PTOTSystematic ReviewWork (Reading, Mass.)2021

Cardiovascular health status of taxi/for-hire vehicle drivers in the United States: A systematic review.

Sheena Mirpuri, Kathryn Traub, Sara Romero and 2 others

PMID 34219688

WHAT IT FOUND

US taxi drivers show high rates of cardiovascular risks like hypertension, obesity, and inactivity, but evidence is weak due to small, unrepresentative convenience samples.

Screening may be warranted, but findings cannot be generalized to all drivers.

Key findings

01The review identified 16 studies covering 14 articles, with sample sizes ranging from 13 to 751 participants, predominantly using convenience sampling rather than representative methods.

02Self-reported hypertension rates varied from 15% to 38%, but objective measurements showed 32% to 65% of drivers had high blood pressure readings, indicating a disparity in awareness.

03Drivers reported high rates of sedentary behavior, with some studies finding up to 40% never engaged in physical activity, and 81% were overweight or obese in one study.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

Most included studies used convenience samples, meaning the participants were not representative of all US taxi drivers. The majority of studies were cross-sectional, so they cannot prove that driving causes these health issues. Many studies relied on self-reported data for health conditions like hypertension and diabetes, which may be inaccurate. Only one study used a stratified random sampling method; the rest had potential for selection bias. The quality of evidence was low, with no randomized controlled trials included in the review. Findings may not generalize across different cities due to varying regulations and demographics.

Declared interests

The work was performed at Memorial Sloan Kettering Cancer Center. No specific funding source or conflicts of interest were declared in the provided text, though the authors note the lack of ethics review because no human subjects were directly involved in the review process itself.

The easy way to misread this

Do not assume these rates apply to all taxi drivers. The evidence comes from small, non-representative convenience samples, and most studies were cross-sectional. High rates of hypertension and obesity were found in specific groups, but this does not prove that driving causes these conditions or that the findings are generalizable to the entire population of US drivers.

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