Objective To understand the prevalence and characteristics of cervical spondylosis among bus drivers and analyze its possible influencing factors, providing the scientific basis for improving the health status of bus drivers.

Methods In January 2024, a cross-sectional survey was conducted among 551 bus drivers in a certain region, and the basic information on the drivers, information on the prevalence of cervical spondylosis diagnosed by hospitals, driving characteristics, and lifestyle characteristics of these drivers were collected using the electronic questionnaire titled "Survey on the Prevalence and Influencing Factors of Cervical Spondylosis Among Bus Drivers." The Pearson χ² test was used for univariate analysis of the prevalence of cervical spondylosis among different characteristic groups, and a binary logistic regression model was used to analyze the main influencing factors of cervical spondylosis.

Results The prevalence of cervical spondylosis among these 551 bus drivers was 16.3%. Univariate analysis found that the prevalence of cervical spondylosis was higher in males than in females (P < 0.05); drivers with 16 to 20 years of service had a higher prevalence of cervical spondylosis than those with 10 to 15 years of service (P < 0.05); those who maintained the same neck posture for long periods and those with insufficient break time had the higher prevalence of cervical spondylosis (both P < 0.01); drivers who often felt tense during driving operations and those who often felt work pressure had the higher prevalence of cervical spondylosis (both P < 0.01); drinkers had a higher prevalence of cervical spondylosis than non-drinkers (P < 0.05). Multivariate logistic regression analysis showed that, compared to drivers with 10 to 15 years of service, no work pressure, and non-drinkers, drivers with 16 to 20 years of service (OR = 2.014, P = 0.008), those who often felt work pressure (OR = 3.851, P < 0.001), and drinkers (OR = 1.700, P = 0.047) had a higher risk of cervical spondylosis.

Conclusions The prevalence of cervical spondylosis among bus drivers was higher than that of the general adult population in China. Attention should be paid to drivers with longer service years, and a series of intervention measures should be formulated to reduce their work pressure, encourage good lifestyle habits, and protect cervical health.