TY - JOUR PY - 2013// TI - Prevalence of sleepiness while driving four-wheel motor vehicles in Fiji: a population-based survey (TRIP 9) JO - Injury prevention A1 - Herman, Josephine A1 - Ameratunga, Shanthi N. A1 - Wainiqolo, Iris A1 - Kafoa, Berlin A1 - Robinson, Elizabeth A1 - McCaig, Eddie A1 - Jackson, Rod SP - 271 EP - 275 VL - 19 IS - 4 N2 - INTRODUCTION: Sleepiness has been shown to be a risk factor for road crashes in high-income countries, but has received little attention in low- and middle-income countries. We examined the prevalence of sleepiness and sleep-related disorders among drivers of four-wheel motor vehicles in Fiji. METHOD: Using a two-stage cluster sampling roadside survey conducted over 12 months, we recruited a representative sample of people driving four-wheel motor vehicles on the island of Viti Levu, Fiji. A structured interviewer-administered questionnaire sought self-report information on driver characteristics including sleep-related measures. RESULTS: The 752 motor vehicle drivers recruited (84% response rate) were aged 17-75 years, with most driving in Viti Levu undertaken by male subjects (93%), and those identifying with Indian (70%) and Fijian (22%) ethnic groups. Drivers who reported that they were not fully alert accounted for 17% of driving, while a further 1% of driving was undertaken by those who reported having difficulty staying awake or feeling sleepy. A quarter of the driving time among 15-24-year-olds included driving while sleepy or not fully alert, with a similar proportion driving while chronically sleep deprived (ie, with less than five nights of adequate sleep in the previous week=27%). Driving while acutely or chronically sleep deprived was generally more common among Fijians compared with Indians. CONCLUSIONS: Driving while not fully alert is relatively common in Fiji. Sleepiness while driving may be an important contributor to road traffic injuries in this and other low- and middle-income countries.

Language: en

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2012-040570 ID - ref1 ER -