College of Public Health, Medical and Veterinary Science, James Cook University, Townsville, Queensland, Australia.
School of Medicine, College of Medicine, Nursing and Health Sciences, National University of Ireland Galway, Galway, Ireland.
Aust J Rural Health. 2022 Apr;30(2):252-263. doi: 10.1111/ajr.12865. Epub 2022 Mar 25.
To explore rural motor vehicle collision (MVC) fatalities by trends over time, mode of transport, age, state, sex, and Aboriginal and Torres Strait Islander status.
A retrospective total population-based time series was conducted using the Australian Bureau of Statistics (ABS) death registration data.
All statistical local area (SLA) within Australia from 2006 to 2017.
Australian residents whose deaths were registered with the ABS between 01 January 2006 and 31 December 2017 where the underlying cause of death was related to unintentional transport accidents.
Fatality rates were determined using population data collected from the 2006, 2011 and 2016 census. Trends over time by rurality were analysed by financial year. Rates of transport deaths by vehicle type were determined by rurality. Risk ratios were calculated to compare demographic groups based on sex, Aboriginal and Torres Strait Islander status and age. A 3-year scorecard was organised by state and rurality using 99.7% confidence intervals.
Motor vehicle collision fatalities increase with increasing remoteness. Females, children from 0 to 14 years, pedestrians, and Aboriginal and Torres Strait Islander peoples are at a significantly higher risk of fatal MVCs than their respective metropolitan counterparts. The 3-year scorecard indicates that road fatality rates in the NT, WA, and all rural and remote areas required immediate attention and targeted action.
There is a need for investment in MVC fatality prevention in rural Australia from inner regional to remote areas in order to meet the road safety targets established by the National Road Safety Strategy.
探讨随时间变化的农村机动车碰撞（MVC）死亡率，包括交通方式、年龄、州、性别以及原住民和托雷斯海峡岛民状况。
利用澳大利亚统计局（ABS）死亡登记数据，对澳大利亚所有统计区（SLA）进行了回顾性总人口时间序列研究。
2006 年至 2017 年澳大利亚所有 SLA。
2006 年 1 月 1 日至 2017 年 12 月 31 日期间，ABS 登记的与非故意交通意外相关的死亡病例的澳大利亚居民，且其死因明确。
死亡率使用从 2006 年、2011 年和 2016 年人口普查中收集的人口数据确定。根据财政年度分析随时间推移的农村地区趋势。根据农村地区确定不同车辆类型的交通死亡人数。根据性别、原住民和托雷斯海峡岛民状况以及年龄计算风险比，以比较不同人群。利用 99.7%置信区间，根据州和农村情况，为每个州制定了一个为期 3 年的记分卡。
随着偏远程度的增加，机动车碰撞死亡率上升。女性、0 至 14 岁儿童、行人以及原住民和托雷斯海峡岛民比城市居民发生致命 MVC 的风险更高。3 年记分卡显示，北领地、西澳大利亚州以及所有农村和偏远地区的道路死亡率需要立即关注，并采取有针对性的行动。
需要对澳大利亚农村地区的 MVC 死亡率预防进行投资，从内陆地区到偏远地区，以实现国家道路安全战略制定的道路安全目标。
