Nearly 3 million long haul truck drivers transport goods across America. Truck driving is rated as the nation's third largest growth occupation. Between 174,000 and 290,000 drivers are women and the percentage of women in trucking is growing. A descriptive study was conducted to identify health conditions, health care access, and driving environments of female drivers. Analyses of the 284 surveys showed only 77.8% had a usual place of health care. One of five had no insurance coverage and only 35 respondents had paid sick leave. Drivers reported substantial prevalence of sinus problems, back pain, migraine headaches, and hypertension. Drivers ignored symptoms or self medicated when working. More than 40% expressed dissatisfaction with health care while 'on the road.' Occupational health nurses may be in positions to address the special needs of drivers through websites, trucker health clinics, or special programs delivered where truckers congregate. [ABSTRACT FROM AUTHOR]