Working on the hot seat: urban bus operators.

City bus operators suffer elevated health risks and striking levels of absenteeism and medical disability that may be related to occupational stress. This article provides a critical overview of findings on urban bus drivers' health status, paying particular attention to aspects of the physical and psychosocial job environment that may cause ill health. Methodological shortcomings in the research are discussed and preliminary ideas for salutagenic interventions are proposed.

[1]  S. Syme Social Epidemiology and the Work Environment , 1988, International journal of health services : planning, administration, evaluation.

[2]  E. Menaghan,et al.  Coping with occupational problems: the limits of individual efforts. , 1984, Journal of health and social behavior.

[3]  J. Schwartz,et al.  The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index: a correction. , 1992, JAMA.

[4]  J. Schwartz,et al.  The relationship between 'job strain,' workplace diastolic blood pressure, and left ventricular mass index. Results of a case-control study. , 1990, JAMA.

[5]  Gary J. Blau,et al.  An empirical investigation of job stress, social support, service length, and job strain , 1981 .

[6]  P. Bartone STRESS AND HEALTH IN CHICAGO TRANSIT AUTHORITY BUS DRIVERS. , 1984 .

[7]  D R Ragland,et al.  Self-reported stressors and hypertension: evidence of an inverse association. , 1988, American journal of epidemiology.

[8]  Gunn Johansson,et al.  Stress at work: psychobiological and psychosocial aspects1 , 1986 .

[9]  B. Netterstrøm,et al.  Incidence and Prevalence of Ischaemic Heart Disease among Urban Busdrivers in Copenhagen , 1981, Scandinavian journal of social medicine.

[10]  C. Duffy,et al.  Stress and the bus driver in the UK transport industry , 1990 .

[11]  J M Fisher,et al.  Prevalence of hypertension in bus drivers. , 1987, International journal of epidemiology.

[12]  J. Johnson,et al.  Job strain, work place social support, and cardiovascular disease: a cross-sectional study of a random sample of the Swedish working population. , 1988, American journal of public health.

[13]  B Gardell,et al.  THE WORKING ENVIRONMENT FOR LOCAL PUBLIC TRANSPORT PERSONNEL , 1982 .

[14]  T. Meijman,et al.  Differential psychophysiological reactivity of city bus drivers. , 1982, Ergonomics.

[15]  J Reimann INVESTIGATIONS ON THE REDUCTION OF STRESS OF DRIVERS IN REGULARLY SCHEDULED BUSES IN INNER CITY TRAFFIC , 1982 .

[16]  T. Wills,et al.  Stress, social support, and the buffering hypothesis. , 1985, Psychological bulletin.

[17]  P. Bartone,et al.  Predictors of stress-related illness in city bus drivers. , 1989, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[18]  G. Evans,et al.  Job strain and occupational stress among urban public transit operators , 1991 .

[19]  J. Henry,et al.  Stress, Health, and the Social Environment , 1977, Topics in Environmental Physiology and Medicine.

[20]  James L. Perry,et al.  ECONOMIC AND OCCUPATIONAL CAUSES OF TRANSIT OPERATOR ABSENTEEISM : A REVIEW OF RESEARCH , 1985 .

[21]  J M Fisher,et al.  Excess risk of sickness and disease in bus drivers: a review and synthesis of epidemiological studies. , 1988, International journal of epidemiology.

[22]  B. Netterstrøm,et al.  Psychological functions of urban busdrivers exposed to exhaust gases. A cross sectional study of urban busdrivers in Denmark. , 1982, Scandinavian journal of psychology.

[23]  David S. Krantz,et al.  Environmental stress and biobehavioral antecedents of coronary heart disease. , 1988, Journal of consulting and clinical psychology.

[24]  Torsten M. Kühlmann Coping with occupational stress among urban bus and tram drivers , 1990 .

[25]  L Wilhelmsen,et al.  Risk of coronary heart disease in middle-aged male bus and tram drivers compared to men in other occupations: a prospective study. , 1991, International journal of epidemiology.

[26]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[27]  G. Evans,et al.  Traffic congestion, perceived control, and psychophysiological stress among urban bus drivers. , 1991, The Journal of applied psychology.

[28]  P. Hartvig,et al.  Coronary heart disease risk factors in bus and truck drivers , 1983, International archives of occupational and environmental health.

[29]  M. Friedman,et al.  The possible relationship of occupational stress to clinical coronary heart disease. , 1958, California medicine.

[30]  G. Evans,et al.  Type A behavior and occupational stress: a cross-cultural study of blue-collar workers. , 1987, Journal of personality and social psychology.

[31]  J. House,et al.  Social relationships and health. , 1988, Science.

[32]  T. F. Meijman,et al.  Absence behaviour, turnover and disability: A study among city bus drivers in the Netherlands , 1990 .