Exploring knowledge and attitudes of taxi drivers with regard to obstructive sleep apnoea syndrome

To examine the attitudes of taxi drivers towards symptoms of obstructive sleep apnoea syndrome (OSAS), and to determine whether these attitudes could influence their health and safety as a professional driver.

Qualitative research based on three focus groups conducted in Wellington, New Zealand. Participants were 27 taxi drivers who had a high pre-test risk for obstructive sleep apnoea. Assignment to focus groups was based on self-identification as being Maori and Pacific peoples, New Zealand European, or non-Maori and non-Pacific.

Participants described avoidance of health issues and dissatisfaction with their general practitioners. These attitudes were attributable to: (i) lack of knowledge, (ii) deliberate avoidance, and (iii) fear of loss of employment and income.

The attitudes and level of knowledge of the focus group participants lead us to make the following recommendations. Drivers need systematic education about the effects of insufficient sleep and of OSAS on driving skills and safety. Taxi managers and drivers should cooperate to develop and implement safe driving policies to manage driver fatigue. Clear guidelines are need for drivers, managers, and healthcare professionals on the diagnosis and treatment of sleep disorders among drivers, and their potential consequences for driver licensing.