Presenteeism and Traffic Accident Among Taxi Drivers: A Prospective
Cohort Study in Japan

Presenteeism and Traffic Accident Among Taxi Drivers: A Prospective
Cohort Study in Japan

Cohort studies
Japan
Occupational groups
Traffic accidents

Traffic accidents involving professional drivers have serious societal repercussions. Unique
occupational stressors and health risks exacerbate the likelihood of traffic accidents among professional
drivers. This study explores the association between presenteeismdimpaired work performance due to
working while unwelldand traffic accident risk among professional taxi drivers in Japan.
Methods: A prospective cohort study was conducted from June 2022 to February 2023, involving taxi
drivers from a single company in Fukuoka Prefecture, Japan. Presenteeism was assessed using the Work
Functioning Impairment Scale (WFun). Primary outcome involved the number of self-reported minor
traffic accidents. The incidence rate ratio (IRR) of minor traffic accident occurrences was estimated using
a Poisson regression analysis, adjusted for confounders including sex, age, and driving experience.
Results: Of 838 targeted drivers, 435 were included in the analysis. Higher baseline work functioning
impairment was associated with a significant trend of increasing IRR of minor traffic accidents (p for
trend ¼ 0.045). A dose-response relationship was seen between the degree of presenteeism and incidence rate of minor traffic accidents.
Conclusion: Higher levels of presenteeism were associated with an increased risk of traffic accidents
among taxi drivers. The findings underscore the need for socio-economic support and prioritized health
management to mitigate traffic accident risk among professional drivers. This study highlights the
importance of managing non-critical health issues alongside serious health conditions for safer driving
practices among professional drivers in Japan

Makoto Okawara 1,*, Kei Tokutsu 2
, Keiki Hirashima 1
, Tomohiro Ishimaru 3
,
Yoshihisa Fujino

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1Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, University of Occupational and Environmental Health, Japan 2Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Japan
3Department of Medical Humanities, School of Medicine, University of Occupational and Environmental Health, Japan

16 April 2024

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