ArticleFrontiers in public health2026
Occupational and behavioral factors associated with fatigue among long-distance truck drivers on the Kenya-Uganda transport corridor.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: This study aimed to identify occupational and behavioral factors associated with fatigue among long-distance truck drivers along the Kenya-Uganda transport corridor. A secondary objective was to assess the robustness of identified associations by applying LASSO penalized regression as a sensitivity check. Methods: A cross-sectional analytical study was conducted among 207 long-distance truck drivers at the Busia and Malaba border crossings. Fatigue was assessed using the Chalder Fatigue Questionnaire (CFQ-11) with binary scoring. Missing data were addressed using multiple imputation by chained equations (MICE; Results: The prevalence of occupational fatigue was 52.2% (95% Conclusions: Occupational fatigue affects a substantial proportion of long-distance truck drivers and is strongly associated with substance use and extended daily driving hours. Public health and transport-sector interventions should prioritize fatigue prevention through substance-use reduction strategies, driver wellness programmes, and enforcement of regulations limiting excessive driving hours to improve driver health and road safety.
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