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Few studies have assessed the entity of psychoactive drug consumption in the occupational setting. A systematic review of the literature and meta-analysis was performed in order to provide Occupational Health professionals and policy makers with an updated epidemiological perspective regarding this important issue. The results showed a prevalence of overall drug consumption of It appears that truck drivers choose stimulant substances as a form of performance enhancing drug , in order to increase productivity. However, chronic and high dose consumption has been shown to decrease driving skills, placing these professional drivers at risk for health and road safety. Further research is required, particularly in Europe, in order to fill the knowledge gap and improve the strength of evidence. World Drug Report European Drug Report Trends and Developments. Psychoactive substance use by truck drivers: A systematic review. Occup Environ Med. 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Occupational conditions and the risk of the use of amphetamines by truck drivers. Rev Saude Publica. Prevalence of at-risk drinking among Brazilian truck drivers and its interference on the performance of executive cognitive tasks. Drug Alcohol Depend. Drugs in oral fluid in randomly selected drivers. Traffic Inj Prev. A comparison of alcohol and drug use by random motor vehicle drivers in Brazil and Norway. Int J Drug Policy. Guinn, B. Job satisfaction, counterproductive behavior and circumstantial drug use among long-distance truckers. J Psychoactive Drugs. Prevalence of psychoactive drug use among drivers in Thailand: a roadside survey. Accid Anal Prev. Prevalence of psychoactive substances in truck drivers in the Nord-Pas-de-Calais region France. Prevalence and risk factors of alertness disorders of professional drivers in Morocco. Sante Publique. Cad Saude Publica. Amphetamine, cocaine and cannabinoids use among truck drivers on the roads in the State of Sao Paulo, Brazil. Drug use by tractor-trailer drivers. Iran J Public Health. Patterns of stimulant drug use on Western Australian heavy transport routes. Transport Res Part F2 , — Arq Bras Cardiol. Rev Bras Enferm. Mieczkowski T. Urinalysis and hair analysis for illicit drugs of driver applicants and drivers in the trucking industry. J Forensic Leg Med. Alcohol and marijuana use while driving - an unexpected crash risk in Pakistani commercial drivers: a cross-sectional survey. BMC Public Health. The incidence of amphetamine use among truck drivers from various regions of Thailand. J Med Assoc Thai. Interbio , 3, Okpataku CI. Pattern and reasons for substance use among long-distance commercial drivers in a Nigerian city. Indian J. Public Health , 59, — Screening for urinary amphetamine in truck drivers and drug addicts. Amphetamines consumption and alcohol for truck drivers. Pinho RSN. Abusive Consumption of Psychoactive Substances by Truck drivers. Med Clin Rev. Health surveillance of truck drivers: It is not just a question of drugs. Description of a one-year experience. Occupational health and safety of road haulage company employees. Med Lav. Prevalence of cardiovascular risk factors among truck drivers in the South of Brazil. BMC Public Health , 14, Drug Use by Truck Drivers in Brazil. Policy , 10, Association between travel length and drug use among Brazilian truck drivers. Sleep habits, sleepiness and accidents among truck drivers. Arquivos de Neuro-Psiquiatria , 63, — Analysis for drugs in saliva. CR, Rev Panam Salud Publica. Risk assessment and screening for sexually transmitted infections, HIV, and hepatitis virus among long-distance truck drivers in New Mexico, Am J Public Health , 99, Williamson A. Predictors of psychostimulant use by long-distance truck drivers. Am J Epidemiol. Saude Publica , 46, — A review of drug use and driving: epidemiology, impairment, risk factors and risk perceptions. Drug Alcohol Rev , 23, — Musshoff F, Madea B. Driving under the influence of amphetamine-like drugs. Drug and alcohol use in fatally injured drivers in Washington State. Plenum Press, New York, pp. Burns, M. Cocaine Effects on Performance In: Utzelmann, H. A review on the future of work: performance-enhancing drugs. Pharmacol , 39, 83— Laurell H, Tornros J. The carry-over effects of triazolam compared with nitrazepam and placebo in acute emergency driving situations and in monotonous simulated driving. Acta Pharmacol. Toxicol , 58, — Hypnotics and actual driving performance. Acta Psychiatr. Diazepam impairs lateral position control in highway driving. Science , , 79— Psychoactive drugs and the risk of injurious motor vehicle crashes in elderly drivers. Robbe, H. The Hague, Maastricht, The Netherlands. Cannabis and its effects on driving skills. Acute cannabis consumption and motor vehicle collision risk: systematic review of observational studies and meta-analysis. BMJ , e Cannabis effects on driving longitudinal control with and without alcohol. J Appl Toxicol. Cannabis effects on driving lateral control with and without alcohol. The effect of alcohol, THC and their combination on perceived effects, willingness to drive and performance of driving and non-driving tasks. The effects of cannabis and alcohol on simulated driving: Influences of dose and experience. The combined effects of alcohol and cannabis on driving: Impact on crash risk. Medical marijuana in the workplace: challenges and management options for occupational physicians. J Occup Environ Med. A clinical trial on the acute effects of methadone and buprenorphine on actual driving and cognitive function of healthy volunteers. Br J Clin Pharmacol. Can patients receiving opioid maintenance therapy safely drive? A systematic review of epidemiological and experimental studies on driving ability with a focus on concomitant methadone or buprenorphine administration. A structured evidence-based review. J Pain Symptom Manage. Galski, T. Effects of opioids on driving ability. Basic concepts in opioid prescribing and current concepts of opioid-mediated effects on driving. Ochsner J. Driving under the influence of prescription opioids: Self-reported prevalence and association with collision risk in a large Canadian jurisdiction. Hypnotics and driving safety: meta-analyses of randomized controlled trials applying the on-the-road driving test. Curr Drug Saf. The impact of benzodiazepines on safe driving. Driving under the influence of drugs - evaluation of analytical data of drugs in oral fluid, serum and urine, and correlation with impairment symptoms. Detection of drugs of abuse in simultaneously collected oral fluid, urine and blood from Norwegian drug drivers. Comparing drug detection in oral fluid and blood: data from a national sample of nighttime drivers. Casolin A. J Anal Toxicol , 40, EU Action Plan on Drugs Carpenter CS. Workplace drug testing and worker drug use. Health Serv Res , 42, Guglielmo Dini. Nicola Luigi Bragazzi. Alfredo Montecucco. Alborz Rahmani. Paolo Durando. Keywords truck-drivers psychoactive drug consumption systematic review meta-analysis and meta-regression occupational health and wellbeing road safety. Abstract Few studies have assessed the entity of psychoactive drug consumption in the occupational setting. McKim W. Drugs and Behavior. Human Psychopharmacol , 15, — Driving and Benzodiazepine Use. Mol Diag Ther , 10, Forgot your password? Keep me logged in. No account? Register here.