1091 "If You Sleep, You Have Missed It": Perceptions of Sleep Among Long-distance Drivers in Ile-Ife, Nigeria

Abstract Introduction Road Traffic Accidents (RTAs) are a major cause of mortality and disability in developing countries. Previous studies suggest that one-third of road traffic accidents are due to drowsy driving. The frequency and causes of drowsy driving in Nigeria are unknown as there is limited data and publication on the subject. Hence, this study was carried out as part of an awareness program for the 2023 World Sleep Day to explore the perceptions and determinants of poor sleep among long-distance drivers in Ile-Ife. Methods A cross-sectional qualitative study was conducted with a focus group conducted among 12 leaders of drivers in Ile-Ife. Ethical approval and consent were obtained beforehand. Participants were asked about their perception of sleep with a pre-developed interview guide. Their responses were recorded and transcribed verbatim, and ATLAS.ti 22.3 was used to manage the data. Thematic analysis was done, and sample quotes were documented. Results All respondents were male aged 45 to 52 years. The drivers described their sleep as not sufficient as they leave for work early and return late. A recurrent response was; “sleep is very important, but for people like us, sleep is not sufficient.” Four factors were identified that affect sleep quality: financial debt, responsibilities, drinking alcohol for recreation, and distance traveled. Participants reported that they work longer hours to be able to pay for the hired buses they drive, alongside responsibilities such as payment of children’s school fees, as described; “Had it been that one has a basic salary; one can sleep conveniently till 9 am.” The drivers also added that they prefer to drink alcohol and have fun after work, which affects their sleep. Additionally, drivers who travel intra-state return early and sleep more. Conclusion Commercial drivers are at an increased risk for drowsy driving and, consequently, are at risk for RTAs. This study highlights the multifactorial and socioeconomic challenges that influence sleep quality among long-distance drivers in South West Nigeria. Further studies are required, and educational and economic measures are recommended to be implemented to reduce this risk. Support (if any)