Torres Strait Islander people in New South Wales Andrew Graham, - - PowerPoint PPT Presentation
Road crash trauma amongst Aboriginal and Torres Strait Islander people in New South Wales Andrew Graham, Hassan Raisianzadeh, Richard Thiele, Sarah Pont and Rajah Supramaniam AIPN November 2017 - Ballarat October 2017 Delivering the Strategy
Road crash trauma amongst Aboriginal and Torres Strait Islander people in New South Wales
Andrew Graham, Hassan Raisianzadeh, Richard Thiele, Sarah Pont and Rajah Supramaniam
AIPN November 2017 - Ballarat
October 2017
Delivering the Strategy
Strategy 2012-21
experience
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CRS Health Linkage Project
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A data linkage project was set up to answer many research questions including:
‘How are crashes and injuries distributed demographically across the various sectors of the community, including Aboriginal people?’
Ever identified Majority identified Ministry of Health Algorithm identified
Linkage project identifies Aboriginal people
Aboriginal Non- Aboriginal
Aboriginal road trauma trends in NSW, 2005 to 2015
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7 8 9 11 10 13 18 18 13 19 19 414 425 416 426 465 429 494 559 579 566 574 237 315 391 349 361 362 383 405 463 426 371
100 200 300 400 500 600 700 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Number of casualties
Fatality Serious Injury Moderate Injury
Population age distribution (2005-2015)
6 25 20 15 10 5 5 10 15 20 25 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Percentage of population Non-Aboriginal Aboriginal
Casualties by age groups, 2011-2015
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7% 25% 27% 17% 13% 7% 3% 1% 0.4% 3% 13% 23% 16% 15% 13% 8% 5% 4%
0% 5% 10% 15% 20% 25% 30% 0-9 10-19 20-29 30-39 40-49 50-59 60-69 70-79 80+ Percentage of all casualties Aboriginal Non-Aboriginal
Aboriginal casualties tended to be younger
Rate comparison, 2011-2015
more likely to be a serious injury (age standardised rates)
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9.2 4.4 148.7 88.6
20 40 60 80 100 120 140 160 Aboriginal Non-Aboriginal
Age Standardised rates per 100,000 people, NSW, 2011-2015
Fatality Serious Injury (Matched)
Age standardised casualty rates by severity, 2005 to 2015
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50 100 150 200 250 300 4 8 12 16 20 24 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Age-standardised injury rate (per 100,000 population) Age-standardised fatality rate (per 100,000 population)
Aboriginal people
Fatalities Serious injuries Moderate Injuries
50 100 150 200 250 4 8 12 16 20 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Age-standardised injury rate (per 100,000 population) Age-standardised fatality rate (per 100,000 population)
Non Aboriginal people
Fatalities Serious injuries Moderate Injuries
Age standardised casualty rates by road user group, 2005 to 2015
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50 100 150 200 250 300 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Age-standardised casualty rate (per 100,000 population)
Aboriginal people
Driver Motorcyclist Passenger Pedal Cyclist Pedestrian
50 100 150 200 250 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Age-standardised casualty rate (per 100,000 population)
Non Aboriginal people
Driver Motorcyclist Passenger Pedal Cyclist Pedestrian
Detailed profile 2011 to 2015: Who, Where & When
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Aboriginal casualties tended to be slightly younger; the distribution was similar by gender. Aboriginal serious casualties were more likely to occur
conurbation (more than half of fatalities were in the Northern and Western RMS Regions) and on unclassified roads. Between midnight and 6am the Aboriginal age-standardised serious injury rate was double that of the non-Aboriginal rate.
Detailed profile 2011 to 2015: How & Why
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Off path on straight and off path on curve or turning crashes were more commonly involved among Aboriginal road user serious casualties. Illegal alcohol, fatigue, speeding, restraint non-usage and unauthorised driving were more commonly involved among Aboriginal road user casualties.
Report available on website
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http://roadsafety.transport.nsw.gov.au/downloads/aboriginal-road-trauma-2005-15.pdf
More interactive details available on website
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http://roadsafety.transport.nsw.gov.au/statistics/interactivecrashstats/serious-injuries.html?tabinj=1
Appendix: Data linkage project acknowledgements
– NSW Ministry of Health for providing access to information in the NSW Admitted Patient Data Collection, NSW Emergency Department Data Collection and the NSW Registry of Births, Deaths and Marriages – Death registrations. – Centre for Health Record Linkage for conducting the record linkage. – Aboriginal Health & Medical Research Council for supporting the ongoing data linkage project. – Dr Mike Bambach, from Transport and Road Safety (TARS) Research, University of NSW, for analyses of serious injuries not matched to police reports. – Independent Hospital Pricing Authority for providing the International Classification of Diseases, 10th Revision, Australian Modification (ICD-10-AM) electronic code lists. – The State Insurance Regulatory Authority (SIRA) and iCare (Lifetime Care) for providing data on Compulsory Third Party insurance claims and Lifetime Care participants. – ACT Health Directorate for providing access to information in the ACT Admitted Patient Care and ACT Emergency Department Information System data collections.
improve road safety for the community and to make NSW roads the safest in the country. It was approved by the following ethics committees:
– NSW Population & Health Services Research Ethics Committee - 19 December 2013 – Aboriginal Health & Medical Research Council Ethics Committee - 24 January 2014 – ACT Health Human Research Ethics Committee - 13 November 2013 – Approved by the Calvary Public Hospital Bruce Human Research Ethics Committee on 20th September 2017 15
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More information: Andrew Graham, Centre for Road Safety, TfNSW Andrew.Graham@transport.nsw.gov.au
Appendix: Extra Slides If Asked For Details
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Trend in Aboriginal & Torres Strait Islander Licence Holders in NSW
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29,607 31,660 33,591 35,462 37,480 0.6% 0.6% 0.6% 0.7% 0.7%
0.0% 0.5% 1.0% 1.5% 2.0%
20,000 30,000 40,000
2012 2013 2014 2015 2016
% of All NSW Licence Holders Number of Licence Holders
Number of Licence Holders % of All NSW Licence Holders
Fatalities and serious injuries by urbanisation, 2011-2015
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Aboriginal and non-Aboriginal casualties by area of crash in NSW 2011-2015
Area of crash Fatality % Serious Injury % Moderate Injury % Total SNW Gtr conurbation 11 12.6 652 43.6 771 37.6 1,434 Urban Rest of NSW 25 28.7 449 30.0 884 43.2 1,358 Rural Rest of NSW 51 58.6 392 26.2 392 19.1 835 Rest of NSW – Unk 0.0 2 0.1 1 0.0 3 Total 87 100 1,495 100 2,048 100 3,630 SNW Gtr conurbation 657 40.2 22,063 68.8 35,887 69.0 58,607 Urban Rest of NSW 324 19.8 4,870 15.2 10,065 19.4 15,259 Rural Rest of NSW 654 40.0 5,105 15.9 6,002 11.5 11,761 Rest of NSW – Unk 1 0.1 27 0.1 27 0.1 55 Total 1,636 100 32,065 100 51,981 100 85,682 Aboriginal Non-Aboriginal
Fatalities and serious injuries by RMS Region, 2011-2015
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Numbers of Aboriginal and non-Aboriginal casualties by severity and RMS region NSW 2011-2015
RMS Region Fatality % Serious Injury % Moderate Injury % Total Sydney 6 6.9 414 27.7 412 20.1 832 Northern 29 33.3 292 19.5 495 24.2 816 Hunter 14 16.1 281 18.8 516 25.2 811 Southern 12 13.8 174 11.6 208 10.2 394 South West 9 10.3 116 7.8 109 5.3 234 Western 17 19.5 218 14.6 308 15.0 543 Total 87 100 1,495 100 2,048 100 3,630 Sydney 461 28.2 18,233 56.9 28,537 54.9 47,231 Northern 311 19.0 3,239 10.1 5,542 10.7 9,092 Hunter 266 16.3 3,800 11.9 8,520 16.4 12,586 Southern 242 14.8 3,297 10.3 4,717 9.1 8,256 South West 171 10.5 1,669 5.2 1,757 3.4 3,597 Western 185 11.3 1,827 5.7 2,908 5.6 4,920 Total 1,636 100 32,065 100 51,981 100 85,682 Aboriginal Non-Aboriginal
Fatalities and serious injuries by road classification, 2011-2015
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2.0 2.3 3.4 39.1 29.3 19.4 17.4 24.1 33.9 24.9 34.5 36.8 34.8 53.4 44.7
0.0 10.0 20.0 30.0 40.0 50.0 60.0 Aboriginal Non-Aboriginal Aboriginal Non-Aboriginal Killed Seriously Injured
Percentage of Casualties
Freeway/motorway State highway Other classified road Unclassified road
Fatalities and serious injuries by time of day, 2011-2015
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Aboriginal and non-Aboriginal age-standardised casualty rates by two-hour time period of crash in NSW 2011-2015
Fatalities and serious injuries by road user movement, 2011-2015
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Age-standardised motor vehicle controller casualty rates for illegal alcohol, 2011-2015
24 5 10 15 20 25 30 35 2011 2012 2013 2014 2015 Age Standardised Casualty Rates per 100,000 population Aboriginal Non-Aboriginal
Age standardised motor vehicle controller casualty rates for fatigue, 2011 to 2015
25 5 10 15 20 25 30 35 40 2011 2012 2013 2014 2015 Age Standardised Casualty Rates per 100,000 population Aboriginal Non-Aboriginal
Age standardised motor vehicle controller casualty rates for speeding, 2011-2015
26 10 20 30 40 50 60 70 80 2011 2012 2013 2014 2015 Age Standardised Casualty Rates per 100,000 population Aboriginal Non-Aboriginal
Age standardised vehicle occupant casualty rates for restraint not worn, 2011-2015
27 2 4 6 8 10 12 14 16 18 20 2011 2012 2013 2014 2015 Age Standardised Casualty Rates per 100,000 population Aboriginal Non-Aboriginal
Motor vehicle controllers killed or seriously injured by licence status, 2011-2015
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3.3 2.6 6.3 4.3 16.7 11.9 20.7 14.9 51.7 67.8 39.7 64.7 20.0 9.0 21.7 4.7
10 20 30 40 50 60 70 80 Aboriginal Non-Aboriginal Aboriginal Non-Aboriginal Killed Seriously Injured Percentage of casualties Learner Provisional Standard Unauthorised