Patterns of Injury in Indigenous Australians Admitted to Cairns Base Hospital

Macintosh, David J.; Pearson, J. Belinda

doi:10.1046/j.1440-1584.2003.00462.x

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Similar results have been found for females living in First Nations communities in Ontario, 11 and indigenous females in Queensland, Australia. 28 In this study, we found higher rates of selfinflicted injury hospitalization in highpercentage Aboriginal-identity areas, with poisoning, cutting/piercing and drowning/suffocation being the three leading causes of hospitalization. Rates of selfinflicted injury hospitalization were higher for females than males, and rates were highest for males and females living in high-percentage Inuit-identity areas.…”

Section: Discussionmentioning

confidence: 59%

Intentional injury hospitalizations in geographical areas with a high percentage of Aboriginal-identity residents, 2004/2005 to 2009/2010

Oliver

Finès

Bougie

et al. 2014

Chronic Dis Inj Can

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Introduction This study describes rates of self-inflicted and assault-related injury hospitalizations in areas with a relatively high percentage of residents identifying as First Nations, Métis and Inuit, by injury cause, age group and sex. Methods All separation records from acute in-patient hospitals for Canadian provinces and territories excluding Quebec were obtained from the Discharge Abstract Database. Dissemination areas with more than 33% of residents reporting an Aboriginal identity in the 2006 Census were categorized as high-percentage Aboriginal-identity areas. Results Overall, in high-percentage Aboriginal-identity areas, age-standardized hospitalization rates (ASHRs) for self-inflicted injuries were higher among females, while ASHRs for assault-related injuries were higher among males. Residents of high-percentage Aboriginal-identity areas were at least three times more likely to be hospitalized due to a self-inflicted injury and at least five times more likely to be hospitalized due to an assault-related injury compared with those living in low-percentage Aboriginal-identity areas. Conclusion Future research should examine co-morbidities, socio-economic conditions and individual risk behaviours as factors associated with intentional injury hospitalizations.

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Section: Discussionmentioning

confidence: 59%

Intentional injury hospitalizations in geographical areas with a high percentage of Aboriginal-identity residents, 2004/2005 to 2009/2010

Oliver

Finès

Bougie

et al. 2014

Chronic Dis Inj Can

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“…MacIntosh and Pearson recently compared orthopaedic trauma presenting to Cairns Base Hospital between indigenous and nonindigenous populations. 22 They looked at injuries often caused by the perpetrators of mandibular fractures in our community, for example tooth-knuckle injuries. They similarly found that a disproportionate number of such injuries (23%) occurred in the indigenous population.…”

Section: Access To Health Carementioning

confidence: 99%

Mandibular Fractures in Far North Queensland: An Ethnic Comparison

Oberdan

Finn

2007

ANZ Journal of Surgery

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“…By comparison, the landmark trauma epidemiology study by Kuhn et al 5 of 11 320 eyes from the United States Eye Injury Registry (USEIR) reported 19.5% of ocular trauma resulted from assault. The link between Indigenous status, remote living and interpersonal‐violence has been well documented both in FNQ 6,24 and the broader Australian community 25‐28 . Injuries resulting from inter‐personal violence represent the greatest disparity in hospitalization rates between Indigenous and non‐indigenous people 25 .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

Dorman

O’Hagan

Gole

2020

Clinical Exper Ophthalmology

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Importance: Indigenous communities of Far North Queensland (FNQ) have one of the highest incidences of alcohol-related ocular trauma globally. Background: To review the epidemiology of closed-and open-globe trauma admitted to Cairns Hospital from FNQ health districts following the implementation of alcohol restrictions in Indigenous communities. Design: Retrospective study of cases from January 2014 to December 2018. Participants: A total of 142 cases identified from ICD-10 clinical-coding data. Methods: Records were reviewed to determine demographics, clinical details and outcomes. Main Outcome Measures: Annual incidence by demography and ethnicity (Indigenous vs non-indigenous). Results: Estimated annual incidence was 10.4/100 000 population (openglobe: 3.6/100 000, closed-globe: 6.8/100 000 population). Incidence rate ratio was 2.8× higher in Indigenous (22.8/100 000 population) compared to nonindigenous populations. Injury from assault was 8.2× higher in the Indigenous population. Alcohol was involved in 76% of assaults. Paediatric injuries comprised 20.4% of the cohort, with Indigenous children over-represented (44.8% of children). Visual acuity (VA) at presentation ranged from −0.08 logMAR to no-perception of light (NPL), with 41.8% poorer than +1.00 logMAR. Final VA ranged from −0.18 logMAR to NPL. Mean final VA was significantly better for closed-than open-globe injuries (+0.43 vs +1.01 logMAR). Ruptures had the poorest outcomes (mean +1.65 logMAR). Conclusions and relevance: The overall incidence of severe ocular trauma in FNQ has decreased compared to that reported from 1995 to 2002. The extremely high incidence observed in the Indigenous communities of Cape York has decreased dramatically since the introduction of Alcohol Management Plans. Nevertheless, the Indigenous population still experiences significantly higher rates of severe ocular trauma, particularly from assault.

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Patterns of Injury in Indigenous Australians Admitted to Cairns Base Hospital

Abstract: Personal injury costs are high in the indigenous community, in human and material terms. More resources should be directed towards injury prevention.

Cited by 5 publications

References 4 publications

Intentional injury hospitalizations in geographical areas with a high percentage of Aboriginal-identity residents, 2004/2005 to 2009/2010

Intentional injury hospitalizations in geographical areas with a high percentage of Aboriginal-identity residents, 2004/2005 to 2009/2010

Mandibular Fractures in Far North Queensland: An Ethnic Comparison

Epidemiology of severe ocular trauma following the implementation of alcohol restrictions in Far North Queensland

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