title: Healthcare and the long haul: Long distance truck drivers--a medically underserved population.
abstract: BACKGROUND
  Long distance trucking is associated with significant health risks. However, to our knowledge no published data exist regarding healthcare service access by the estimated two million long-haul truckers in the United States.
  
  
  METHODS
  A cross-sectional study was designed to assess access to healthcare among these workers. Five hundred-twenty-one anonymous self-administered surveys were completed at 16 truck stops in 14 states from July through August 2002.
  
  
  RESULTS
  Forty-seven percent of those surveyed lack a regular healthcare provider, 20% frequent emergency rooms and urgent care centers, 32% were unable to receive needed healthcare within the last year, and 56% had difficulty utilizing healthcare services at home. Individuals lacking health insurance (31%) experienced more difficulty with healthcare access than the insured within the last year, were more often without a regular provider (P = 0.002 and P < 0.001), and utilized urgent care centers and emergency rooms more often than the insured (25 vs. 17%).
  
  
  CONCLUSIONS
  Long distance truck drivers are at risk for poor health outcomes and experience significant difficulty accessing healthcare services. Further studies concerning how to best provide healthcare to this vulnerable, underserved population are needed.
authors.affiliation: Department of Medical Education, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, New York 10029-6574, USA. Andrew.Solomon@mssm.edu
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Solomon
authors.forename: John T
authors.initials: JT
authors.lastname: Doucette
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Garland
authors.forename: Thomas
authors.initials: T
authors.lastname: McGinn
mesh_terms: D000328:Adult; D000368:Aged; D001334:Automobile Driving / Q000706:statistics & numerical data*; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D017057:Medically Uninsured / Q000706:statistics & numerical data; D008875:Middle Aged; D018986:Motor Vehicles; D009784:Occupational Diseases / Q000453:epidemiology; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology