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Occupational Fatigue and Multidimensional Traffic Risk Outcomes Among Motorcycle-Based Food Delivery Workers: Cross-Sectional Study.

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Τίτλος: Occupational Fatigue and Multidimensional Traffic Risk Outcomes Among Motorcycle-Based Food Delivery Workers: Cross-Sectional Study.
Συγγραφείς: Kim S; School of Nursing, Soonchunhyang University, Cheonan, Republic of Korea., Park CG; Department of Population Health Nursing, College of Nursing, University of Illinois Chicago, Chicago, IL, United States., Shim MS; College of Nursing, Keimyung University, 1095, Dalgubeol-daero, Dalseo-gu, Daegu, Republic of Korea, 82 532587668, 82 532587616.
Πηγή: JMIR public health and surveillance [JMIR Public Health Surveill] 2026 Jun 12; Vol. 12, pp. e92667. Date of Electronic Publication: 2026 Jun 12.
Τύπος έκδοσης: Journal Article; Research Support, Non-U.S. Gov't
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 101669345 Publication Model: Electronic Cited Medium: Internet ISSN: 2369-2960 (Electronic) Linking ISSN: 23692960 NLM ISO Abbreviation: JMIR Public Health Surveill Subsets: MEDLINE
Imprint Name(s): Original Publication: Toronto : JMIR Publications, [2015]-
Ιατρικοί όροι (MeSH): Motorcycles*/statistics & numerical data , Fatigue*/psychology , Fatigue*/epidemiology , Fatigue*/complications , Accidents, Traffic*/statistics & numerical data , Accidents, Traffic*/psychology, Republic of Korea/epidemiology ; Humans ; Cross-Sectional Studies ; Male ; Adult ; Female ; Surveys and Questionnaires ; Middle Aged ; Frontline Workers
Περίληψη: Background: Although motorcycle-based food delivery workers face a significant risk of accidents, previous research has primarily focused on traffic accidents, neglecting the multidimensional nature of safety, which includes perceived accident risk, near-miss experiences, and accident-related anxiety.
Objective: This study addresses this gap by investigating how occupational fatigue and health behaviors are associated with the Traffic Accident Risk Index (TARI) and its subdomains (near-miss experiences, self-rated accident anxiety, and other-rated accident anxiety).
Methods: A cross-sectional study was conducted. Data were collected from South Korean delivery workers via an online survey and analyzed using multiple linear regression.
Results: In total, 336 workers were included in the analysis. Occupational fatigue was positively associated with the overall risk index (B=0.017, 95% CI 0.012 to 0.021; P<.001) and all subdomains, including near-miss experiences (B=0.016, 95% CI 0.011 to 0.021; P<.001), other-rated accident anxiety (B=0.019, 95% CI 0.013 to 0.024; P<.001), and self-rated accident anxiety (B=0.016, 95% CI 0.011 to 0.021; P<.001). Inconsistent helmet use was associated with a higher TARI (B=0.413, 95% CI 0.030 to 0.796; P=.04), other-rated accident anxiety (B=0.495, 95% CI 0.025 to 0.966; P=.04), and self-rated accident anxiety (B=0.493, 95% CI 0.036 to 0.949; P=.04). Insufficient physical activity was associated with a higher TARI (B=0.368, 95% CI 0.016 to 0.719; P=.04) and self-rated accident anxiety (B=0.586, 95% CI 0.168 to 1.005; P=.006). Current smoking was associated with near-miss experiences (B=0.298, 95% CI 0.041 to 0.555; P=.02). Conversely, shorter break times were associated with lower accident risk (30 min to 1 h: B=-0.329, 95% CI -0.650 to -0.007; P=.045) and near-miss experiences (<30 min: B=-0.474, 95% CI -0.936 to -0.011; P=.045; 30 min to 1 h: B=-0.470, 95% CI -0.846 to -0.095; P=.01) than breaks exceeding 2 hours.
Conclusions: Occupational fatigue was associated with a higher overall perceived accident risk, more near-miss experiences, and greater accident-related anxiety. Modifiable health behaviors showed additional domain-specific associations. Prevention efforts may benefit from combining fatigue management with strategies to improve helmet use, increase physical activity, and support smoking cessation. Future research should refine the measurement of break time and establish evidence-based rest guidance for motorcycle-based delivery workers.
(© Sookyung Kim, Chang Gi Park, Mi-So Shim. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org).)
References: Scand J Psychol. 2000 Sep;41(3):231-41. (PMID: 11041305)
BMC Public Health. 2022 Apr 5;22(1):649. (PMID: 35382791)
J Anxiety Disord. 2011 May;25(4):592-8. (PMID: 21377829)
Am J Prev Med. 2019 Oct;57(4):545-556. (PMID: 31542132)
Heliyon. 2023 Nov 25;9(12):e22625. (PMID: 38090010)
Sleep Med Rev. 2018 Dec;42:202-210. (PMID: 30274744)
Sleep. 2015 Jun 01;38(6):843-4. (PMID: 26039963)
Int J Occup Saf Ergon. 2024 Sep;30(3):825-834. (PMID: 38853658)
Clin Exp Emerg Med. 2018 Jun;5(2):113-119. (PMID: 29973036)
Injury. 2024 Oct;55(10):111732. (PMID: 39084036)
Int J Qual Stud Health Well-being. 2026 Dec 31;21(1):2613971. (PMID: 41520275)
Traffic Inj Prev. 2018;19(sup2):S20-S26. (PMID: 30540505)
Int J Inj Contr Saf Promot. 2024 Jun;31(2):332-345. (PMID: 38385344)
J Occup Environ Med. 2016 Oct;58(10):961-973. (PMID: 27525527)
Occup Med (Lond). 2015 Apr;65(3):245-50. (PMID: 25701835)
Accid Anal Prev. 2011 Mar;43(2):498-515. (PMID: 21130213)
Heliyon. 2024 Oct 10;10(20):e39032. (PMID: 39640680)
J Occup Health Psychol. 2007 Jul;12(3):204-21. (PMID: 17638488)
Int J Environ Res Public Health. 2021 Apr 18;18(8):. (PMID: 33919602)
Contributed Indexing: Keywords: accidents; fatigue; health risk behavior; motorcycles; occupational health; traffic
Entry Date(s): Date Created: 20260612 Date Completed: 20260613 Latest Revision: 20260821
Update Code: 20260821
PubMed Central ID: PMC13263021
DOI: 10.2196/92667
PMID: 42284596
Βάση Δεδομένων: MEDLINE
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  Data: Occupational Fatigue and Multidimensional Traffic Risk Outcomes Among Motorcycle-Based Food Delivery Workers: Cross-Sectional Study.
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  Data: &lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Kim+S%22&quot;&gt;Kim S&lt;/searchLink&gt;; School of Nursing, Soonchunhyang University, Cheonan, Republic of Korea.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Park+CG%22&quot;&gt;Park CG&lt;/searchLink&gt;; Department of Population Health Nursing, College of Nursing, University of Illinois Chicago, Chicago, IL, United States.&lt;br /&gt;&lt;searchLink fieldCode=&quot;AU&quot; term=&quot;%22Shim+MS%22&quot;&gt;Shim MS&lt;/searchLink&gt;; College of Nursing, Keimyung University, 1095, Dalgubeol-daero, Dalseo-gu, Daegu, Republic of Korea, 82 532587668, 82 532587616.
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  Data: Background: Although motorcycle-based food delivery workers face a significant risk of accidents, previous research has primarily focused on traffic accidents, neglecting the multidimensional nature of safety, which includes perceived accident risk, near-miss experiences, and accident-related anxiety.&lt;br /&gt;Objective: This study addresses this gap by investigating how occupational fatigue and health behaviors are associated with the Traffic Accident Risk Index (TARI) and its subdomains (near-miss experiences, self-rated accident anxiety, and other-rated accident anxiety).&lt;br /&gt;Methods: A cross-sectional study was conducted. Data were collected from South Korean delivery workers via an online survey and analyzed using multiple linear regression.&lt;br /&gt;Results: In total, 336 workers were included in the analysis. Occupational fatigue was positively associated with the overall risk index (B=0.017, 95% CI 0.012 to 0.021; P&amp;lt;.001) and all subdomains, including near-miss experiences (B=0.016, 95% CI 0.011 to 0.021; P&amp;lt;.001), other-rated accident anxiety (B=0.019, 95% CI 0.013 to 0.024; P&amp;lt;.001), and self-rated accident anxiety (B=0.016, 95% CI 0.011 to 0.021; P&amp;lt;.001). Inconsistent helmet use was associated with a higher TARI (B=0.413, 95% CI 0.030 to 0.796; P=.04), other-rated accident anxiety (B=0.495, 95% CI 0.025 to 0.966; P=.04), and self-rated accident anxiety (B=0.493, 95% CI 0.036 to 0.949; P=.04). Insufficient physical activity was associated with a higher TARI (B=0.368, 95% CI 0.016 to 0.719; P=.04) and self-rated accident anxiety (B=0.586, 95% CI 0.168 to 1.005; P=.006). Current smoking was associated with near-miss experiences (B=0.298, 95% CI 0.041 to 0.555; P=.02). Conversely, shorter break times were associated with lower accident risk (30 min to 1 h: B=-0.329, 95% CI -0.650 to -0.007; P=.045) and near-miss experiences (&amp;lt;30 min: B=-0.474, 95% CI -0.936 to -0.011; P=.045; 30 min to 1 h: B=-0.470, 95% CI -0.846 to -0.095; P=.01) than breaks exceeding 2 hours.&lt;br /&gt;Conclusions: Occupational fatigue was associated with a higher overall perceived accident risk, more near-miss experiences, and greater accident-related anxiety. Modifiable health behaviors showed additional domain-specific associations. Prevention efforts may benefit from combining fatigue management with strategies to improve helmet use, increase physical activity, and support smoking cessation. Future research should refine the measurement of break time and establish evidence-based rest guidance for motorcycle-based delivery workers.&lt;br /&gt; (&#169; Sookyung Kim, Chang Gi Park, Mi-So Shim. Originally published in JMIR Public Health and Surveillance (https://publichealth.jmir.org).)
– Name: Ref
  Label: References
  Group: RefInfo
  Data: Scand J Psychol. 2000 Sep;41(3):231-41. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2211041305%22&quot;&gt;11041305)&lt;/searchLink&gt;&lt;br /&gt;BMC Public Health. 2022 Apr 5;22(1):649. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2235382791%22&quot;&gt;35382791)&lt;/searchLink&gt;&lt;br /&gt;J Anxiety Disord. 2011 May;25(4):592-8. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2221377829%22&quot;&gt;21377829)&lt;/searchLink&gt;&lt;br /&gt;Am J Prev Med. 2019 Oct;57(4):545-556. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2231542132%22&quot;&gt;31542132)&lt;/searchLink&gt;&lt;br /&gt;Heliyon. 2023 Nov 25;9(12):e22625. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2238090010%22&quot;&gt;38090010)&lt;/searchLink&gt;&lt;br /&gt;Sleep Med Rev. 2018 Dec;42:202-210. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2230274744%22&quot;&gt;30274744)&lt;/searchLink&gt;&lt;br /&gt;Sleep. 2015 Jun 01;38(6):843-4. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2226039963%22&quot;&gt;26039963)&lt;/searchLink&gt;&lt;br /&gt;Int J Occup Saf Ergon. 2024 Sep;30(3):825-834. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2238853658%22&quot;&gt;38853658)&lt;/searchLink&gt;&lt;br /&gt;Clin Exp Emerg Med. 2018 Jun;5(2):113-119. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2229973036%22&quot;&gt;29973036)&lt;/searchLink&gt;&lt;br /&gt;Injury. 2024 Oct;55(10):111732. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2239084036%22&quot;&gt;39084036)&lt;/searchLink&gt;&lt;br /&gt;Int J Qual Stud Health Well-being. 2026 Dec 31;21(1):2613971. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2241520275%22&quot;&gt;41520275)&lt;/searchLink&gt;&lt;br /&gt;Traffic Inj Prev. 2018;19(sup2):S20-S26. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2230540505%22&quot;&gt;30540505)&lt;/searchLink&gt;&lt;br /&gt;Int J Inj Contr Saf Promot. 2024 Jun;31(2):332-345. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2238385344%22&quot;&gt;38385344)&lt;/searchLink&gt;&lt;br /&gt;J Occup Environ Med. 2016 Oct;58(10):961-973. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2227525527%22&quot;&gt;27525527)&lt;/searchLink&gt;&lt;br /&gt;Occup Med (Lond). 2015 Apr;65(3):245-50. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2225701835%22&quot;&gt;25701835)&lt;/searchLink&gt;&lt;br /&gt;Accid Anal Prev. 2011 Mar;43(2):498-515. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2221130213%22&quot;&gt;21130213)&lt;/searchLink&gt;&lt;br /&gt;Heliyon. 2024 Oct 10;10(20):e39032. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2239640680%22&quot;&gt;39640680)&lt;/searchLink&gt;&lt;br /&gt;J Occup Health Psychol. 2007 Jul;12(3):204-21. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2217638488%22&quot;&gt;17638488)&lt;/searchLink&gt;&lt;br /&gt;Int J Environ Res Public Health. 2021 Apr 18;18(8):. (PMID: &lt;searchLink fieldCode=&quot;PM&quot; term=&quot;%2233919602%22&quot;&gt;33919602)&lt;/searchLink&gt;
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