Exploring the challenges faced by Dutch truck drivers in the era of technological advancement.

Introduction: Despite their important role in the economy, truck drivers face several challenges, including adapting to advancing technology. The current study investigated the occupational experiences of Dutch truck drivers to detect common patterns. Methods: A questionnaire was distributed to professional drivers in order to collect data on public image, traffic safety, work pressure, transport crime, driver shortage, and sector improvements. Results: The findings based on 3,708 respondents revealed a general dissatisfaction with the image of the industry and reluctance to recommend the profession. A factor analysis of the questionnaire items identified two primary factors: 'Work Pressure', more common among national drivers, and 'Safety & Security Concerns', more common among international drivers. A ChatGPT-assisted analysis of textbox comments indicated that vehicle technology received mixed feedback, with praise for safety and fuel-efficiency improvements, but concerns about reliability and intrusiveness. Discussion: In conclusion, Dutch professional truck drivers indicate a need for industry improvements. While the work pressure for truck drivers in general may not be high relative to certain other occupational groups, truck drivers appear to face a deficit of support and respect.

Evaluation of a walking school bus program: a cluster randomized controlled trial.

BACKGROUND: The purpose of this study was to investigate the effects of a walking school bus intervention on children's active commuting to school. METHODS: We conducted a randomized controlled trial (RCT) in Houston, Texas (Year 1) and Seattle, Washington (Years 2-4) from 2012 to 2016. The study had a two-arm, cluster randomized design comparing the intervention (walking school bus and education materials) to the control (education materials) over one school year October/November - May/June). Twenty-two schools that served lower income families participated. Outcomes included percentage of days students' active commuting to school (primary, measured via survey) and moderate-to-vigorous physical activity (MVPA, measured via accelerometry). Follow-up took place in May or June. We used linear mixed-effects models to estimate the association between the intervention and outcomes of interest. RESULTS: Total sample was 418 students [Mage=9.2 (SD = 0.9) years; 46% female], 197 (47%) in the intervention group. The intervention group showed a significant increase compared with the control group over time in percentage of days active commuting (ß = 9.04; 95% CI: 1.10, 16.98; p = 0.015) and MVPA minutes/day (ß = 4.31; 95% CI: 0.70, 7.91; p = 0.02). CONCLUSIONS: These findings support implementation of walking school bus programs that are inclusive of school-age children from lower income families to support active commuting to school and improve physical activity. TRAIL REGISTRATION: This RCT is registered at clinicaltrials.gov (NCT01626807).

Safety performance of dedicated and preferential bus lanes using multivariate negative binomial models for Bogotá, Colombia.

Public transport priority systems such as Bus Rapid Transit (BRT) and Buses with High Level of Service (BHLS) are top-rated solutions to mobility in low-income and middle-income cities. There is scientific agreement that the safety performance level of these systems depends on their functional, operational, and infrastructure characteristics. However, there needs to be more evidence on how the different characteristics of bus corridors might influence safety. This paper aims to shed some light on this area by structuring a multivariate negative binomial model comparing crash risk on arterial roads, BRT, and BHLS corridors in Bogotá, Colombia. The analyzed infrastructure includes 712.1 km of arterial roads with standard bus service, 194.1 km of BRT network, and 135.6 km of BHLS network. The study considered crashes from 2015 to 2018 -fatalities, injuries, and property damage only- and 30 operational and infrastructure variables grouped into six classes -exposure, road design, infrastructure, public means of transport, and land use. A multicriteria process was applied for model selection, including the structure and predictive power based on [i] Akaike information criteria, [ii] K-fold cross-validation, and [iii] model parsimony. Relevant findings suggest that in terms of observed and expected accident rates and their relationship with the magnitude of exposure -logarithm of average annual traffic volumes at the peak hour (LOG_AAPHT) and the percentage of motorcycles, cars, buses, and trucks- the greatest risk of fatalities, injuries, and property damage occurs in the BHLS network. BRT network provides lower crash rates in less severe collisions while increasing injuries and fatalities. When comparing the BHLS network and the standard design of arterial roads, BHLS infrastructure, despite increasing mobility benefits, provides the lowest safety performance among the three analyzed networks. Individual factors of the study could also contribute to designing safer roads related to signalized intersection density and curvature. These findings support the unique characteristics and traffic dynamics present in the context of Bogotá that could inform and guide decisions of corresponding authorities in other highly dense urban areas from developing countries.

A 17-month longitudinal surface sampling study carried out on public transport vehicles operating in England during the COVID-19 pandemic identified low levels of SARS-CoV-2 RNA contamination.

AIMS: To monitor severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) RNA contamination in vehicles operating in England during the pandemic, to better understand transmission risk of SARS-CoV-2 on public transport. METHODS AND RESULTS: We collected 1314 surface samples between December 2020 and April 2022 on trains and buses managed by five different transport operators. The presence of SARS-CoV-2 RNA was investigated through reverse transcription polymerase chain reaction (RT-PCR). SARS-CoV-2 RNA was found on 197 (15%) of the 1314 surfaces sampled, including seat head rests, handholds, and air extract grilles, but the levels of RNA recovered on those samples (median value of 23.4, interquartile range: 14.3-35.4, N gene copies per extraction) made the presence of infectious virus at the time of sampling extremely unlikely. However, detection rates varied over time with peaks broadly coinciding with times of high community transmission, when it was more likely that people infected with SARS-CoV-2 were travelling on public transport. CONCLUSION: During the pandemic, and as in other public spaces, low levels of SARS-CoV-2 RNA were found on surfaces associated with public transport.

Societal Co-benefits of Zero-Emission Vehicles in the Freight Industry.

This study was set in the Greater Toronto and Hamilton Area (GTHA), where commercial vehicle movements were assigned across the road network. Implications for greenhouse gas (GHG) emissions, air quality, and health were examined through an environmental justice lens. Electrification of light-, medium-, and heavy-duty trucks was assessed to identify scenarios associated with the highest benefits for the most disadvantaged communities. Using spatially and temporally resolved commercial vehicle movements and a chemical transport model, changes in air pollutant concentrations under electric truck scenarios were estimated at 1-km2 resolution. Heavy-duty truck electrification reduces ambient black carbon and nitrogen dioxide on average by 10 and 14%, respectively, and GHG emissions by 10.5%. It achieves the highest reduction in premature mortality attributable to fine particulate matter chronic exposure (around 200 cases per year) compared with light- and medium-duty electrification (less than 150 cases each). The burden of all traffic in the GTHA was estimated to be around 600 cases per year. The benefits of electrification accrue primarily in neighborhoods with a high social disadvantage, measured by the Ontario Marginalization Indices, narrowing the disparity of exposure to traffic-related air pollution. Benefits related to heavy-duty truck electrification reflect the adverse impacts of diesel-fueled freight and highlight the co-benefits achieved by electrifying this sector.

Multimodal in-vehicle lighting system increases daytime light exposure and alertness in truck drivers under Arctic winter conditions.

Drowsiness while driving negatively impacts road safety, especially in truck drivers. The present study investigated the feasibility and alerting effects of a daylight-supplementing in-truck lighting system (DS) providing short-wavelength enriched light before, during, and after driving. In a within-participants design, eight truck drivers drove a fully-loaded truck under wintry Scandinavian conditions (low daylight levels) with a DS or placebo system for five days. Subjective and objective measures of alertness were recorded several times daily, and evening melatonin levels were recorded three times per study condition. DS significantly increased daytime light exposure without causing negative side effects while driving. In addition, no negative carry-over effects were observed on evening melatonin and sleepiness levels or on nighttime sleep quality. Moreover, objective alertness (i.e., psychomotor vigilance) before and after driving was significantly improved by bright light exposure. This effect was accompanied by improved subjective alertness in the morning. This field study demonstrated that DS was able to increase daytime light exposure in low-daylight conditions and to improve alertness in truck drivers before and after driving (e.g., during driving rest periods). Further studies are warranted to investigate the effects of daylight-supplementing in-cabin lighting on driving performance and road safety measures.

Exploring vehicle-centric strategies for sustainable urban mobility: A theoretical framework for saving energy and reducing noise in transportation.

Adopting energy-saving and noise-reducing technologies in vehicle transportation has the potential to mitigate urban traffic pollution and promote sustainable urban mobility. However, a universal analytical framework for obtaining the combined energy savings and noise reduction patterns in vehicles is still lacking. This study addresses this gap by integrating a fundamental traffic noise model with a vehicle energy conservation equation. A theoretical framework was constructed that establishes the relationship between vehicle noise and energy consumption, with the theoretical origins of this framework explained. By summarizing a substantial body of classical literature, the typical model's properties are analyzed through the principle of optimality, and the noise interval for combined vehicle energy-saving and noise-reducing is determined. Subsequently, a rigorous vehicle experiment was conducted to validate the proposed framework's effectiveness, utilizing synchronized data on energy consumption and noise. The findings indicate that vehicles can achieve unconstrained combined energy-saving and noise-reducing in four driving states and conditional combined energy-saving and noise-reducing in five driving states. The Recall index demonstrates a verification rate exceeding 0.62 for the combined energy-saving and noise-reducing rules. This research provides valuable insights to support energy-saving and noise-reducing measures in urban traffic.

Unlatching school bus seat belt buckles: Considerations for young passengers.

Automobile seat belts reduce the risk of injuries and fatalities resulting from a crash. As seat belts become more prevalent on large school buses, characterizing the capabilities of children to operate the unlatching mechanism of a seat belt is crucial to ensure the post-crash safety of young passengers. This study evaluated the strength capabilities of children and their abilities to unlatch a school bus seat belt when a school bus is in both the upright and rolled-over orientations. Push force exertions on a seat belt buckle push button were measured and compared to the seat belt assembly release force requirements specified in Federal Motor Vehicle Safety Standard (FMVSS) No. 209. Results of the study suggested that children do not have the strength to exert the maximum force of 133 N to release a seat belt assembly as specified in FMVSS No. 209; however, most children could unlatch a typical school bus seat belt assembly in the upright and rolled-over orientations.

School Bus Rebate Program and Student Educational Performance Test Scores.

Importance: Students who ride older school buses are often exposed to high levels of exhaust during their commutes, which may adversely affect health and school attendance. As a result, the US Environmental Protection Agency (EPA) has awarded millions of dollars to school districts to replace older, highly polluting school buses with newer, cleaner buses. Objective: To leverage the EPA's randomized allocation of funding under the 2012-2016 School Bus Rebate Programs to estimate the association between replacing old, highly polluting buses and changes in district-average standardized test scores. Design, Setting, and Participants: This study examined changes in reading and language arts (RLA) and math test scores among US school district applicants to the EPA's 2012-2016 national School Bus Rebate Programs 1 year before and after each lottery by selection status. Data analysis was conducted from January 15 to July 30, 2023. Exposure: Selection to receive EPA funding to replace older school buses with newer, cleaner alternatives. Main Outcomes and Measures: School district changes in RLA and math test scores among students in grades 3 through 8 before and after the EPA funding lotteries by selection status were measured using an intention-to-treat approach. Results: This study included 1941 school district applicants to the 2012-2106 EPA School Bus Rebate Programs. These districts had a mean (SD) of 14.6 (33.7) schools per district, 8755 (23 776) students per district, and 41.3% (20.2%) of students with free lunch eligibility. Among the applicants, 209 districts (11%) were selected for the clean bus funding. District-average student test scores did not improve among selected districts overall. In secondary analyses, however, districts replacing the oldest, highest polluting buses (ie, pre-1990) experienced significantly greater improvements in district-average test scores in the year after the lottery for RLA and math (SD improvement in test scores, 0.062 [95% CI, 0.050-0.074] and 0.025 [95% CI, 0.011-0.039], respectively) compared with districts without replacements. Conclusions and Relevance: In this study, the EPA funding was not associated with student test scores overall, but in secondary analyses, the replacement of the oldest school buses was associated with improved educational performance. These findings support prioritizing clean bus replacement of the oldest buses as an actionable way for improving students' educational performance.

Ocular injuries associated with motor vehicle accidents: long term effects on quality of life.

PURPOSE: To describe the prevalence and outcome of motor vehicle accidents-associated ocular injuries. METHODS: A survey of patients who presented to the emergency room at a level 1 trauma center with motor vehicle accidents-associated ocular injuries. A patient questionnaire and review of clinical notes were conducted for all patients. RESULTS: Of 274 motor vehicle accident victims with ocular injuries who presented to the emergency room, 40 (15%) responded to the survey. Over half of them were driving a vehicle, and most reported wearing a seat belt or a helmet. Most ocular injuries were mild. The most common injuries were bone fractures, subconjunctival hemorrhage, eyelid involvement and corneal injury. Most respondents had no change in vision and perceived their ocular involvement as a minor part of their injury. Most respondents returned to work and to driving within a year. CONCLUSION: Our study sheds light on the details and extent of ocular involvement and the visual ability to perform daily activities following motor vehicle accidents.

Evaluating infection risks in buses based on passengers' dynamic temporal and typical spatial scenarios: A case study of COVID-19.

Conventional buses, as an indispensable part of the urban public transport system, impose cross-infection risks on passengers. To assess differential risks due to dynamic staying durations and locations, this study considered four spatial distributions (i = 1-4) and six temporal scenarios (j = 1-6) of buses. Based on field measurements and a risk assessment approach combining both short-range and room-scale effects, risks are evaluated properly. The results showed that temporal asynchrony between infected and susceptible individuals significantly affects disease transmission rates. The Control Case assumes that infected and susceptible individuals enter and leave synchronously. However, ignoring temporal asynchrony scenarios, i.e., the Control Case, resulted in overestimation (+30.7 % to +99.6 %) or underestimation (-15.2 % to -69.9 %) of the actual risk. Moreover, the relative difference ratios of room-scale risks between the Control Case and five temporal scenarios are impacted by ventilation. Short-range risk exists only if infected and susceptible individuals have temporal overlap on the bus. Considering temporal and spatial asynchrony, a more realistic total reproduction number (R) can be obtained. Subsequently, the total R was assessed under five temporal scenarios. On average, for the Control Case, the total R was estimated to be +27.3 % higher than j = 1, -9.3 % lower than j = 2, +12.8 % higher than j = 3, +33.0 % lower than j = 4, and + 77.6 % higher than j = 5. This implies the need for a combination of active prevention and real-time risk monitoring to enable rigid travel demand and control the spread of the epidemic.

Visual hazardous models: A hybrid approach to investigate road hazardous events.

Road users (drivers, passengers, pedestrians, and Animals) are exposed to hazardous events during their commute. With 23 % of global fatalities among pedestrians, their safety continues to be a principal interest for policymakers worldwide. Owing to limited budgets available, there is a growing emphasis on data-driven stochastic models to decide on policies. However, statistical models have limitations due to crash data having redundant features, inherent heterogeneity, and unobserved characteristics. The random parameter model framework addresses the unobserved heterogeneity, but redundant features and inherent heterogeneity among the data's characteristics still compute the biased estimates. This is further complicated if the data has spatiotemporal attributes. To address this, we developed two visual hazardous (VH) models: (i) addresses the unobserved heterogeneity in the data, and (ii) addresses the dimensionality, inherent heterogeneity among the characteristics and unobserved heterogeneity in the collected data after spatiotemporal pattern identification. The feature selection model reduces the dimensionality, whereas latent class clustering classifies the data into maximum heterogeneity between classes. This integration reduces bias in the estimates. As a use-case, pedestrian crosswalk crashes for a decade (2009-2018) in the Indian state of Tamil Nadu extracted from the Road Accident Database Management System (RADMS) was used to understand model performance. This data comprises the crash location, road, vehicle, driver, pedestrian, and environment details. Results show that visual hazardous model 2 allows for generating crash scenarios with five homogeneous sub-classes and the magnitude with marginal effects of contributing factors impacting it. For example, pedestrians during their crosswalks are likely to sustain 82% more chance of fatal/grievous injuries on expressways (posted speed limit: 100 km per hour) in annual hazardous zone locations. Working pedestrian age group (25-64 years), an older pedestrian (>64 years), the pedestrian position on a pedestrian crossing and not in the centre of the road, pedestrian action: walking along the edge of the road, multiple lanes, two lanes, paved shoulder, straight and flat road, motorcycle, bus, truck, medium-duty vehicle, illegal driver (<=17 years), going ahead/ overtaking, high speed, expressways, and rural region were statistically significant (positively) contributing to the fatal/grievous injury pedestrian crashes during their crosswalk. This technique serves as a structure for engineers, researchers, and policymakers to formulate effective countermeasures that enhance road safety.

A method for generating case-specific vehicle models from a single-view vehicle image for accurate pedestrian injury reconstructions.

Developing vehicle finite element (FE) models that match real accident-involved vehicles is challenging. This is related to the intricate variety of geometric features and components. The current study proposes a novel method to efficiently and accurately generate case-specific buck models for car-to-pedestrian simulations. To achieve this, we implemented the vehicle side-view images to detect the horizontal position and roundness of two wheels to rectify distortions and deviations and then extracted the mid-section profiles for comparative calculations against baseline vehicle models to obtain the transformation matrices. Based on the generic buck model which consists of six key components and corresponding matrices, the case-specific buck model was generated semi-automatically based on the transformation metrics. Utilizing this image-based method, a total of 12 vehicle models representing four vehicle categories including family car (FCR), Roadster (RDS), small Sport Utility Vehicle (SUV), and large SUV were generated for car-to-pedestrian collision FE simulations in this study. The pedestrian head trajectories, total contact forces, head injury criterion (HIC), and brain injury criterion (BrIC) were analyzed comparatively. We found that, even within the same vehicle category and initial conditions, the variation in wrap around distance (WAD) spans 84-165 mm, in HIC ranges from 98 to 336, and in BrIC fluctuates between 1.25 and 1.46. These findings highlight the significant influence of vehicle frontal shape and underscore the necessity of using case-specific vehicle models in crash simulations. The proposed method provides a new approach for further vehicle structure optimization aiming at reducing pedestrian head injury and increasing traffic safety.

Are front crash prevention systems less effective at preventing rear-end crashes where trucks and motorcycles are struck?

OBJECTIVE: Automatic emergency braking (AEB) and forward collision warning (FCW) are effective at preventing rear-end crashes, but they may perform better in some rear-end crash scenarios than others. The goal of this study was to estimate the effects of front crash prevention systems equipped to passenger vehicles in crashes where another passenger vehicle, a medium/heavy truck, or a motorcycle is struck and compare effectiveness by struck vehicle type. METHODS: More than 160,000 two-vehicle rear-end crashes were identified where a passenger vehicle with or without FCW and AEB was the striking vehicle and another passenger vehicle, medium/heavy truck, or motorcycle was the struck vehicle. Poisson regression was used to estimate the effect of front crash prevention by struck vehicle type on rear-end crash rates per registered vehicle year, accounting for the state and year of the crash and the make, model year, class, and engine type of the striking vehicle. RESULTS: Front crash prevention was associated with a 53% reduction in rear-end crash rates when striking another passenger vehicle, which was significantly larger than the reductions of 38% when striking a medium/heavy truck and 41% when striking a motorcycle. Reductions in rear-end injury crash rates when striking a passenger vehicle also were larger than when striking a medium/heavy truck and when striking a motorcycle. DISCUSSION: If all passenger vehicles were equipped with FCW and AEB that were as effective in crashes striking a truck or motorcycle as they are in crashes with another passenger vehicle, over 5,500 additional crashes with medium/heavy trucks and 500 with motorcycles could potentially be prevented annually in the United States above what would be expected from current front crash prevention systems. Extending front crash prevention testing in consumer information programs to include motorcycle and truck targets could encourage auto manufacturers to improve performance in these crash scenarios.

Summary of influences that led to introduction of frontal airbags on US passenger vehicles.

OBJECTIVE: The history of airbags for occupant protection in frontal crashes is reviewed from the perspective of a former Senior Executive at NHTSA from the early 1970's to the late 1980's. This paper summarizes the factors that led to regulatory delays as well as those that led to voluntary adoption of airbags by several manufacturers. METHODS: The regulatory history and interactions with airbag suppliers and vehicle manufactures is recounted citing key steps in the evolution of frontal airbags. RESULTS: When the Advanced Notice of Proposed Rulemaking for Standard 208, "Occupant Protection" was issued on July 2, 1969 the Safety Agency anticipated that the industry response would provide automatic frontal crash protection from airbags that deployed to protect all front seat occupants from injury in severe frontal crashes. It was not until, September 1, 1998 that airbags were required in all cars and light trucks. The interim 29 years involved a series of stops and starts during which most of the original airbag suppliers lost interest and abandoned the airbag market. The issues associated with airbags and their place in Standard 208 were directly influenced by interventions from the President, the Congress, the Supreme Court, Secretaries of Transportation, NHTSA Administrators, the Presidents of US Auto Companies and Senior Executives of Insurance Companies. CONCLUSION: In 1966, there was support from the US auto industry for a single source of safety regulations that apply to new vehicles sold in the US. This is evidenced by the unanimous passage by the House of Representatives and Senate of the Law that created the Federal auto safety regulatory framework. The Law also required seatbelts in new cars and prohibited States from making separate safety rules. However, the large safety benefits offered by seatbelts were negated because they were rarely used. Consequently, finding ways of providing high levels of protection without requiring action by occupants became a goal of the new Safety Agency. The airbag offered the possibility of achieving that goal.From the initial airbag notice of proposed rulemaking on July 2, 1969, Safety Agency required 2 years to resolve objections before a final Standard 208 could be issued (on July 8,1971). The subsequent industry opposition to the Standard 208 employed Presidential influence and Court suits to cause a 5½ year delay until the Coleman Decision on December 6, 1976. Changes in regulatory approach of the Ford, Carter, and Reagan Administrations and associated Court suits caused another 7½ year delay until the Dole Decision on July 17, 1984. It required another 7 ½, until December 18, 1991, for market forces to reduce industry opposition to airbags and permit Congress to pass a law that mandated them. Another 6½ years of lead time was required before all cars and light trucks were required to meet the airbag standard. During the mid and late 1980's vehicle safety ratings, seatbelt use laws, and Vince and Larry PSA's had all acted to increase safety awareness and safety belt use. Consequently, added public demand for vehicle safety features slowly developed. Changes in economic incentives encouraged a number of vehicle lines to install driver airbags as standard equipment and the feature was being widely advertised by Chrysler. This combination of events made it possible for Congress to pass and President Bush 41 to sign legislation requiring airbags in cars and light trucks by September 1, 1998 - more than 29 years after the initial rulemaking notice in 1969.

Lateral safety evaluation of autonomous trucks in overtaking maneuvers and adverse weather: Exploratory comparison of different lateral control modes.

As the detrimental impact of the commonly recommended centered driving mode for autonomous trucks on road longevity is gaining attention, more lateral control modes are being proposed to enhance road sustainability. However, there is currently a lack of research on the lateral safety analysis of autonomous trucks with different lateral control modes, especially in complex driving scenarios (such as overtaking) and adverse weather conditions. Therefore, this study developed a safety assessment framework to comparatively analyze the risk probability differences in lateral accidents during overtaking maneuvers by autonomous trucks with different lateral control modes under adverse weather conditions. Based on aerodynamics and vehicle dynamics simulations to capture the multifactorial influences on truck lateral deviation, the results are used for model validation and training. In the reliability approach, Support Vector Machine Regression (SVR) is introduced to establish the SVR response surface model with optimal predictive performance, and combined with Monte Carlo simulations for safety assessment, quantifying safety indices. The results indicate that trucks being overtaken during overtaking maneuvers are more prone to lateral accidents under crosswind influences. The overall impact of lateral control modes on the lateral safety trends is minor. Compared to other lateral control modes, following the centered zero-drift mode is generally safer. However, in conditions of low wind speeds (below 20 km/h) or on highly slippery road surfaces (road friction coefficient below 0.1), autonomous trucks following a uniform distribution mode can better maintain a low-risk level. This study provides crucial insights for future considerations integrating road longevity and truck safety in a collaborative manner, and the proposed methodology has broad applications.

From sky to road: Incorporating the satellite imagery into analysis of freight truck-related crash factors.

Freight truck-related crashes in urban contexts have caused significant economic losses and casualties, making it increasingly essential to understand the spatial patterns of such crashes. Limitations regarding data availability have greatly undermined the generalizability and applicability of certain prior research findings. This study explores the potential of emerging geospatial data to delve deeply into the determinants of these incidents with a more generalizable research design. By synergizing high-resolution satellite imagery with refined GIS map data and geospatial tabular data, a rich tapestry of the road environment and freight truck operations emerges. To navigate the challenges of zero-inflated issues of the crash datasets, the Tweedie Gradient Boosting model is adopted. Results reveal a pronounced spatial heterogeneity between highway and urban non-highway road networks in crash determinants. Factors such as freight truck activity, intricate road network patterns, and vehicular densities rise to prominence, albeit with varying degrees of influence across highways and urban non-highway terrains. Results emphasize the need for context-specific interventions for policymakers, encompassing optimized urban planning, infrastructural overhauls, and refined traffic management protocols. This endeavor may not only elevate the academic discourse around freight truck-related crashes but also champion a data-driven approach towards safer road ecosystems for all.

Risk factors for collisions attributed to microsleep-related behaviors while driving in professional truck drivers.

Sleep-disordered breathing (SDB) is prevalent among professional drivers. Although SDB is a known risk factor for truck collisions attributed to microsleep-related behaviors at the wheel (TC-MRBs), the usefulness of overnight pulse oximetry for predicting TC-MRBs is debatable. This retrospective study assessed the association between overnight pulse oximetry parameters, the Epworth Sleepiness Scale (ESS), and TC-MRBs, confirmed by dashcam footage. This study included 108 matched professional truck drivers (TC-MRBs: N = 54; non-TC-MRBs: N = 54), with a mean age and body mass index of 41.9 ± 11.3 years and 23.0 ± 3.7 kg/m2, respectively. Night-time drivers, 4% oxygen desaturation index (ODI), and nadir oxygen saturation (SpO2) were associated with TC-MRBs (odds ratio [95% confidence interval]: 25.63 [5.88-111.77], p < 0.0001; 2.74 [1.02-7.33], p = 0.045; and 3.87 [1.04-14.39], p = 0.04, respectively). The area under the curve of 4% ODI and nadir SpO2 for TC-MRBs were 0.50 and 0.57, respectively. In conclusion, night-time driving, 4% ODI, and nadir SpO2 were significantly associated with TC-MRBs in professional truck drivers. However, the sensitivity of overnight pulse oximetry parameters to predict TC-MRBs in a real-world application was poor. Therefore, combining subjective and objective assessments such as dashcam video footage may be needed to achieve high accuracy for predicting TC-MRBs among professional truck drivers.