• Login
    View Item 
    •   Shocker Open Access Repository Home
    • Fairmount College of Liberal Arts and Sciences
    • School of Social Work
    • SSW Faculty Publications
    • View Item
    •   Shocker Open Access Repository Home
    • Fairmount College of Liberal Arts and Sciences
    • School of Social Work
    • SSW Faculty Publications
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

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

    View/Open
    Open Access PDF (469.2Kb)
    Date
    2022-03-26
    Author
    Williams, Naomi G.
    Gorey, Kevin M.
    Alberton, Amy M.
    Metadata
    Show full item record
    Citation
    Williams NG, Gorey KM, Alberton AM. Motor vehicle collision‑related injuries and deaths among Indigenous Peoples in Canada: Meta‑analysis of geo‑structural factors. Can J Rural Med 2022;27:51-60.
    Abstract
    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 public health problem.
    Description
    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.
    URI
    https://doi.org/10.4103/cjrm.cjrm_42_21
    https://soar.wichita.edu/handle/10057/23049
    Collections
    • SSW Faculty Publications

    Browse

    All of Shocker Open Access RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsBy TypeThis CollectionBy Issue DateAuthorsTitlesSubjectsBy Type

    My Account

    LoginRegister

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    DSpace software copyright © 2002-2022  DuraSpace
    DSpace Express is a service operated by 
    Atmire NV