll.se

Epidemiology (Cambridge, Mass.)
|July 16, 2003
PubMed
Summary

Professional drivers face higher myocardial infarction risks. Unfavorable lifestyle and social factors contribute, particularly for bus and taxi drivers, with the work environment also playing a role.

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Area of Science:

  • Occupational Health
  • Cardiovascular Epidemiology
  • Public Health

Background:

  • Professional drivers exhibit an elevated risk of myocardial infarction (MI).
  • The specific etiological factors contributing to this increased MI risk remain unclear.

Purpose of the Study:

  • To investigate the causes of increased myocardial infarction risk in professional drivers.
  • To differentiate risk factors among bus, taxi, and truck drivers.

Main Methods:

  • A case-control study was conducted in Stockholm County, Sweden, involving men aged 45-70 years.
  • 1067 myocardial infarction cases and 1482 controls were analyzed using questionnaire data.
  • Odds ratios (ORs) were calculated, adjusting for lifestyle, socioeconomic, and clinical risk factors.

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Main Results:

  • Crude ORs for MI were elevated across driver groups: bus (2.14), taxi (1.88), and truck (1.66).
  • Adjusted ORs decreased but remained significant for bus (1.49) and taxi (1.34) drivers.
  • Job strain had a minor impact; duration of work showed an exposure-response pattern for bus and taxi drivers.

Conclusions:

  • Lifestyle and social factors partially explain the elevated MI risk in bus and taxi drivers.
  • The work environment may contribute to the increased risk for these drivers.
  • Individual risk factors accounted for most of the elevated risk observed in truck drivers.