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Original Article Associations between taxi drivers’ aggressive driving behavior and sleep, cognition, and psychological factors in Korea: negative binomial regression analysis
Jong Sun Ok1orcid , Hyeongsu Kim2orcid , Soo Young An3orcid , Mi Young Kim4orcid
Epidemiol Health 2024;46e2024085-0
DOI: https://doi.org/10.4178/epih.e2024085
Published online: October 17, 2024
1Department of Nursing, Konkuk University College of Biomedical and Health Science, Chungju, Korea
2Department of Preventative Medicine, Konkuk University School of Medicine, Chungju, Korea
3Department of Emergency Medicine, Konkuk University Medical Center, Chungju, Korea
4Department of Nursing, Hanyang University College of Nursing, Seoul, Korea
Corresponding author:  Hyeongsu Kim,
Email: mubul@kku.ac.kr
Received: 19 May 2024   • Accepted: 4 October 2024
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Abstract

OBJECTIVES
Aggressive driving behavior is a significant predictor of traffic accidents. In particular, the driving behavior of taxi drivers is a critical issue that can impact the safety of both drivers and passengers. This study explored the sleep, cognitive, and psychological factors associated with taxi drivers’ aggressive driving behavior.
METHODS
In this descriptive study, a self-report questionnaire was distributed to taxi drivers in Seoul and Gyeonggi Province from August 22, 2022 to December 30, 2022. In all, 992 respondents were analyzed using negative binomial regression.
RESULTS
The mean score for aggressive driving behavior among taxi drivers was 13.76±11.47, with sub-scores of 3.46±3.48 for lapse, 3.31±3.16 for error, and 6.99±5.76 for violation. Contributing factors included sleep disorders, cognitive decline, and psychological factors. A higher score for aggressive driving behavior was associated with an increased severity of insomnia and daytime sleepiness, higher rates of cognitive failure, and elevated levels of depression and stress.
CONCLUSIONS
Our findings highlight the importance of addressing the sleep, cognitive, and psychological factors associated with aggressive driving behaviors among taxi drivers. Further study is needed to evaluate the causal relationship. In addition, it is imperative to develop educational programs and interventions to manage these issues effectively.

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