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Background: Compared with other occupations, long-haul truck drivers (LHTD) engage in excessively unhealthy behaviors and experience disproportionately poor health outcomes. Health promotion efforts targeting LHTDs focus on improving individual-level behaviors; however, this occupation is replete with adverse work organization characteristics, high job stress, and compromised sleep health, which are hypothesized to cause poor health behaviors and outcomes among LHTDs. Therefore, the purpose of this study was to explore the connections between work characteristics, job stress, and sleep outcomes, and health behaviors and physical and mental health outcomes among LHTDs. Method: This was a cross-sectional study, using interviewer-administered surveys with LHTDs (n = 260). Bivariate correlation analysis was used to explore the associations among work organization, job stress, sleep health, and health behaviors and outcomes. Logistic regression analyses were used to determine whether these work organization, job stress, and sleep factors predicted health behaviors and outcomes. Results: Long work hours of more than 11 hours daily (odds ratio [OR] = 2.34) resulted in increased odds of high caffeine consumption. High job stress (OR = 0.48) and poor sleep quality (OR = 0.42) led to decreased odds for spending at least 1 hour daily for cooking/eating. Low sleep duration, less than 7 hours daily (OR = 2.55), led to increased odds of a physical health diagnosis. Both high job stress (OR = 3.58) and poor sleep quality (OR = 2.22) resulted in increased odds of a mental health diagnosis. Conclusion: Health promotion efforts targeting LHTDs need to be coupled with upstream policy, environmental, and systems-level change, especially at the governmental and trucking industry levels.

Excess health and safety risks of commercial drivers are largely determined by, embedded in, or operate as complex, dynamic, and randomly determined systems with interacting parts. Yet, prevailing epidemiology is entrenched in narrow, deterministic, and static exposure‐response frameworks along with ensuing inadequate data and limiting methods, thereby perpetuating an incomplete understanding of commercial drivers' health and safety risks. This paper is grounded in our ongoing research that conceptualizes health and safety challenges of working people as multilayered "wholes" of interacting work and nonwork factors, exemplified by complex‐systems epistemologies. Building upon and expanding these assumptions, herein we: (a) discuss how insights from integrative exposome and network‐science‐based frameworks can enhance our understanding of commercial drivers' chronic disease and injury burden; (b) introduce the "working life exposome of commercial driving" (WLE‐CD)—an array of multifactorial and interdependent work and nonwork exposures and associated biological responses that concurrently or sequentially impact commercial drivers' health and safety during and beyond their work tenure; (c) conceptualize commercial drivers' health and safety risks as multilayered networks centered on the WLE‐CD and network relational patterns and topological properties—that is, arrangement, connections, and relationships among network components—that largely govern risk dynamics; and (d) elucidate how integrative exposome and network‐science‐based innovations can contribute to a more comprehensive understanding of commercial drivers' chronic disease and injury risk dynamics. Development, validation, and proliferation of this emerging discourse can move commercial driving epidemiology to the frontier of science with implications for policy, action, other working populations, and population health at large. [ABSTRACT FROM AUTHOR]

The article focuses on the diverse perspectives of political, economic, and social institutions worldwide regarding work organization and their impact on the discourse around work, population health, safety, and well-being, influencing empirical research in the field. It emphasizes the need for a paradigm shift to comprehensively understand the complex interplay between work and nonwork influences on population health and safety.

Background: Commercial trucker health is a vital public health concern. Enhanced understanding of the multiplicity, diversity, interdependence, and complexity of policies, resources, and stakeholders relevant to healthful living in trucking worksites can guide future interventions. Purpose: This article examines how the environmental attributes of commercial trucking worksites influence truck drivers' opportunities for healthful eating and active living and provides a preliminary discussion on how complexity science can help design more efficacious interventions. Methods: A 250-item audit instrument was used to measure the presence of corporate, social, and built environment attributes of 25 diverse trucking worksites that can influence food choices and physical activity of truckers. Results: Findings from truckstops, trucking terminals, warehouses, and highway rest areas along key transportation routes revealed that these worksites are severely burdened by structural and institutional barriers and essentially represent what can be called "healthy living deserts." Discussion: Comprehensive interventions to address organizational barriers for health-supportive trucking worksites are critical because truck driver health has far-reaching ramifications for drivers and others. Translation to Health Education Practice: Because traditional worksite wellness programs for truckers have had limited success, the application of complex systems methodologies has an increased potential to advance high-leverage, sustainable intervention configurations.

Background: Hotel housekeepers' major responsibility is to perform cleaning tasks. In the course of performing their duties, hotel housekeepers are disproportionately exposed to multiple workplace hazards (i.e., physical, chemical, biological, and psychosocial hazards) that put them at risk of adverse health consequences. This study aims to discover the occupational and health challenges encountered by immigrant hotel housekeepers in Orlando, Florida, and help hotel management to develop strategies to improve their occupational health. Methods: This study adopted an interviewer-administered survey method for data collection. Data were collected from members of the United Here Union, Local 7373 in Orlando, Florida. Trained Spanish–English bilingual associates of the Union administered the surveys through interviews with participants. Descriptive statistics and stepwise multiple regression were employed to analyze data (n = 140) using SPSS 22. Findings: This study shows that Florida hotel housekeepers participating in this study worked under great time pressures, endured excessive workloads, did not have enough time to rest and recover, and often skipped or shortened lunch breaks. Participants believed that their employers valued work productivity more than their safety and health. More than half of the respondents experienced racial discrimination at their workplaces. Conclusion/Application to Practice: The article brings an important contribution to the awareness of housekeepers' feelings toward their work and the need for effective safety and health policies and programs. [ABSTRACT FROM AUTHOR]