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The Impact of HIV-Associated Neurocognitive Impairment on Driving Performance in Commercial Truck Drivers.

Driving ability can be diminished amongst people with HIV with associated neurocognitive impairment (NCI). We explore the relationship between HIV status, NCI and driving ability in professional truck drivers. Forty male professional drivers (20 HIV-positive; mean age = 39.20 ± 7.05) completed a neu...

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Published in:AIDS & Behavior Vol. 25; no. 3; pp. 689 - 699
Main Authors: Gouse, H., Masson, C. J., Henry, M., Thomas, K. G. F., Robbins, R. N., Kew, G., London, L., Joska, J. A., Marcotte, T. D.
Format: research tables/charts Journal Article
Published: Springer Nature Mar2021
Online Access:View this record in EBSCOhost
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      dt: Mar2021
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-020-03033-7
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        atl: The Impact of HIV-Associated Neurocognitive Impairment on Driving Performance in Commercial Truck Drivers.
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          Gouse, H.
          Masson, C. J.
          Henry, M.
          Thomas, K. G. F.
          Robbins, R. N.
          Kew, G.
          London, L.
          Joska, J. A.
          Marcotte, T. D.
        affil: HIV Mental Health Research Unit and Neurosciences Institute, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
      sug:
        subj:
          HIV Infections Complications
          Cognition Disorders Risk Factors
          Automobile Driving
          Health Status
          Job Performance
          Motor Vehicles
          Human
          Male
          Female
          Descriptive Statistics
          Adult
          Neuropsychological Tests
          Task Performance and Analysis
          Questionnaires
          Cognition
          Self Report
          Health Screening
          Disease Surveillance
          Health Information Management
          Occupational Health
          Adult: 19-44 years
          Male
          Female
      ab:
        Driving ability can be diminished amongst people with HIV with associated neurocognitive impairment (NCI). We explore the relationship between HIV status, NCI and driving ability in professional truck drivers. Forty male professional drivers (20 HIV-positive; mean age = 39.20 ± 7.05) completed a neuropsychological test battery, two driving simulator tasks that assessed driving ability, and a driving history and habits questionnaire. A higher proportion of HIV-positive drivers exhibited impaired overall cognitive performance (p ≤ 0.001). Overall, drivers with NCI (defined as z ≤ 1.00) were more likely than those without NCI to crash (p = 0.002). There were no significant between-group (HIV-positive versus HIV-negative) differences with regard to self-reported on-road driving events. Professional drivers with NCI, as measured on a driving simulator, are at increased risk of making driving errors under high-risk conditions compared to their neurocognitively normal counterparts. These data should inform driver health management with regard to annual medical screening and surveillance.
        Resumen: La capacidad de conducción puede verse disminuida entre las personas con VIH con deterioro neurocognitivo asociado (neurocognitive impairment, NCI). Exploramos la relación entre la situación frente al VIH, el NCI y la capacidad de conducción en conductores profesionales de camiones. Cuarenta conductores profesionales masculinos (20 seropositivos, edad media = 39.20 ± 7.05) completaron una batería de pruebas neuropsicológicas, dos tareas de simulador de conducción que evaluaron la capacidad de conducción y un cuestionario de hábitos y antecedentes de conducción. Una mayor proporción de conductores VIH positivos exhibió un desempeño cognitivo general deficiente (p ≤ 0.001). En general, los conductores con NCI (definido como z ≤ 1.00) tenían más probabilidades de chocar que aquellos sin NCI (p = 0.002). No hubo diferencias significativas entre los grupos (VIH positivo frente a VIH negativo) con respecto a los eventos autoinformados de conducción en carretera. Los conductores profesionales con NCI, según lo medido en un simulador de conducción, tienen un mayor riesgo de cometer errores de conducción en condiciones de alto riesgo en comparación con sus homólogos neurocognitivamente normales. Estos datos deberían informar a la gestión de la salud del conductor en lo que respecta a la vigilancia y los exámenes médicos anuales.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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