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Health Behavior and Accident Risk: Obesity Is Associated with the Future Risk of Heavy Truck Crashes among Newly Recruited Commercial Drivers

Author

Listed:
  • Anderson, Jon E.

    (University of Minnesota, Morris)

  • Govada, Manjari

    (University of Minnesota, Morris)

  • Steffen, Tricia K.

    (University of Minnesota, Morris)

  • Thorne, Chris P.

    (University of Minnesota, Morris)

  • Varvarigou, Vasileia

    (Harvard School of Public Health)

  • Kales, Stefanos N.

    (Harvard School of Public Health)

  • Burks, Stephen V.

    (University of Minnesota, Morris)

Abstract

This study estimates the dose-response relationship between Body Mass Index (BMI) and crash risk in commercial motor vehicle operators. Intake data was collected on 744 new truck drivers who were training for their commercial driver's licenses at a school operated by the cooperating trucking firm during the first two-week phase of instruction. Drivers were then followed prospectively on the job using the firm's operational data for two years, or until employment separation, whichever came first. Multivariate Poisson regression and Cox proportional hazards models were used to estimate the relationship between crash risk and BMI, controlling for exposure using miles driven, trip segments, and job type. Results from the Poisson regression indicated that the risk ratio (RR) for all crashes was significantly higher for drivers in the obesity Class II and Class III categories: RR= 1.6, confidence interval 1.2-2.1 and RR= 1.49, confidence interval 1.12-1.99, respectively. Similarly, the multivariate Cox Proportional Hazard model results showed that crash risk was significantly higher for obesity class II (BMI 35 to 40; RR = 1.35, P =0.06) when compared to normal BMI (BMI 18.5 to

Suggested Citation

  • Anderson, Jon E. & Govada, Manjari & Steffen, Tricia K. & Thorne, Chris P. & Varvarigou, Vasileia & Kales, Stefanos N. & Burks, Stephen V., 2012. "Health Behavior and Accident Risk: Obesity Is Associated with the Future Risk of Heavy Truck Crashes among Newly Recruited Commercial Drivers," IZA Discussion Papers 6408, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp6408
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    References listed on IDEAS

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    1. Stefan Bender & Julia Lane & Kathryn Shaw & Fredrik Andersson & Till von Wachter, 2008. "The Analysis of Firms and Employees: Quantitative and Qualitative Approaches," NBER Books, National Bureau of Economic Research, Inc, number bend08-1, March.
    2. Stephen V. Burks & Jeffrey Carpenter & Lorenz Götte & Kristen Monaco & Kay Porter & Aldo Rustichini, 2008. "Using Behavioral Economic Field Experiments at a Firm: The Context and Design of the Truckers and Turnover Project," NBER Chapters, in: The Analysis of Firms and Employees: Quantitative and Qualitative Approaches, pages 45-106, National Bureau of Economic Research, Inc.
    3. Zhu, S. & Layde, P.M. & Guse, C.E. & Laud, P.W. & Pintar, F. & Nirula, R. & Hargarten, S., 2006. "Obesity and risk for death due to motor vehicle crashes," American Journal of Public Health, American Public Health Association, vol. 96(4), pages 734-739.
    4. Stefan Bender & Julia Lane & Kathryn Shaw & Fredrik Andersson & Till von Wachter, 2008. "Introduction to "The Analysis of Firms and Employees: Quantitative and Qualitative Approaches"," NBER Chapters, in: The Analysis of Firms and Employees: Quantitative and Qualitative Approaches, pages 1-16, National Bureau of Economic Research, Inc.
    5. Bender, Stefan & Lane, Julia & Shaw, Kathryn L. & Andersson, Fredrik & von Wachter, Till (ed.), 2008. "The Analysis of Firms and Employees," National Bureau of Economic Research Books, University of Chicago Press, number 9780226042879, December.
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    Cited by:

    1. de Vries, Jelle & de Koster, René & Rijsdijk, Serge & Roy, Debjit, 2017. "Determinants of safe and productive truck driving: Empirical evidence from long-haul cargo transport," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 97(C), pages 113-131.
    2. Richard A. Dunn & Nathan W. Tefft, 2014. "Has Increased Body Weight Made Driving Safer?," Health Economics, John Wiley & Sons, Ltd., vol. 23(11), pages 1374-1389, November.
    3. Mingwei Yan & Wentao Chen & Jianhao Wang & Mengmeng Zhang & Liang Zhao, 2021. "Characteristics and Causes of Particularly Major Road Traffic Accidents Involving Commercial Vehicles in China," IJERPH, MDPI, vol. 18(8), pages 1-18, April.
    4. Anderson, Jason R. & Ogden, Jeffrey D. & Cunningham, William A. & Schubert-Kabban, Christine, 2017. "An exploratory study of hours of service and its safety impact on motorists," Transport Policy, Elsevier, vol. 53(C), pages 161-174.
    5. Katharina Ruettger & Stacy A. Clemes & Yu-Ling Chen & Charlotte L. Edwardson & Amber Guest & Nicholas D. Gilson & Laura J. Gray & Vicki Johnson & Nicola J. Paine & Aron P. Sherry & Mohsen Sayyah & Jac, 2022. "Drivers with and without Obesity Respond Differently to a Multi-Component Health Intervention in Heavy Goods Vehicle Drivers," IJERPH, MDPI, vol. 19(23), pages 1-12, November.
    6. Long T. Truong & Richard Tay & Hang T.T. Nguyen, 2020. "Relationships between Body Mass Index and Self-Reported Motorcycle Crashes in Vietnam," Sustainability, MDPI, vol. 12(4), pages 1-11, February.

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    More about this item

    Keywords

    obesity; traffic accidents; body mass index; heavy truck; commercial motor vehicle; Poisson regression; Cox proportional hazard; truckload; health behavior;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • J49 - Labor and Demographic Economics - - Particular Labor Markets - - - Other
    • R41 - Urban, Rural, Regional, Real Estate, and Transportation Economics - - Transportation Economics - - - Transportation: Demand, Supply, and Congestion; Travel Time; Safety and Accidents; Transportation Noise

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