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Ethnic, socioeconomic and geographical inequalities in road traffic injury rates in the Auckland region

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Authors:
Summary:

These researchers describe substantial ethnic, socioeconomic and geographical inequalities in road traffic injury (RTI) risk in the Auckland region. They analysed rates of RTI deaths and non-fatal hospital admissions using the New Zealand Mortality Collection and the National Minimum Data Set 2000–2008. Poisson regression examined the association of age, gender, prioritised ethnicity and small area deprivation (New Zealand Index of Deprivation) with RTI rates, and RTI rates were mapped for 21 local board areas within the Auckland region. RTI rates increased with levels of deprivation in all age groups, with the steepest gradient among children (9% increase/decile) and adults aged 25–64 years (11% increase/decile). In all age groups, RTI risk was highest among Māori (all ages). Pacific children had an elevated risk of RTI compared with the NZ European/ Other group, but Pacific youth (15–24 years) and adults (25–64 years) had a lower risk. While RTI rates were generally higher for those living in rural local board areas, all but one local board in the southern Auckland urban area had among the highest rates.

Comment:
Interventions or strategies that are effective at reducing ethnic or socioeconomic inequalities in RTI rates are required, particularly in South Auckland and for rural areas. The authors raise an interesting point in their discussion that Auckland’s walking school buses (an intervention expected to reduce child pedestrian injuries) found substantially lower coverage in the southern Auckland urban area, despite the fact that children living in this area are at high risk.
Reference: Aust N Z J Public Health 2013;37(2):162-7
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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