Disadvantaged by More Than Distance: A Systematic Literature Review of Injury in Rural Australia

被引:9
|
作者
Taylor, Danielle H. [1 ]
Peden, Amy E. [1 ,2 ]
Franklin, Richard C. [1 ]
机构
[1] Jams Cook Univ, Coll Publ Hlth Med & Vet Sci, Townsville, Qld 4811, Australia
[2] Univ New South Wales, Sch Populat Hlth, Sydney, NSW 2052, Australia
关键词
regional; remote; trauma; accident; remoteness; rurality; safety; prevention; disadvantage; NEW-SOUTH-WALES; REMOTE INDIGENOUS COMMUNITIES; EMERGENCY MEDICAL-SERVICES; TRAUMATIC BRAIN-INJURIES; MENTAL-HEALTH-SERVICE; MAJOR TRAUMA; RISK-FACTORS; SUICIDE MORTALITY; SPLENIC INJURY; YOUNG-ADULTS;
D O I
10.3390/safety8030066
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Rural populations experience injury-related mortality and morbidity rates 1.5 times greater than metropolitan residents. Motivated by a call for stronger epidemiological evidence around rural injuries to inform prevention, a systematic review of peer-reviewed literature published between January 2010 and March 2021 was undertaken to explore the epidemiology of rural injury and associated risk factors in Australia. A subsequent aim was to explore definitions of rurality used in injury prevention studies. There were 151 papers included in the review, utilizing 23 unique definitions to describe rurality. People living in rural areas were more likely to be injured, for injuries to be more severe, and for injuries to have greater resulting morbidity than people in metropolitan areas. The increase in severity reflects the mechanism of rural injury, with rural injury events more likely to involve a higher energy exchange. Risk-taking behavior and alcohol consumption were significant risk factors for rural injury, along with rural cluster demographics such as age, sex, high socio-economic disadvantage, and health-related comorbidities. As injury in rural populations is multifactorial and nonhomogeneous, a wide variety of evidence-based strategies are needed. This requires funding, political leadership for policy formation and development, and implementation of evidence-based prevention interventions.
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页数:24
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