Research Papers

Canadian Child Road Safety Report Card

Version 1
Date added June 29, 2016
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Category 2016 CARSP XXVI Halifax
Tags Research and Evaluation, Session 1B
Author/Auteur Liraz Fridman
Stream/Volet Research and Evaluation

Slidedeck Presentation Only (no paper submitted)

1B - Fridman


Background/Context: Health-based report cards have been used as a tool to disseminate research findings to parents, government agencies, stakeholders, and the general public. In Canada, health-based report cards such as the How Canada Performs report provides a comparison of how provinces measure up to one another on a number of health-based indicators such as life expectancy, self-reported health, and infant mortality. A number of injury prevention policies have been implemented in Canadian provinces to reduce the fatalities and injuries from motor vehicle collisions (MVCs). These include the use of seatbelts, adherence to speed limits, and booster-seat use. The use of seatbelts has been cited to be the most effective measure in reducing fatalities and injuries resulting from MVCs. However, few child health report cards discuss implications for primary prevention policy or practice.

Aims/Objectives: The aims of this study were to create report cards that compare Canadian provinces on injury rates as well as the strength and effects of injury prevention policies, with a view to improving the effects of policies in all jurisdictions, and reducing the burden of injury death and disability.

Methods/Target Group: This project plans to develop and communicate child safety report cards for each of the 10 Canadian provinces in 3 phases. For the purposes of this abstract, results from Phase I and II will be presented. They include an interprovincial comparison of injury hospitalizations for transport-related injuries in each Canadian province between 2006 and 2012. Phase II is an examination of evidence-based provincial policies. These will be presented together.

Results/Activities: In Canada, Saskatchewan was the province with the highest rate of transport related injury hospitalization per 100,000 between 2006 and 2012, but incidence decreased from 146.8 to 118.1 over the 6 year period, despite not having policies that meet best practice. Ontario had the lowest rate of transport related injury hospitalization per 100,000 between 2006 and 2012 and incidence decreased from 56.2 to 38.7 over the 6 year period. Ontario was also the only province with an incidence rate consistently below the Canadian average, and with many evidence-based policies in place.

Discussion/Deliverables: This is the first study to compare transport-related injuries among children and youth across Canadian provinces in terms of hospitalization, and the enactment of evidence-based policies.

Conclusions: This data may influence prevention through harmonization of best-practice policy and legislation in Canada. Similar projects in the European Union have started to yield results in terms of harmonizing prevention policies across member states.

Liraz Fridman