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Mental disorders and delivery motorcycle drivers (motoboys): A dangerous association

Published online by Cambridge University Press:  16 April 2020

R.R. Kieling ,
C.M. Szobot ,
B. Matte ,
R.S. Coelho ,
C. Kieling ,
F. Pechansky  and
L.A. Rohde
R.R. Kieling
Affiliation:
ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
C.M. Szobot
Affiliation:
Center for Drug and Alcohol Research, HCPA, Brazil Universidade Luterana do Brasil, Pós-Graduação em Saúde Coletiva, Brazil
B. Matte
Affiliation:
ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
R.S. Coelho
Affiliation:
ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
C. Kieling
Affiliation:
ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
F. Pechansky
Affiliation:
Center for Drug and Alcohol Research, HCPA, Brazil
L.A. Rohde*
Affiliation:
ADHD Outpatient Clinic, Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil
*
*Corresponding author. Ramiro Barcelos 2350, room 2201A, Porto Alegre 90035- 003, Brazil. Tel.: +55 51 3321 3946; fax: +55 51 3359-8094. E-mail address: lrohde@terra.com.br(L.A. Rohde)
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Abstract

Objective

Low and middle-income countries experience an expressive growth in the number of circulating motorcycles, paralleled by an increasing number of traffic accidents. Delivery motorcycles drivers (“motoboys”) are generally perceived as accountable for this scenario. Although traffic accidents have a multivariate etiology, mental disorders, such as substance use disorders (SUD) and attention deficit/hyperactivity disorder (ADHD), are often involved. This paper aims at investigating the prevalence of ADHD, SUD and other mental disorders in a sample of Brazilian motoboys, and additionally, to evaluate the association between psychiatric diagnoses, motorcycle accidents and traffic violation tickets.

Method

A convenient sample of subjects was invited to participate in a cross-sectional assessment including an inventory of traffic accidents and violations. Psychiatric diagnoses were based on semi-structured and clinical interviews.

Results

A sample of 101 motoboys was assessed. Overall, 75% of subjects had a positive lifetime history of at least one psychiatric disorder. SUD was the most frequent diagnosis (43.6% for alcohol, 39.6% for cannabis). ADHD was associated with a higher number of traffic accidents (p = 0.002), and antisocial personality disorder (APD) was associated with a greater number of traffic violations (p = 0.007).

Conclusions

The prevalence of mental disorders was much higher in our sample than in the general population. ADHD and APD, but not SUD, were associated with negative traffic outcomes. These findings have implications for public mental health planning since mental disorders can be both prevented and treated, improving driving behavior and increasing road safety.

Keywords

Attention-deficit/hyperactivity disorderAntisocial behaviorMotorcycle driversRoad safetySubstance use disorderDeveloping countries
Type
Original article
Information
European Psychiatry , Volume 26 , Issue 1 , January 2011 , pp. 23 - 27
Copyright
Copyright © Elsevier Masson SAS 2011

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