Driving in emergency medical service settings: a cross-sectional study of clinical psychological factors and perceived stress in a sample of ambulance drivers

Ambulance drivers experience significant occupational stress influenced by multiple factors including gender, work seniority, health status, and lifestyle behaviors. Physical activity emerges as a protective factor, while alcohol consumption represents a risk factor. These findings highlight the need for multidimensional prevention strategies integrating both organizational interventions and individual support programs, with particular attention to gender-specific needs and promotion of healthy lifestyles.