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Factors associated with driving simulator performance in vocational drivers with HIV

Bibliographic Data

ID19442848
AuthorsHetta Gouse (0000-0001-7885-8363, University of Cape Town, corresponding author), Michelle Henry (0000-0001-8244-1421, University of Cape Town), Jane Masson (University of Cape Town), Lizette Swannepoel (University of Cape Town), Anna Dreyer (University of Cape Town), Anna J Dreyer (0000-0003-1230-3431, University of Cape Town), Reuben N Robbins (0000-0003-0774-2245, New York Psychoanalytic Society and Institute), Reuben Robbins (New York State Psychiatric Institute and Columbia University), Greg Kew (University of Cape Town), John A Joska (0000-0003-4260-1181, Neuroscience Institute, University of Cape Town), Leslie London (0000-0003-1297-2758, University of Cape Town), Kevin GF Thomas (0000-0002-0807-6101, University of Cape Town), Kevin G F Thomas (University of Cape Town), Thomas D Marcotte (0000-0002-3039-6400, University of California San Diego)
Year2025
Volume37
Issue10
Pages1795-1810
Publication date2025-10-03
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2532599
PMID40676856
OpenAlexW4412492066
LanguageEN
References cited42

Neurocognitive symptoms persist in many people living with HIV (PLWH). Safe driving practices are dependent on intact cognition. Research in the general driving population suggests that PLWH with neurocognitive impairment (NCI) perform worse on driving assessment tasks than cognitively intact PLWH. We explored the relationship between HIV status, NCI, and driving ability in vocational drivers. Two-hundred-and-four male drivers [68 drivers with HIV] completed neuropsychological testing and two driving simulator tasks assessing driving under routine and challenging circumstances. Drivers with NCI, regardless of HIV status, exhibited worse driving performance than cognitively intact drivers overall (p = .032), and on the challenging drive (p = .048) in particular. Better driving performance was associated with having received professional driver training. Other favorable predictors included being a truck driver and not having HIV. Drivers with NCI are at greater risk of making driving simulator errors, and errors are more evident under challenging driving conditions. Driver training interventions may be effective in remediating poorer driving performance in drivers with NCI. Studying the impact of HIV and cognition in individuals who are working professionally is a complex undertaking that requires consideration of factors (e.g., training and experience) alongside the usual variables considered when studying the general population

Cognition · Driving simulator · Effects of sleep deprivation on cognitive performance · Environmental health · Medical emergency · Neurocognitive · Neuropsychology · Poison control · Population · Psychiatry · Psychological intervention · Simulation · Vocational education · Aging, Elder Care, and Social Issues · Applied Psychology · Clinical Psychology · Computer Science · Human Factors and Ergonomics · Medicine · Older Adults Driving Studies · Prenatal Substance Exposure Effects · Psychology

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