1 / 18

Prevention of road traffic injuries among Aboriginal Australians

Prevention of road traffic injuries among Aboriginal Australians. An evidence-based action plan for the Royal Australasian College of Surgeons Tavender EJ, Ivers RQ, Gruen R. Background.

jill
Télécharger la présentation

Prevention of road traffic injuries among Aboriginal Australians

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Prevention of road traffic injuries among Aboriginal Australians An evidence-based action plan for the Royal Australasian College of Surgeons Tavender EJ, Ivers RQ, Gruen R

  2. Background • Monash University in partnership with the Royal Australasian College of Surgeons Foundation for Surgery have developed evidence-based action plans (EBAPs) within four surgical areas to improve the delivery of surgical services to indigenous communities. • These include road injury prevention, transplantation, ophthalmology and ENT

  3. Background • Evidence-based action plans are action-oriented overviews aimed to help solve real problems. • Generated by engagement of stakeholders and reviews of existing research evidence.

  4. Methods • Aim: to review the evidence for road traffic injury prevention in Indigenous and non-Indigenous Australians • Searched Australian Indigenous HealthInfoNet, MEDLINE, The Cochrane Library, ANZ Clinical Trials Register and Google • Date of last search November 2009 • Reference lists screened and experts contacted for additional studies • Highest evidence level reported

  5. Search results • Global evidence (non-Indigenous Australians) • 8 Cochrane systematic reviews • 12 non-Cochrane systematic reviews • Evidence (Indigenous Australians) • 25 programs identified • 10 programs were evaluated and provided data

  6. Factors contributing to high injury rates in Aboriginal people • HUMAN FACTORS • lack of restraint use, overcrowding, unlicensed driving, speed, alcohol/drug use • VEHICLE FACTORS • Old, less well maintained vehicles • Less access to public transport • ENVIRONMENTAL FACTORS • Rural/remote locations • CULTURAL FACTORS

  7. Safe System Framework(Australian Transport Council)

  8. Results: global evidence

  9. Application of evidence • Evidence of effectiveness in mainstream high income settings • Relevance to Aboriginal communities? • Need to understand context and application

  10. Results: Evaluated programs releveant to

  11. What approaches work?* • Initiatives that will lead to state-wide policy reform on injury prevention issues prominent for Indigenous communities • prevention of overcrowding of motor vehicles • increases in alcohol tax reductions or measures to ensure they are not reduced • multi-faceted strategies to address alcohol-related injuries at the State and/or community level *Ivers, Senserrick. Boufous, Martiniuk, Clapham 2010

  12. What else do we know works? • Sustainable initiatives • Initiatives that include community engagement and consultation in development and implementations • Initiatives that have or can achieve a high level of acceptability and support for harm reduction strategies within the intervention population Ivers, Senserrick et al, 2010

  13. What else is important? • Initiatives based on community-owned models • Initiatives to ensure on-going injury information systems • Programs that include community control, respect, acceptability and ownership • Programs that include strong partnerships, especially with government • Multi-faceted interventions Ivers, Senserrick et al, 2010

  14. What next? • Continue to support and expand programs that have been shown to be effective in Aboriginal communities • State-wide alcohol programs • Driver licensing programs • Fund projects in areas poorly covered by current programs • Programs in urban areas • Programs addressing restraint use, pedestrian safety, vehicle maintenance

  15. What next? • Development of targeted social marketing and enforcement programs addressing the key issues for Aboriginal people (restraints, alcohol, vehicle access and overcrowding) • Development of novel community led approaches to education and enforcement in these areas • Research into the provision of appropriate alternative transport options for Indigenous people

  16. Important points to consider • Initiatives based on community-owned models for injury prevention • Initiatives to ensure on-going injury information systems • Programs that include community control, respect, acceptability and ownership • Programs that include strong partnerships, especially with government • Multi-faceted interventions Ivers, Senserrick et al, 2010

  17. What next • Urgent need to address the social and economic disadvantage and to improve the social, emotional and cultural well-being of Aboriginal people • The complexity of these issues should not deter efforts in addressing other risk factors for road injury in Aboriginal people

More Related