PMID- 29088276
OWN - NLM
STAT- MEDLINE
DCOM- 20171113
LR  - 20181113
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 10
DP  - 2017
TI  - Insomnia is associated with road accidents. Further evidence from a study on 
      truck drivers.
PG  - e0187256
LID - 10.1371/journal.pone.0187256 [doi]
LID - e0187256
AB  - BACKGROUND: Sleep-related problems are known risk factors for road accidents. 
      However, very few studies have investigated the role played by insomnia and its 
      components, and no data are available for a population of occupational drivers at 
      risk, such as the truck driver category. OBJECTIVE: To measure the prevalence and 
      impact of insomnia on motor vehicle accidents (MVAs) and near-miss accidents 
      (NMAs) in 949 truck drivers. DESIGN: Cross-sectional survey. RESULTS: Insomnia 
      affected 27.5% of the sample. Compared to other drivers, in the 3 years prior to 
      the study, truck drivers with insomnia had reported a significantly higher number 
      of MVAs; they had also reported a greater number of NMAs in the previous 6 
      months. After correction for the presence of obstructive sleep apnea, excessive 
      daytime sleepiness, short sleep duration, and other concurrent diseases, 
      insomniac truck drivers had an almost two-fold risk of driving accidents (OR: 
      1.82, CI 95%:1.33-2.49) and a more than three-fold increased risk of near-miss 
      accidents (OR: 3.35, CI95%:2.06-5.45) compared to non-insomniac drivers. 
      CONCLUSION: Insomnia emerged as an independent risk factor for MVAs and NMAs. We 
      strongly advise screening commercial drivers for signs and symptoms of insomnia 
      in order to improve health and safety on the road.
FAU - Garbarino, Sergio
AU  - Garbarino S
AD  - Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and 
      Maternal/Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
AD  - Department of Health Sciences, Postgraduate School in Occupational Medicine, 
      University of Genoa, Genoa, Italy.
FAU - Magnavita, Nicola
AU  - Magnavita N
AUID- ORCID: 0000-0002-0988-7344
AD  - Occupational Health Unit, Institute of Public Health, Universita Cattolica del 
      Sacro Cuore, Rome, Italy.
FAU - Guglielmi, Ottavia
AU  - Guglielmi O
AD  - Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and 
      Maternal/Child Sciences (DINOGMI), University of Genoa, Genoa, Italy.
FAU - Maestri, Michelangelo
AU  - Maestri M
AD  - Neurology Unit, Department of Clinical and Experimental Medicine, University of 
      Pisa, Pisa, Italy.
FAU - Dini, Guglielmo
AU  - Dini G
AD  - Department of Health Sciences, Postgraduate School in Occupational Medicine, 
      University of Genoa, Genoa, Italy.
AD  - Occupational Medicine Unit, Ospedale Policlinico San Martino, Genoa, Italy.
FAU - Bersi, Francesca Maria
AU  - Bersi FM
AD  - Department of Health Sciences, Postgraduate School in Occupational Medicine, 
      University of Genoa, Genoa, Italy.
AD  - Occupational Medicine Unit, Ospedale Policlinico San Martino, Genoa, Italy.
FAU - Toletone, Alessandra
AU  - Toletone A
AD  - Department of Health Sciences, Postgraduate School in Occupational Medicine, 
      University of Genoa, Genoa, Italy.
FAU - Chiorri, Carlo
AU  - Chiorri C
AD  - Department of Educational Sciences, University of Genoa, Genoa, Italy.
FAU - Durando, Paolo
AU  - Durando P
AD  - Department of Health Sciences, Postgraduate School in Occupational Medicine, 
      University of Genoa, Genoa, Italy.
AD  - Occupational Medicine Unit, Ospedale Policlinico San Martino, Genoa, Italy.
LA  - eng
PT  - Journal Article
DEP - 20171031
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Accidents, Traffic/psychology/*statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Automobile Driving/psychology/statistics & numerical data
MH  - Cross-Sectional Studies
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Motor Vehicles/statistics & numerical data
MH  - Occupational Diseases/complications/epidemiology
MH  - Prevalence
MH  - Risk Factors
MH  - Sleep Initiation and Maintenance Disorders/*complications/epidemiology/psychology
MH  - Surveys and Questionnaires
MH  - Young Adult
PMC - PMC5663450
COIS- Competing Interests: The study was funded by CNH Iveco Industrial Corporation. 
      This commercial funder had no role in study design, data collection and analysis, 
      decision to publish, or preparation of the manuscript. This does not alter our 
      adherence to PLOS ONE policies on sharing data and materials.
EDAT- 2017/11/01 06:00
MHDA- 2017/11/14 06:00
PMCR- 2017/10/31
CRDT- 2017/11/01 06:00
PHST- 2017/05/27 00:00 [received]
PHST- 2017/10/17 00:00 [accepted]
PHST- 2017/11/01 06:00 [entrez]
PHST- 2017/11/01 06:00 [pubmed]
PHST- 2017/11/14 06:00 [medline]
PHST- 2017/10/31 00:00 [pmc-release]
AID - PONE-D-17-20359 [pii]
AID - 10.1371/journal.pone.0187256 [doi]
PST - epublish
SO  - PLoS One. 2017 Oct 31;12(10):e0187256. doi: 10.1371/journal.pone.0187256. 
      eCollection 2017.