Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors
Introduction: Indigenous Peoples are much more likely than non‑Indigenous Peoples to be seriously injured or die in motor vehicle collisions (MVCs). This study updates and extends a previous systematic review, suggesting that future re‑ search ought to incorporate social–environmental factors. Metho...
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ftunivwindsor:oai:scholar.uwindsor.ca:socialworkpub-1132 2023-06-11T04:11:44+02:00 Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors Williams, Naomi G Alberton, Amy M Gorey, Kevin M 2022-03-26T07:00:00Z application/pdf https://scholar.uwindsor.ca/socialworkpub/128 https://doi.org/10.4103/cjrm.cjrm_42_21 https://scholar.uwindsor.ca/context/socialworkpub/article/1132/viewcontent/CanJRuralMed_2022_27_2_51_341025__1_.pdf unknown Scholarship at UWindsor https://scholar.uwindsor.ca/socialworkpub/128 doi:10.4103/cjrm.cjrm_42_21 https://scholar.uwindsor.ca/context/socialworkpub/article/1132/viewcontent/CanJRuralMed_2022_27_2_51_341025__1_.pdf Social Work Publications Canada First Nations hospitalisation Indigenous Inuit Métis morbidity mortality motor vehicle collision reserve rural Social and Behavioral Sciences Social Work text 2022 ftunivwindsor https://doi.org/10.4103/cjrm.cjrm_42_21 2023-05-06T19:11:48Z Introduction: Indigenous Peoples are much more likely than non‑Indigenous Peoples to be seriously injured or die in motor vehicle collisions (MVCs). This study updates and extends a previous systematic review, suggesting that future re‑ search ought to incorporate social–environmental factors. Methods: We conducted a systematic review and meta‑analysis of the published and grey literature on MVCs involving Indigenous Peoples in Canada between 2010 and 2020. We focussed on personal (e.g. driving an old vehicle) and community social– environmental–economic factors (e.g. prevalent low socioeconomic status). Results: Eleven comparative cohorts that resulted in 23 at minimum, age‑standardised, mortality or morbidity rate outcomes were included in our meta‑analysis. Indigenous Peoples were twice as likely as non‑Indigenous Peoples to be seriously injured (rate ratio [RRpooled] = 2.18) and more than 3 times as likely to die (RRpooled = 3.40) in MVCs. Such great risks to Indigenous Peoples do not seem to have diminished over the past generation. Furthermore, such risks were greater on-reserves and in smaller, rural and remote, places. Conclusion: Such places may lack community resources, including fewer transportation and healthcare infrastructural investments, resulting in poorer road conditions in Indigenous communities and longer delays to trauma care. This seems to add further evidence of geo‑structural violence (geographical and institutional violence) perpetrated against Indigenous Peoples in yet more struc‑ tures (i.e. institutions) of Canadian society. Canada’s system of highways and road‑ ways and its remote health‑care system represent legitimate policy targets in aiming to solve this public health problem. Text First Nations inuit University of Windsor, Ontario: Scholarship at UWindsor Canada Canadian Journal of Rural Medicine 27 2 51 |
institution |
Open Polar |
collection |
University of Windsor, Ontario: Scholarship at UWindsor |
op_collection_id |
ftunivwindsor |
language |
unknown |
topic |
Canada First Nations hospitalisation Indigenous Inuit Métis morbidity mortality motor vehicle collision reserve rural Social and Behavioral Sciences Social Work |
spellingShingle |
Canada First Nations hospitalisation Indigenous Inuit Métis morbidity mortality motor vehicle collision reserve rural Social and Behavioral Sciences Social Work Williams, Naomi G Alberton, Amy M Gorey, Kevin M Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
topic_facet |
Canada First Nations hospitalisation Indigenous Inuit Métis morbidity mortality motor vehicle collision reserve rural Social and Behavioral Sciences Social Work |
description |
Introduction: Indigenous Peoples are much more likely than non‑Indigenous Peoples to be seriously injured or die in motor vehicle collisions (MVCs). This study updates and extends a previous systematic review, suggesting that future re‑ search ought to incorporate social–environmental factors. Methods: We conducted a systematic review and meta‑analysis of the published and grey literature on MVCs involving Indigenous Peoples in Canada between 2010 and 2020. We focussed on personal (e.g. driving an old vehicle) and community social– environmental–economic factors (e.g. prevalent low socioeconomic status). Results: Eleven comparative cohorts that resulted in 23 at minimum, age‑standardised, mortality or morbidity rate outcomes were included in our meta‑analysis. Indigenous Peoples were twice as likely as non‑Indigenous Peoples to be seriously injured (rate ratio [RRpooled] = 2.18) and more than 3 times as likely to die (RRpooled = 3.40) in MVCs. Such great risks to Indigenous Peoples do not seem to have diminished over the past generation. Furthermore, such risks were greater on-reserves and in smaller, rural and remote, places. Conclusion: Such places may lack community resources, including fewer transportation and healthcare infrastructural investments, resulting in poorer road conditions in Indigenous communities and longer delays to trauma care. This seems to add further evidence of geo‑structural violence (geographical and institutional violence) perpetrated against Indigenous Peoples in yet more struc‑ tures (i.e. institutions) of Canadian society. Canada’s system of highways and road‑ ways and its remote health‑care system represent legitimate policy targets in aiming to solve this public health problem. |
format |
Text |
author |
Williams, Naomi G Alberton, Amy M Gorey, Kevin M |
author_facet |
Williams, Naomi G Alberton, Amy M Gorey, Kevin M |
author_sort |
Williams, Naomi G |
title |
Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
title_short |
Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
title_full |
Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
title_fullStr |
Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
title_full_unstemmed |
Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors |
title_sort |
motor vehicle collision‑related injuries and deaths among indigenous peoples in canada: meta‑analysis of geo‑structural factors |
publisher |
Scholarship at UWindsor |
publishDate |
2022 |
url |
https://scholar.uwindsor.ca/socialworkpub/128 https://doi.org/10.4103/cjrm.cjrm_42_21 https://scholar.uwindsor.ca/context/socialworkpub/article/1132/viewcontent/CanJRuralMed_2022_27_2_51_341025__1_.pdf |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_source |
Social Work Publications |
op_relation |
https://scholar.uwindsor.ca/socialworkpub/128 doi:10.4103/cjrm.cjrm_42_21 https://scholar.uwindsor.ca/context/socialworkpub/article/1132/viewcontent/CanJRuralMed_2022_27_2_51_341025__1_.pdf |
op_doi |
https://doi.org/10.4103/cjrm.cjrm_42_21 |
container_title |
Canadian Journal of Rural Medicine |
container_volume |
27 |
container_issue |
2 |
container_start_page |
51 |
_version_ |
1768387025967251456 |