title: Cardiovascular Risk Factors of Taxi Drivers.
abstract: In the United States (U.S.), cardiovascular disease (CVD) is a major leading cause of death. Despite the high mortality rate related to CVD, little is known about CVD risk factors among urban taxi drivers in the U.S. A cross-sectional design was used to identify the predictors of high cardiovascular risk factors among taxi drivers. Convenience sampling method was used to recruit 130 taxi drivers. A structured questionnaire was used to obtain the data. The sample was male (94 %), age mean (45 ± 10.75) years, married (54 %), born outside of the USA (55 %), had some college or below (61.5 %), night drivers (50.8 %), and driving on average 9.7 years and 41 h/week. About 79 % of them were eligible for CVD prevention, and 35.4 % had high CVD risk factors (4-9 risk factors). A CVD high-risk profile had a significant relationship with the subjects who were ≥55 years old; had hypertension, diabetes, or hyperlipidemia; were drinking alcohol ≥2 times/week; and had insufficient physical activity. Subjects who worked as a taxi driver for more than 10 years (OR 4.37; 95 % CI 1.82, 10.50) and had mental exertion from cab driving >5 out of 10 (OR 2.63; 95 % CI 1.05, 6.57) were more likely to have a CVD high-risk profile. As a conclusion, system-level or worksite interventions include offering healthy food at taxi dispatching locations, creating a work culture of frequent walking breaks, and interventions focusing on smoking, physical activity, and weight management. Improving health insurance coverage for this group of workers is recommended.
authors.affiliation: Department of Medical and Surgical Nursing, College of Nursing, Taibah University, Medina, Saudi Arabia. rshatarat@taibahu.edu.sa.
authors.forename: Rami Azmi
authors.initials: RA
authors.lastname: Elshatarat
authors.affiliation: Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA, USA.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Burgel
mesh_terms: D000328:Adult; D001334:Automobile Driving; D002318:Cardiovascular Diseases / Q000209:etiology*; D003132:Commerce; D003430:Cross-Sectional Studies; D005260:Female; D017144:Focus Groups; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D012307:Risk Factors; D012495:San Francisco
keywords: Cardiovascular disease; Health promotion; Occupational health; Risk factors; San Francisco drivers; Urban taxi drivers