{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:25:33Z","timestamp":1790565933715,"version":"4.1.0"},"reference-count":69,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Over 6.5 million commercial vehicle drivers were operating a large truck or bus in the United States in 2020. This career often has high stress and long working hours, with few opportunities for physical activity. Previous research has linked these factors to adverse health conditions. Adverse health conditions affect not only the professional drivers\u2019 wellbeing but potentially also commercial motor vehicle (CMV) operators\u2019 safe driving ability and public safety for others sharing the roadway. The prevalence of health conditions with high impact on roadway safety in North American CMV drivers necessitates empirical epidemiological research to better understand and improve driver health. The paper presents four challenges in conducting epidemiological research with truck and bus drivers in North America and potential resolutions identified in past and current research. These challenges include (1) the correlation between driving performance, driving experience, and driver demographic factors; (2) the impact of medical treatment status on the relationship between health conditions and driver risk; (3) capturing accurate data in self-report data collection methods; and (4) reaching the CMV population for research. These challenges are common and influential in epidemiological research of this population, as drivers face severe health issues, health-related federal regulations, and the impact of vehicle operation on the safety of themselves and others using the roadways.<\/jats:p>","DOI":"10.3390\/ijerph191912494","type":"journal-article","created":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T20:43:21Z","timestamp":1665261801000},"page":"12494","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Challenges in Conducting Empirical Epidemiological Research with Truck and Bus Drivers in Diverse Settings in North America"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9060-4358","authenticated-orcid":false,"given":"Susan","family":"Soccolich","sequence":"first","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christie","family":"Ridgeway","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica Erin","family":"Mabry","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1879-0560","authenticated-orcid":false,"given":"Matthew C.","family":"Camden","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5569-827X","authenticated-orcid":false,"given":"Hardianto","family":"Iridiastadi","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"},{"name":"Faculty of Industrial Technology, Institut Teknologi Bandung, Bandung 40132, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3937-3061","authenticated-orcid":false,"given":"Richard J.","family":"Hanowski","sequence":"additional","affiliation":[{"name":"Division of Freight, Transit, and Heavy Vehicle Safety, Virginia Tech Transportation Institute, Blacksburg, VA 24061, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,9,30]]},"reference":[{"key":"ref_1","unstructured":"Federal Motor Carrier Safety Administration (2022, January 12). 2021 Pocket Guide to Large Truck and Bus Statistics, Available online: https:\/\/www.fmcsa.dot.gov\/sites\/fmcsa.dot.gov\/files\/2022-01\/FMCSA%20Pocket%20Guide%202021.pdf."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/JOM.0000000000000422","article-title":"Commercial Driver Medical Examinations: Prevalence of Obesity, Comorbidities, and Certification Outcomes","volume":"57","author":"Thiese","year":"2015","journal-title":"J. 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