{
  "abstract": "Background Aboriginal and Torres Strait Islander communities experience a disproportionate burden of road traffic injuries yet little work has been done to develop a comprehensive epidemiological profile.Methods We analysed data from the South Australian Trauma Registry for road traffic injuries in Aboriginal and Torres Strait Islander adults (≥18 years) admitted to hospital between July 2018 and June 2023. Descriptive statistics summarised demographics and hospital presentation characteristics, and an ordinal logistic regression examined the association between length of stay and injury severity scores (ISSs). Indigenous research methodologies guided study design and interpretation.Results A total of 127 patients were identified, all sustaining blunt trauma. Most patients identified as male (63%) and 30% were aged 25–34 years. Road traffic injuries frequently occurred on roads with speeds ≥60 km/hour (60%) and over 60% occurred in the afternoon/evening. Approximately 52% of cases reported ISS >12, and 32% of patients arrived at the hospital more than 12 hours after the time of injury. Median hospital stay was 9 days (IQR: 3.1 to 17.0) and greater ISS scores were associated with longer hospital stays (OR=1.2, 95% CI 1.08 to 1.26, p<0.001).Conclusion Our findings suggest a need to focus on addressing the overrepresentation of men and individuals of working age while also targeting key risk factors like speed, with improved support and resourcing for rural and remote communities. Central to these efforts should be community-led co-design initiatives to ensure relevant and sustainable prevention strategies.",
  "authors": [
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia"
      ],
      "name": "Lavender Otieno"
    },
    {
      "affiliations": [
        "Flinders University, Adelaide, South Australia, Australia",
        "EMU Consultancy, Ceduna, South Australia, Australia"
      ],
      "name": "Patrick Sharpe"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia"
      ],
      "name": "Simranjeet Singh Dahia"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Environmental and Occupational Health Sciences, University of Illinois Chicago School of Public Health, Chicago, Illinois, USA"
      ],
      "name": "Brett Shannon"
    },
    {
      "affiliations": [
        "School of Population Health, University of New South Wales, Sydney, New South Wales, Australia"
      ],
      "name": "Holger Moeller"
    },
    {
      "affiliations": [
        "Women’s and Children’s Health Network, North Adelaide, South Australia, Australia"
      ],
      "name": "Marnie Campbell"
    },
    {
      "affiliations": [
        "The George Institute for Global Health Injury Division, Newtown, New South Wales, Australia"
      ],
      "name": "Bobby Porykali"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Western Sydney University - Campbelltown Campus, Campbelltown, New South Wales, Australia"
      ],
      "name": "Sadia Hossain"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Trauma Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia"
      ],
      "name": "Nicole Kelly"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Trauma Service, Royal Adelaide Hospital, Adelaide, South Australia, Australia"
      ],
      "name": "Daniel Y Ellis"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia"
      ],
      "name": "Jodi Gray"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia"
      ],
      "name": "Hossein Afzali"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "School of Population Health, UNSW, Sydney, New South Wales, Australia"
      ],
      "name": "Rebecca Q Ivers"
    },
    {
      "affiliations": [
        "College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia",
        "Flinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia",
        "School of Population Health, University of New South Wales, Sydney, New South Wales, Australia"
      ],
      "name": "Courtney Ryder"
    }
  ],
  "title": "Descriptive epidemiological profile of road traffic injuries in Aboriginal and Torres Strait Islander populations in South Australia",
  "uid": "40464155-c5b9-5c36-8c91-d0e842eaffb5"
}