Understanding the extent and impact of Indigenous road trauma

Clapham, Kathleen; Senserrick, Teresa; Ivers, Rebecca; Lyford, Marilyn; Stevenson, Mark

doi:10.1016/s0020-1383(08)70025-1

Cited by 27 publications

(34 citation statements)

References 6 publications

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“…This has been attributed to greater exposure to risk factors, in particular, for transport-related injuries, and reduced access to and lower quality of healthcare in remote areas 54. Higher rates of transport injuries have been explained by longer travelling distances, poorer quality roads, driver fatigue, failure to use seatbelts, alcohol and drug use, overcrowding of cars, unsafe cars and travelling at higher speeds 11 15 65 67 – 69. Road safety measures might also be less vigorously enforced in remote areas,4 and the autonomous legal status of reservations might lead to different road safety laws and less stringent law enforcement 2 40…”

Section: Discussionmentioning

confidence: 99%

“…Despite this, empirical research on unintentional injuries and their underlying risk factors in indigenous children is limited 11 – 14. Cultural alienation and dispossession,15 low socioeconomic status5 16 – 18 and geographical remoteness2 4 11 16 19 have been discussed as key factors contributing to the higher burden of injury among indigenous children.…”

Section: Introductionmentioning

confidence: 99%

“…Cultural alienation and dispossession,15 low socioeconomic status5 16 – 18 and geographical remoteness2 4 11 16 19 have been discussed as key factors contributing to the higher burden of injury among indigenous children. However much of the evidence on low socioeconomic status and geographical remoteness stems from population-level studies and is not specific to indigenous children.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Inequalities in unintentional injuries between indigenous and non-indigenous children: a systematic review

et al. 2014

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Indigenous children experience a significantly higher burden of morbidity and mortality from unintentional injuries across different indigenous communities worldwide. Most of these injuries are highly preventable, presenting substantial potential to improve indigenous child health. However, there is limited evidence to illuminate the underlying risk factors for unintentional injuries in indigenous children, and this is a priority for further research.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Inequalities in unintentional injuries between indigenous and non-indigenous children: a systematic review

et al. 2014

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“…Additionally, outstanding state debt can preclude licence ownership and is a chief contributor to licence suspensions or cancellations (2). These barriers to licence participation may contribute to increased prevalence of unlicensed driving in Aboriginal communities, which can result in penalties but is also a significant risk factor for road trauma (3,4). …”

Section: Introductionmentioning

confidence: 99%

Implementation of a driver licensing support program in three Aboriginal communities: a brief report from a pilot program

Cullen

Clapham

Byrne

et al. 2016

Health Prom J of Aust

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Issue addressed: Aboriginal people face significant barriers to accessing the driver licensing system in New South Wales (NSW). Low rates of licence participation contribute to transport disadvantage and impede access to employment, education and essential health services. The Driving Change program has been piloted in three communities to increase licensing rates for young Aboriginal people. This brief report reviews implementation to determine whether Driving Change is being delivered as intended to the target population.Methods: Descriptive analysis of routinely collected program data collected between April 2013 and October 2014 to monitor client demographics (n=194) and program specific outcomes. Results:The target population is being reached with the majority of clients aged 16-24 years (76%) and unemployed (53%). Licensing outcomes are being achieved at all pilot sites (Learner licence: 19%; Provisional or unrestricted licence: 16%). There is variation in program delivery across the three pilot sites demonstrating the intended flexibility of the program. Conclusions:Driving Change is delivering all aspects of the program as intended at the three pilot sites. The program is reaching the target population and providing a sufficiently flexible program that responds to community and client identified need. So what?:Reviewing implementation of community pilot programs is critical to ensure that the intervention is being delivered as intended to the target population. This brief report indicates that Driving Change is assisting young Aboriginal people to access licensing services in NSW. This review of program implementation will assist the subsequent expansion of the program to a further nine communities in NSW.

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“…Correct use of age-appropriate restraints is low in Indigenous communities in Australia (Helps et al 2008), the United States (Lapidus et al 2005;Gunn 2005), and New Zealand (Brewin and Peters 2003;Simpson et al 2006). The need to prioritize effective road injury prevention programs targeting Aboriginal and Torres Strait Islander people is acknowledged (Clapham et al 2008), yet few publications present outcome evaluations to inform future planning. Though some Australian initiatives address general road safety knowledge as seen in the Safe Koori Kids initiative or the provision of safer travel options such as school bus pickup relocation in the Cherbourg Injury Prevention and Safety Promotion program (Eley et al 2011), there are no evaluated Australian initiatives directly targeting increases in correct use of age-appropriate restraints among Aboriginal families.…”

Section: Introductionmentioning

confidence: 99%

Buckle Up Safely (Shoalhaven): A Process and Impact Evaluation of a Pragmatic, Multifaceted Preschool-Based Pilot Program to Increase Correct Use of Age-Appropriate Child Restraints

Hunter

Keay

Clapham

et al. 2014

Traffic Injury Prevention

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This was a pragmatic study reflecting the real-life issues of implementing a program in preschools where 57 percent of families had a low income and turnover of staff was high. Despite these issues, impact evaluation showed that the integrated educational program showed promise in increasing correct use of age-appropriate restraints. The findings from this pilot study support the use of an integrated educational program that includes access to subsidized restraints to promote best practice child restraint use among communities that include a high proportion of Aboriginal and Torres Strait Islander families in New South Wales. Future trials in similar settings should consider offering more support in centers with high turnover of staff and offering alternative methods of payment when families experience financial difficulties in purchasing the subsidized restraints. If proven in larger trials, this approach could reduce death and injuries in child passengers in this vulnerable group.

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Understanding the extent and impact of Indigenous road trauma

Cited by 27 publications

References 6 publications

Inequalities in unintentional injuries between indigenous and non-indigenous children: a systematic review

Inequalities in unintentional injuries between indigenous and non-indigenous children: a systematic review

Implementation of a driver licensing support program in three Aboriginal communities: a brief report from a pilot program

Buckle Up Safely (Shoalhaven): A Process and Impact Evaluation of a Pragmatic, Multifaceted Preschool-Based Pilot Program to Increase Correct Use of Age-Appropriate Child Restraints

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