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Impact of injury in regional WA:

In 2012 there were 235 fatalities, 8,611 hospitalisations and 40,329 emergency department attendances to individuals living in outer regional, remote and very remote areas of WA, costing $1,756m in health care costs, long-term care needs, loss in paid productivity and quality of life lost.(1) The Accessibility/Remoteness Index of Australia (ARIA) was utilised to calculate the location of these injury incidents.

When comparing the incidence of injury in regional and remote areas of WA, the injury fatality rate was not significantly different across levels of remoteness, however the hospitalisation and ED presentation rate increased.(1) As depicted in Table 1 the only outlier in this remoteness trend was injury ED attendances in very remote areas of WA where the ED attendance rate was lower than that for remote areas.(1)

Table 1. Incidence and costs of injury events by ARIA coding, in WA in 2012. Adapted from the Department of Health WA’s, Incidence and costs of injury in WA 2012 report, table 3.5.(1) Note: the rates are expressed per 1,000 population.

 

 

 

 

Within WA there are ten health regions; Goldfields, Great Southern, Kimberley, Midwest, Pilbara, South West, Wheatbelt, East Metropolitan, North Metropolitan and South Metropolitan. To view a map of the WA Health Regions, click here.

In WA in 2012 the rate of injury across the health regions varied with the; Kimberley, Wheatbelt and Goldfields experiencing the highest injury rate at 199.8, 191.5 and 151.6 injuries per 1,000 population respectively.(1)

Similarly, when analysing the type of injuries sustained within these health regions the leading injury areas varies across the health regions.

 

 

 

Outlined in Table 2 are the health regions that recorded the highest hospitalisation rates for each injury area from 1 July 2011 to 30 June 2015.

Table 2. The WA Health Regions with the highest injury hospitalisation rate across seven injury areas in 2011-2015.(2) The hospitalisation rate provided in the bracket is the age-standardised rate per 100,000 person-years.

 

Additional regional injury data;

Impact of injury among Aboriginal and Torres Strait Islander peoples located in regional WA:

According to the 2016 Census, 38.3% of Aboriginal and Torres Strait Islander peoples reside in remote and/or very remote areas of WA, in comparison to 4.6% of non-Aboriginal peoples.(3) With Aboriginal and Torres Strait Islander peoples experiencing injury 2.5 times greater of non-Aboriginal people(2), it can be assumed that Aboriginal and Torres Strait Islander peoples living in regional WA experience a greater burden of injury. The higher rate of injury to Aboriginal and Torres Strait Islander peoples has been attributed to a number of factors including; a lower socio-economic status, alcohol consumption, transgenerational trauma, and racial discrimination caused from the colonisation and the targeted breakdown of culture.

However, factors of Aboriginal and Torres Strait Islander communities, including strong family bonds and community connectivity, have been shown to be protective factors for preventing injuries, particularly suicide and self-harm.(4)

For more information about the rate of injury among Aboriginal and Torres Strait Islander peoples view Know Injury’s Aboriginal and Torres Strait Islander peoples resource kit.

Injury Prevention in regional WA:

Many organisations conduct injury prevention initiatives which cover the whole State, however there are some resources and projects which are targeted to prevent injuries within specific regional populations.

Resources available to support injury prevention initiatives in regional WA include;

 

Injury prevention projects in regional WA include;

Key injury prevention stakeholders in regional WA:

  

    

 

If you have a resources, projects, organisations or research that you would like listed on this page please contact Know Injury.

References:

  1. Hendrie D, Miller T, Randall S, Brameld K, Moorin R. Incidence and costs of injury in WA 2012. Perth: Chronic Disease Prevention Directorate Department of Health WA; 2016.
  2. Data generated using HealthTracks Reporting, by the Epidemiology Branch, WA Department of Health in collaboration with the Cooperative Research Centre for Spatial Information (CRC-SI), April 2018.
  3. Australian Bureau of Statistics. Persons Place of Usual Residence, TableBuilder. Findings based on use of ABS TableBuilder data. 2016.
  4. Dudgeon P, Milroy J, Calma T, Luxford Y, Ring I, Walker R, et al. Solutions that work what the evidence and our people tell us: Aboriginal and Torres Strait Islander Suicide Prevention Evaluation Project report [Internet]. Crawley, WA: School of Indigenous Studies, University of Western Australia; 2016 [cited 2017 Feb 7]. Available from: http://www.atsispep.sis.uwa.edu.au