Introduction

Motorcycle taxis have been an indispensable component of the transport systems in many cities in the Global South. Motorcycle taxi drivers often work long hours, thus having high exposure to weather conditions, air pollution, and traffic environment. However, little is understood about the health issues among the emerging types of motorcycle taxi drivers, such as ride-hailing and hybrid taxi drivers (i.e. who operates as a traditional and a ride-hailing driver at different time periods). The main objective of this paper is to investigate health issues among motorcycle taxi drivers, using a case study of Hanoi, Vietnam.

Methods

Survey data of 549 motorcycle taxi drivers were utilised. Factors associated with health issues among motorcycle taxi drivers were investigated using binary logistic regression.

Results

About 22.59% (95% Confidence Interval - CI: 19.09–26.08) of the motorcycle taxi drivers reported suffering from fatigue. Low back pain had a slightly lower prevalence of 22.04% (95% CI: 18.57–25.51). Fatigue and low back pain both had significantly higher prevalence when compared to other health issues. Overall, less than half of the drivers (44.44%, 95% CI: 40.29–48.60) indicated they had no health issues. Modelling results showed that ride-hailing and hybrid drivers were less likely to report upper back pain. In addition, overweight, alcohol consumption, and riding duration were found to be associated with certain health issues. It was also found that low back pain and upper back pain were associated with crash involvement.

Conclusion

Back pain and fatigue were more prevalent health issues among motorcycle taxi drivers. Associations between motorcycle taxiing and health issues, and then between health issues and crash involvement were evident. It is recommended that authorities should consider required medical checks for motorcycle taxi drivers.

中文翻译：

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调查摩托车出租车司机的健康问题：以越南为例

介绍

摩托车出租车已成为全球南方许多城市交通系统中必不可少的组成部分。摩托车出租车司机通常要长时间工作，因此要高度暴露于天气条件，空气污染和交通环境中。但是，对于新兴类型的摩托车出租车司机（例如，打车和混合出租车）（即在不同时间段以传统和打车司机的身份）的健康问题知之甚少。本文的主要目的是以越南河内为例，调查摩托车出租车驾驶员的健康问题。

方法

利用了549名摩托车出租车司机的调查数据。使用二元logistic回归调查了与摩托车出租车司机的健康问题相关的因素。

结果

约有22.59％（95％的置信区间-CI：19.09–26.08）的摩托车出租车驾驶员报告患有疲劳。腰痛的患病率略低，为22.04％（95％CI：18.57-25.51）。与其他健康问题相比，疲劳和腰痛的患病率均明显更高。总体而言，不到一半的驾驶员（44.44％，95％CI：40.29–48.60）表示他们没有健康问题。建模结果表明，打车和混合动力驾驶员不太可能报告上背部疼痛。此外，发现超重，饮酒和骑车时间与某些健康问题有关。还发现下背部疼痛和上背部疼痛与碰撞事故有关。

结论

背部疼痛和疲劳是摩托车出租车司机中更为普遍的健康问题。摩托车滑行和健康问题之间存在关联，然后健康问题与碰撞事故之间存在明显联系。建议当局考虑对摩托车出租车驾驶员进行必要的医疗检查。