Working conditions of bus drivers in the private sector and bus crashes in Kandy district, Sri Lanka: a case-control study

Objective: To explore the effects of working conditions of private-bus drivers on bus crashes in Kandy district, Sri Lanka. Methods: A case-control study was carried out from August to September 2006. All private-bus drivers registered in Kandy district and involved in crashes reported to the police between November 2005 and April 2006 (n = 63) were selected as cases. Two control groups were included: private-bus drivers working on the same routes as the case drivers (n = 90) and private-bus drivers selected randomly from other routes of the district (n = 111). Data were collected using an anonymous self-administered questionnaire. Associations between working conditions and crashes were analysed using logistic regression. Results: A strong association was observed between drivers' disagreements about working hours and bus crashes (matched controls, adjusted odds ratio (AOR) 5.98, 95% CI 1.02 to 34.90; unmatched controls, AOR 18.74, 95% CI 2.00 to 175.84). A significant association was also observed between low salaries (<US$100) and private-bus crashes (matched controls, AOR 1.01, 95% CI 0.40 to 2.54; unmatched controls, AOR 3.09, 95% CI 1.26 to 7.57). Conclusions: Drivers' disagreements about working hours and low salaries were significant risk factors for private-bus crashes in Kandy district, Sri Lanka. Therefore, new legislation for private-bus owners on the working hours and salaries of their drivers to prevent private-bus crashes is recommended.