{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T05:42:05Z","timestamp":1792561325142,"version":"4.5.0"},"reference-count":132,"publisher":"PeerJ","license":[{"start":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T00:00:00Z","timestamp":1545264000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Several empirical studies have shown that professional drivers are a vulnerable occupational group, usually exposed to environmental stressors and adverse work conditions. Furthermore, recent studies have associated work-related stress with negative job performances and adverse health outcomes within this occupational group, including cardiovascular diseases and unsafe vehicle operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to describe the working conditions and the health status of this occupational group, and to evaluate the association between the Demand\u2013Control model of job stress and their self-reported health and safety outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A pooled sample of 3,665 Colombian professional drivers was drawn from five different studies. The Job Content Questionnaire and the General Health Questionnaire were used to measure work stress and self-reported mental health, respectively. Additionally, professional drivers self-reported health problems (hypertension, dyslipidemia, diabetes and overweight) and health-related risky behaviors (smoking and sedentary behavior).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Regarding the Job Demands\u2013Control (JDC) model, it was found that approximately a third part of Colombian professional drivers suffer from high job strain (29.1%). Correlational and multivariate analyses suggest that de JDC model of stress is associated with the professional drivers\u2019 mental health, traffic accidents and fines, but not with other physical and behavioral health-related outcomes, which are highly prevalent among this occupational group, such as hypertension, dyslipidemia, diabetes, overweight, smoking and sedentary behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results of this study suggest that (a) stressful working conditions are associated with health and lifestyle-related outcomes among professional drivers, and (b) that evidence-based interventions are needed in order to reduce hazardous working conditions, job stress rates and their negative impact on the health of this occupational group.<\/jats:p><\/jats:sec>","DOI":"10.7717\/peerj.6249","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T09:26:22Z","timestamp":1545297982000},"page":"e6249","source":"Crossref","is-referenced-by-count":75,"title":["Work stress and health problems of professional drivers: a hazardous formula for their safety outcomes"],"prefix":"10.7717","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5099-4627","authenticated-orcid":true,"given":"Sergio A.","family":"Useche","sequence":"first","affiliation":[{"name":"INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Cendales","sequence":"additional","affiliation":[{"name":"Faculty of Economic and Administrative Sciences, El Bosque University, Bogot\u00e1, Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0169-4705","authenticated-orcid":true,"given":"Luis","family":"Montoro","sequence":"additional","affiliation":[{"name":"INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Esteban","sequence":"additional","affiliation":[{"name":"INTRAS (University Research Institute on Traffic and Road Safety), University of Valencia, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4443","published-online":{"date-parts":[[2018,12,20]]},"reference":[{"issue":"3","key":"10.7717\/peerj.6249\/ref-1","doi-asserted-by":"publisher","first-page":"e003434","DOI":"10.1136\/bmjopen-2013-003434","article-title":"Health assessment of commercial drivers: a meta-narrative systematic review","volume":"4","author":"Abu Dabrh","year":"2014","journal-title":"BMJ Open"},{"issue":"1","key":"10.7717\/peerj.6249\/ref-2","first-page":"24","article-title":"Personality, driving behavior and mental disorders factors as predictors of road traffic accidents based on logistic regression","volume":"42","author":"Alavi","year":"2017","journal-title":"Iranian Journal of Medical Sciences"},{"issue":"7","key":"10.7717\/peerj.6249\/ref-3","doi-asserted-by":"publisher","first-page":"984","DOI":"10.2105\/ajph.82.7.984","article-title":"Job strain and prevalence of hypertension in a biracial population of urban bus drivers","volume":"82","author":"Albright","year":"1992","journal-title":"American Journal of Public Health"},{"issue":"1","key":"10.7717\/peerj.6249\/ref-4","doi-asserted-by":"publisher","first-page":"1303920","DOI":"10.1080\/2331205X.2017.1303920","article-title":"Reported prevalence of health conditions that affect drivers","volume":"4","author":"Alonso","year":"2017a","journal-title":"Cogent Medicine"},{"issue":"1","key":"10.7717\/peerj.6249\/ref-5","first-page":"1","article-title":"Perception of the impact of certain health conditions on driving performance","volume":"2","author":"Alonso","year":"2017b","journal-title":"Public Health International"},{"issue":"1","key":"10.7717\/peerj.6249\/ref-6","first-page":"26","article-title":"Low back pain among professional bus drivers: ergonomic and occupational-psychosocial risk factors","volume":"12","author":"Alperovitch-Najenson","year":"2010","journal-title":"Israel Medicine Association Journal"},{"issue":"12","key":"10.7717\/peerj.6249\/ref-7","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.1097\/00007632-199212000-00007","article-title":"The back pain of bus drivers. 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