Motor vehicle collision-related injuries and deaths among Indigenous Peoples in Canada: Meta-analysis of geo-structural factors

• Published in: Canadian Journal of Rural Medicine
• Main Authors: Williams, Naomi G., Gorey, Kevin M., Alberton, Amy M.
• Format: Article in Journal/Newspaper
• Language: English
• Published: Wolters Kluwer ‑ Medknow 2022
• Subjects: Canada; First Nations; Hospitalisation; Indigenous; Inuit; Métis; Morbidity; Mortality; Motor vehicle collision; Reserve; Rural; inuit
• Online Access: https://doi.org/10.4103/cjrm.cjrm_42_21; https://soar.wichita.edu/handle/10057/23049

This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution‑NonCommercial‑ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non‑commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. 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 research 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 structures (i.e. institutions) of Canadian society. Canada’s system of highways and roadways and its remote health‑care system represent legitimate policy targets in aiming to solve this ...