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Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers

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  • Mariana Brussoni
  • M Anne George
  • Andrew Jin
  • Ofer Amram
  • Rod McCormick
  • Christopher E Lalonde

Abstract

Background: Worldwide, Indigenous people have disproportionately higher rates of transport injuries. We examined disparities in injury-related hospitalizations resulting from transport incidents for three population groups in British Columbia (BC): total population, Aboriginal off-reserve, and Aboriginal on-reserve populations. We also examined sociodemographic, geographic and ethnic risk markers for disparities. Methods: We identified Aboriginal people through BC’s universal health care insurance plan insurance premium group and birth and death record notations. We calculated crude incidence rate and Standardized Relative Risk (SRR) of hospitalization for unintentional transport injury, standardized for age, gender and Health Service Delivery Area (HSDA), relative to the total population of BC. We tested hypothesized associations of geographic, socio-economic, and employment-related characteristics of Aboriginal communities with SRR of transport injury by multivariable linear regression. Results: During the period 1991–2010, the SRR for the off-reserve Aboriginal population was 1.77 (95% CI: 1.71 to 1.83); and 2.00 (95% CI: 1.93 to 2.07) among those living on-reserve. Decline in crude rate and SRRs was observed over this period among both the Aboriginal and total populations of BC, but was proportionally greater among the Aboriginal population. The best-fitting multivariable risk marker model was an excellent fit (R2 = 0.912, p

Suggested Citation

  • Mariana Brussoni & M Anne George & Andrew Jin & Ofer Amram & Rod McCormick & Christopher E Lalonde, 2018. "Hospitalizations due to unintentional transport injuries among Aboriginal population of British Columbia, Canada: Incidence, changes over time and ecological analysis of risk markers," PLOS ONE, Public Library of Science, vol. 13(1), pages 1-18, January.
    • Handle: RePEc:plo:pone00:0191384
    DOI: 10.1371/journal.pone.0191384
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    References listed on IDEAS

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    1. Ishikawa, T. & Oudie, E. & Desapriya, E. & Turcotte, K. & Pike, I., 2014. "A systematic review of community interventions to improve aboriginal child passenger safety," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 1-8.
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