Evidence map›Paper›PMID 33449217›Full record

SynthesisInternational archives of occupational and environmental health2021

The prevalence of PTSD, major depression and anxiety symptoms among high-risk public transportation workers.

Mary G Carey, Cheryl Regehr, Shannon L Wagner, Marc White, Lynn E Alden, Nicholas Buys, Wayne Corneil, Trina Fyfe, Lynda R Matthews, Christine Randall and 3 more

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Suicide among transport industry workers: A systematic review and meta-analysis.Scandinavian journal of work, environment & health · 2022
    Pooled it
  2. When Drivers Step Off the Bus: Well-Being and Turnover Intention in the Public Transport Sector.International journal of environmental research and public health · 2026
    Article
  3. Article
  4. [Poor sleep quality contributes to occurrence of posttraumatic stress disorder in trauma patients].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 3 countries.

Mary G CareySchool of Nursing, Clinical Nursing Research Center, University of Rochester, 601 Elmwood Ave, Box 619-7, Rochester, NY, 14642, USA. mary_carey@urmc.rochester.edu.ORCID http://orcid.org/0000-0002-5013-3464
Cheryl RegehrUniversity of Toronto, 27 King's College Circle, Toronto, ON, M5S1A1, Canada.
Shannon L WagnerCollege of Arts, Social and Health Sciences, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
Marc WhiteDepartment of Family Practice, University of British Columbia, Suite 300, University Boulevard, Vancouver, 5950, Canada.
Lynn E AldenDepartment of Psychology, University of British Columbia, 2136 West Mall, UBC Campus, Vancouver, Canada.
Nicholas BuysMenzies Health Institute of Queensland, Griffith University, G40_8.68, Griffith Health Centre, Gold Coast Campus, Griffith University, Southport, Qld, 4222, Australia.
Wayne CorneilInterdisciplinary School of Health Sciences & Telfer School of Management, University of Ottawa, 19 College Circle, Ottawa, ON, K1K4R7, Canada.
Trina FyfeNorthern Medical Program, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
Lynda R MatthewsWork and Health Research Team, Faculty of Health Sciences, The University of Sydney, Sydney, NSW, 2006, Australia.
Christine RandallSchool of Allied Health Sciences, Health Group, Menzies Health Institute of Queensland, Griffith University, Gold Coast Campus, Parklands Drive, Southport, QLD, 4222, Australia.
Alex Fraess-PhillipsSchool of Health Sciences, University of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
Elyssa KrutopThe Center for Response Based Practice, 677 Seymour Street, Kamloops, BC, V2C 2H1, Canada.
Nicole WhiteUniversity of Northern British Columbia, 3333 University Way, Prince George, BC, V2N 4Z9, Canada.
University of Northern British Columbia · CAGriffith University · AUUniversity of British Columbia · CAResponse Biomedical (Canada) · CAThe University of Sydney · AUUniversity of Ottawa · CAUniversity of Rochester Medical Center · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePublic transportation workers are exposed to higher levels of stress related to accidents, injuries, and person-under-train events when compared to other workers. This systematic review integrates the existing literature on mental health among high-risk public transportation workers to estimate the prevalence of post-traumatic stress disorder (PTSD), major depressive and anxiety symptoms following critical incidents while on duty.

methodsThis systematic review is part of a larger systematic review which examines mental health and work outcomes of individuals working in professions at high risk of critical incident exposure, i.e., high-risk professions. Articles were included if they measured the prevalence of PTSD, Major Depressive Disorder (MDD) and Anxiety Disorder (AD) in a transportation population following exposure to a major incident, for example, a person-under-a-train.

resultsAmong the ten articles, all reported prevalence of PTSD which ranged from 0.73 to 29.9%. Four articles reported prevalence of depression among transportation workers exposed to a critical incident and prevalence outcomes ranged from 0.05 to 16.3%. Only two reported prevalence of anxiety from 1.3 to 13.9%.

conclusionsThis literature reports that transportation workers are prone to involvement in traumatic accidents leading to higher rates of PTSD compared to the general population. Strategies to reduce transportation accidents and to provide transportation workers follow-up mental health support is needed for this vulnerable population.

Indexed as

TransportationAccidentsAnxiety DisordersHumansMajor Depressive DisorderRiskStress Disorders, Post-TraumaticAnxiety disorder symptomsMajor depression symptomsPost-traumatic stress disorderPrevalenceTransportation workers

Identifiers

PMID33449217
OpenAlexW3118565958

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.