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Abu Halimah J, Mojiri M, Hakami S, Mobarki O, Alanazi S, Alharbi A, Khalban F, Al Sheef A, Alnujaidi S, Almalawi M, Nasser F, Kreshan A, Almarwani R, Ayyashi S. Musculoskeletal Health Risks Associated With Smartphone Use: A Retrospective Study from Riyadh, Saudi Arabia. Cureus 2024; 16:e63446. [PMID: 39077297 PMCID: PMC11284819 DOI: 10.7759/cureus.63446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/28/2024] [Indexed: 07/31/2024] Open
Abstract
BACKGROUND Smartphone usage has become ubiquitous in Saudi Arabia with concerns growing over its impact on musculoskeletal health. Globally, various musculoskeletal symptoms have been linked to smartphone use such as neck pain, headaches, and shoulder discomfort, often exacerbated by poor posture and prolonged screen time. METHODS This cross-sectional study was conducted in Riyadh, Saudi Arabia, to investigate the impact of smartphone use on musculoskeletal health among adults aged 18 years and older. Participants were recruited through convenience sampling from various settings such as universities, workplaces, and public areas. Data were collected using a structured questionnaire administered both online and in paper format, covering demographic characteristics, smartphone usage behaviors, awareness of smartphone-related health effects, and the prevalence and severity of musculoskeletal symptoms. RESULTS A total of 413 participants from Riyadh, Saudi Arabia, were surveyed to assess musculoskeletal symptoms associated with smartphone use. Demographic analysis revealed a predominantly young, single, and highly educated population, primarily Saudi nationals. Smartphone usage patterns showed extensive daily use, with over 41% using their devices for more than five hours daily. The majority were aware of smartphone-related health effects. Musculoskeletal symptoms were prevalent, notably neck pain (83.8%), arm pain (63.8%), and headaches (71.2%). The incidence of symptoms related to text neck syndrome was substantial, although awareness and diagnosis were limited. The severity of symptoms varied, with mild to moderate levels reported most frequently. CONCLUSION This study highlights a substantial prevalence of musculoskeletal symptoms among smartphone users in Riyadh, Saudi Arabia, emphasizing the need for public health interventions to promote ergonomic practices and mitigate health risks associated with smartphone use. Future research should focus on longitudinal studies to establish causal relationships and evaluate intervention strategies aimed at reducing these symptoms effectively.
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Affiliation(s)
| | | | | | | | - Saleh Alanazi
- College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, SAU
| | - Ahmad Alharbi
- College of Medicine, Ibn Sina National College, Jeddah, SAU
| | | | | | | | | | - Fahad Nasser
- College of Medicine, King Abdulaziz University, Jeddah, SAU
| | | | - Rawan Almarwani
- College of Medicine, Al-Rayan Colleges, Madinah Al-Munawwarah, SAU
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Boulagouas W, Catalina OCA, Mariscal MA, Herrera S, García-Herrero S. Effects of mobile phone-related distraction on driving performance at roundabouts: Eye movements tracking perspective. Heliyon 2024; 10:e29456. [PMID: 38660253 PMCID: PMC11040046 DOI: 10.1016/j.heliyon.2024.e29456] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Revised: 03/21/2024] [Accepted: 04/08/2024] [Indexed: 04/26/2024] Open
Abstract
Modern road infrastructures are complex networks featuring various elements such as roads, bridges, intersections, and roundabouts, with advanced control systems. Roundabouts have gained prominence as a safer alternative to traditional intersections promoting smoother traffic flow and fewer collisions by guiding traffic in one direction, encouraging reduced speed, and minimizing conflict points.This study investigated driver behavior within roundabouts, focusing on gaze behavior, particularly the left-side mirror and window, under mobile phone distraction conditions. In addition, the effects of roundabout specifications (i.e., number of lanes and size of the central island) and the drivers' characteristics (i.e., driving experience) were examined.In total, 43 participants, aged 19-56 years including 30 males and 13 females, held a valid driving license, drove through a virtual simulated urban road containing four roundabouts, implemented in a static driving simulator, under baseline condition (no distraction) as well as mobile-induced distraction. Driving simulator data were collected and drivers' gaze direction and fixation on nine areas of interest were captured with an eye tracker. Results showed that experienced drivers exhibit a more fixation on the left-side mirror and window and were less distracted. Moreover, the road environment, i.e., the number of cars and the roundabout size, significantly influenced the drivers' attention. As regards the driving performance, the number of infractions increased when the drivers diverted focus from the left side of the car. The outcomes of the present study might help to improve traffic safety at roundabouts.
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Affiliation(s)
- Wafa Boulagouas
- Institute of Health and Safety, University of Batna 2, Batna, Algeria
| | | | | | - Sixto Herrera
- Department of Applied Mathematics and Computer Sciences, Universidad de Cantabria, Santander, Spain
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Useche SA, Alonso F, Faus M, Cervantes Trejo A, Castaneda I, Oviedo-Trespalacios O. "It's okay because I'm just driving": an exploration of self-reported mobile phone use among Mexican drivers. PeerJ 2024; 12:e16899. [PMID: 38410804 PMCID: PMC10896083 DOI: 10.7717/peerj.16899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 01/16/2024] [Indexed: 02/28/2024] Open
Abstract
Introduction Technological advancements have the potential to enhance people's quality of life, but their misuse can have a detrimental impact on safety. A notable example is the escalating issue of distracted driving resulting from the use of mobile phones behind the wheel, leading to severe crashes and injuries. Despite these concerns, both drivers' usage patterns and their risk-related associations remain scarcely documented in Mexico. Therefore, this descriptive study aimed to examine the mobile phone usage of Mexican drivers, its relationships to risk awareness and near-miss/crash involvement, and the self-reported underlying reasons for this behavior. Methods This cross-sectional study utilized a sample of 1,353 licensed Mexican drivers who took part in a nationwide series of interviews regarding their onboard phone use settings. Results A significant percentage of drivers (96.8%) recognize using a mobile phone while driving as high-risk behavior. However, only 7.4% reported completely avoiding its use while driving, with 22.4% identified as high-frequency users. Frequency was also found positively associated with the self-reported rate of near-misses and crashes. Furthermore, qualitative data analysis highlights the emergence of a 'sense of urgency' to attend to phone-related tasks in response to daily demands and life dynamics, offering a potential explanation for this behavior. Conclusion The results of this study suggest common patterns of onboard mobile use among Mexican drivers concerning driving situations and associated risks. This underscores the need for increased efforts to discourage onboard phone use in the country.
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Affiliation(s)
- Sergio A. Useche
- Research Institute on Traffic and Road Safety (INTRAS), University of Valencia, Valencia, Spain
| | - Francisco Alonso
- Research Institute on Traffic and Road Safety (INTRAS), University of Valencia, Valencia, Spain
| | - Mireia Faus
- Research Institute on Traffic and Road Safety (INTRAS), University of Valencia, Valencia, Spain
| | | | - Isaac Castaneda
- Faculty of Health Sciences, Anahuac University, Mexico D.F., Mexico
| | - Oscar Oviedo-Trespalacios
- Faculty of Technology, Policy, and Management, Delft University of Technology, Delft, The Netherlands
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Ali Y, Haque MM. Modelling braking behaviour of distracted young drivers in car-following interactions: A grouped random parameters duration model with heterogeneity-in-means. ACCIDENT; ANALYSIS AND PREVENTION 2023; 185:107015. [PMID: 36889237 DOI: 10.1016/j.aap.2023.107015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/29/2022] [Revised: 01/27/2023] [Accepted: 02/21/2023] [Indexed: 06/18/2023]
Abstract
Braking is an important characteristic of driving behaviour that has a direct relationship with rear-end collisions in a car-following task. Braking becomes more crucial when drivers' cognitive workload increases because of using mobile phones whilst driving. This study, therefore, investigates and compares the effects of using mobile phones whilst driving on braking behaviour. Thirty-two young licenced drivers, evenly split by gender, faced a safety-critical event, that is, leader's hard braking, in a car-following situation. Each participant drove the CARRS-Q Advanced Driving Simulator and was required to respond to a braking event in the simulated environment in three phone conditions: baseline (no phone conversation), handheld, and hands-free. A random parameters duration modelling approach is employed to (i) model drivers' braking (or deceleration) times using a parametric survival model, (ii) capture unobserved heterogeneity associated with braking times, and (iii) account for repeated experiment design. The model identifies the handheld phone condition as a random parameter whilst vehicle dynamics variables, hands-free phone condition, and driver-specific variables are found as fixed parameters. The model suggests that most distracted drivers (in the handheld condition) reduce their initial speeds more slowly than undistracted drivers, reflecting their delayed initial braking that may lead to abrupt braking to avoid a rear-end collision. Further, another group of distracted drivers exhibits faster braking (in the handheld condition), recognising the risk associated with mobile phone usage and delayed initial braking. Provisional licence holders are found to be slower in reducing their initial speeds than open licence holders, indicating their risk-taking behaviour because of their less experience and more sensitivity to mobile phone distraction. Overall, mobile phone distraction appears to impair the braking behaviour of young drivers, which poses significant safety concerns for traffic streams.
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Affiliation(s)
- Yasir Ali
- Loughborough University, School of Architecture, Building, and Civil Engineering, Leicestershire LE11 3TU, United Kingdom.
| | - Md Mazharul Haque
- Queensland University of Technology, School of Civil and Environmental Engineering, Faculty of Engineering, Brisbane, QLD 4000, Australia.
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Voinea GD, Boboc RG, Buzdugan ID, Antonya C, Yannis G. Texting While Driving: A Literature Review on Driving Simulator Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4354. [PMID: 36901364 PMCID: PMC10001711 DOI: 10.3390/ijerph20054354] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Revised: 02/23/2023] [Accepted: 02/25/2023] [Indexed: 06/18/2023]
Abstract
Road safety is increasingly threatened by distracted driving. Studies have shown that there is a significantly increased risk for a driver of being involved in a car crash due to visual distractions (not watching the road), manual distractions (hands are off the wheel for other non-driving activities), and cognitive and acoustic distractions (the driver is not focused on the driving task). Driving simulators (DSs) are powerful tools for identifying drivers' responses to different distracting factors in a safe manner. This paper aims to systematically review simulator-based studies to investigate what types of distractions are introduced when using the phone for texting while driving (TWD), what hardware and measures are used to analyze distraction, and what the impact of using mobile devices to read and write messages while driving is on driving performance. The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guidelines. A total of 7151 studies were identified in the database search, of which 67 were included in the review, and they were analyzed in order to respond to four research questions. The main findings revealed that TWD distraction has negative effects on driving performance, affecting drivers' divided attention and concentration, which can lead to potentially life-threatening traffic events. We also provide several recommendations for driving simulators that can ensure high reliability and validity for experiments. This review can serve as a basis for regulators and interested parties to propose restrictions related to using mobile phones in a vehicle and improve road safety.
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Affiliation(s)
- Gheorghe-Daniel Voinea
- Department of Automotive and Transport Engineering, Transilvania University of Brașov, 29 Eroilor Blvd., 500036 Brasov, Romania
| | - Răzvan Gabriel Boboc
- Department of Automotive and Transport Engineering, Transilvania University of Brașov, 29 Eroilor Blvd., 500036 Brasov, Romania
| | - Ioana-Diana Buzdugan
- Department of Automotive and Transport Engineering, Transilvania University of Brașov, 29 Eroilor Blvd., 500036 Brasov, Romania
| | - Csaba Antonya
- Department of Automotive and Transport Engineering, Transilvania University of Brașov, 29 Eroilor Blvd., 500036 Brasov, Romania
| | - George Yannis
- Department of Transportation Planning and Engineering, National Technical University of Athens, 5 Heroon Polytechniou str., GR-15773 Athens, Greece
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Boboc RG, Voinea GD, Buzdugan ID, Antonya C. Talking on the Phone While Driving: A Literature Review on Driving Simulator Studies. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710554. [PMID: 36078267 PMCID: PMC9517811 DOI: 10.3390/ijerph191710554] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/12/2022] [Accepted: 08/20/2022] [Indexed: 05/13/2023]
Abstract
Distracted driving is a growing concern around the world and has been the focus of many naturalistic and simulator-based studies. Driving simulators provide excellent practical and theoretical help in studying the driving process, and considerable efforts have been made to prove their validity. This research aimed to review relevant simulator-based studies focused on investigating the effects of the talking-on-the-phone-while-driving distraction on drivers' behavior. This work is a scoping review which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) guidelines. The search was performed on five databases, covering twenty years of research results. It was focused on finding answers to three research questions that could offer an overview of the main sources of distraction, the research infrastructure, and the measures that were used to analyze and predict the effects of distractions. A number of 4332 studies were identified in the database search, from which 83 were included in the review. The main findings revealed that TPWD distraction negatively affects driving performance, exposing drivers to dangerous traffic situations. Moreover, there is a general understanding that the driver's cognitive, manual, visual, and auditory resources are all involved, to a certain degree, when executing a secondary task while driving.
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