Interventions for motor vehicle crashes among Indigenous communities: Strategies to inform Canadian initiatives

Short, Megan; Mushquash, Christopher; Bédard, Michel

doi:10.17269/cjph.105.4176

Cited by 16 publications

(16 citation statements)

References 9 publications

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“…The striking rate of unlicensed drivers is much higher than that reported from Thailand and requires further attention in multilevel interventions such as education campaigns, scaling up of driver training and licensing courses, and implementation of existing legislation .…”

Section: Discussionmentioning

confidence: 83%

Road traffic injuries in northern Laos: trends and risk factors of an underreported public health problem

Slesak

Inthalath²,

Wilder‐Smith

et al. 2015

Tropical Med Int Health

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Abstractobjectives Road traffic injuries (RTI) have become a leading cause for admissions at Luang Namtha Provincial Hospital (LNPH) in rapidly developing northern Laos. Objectives were to investigate trends, risk factors and better estimates of RTI.methods Repeated annual surveys were conducted with structured questionnaires among all RTI patients at LNPH from 2007 to 2011. Hospital and police data were combined by capture-recapture method.results The majority of 1074 patients were young [median 22 years (1-88)], male (68%), motorcyclists (76%), drove without licence (85%) and without insurance (95%). Most accidents occurred during evenings and Lao New Year. Serious motorbike injuries were associated with young age (1-15 years), male sex (OR 2.2, 95% CI 1.1-4.6) and drivers (OR 2.1, 95% CI 1.1-4.3); more serious head injuries with alcohol consumption (OR 2.5, 95% CI 1.7-3.7), male sex (OR 2.3, 95% CI 1.4-3.7) and no helmet use (OR 2.0, 95% CI 1.2-3.4). No helmet use was associated with young age, time period, pillion passengers (OR 2.7, 95% CI 1.6-4.7), alcohol (OR 1.9, 95% CI 1.2-2.8) and no driver license (OR 2.0; 95% CI 1.1-3.4). Main reasons not to wear helmets were not possessing one, and being pillion passenger. Capture-recapture analysis showed four times higher RTI estimates than officially reported. Mortality rate was 11.6/100.000 population (95% CI 5.1-18.1/ 100.000).conclusions RTI were substantially underestimated. Combining hospital with police data can provide better estimates in resource-limited settings. Preventive programmes and law enforcement have to target male drivers, alcohol, licensing and helmet use, especially among children and pillion passengers. Increased efforts are needed during evening time and special festivals.

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Section: Discussionmentioning

confidence: 83%

Road traffic injuries in northern Laos: trends and risk factors of an underreported public health problem

Slesak

Inthalath²,

Wilder‐Smith

et al. 2015

Tropical Med Int Health

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“…In short, to close the injury gap completely in the future, it would be sufficient to close the socioeconomic gap. For example, previous research on motor vehicle crashes in Aboriginal populations has indicated the importance of various factors relevant to the socioeconomic conditions of individuals: substance use (alcohol, drugs, medications), fatigue, driving older vehicle; as well as the socioeconomic conditions of the community: road surface, level of enforcement of safety laws, availability of safety devices (e.g., car seats), provision of driver education courses, and restricted availability of alcohol [ 16 , 45 – 47 ]. More generally, our findings suggest that while efforts to improve educational attainment, housing conditions and employment rates for Aboriginal populations do not target injury prevention specifically, they would nonetheless be expected to have an important impact on reducing injury rates.…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers

et al. 2018

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“…This enforcement can be as increasing the budget, increasing the authority, and providing political support. Finally, according to the experience of many countries, involvement and role playing of the government in control and prevention of RTIs seems inevitable [4,6].…”

Section: Discussionmentioning

confidence: 99%

“…It is estimated that the global RTIs is about $ 518,000 billion each year, of which $65,000 billion is a share of LMICs [4,5]. It is estimated that 1.2 million people die and 50 million people get injured in the traffic accidents annually [6]. It is estimated that this numbers will increase in the future 20 years by 65% [4].…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Stewardship of Road Traffic Injuries Prevention with a Focus on the Role of Health System; Three Pioneer Countries and Three Similar to Iran

Azami-Aghdash¹,

Sadeghi-Bazarghani²,

Rezapour³

et al. 2019

BEAT

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To compare the stewardship of road traffic accidents (RTIs) prevention in three pioneer countries and three similar ones to Iran. Methods: In this descriptive comparative study, the United States of America, Sweden, and Brazil as the pioneer countries in RTIs prevention were compared to the India, Pakistan, and Turkey as the countries socioeconomically similar to Iran. Embase, PubMed, Scopus, IranDoc, IranMedex, SID, and MagIran were searched. Also a hand search conducted on websites and search engines using related keywords. Results: In the pioneer countries in RTIs prevention there was a delegation to a particular organization. In the other three countries a part of the Ministry of Transportation had the overall responsibility of RTIs. In Iran there was uncertainty in the stewardship of RTIs prevention. There was little evidence on the role and activities of health systems in RTIs prevention. Conclusion: It seems necessary to define a lead agency organization on RTIs prevention in Iran with sufficient authority and resources. This study also recommends conducting reliable studies to investigate the possible roles that the health system of a country can assume regarding the RTIs prevention.

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Interventions for motor vehicle crashes among Indigenous communities: Strategies to inform Canadian initiatives

Cited by 16 publications

References 9 publications

Road traffic injuries in northern Laos: trends and risk factors of an underreported public health problem

Road traffic injuries in northern Laos: trends and risk factors of an underreported public health problem

Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers

Comparative Study of Stewardship of Road Traffic Injuries Prevention with a Focus on the Role of Health System; Three Pioneer Countries and Three Similar to Iran

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