UNINTENTIONAL INJURY IN NEW ZEALAND: PRIORITIES AND FUTURE DIRECTIONS. SPECIAL INTERNATIONAL REPORT

Unintentional injury is the leading cause of death in New Zealand for persons aged 1-34. Motor-vehicle traffic crashes and falls are the leading causes involved, and together account for more than 50% of unintentional injuries resulting in death or hospitalization. This paper provides an overview of research on unintentional injury in New Zealand over the last decade or so; highlights that while research has been responsive to areas of priority, specific gaps exist; discusses why those gaps in research might exist; and explores strategic directions for the future. New Zealand injury research has focused on areas of public health priority, with the research agenda strongly influenced by end-users in the policy sphere. The establishment of two successful national centers of excellence in the field has advanced the strategic direction of the research effort in injury prevention in New Zealand. However, there has been limited progress in identification of particular risk factors amenable to intervention, identification of barriers, and development of interventions and evaluation of interventions. Lack of knowledge in these areas is a major impediment to affecting lasting change.

[1]  R. Laing,et al.  Prevention of burn injuries to children involving nightwear. , 1991, The New Zealand medical journal.

[2]  J. Langley,et al.  Epidemiology of playground equipment injuries resulting in hospitalization , 1990, Journal of paediatrics and child health.

[3]  R. Norton Preventing Falls and Fall‐related Injuries Among Older People , 1998, The New Zealand medical journal.

[4]  D. Begg,et al.  Injuries in the 14th and 15th years of life , 1990, Journal of paediatrics and child health.

[5]  P C Cryer,et al.  A review of work-related fatal injuries in New Zealand 1975-84--numbers, rates and trends. , 1987, The New Zealand medical journal.

[6]  J D Langley,et al.  Road traffic practices among a cohort of young adults in New Zealand. , 1999, The New Zealand medical journal.

[7]  J C Alsop,et al.  Achieving compliance with pool fencing legislation in New Zealand: a survey of regulatory authorities , 1999, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[8]  T. Koelmeyer,et al.  Accidental drownings in Auckland children. , 1985, The New Zealand medical journal.

[9]  J D Langley,et al.  An evaluation of a program to reduce home hot tap water temperatures. , 2010, Australian journal of public health.

[10]  A I Reeder,et al.  The risky and protective motorcycling opinions and behaviours of young on-road motorcyclists in New Zealand. , 1996, Social science & medicine.

[11]  D. Chalmers,et al.  Unintentional injuries to students at school , 1990, Journal of paediatrics and child health.

[12]  J D Langley,et al.  Injury: the medical and related costs in New Zealand 1990. , 1993, The New Zealand medical journal.

[13]  A I Reeder,et al.  Rider training, reasons for riding, and the social context of riding among young on‐road motorcyclists in New Zealand , 1996, Australian and New Zealand journal of public health.

[14]  Stephen W. Marshall,et al.  Tractor Fatalities and Injury on New Zealand Farms , 1997 .

[15]  P C Cryer,et al.  Work related injury in New Zealand commercial fishermen. , 1990, British journal of industrial medicine.

[16]  J. Langley,et al.  Injury mortality among children and teenagers in New Zealand compared with the United States of America. , 1997, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[17]  M J Sullman Rehabilitation in the New Zealand logging industry. , 1996, Work.

[18]  E. Plumridge,et al.  Purchasing a cycle helmet: are retailers providing adequate advice? , 1996, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[19]  H. Burry,et al.  Compensated back injury in New Zealand. , 1988, The New Zealand medical journal.

[20]  R Norton,et al.  Child passenger fatalities and restraint use in Auckland. , 1992, The New Zealand medical journal.

[21]  T. Koelmeyer,et al.  Deaths from drowning. , 1984, The New Zealand medical journal.

[22]  T Lee-Joe,et al.  The risks of hip fracture in older people from private homes and institutions. , 1996, Age and ageing.

[23]  J. Langley,et al.  Adult thermal injuries in New Zealand resulting in death and hospitalization. , 1993, Burns : journal of the International Society for Burn Injuries.

[24]  J D Langley,et al.  Motor vehicle road crashes during the fourteenth and fifteenth years of life. , 1992, The New Zealand medical journal.

[25]  J. Langley Frequency of injury events in New Zealand compared with the available E-codes. , 1987, Methods of information in medicine.

[26]  J D Langley,et al.  Tractors, motorcycles, ATVs: inconsistencies in legislation for child safety. Examples from New Zealand. , 1996, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[27]  B. Borman,et al.  Sports injuries in New Zealand. , 1986, The New Zealand medical journal.

[28]  J Langley,et al.  The severity of road traffic crashes resulting in hospitalisation in New Zealand. , 1994, Accident; analysis and prevention.

[29]  J Guria An economic evaluation of incremental resources to road safety programmes in New Zealand. , 1999, Accident; analysis and prevention.

[30]  J C Alsop,et al.  The New Zealand Rugby Injury and Performance Project: V. Epidemiology of a season of rugby injury. , 1998, British journal of sports medicine.

[31]  J. Langley,et al.  International comparisons of injury mortality in the elderly: issues and differences between New Zealand and the United States. , 1995, International journal of epidemiology.

[32]  R. Isler,et al.  Testing the relative conspicuity of safety garments for New Zealand forestry workers. , 1997, Applied ergonomics.

[33]  Stephen W. Marshall,et al.  Overview of Injury on New Zealand Farms , 1996 .

[34]  John Desmond Langley,et al.  Falls from buildings and other fixed structures in New Zealand , 1996 .

[35]  D J Chalmers,et al.  Trampolines in New Zealand: a decade of injuries. , 1994, British journal of sports medicine.

[36]  S. Streat,et al.  Critical injuries in paediatric pedestrians. , 1991, The New Zealand medical journal.

[37]  J D Langley,et al.  A longitudinal study of lifestyle factors as predictors of injuries and crashes among young adults. , 1999, Accident; analysis and prevention.

[38]  Predictors of work disability in work-related upper-extremity disorders. , 1997, Journal of occupational and environmental medicine.

[39]  J D Langley,et al.  Head injuries to bicyclists and the New Zealand bicycle helmet law. , 2000, Accident; analysis and prevention.

[40]  J. Downton,et al.  Prevalence, characteristics and factors associated with falls among the elderly living at home , 1991, Aging.

[41]  R. Norton,et al.  Effect of environmental factors on risk of injury of child pedestrians by motor vehicles: a case-control study , 1995, BMJ.

[42]  John De Pont SUSPENSIONS OR WHOLE VEHICLES? RATING ROAD-FRIENDLINESS , 1999 .

[43]  J D Langley,et al.  Trends in cycle injury in New Zealand under voluntary helmet use. , 1997, Accident; analysis and prevention.

[44]  Stephen W. Marshall,et al.  Long-term secular trends in the rate of work-related injury among forestry workers in New Zealand , 1994 .

[45]  S W Marshall,et al.  Work–related hand and lower–arm injuries in New Zealand, 1979 to 1988 , 1977, Australian and New Zealand journal of public health.

[46]  William J. Frith,et al.  Deregulation of heavy freight transport in New Zealand and its effects on road safety , 1995 .

[47]  S W Marshall,et al.  The epidemiology of forestry work-related injuries in New Zealand, 1975-88: fatalities and hospitalisations. , 1994, The New Zealand medical journal.

[48]  J D Langley,et al.  Road crash experiences during the fourteenth and fifteenth years of life: an overview. , 1990, The New Zealand medical journal.

[50]  P. Silva,et al.  Injuries in the 12th and 13th years of life , 1989, Australian paediatric journal.

[51]  J. Langley,et al.  Place of occurrence of injury events in New Zealand compared with the available ICD codes. , 1989, Methods of information in medicine.

[52]  J. Langley,et al.  Occupational injuries among adolescents in Dunedin, New Zealand, 1990-1993. , 1997, Annals of emergency medicine.

[53]  I. Reid,et al.  Hip fracture incidence among older people in Auckland: a population-based study. , 1995, The New Zealand medical journal.

[54]  S. Marshall,et al.  Child day care and home injuries involving playground equipment , 1993, Journal of paediatrics and child health.

[55]  R. Norton,et al.  Cardiac rehabilitation programmes: are women less likely to attend? , 1992, BMJ.

[56]  J D Langley,et al.  Bicycle road crashes during the fourteenth and fifteenth years of life. , 1991, The New Zealand medical journal.

[57]  M D Keall,et al.  Pedestrian exposure to risk of road accident in New Zealand. , 1995, Accident; analysis and prevention.

[58]  A. Campbell,et al.  Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women , 1997, BMJ.

[59]  S. Marshall,et al.  Hand and lower arm injuries among New Zealand meat workers and use of protective clothing. , 1997, The New Zealand medical journal.

[60]  Wells Je,et al.  Spinal injuries in New Zealand rugby and rugby league : a twenty year survey , 1997 .

[61]  R. Norton,et al.  Prevalence of back pain among nurses. , 1994, The New Zealand medical journal.

[62]  M. Borrie,et al.  Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study. , 1990, Age and ageing.

[63]  M. Cox,et al.  Hip Fractures: An Increasing Health Care Cost , 1993, Journal of orthopaedic trauma.

[64]  J D Langley,et al.  Height and surfacing as risk factors for injury in falls from playground equipment: a case-control study. , 1996, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[65]  R Norton,et al.  Child pedestrian injury rates: the importance of "exposure to risk" relating to socioeconomic and ethnic differences, in Auckland, New Zealand. , 1996, Journal of epidemiology and community health.

[66]  P. Silva,et al.  Injuries in the tenth and eleventh years of life , 1987, Australian paediatric journal.

[67]  Mark J.M. Sullman,et al.  New Zealand Logging Industry Accident Reporting Scheme: Focus for a Human Factors Research Programme , 1999 .

[68]  P. Scuffham,et al.  The cost-effectiveness of compulsory bicycle helmets in New Zealand. , 2010, Australian journal of public health.

[69]  Falls from moving motor vehicles in New Zealand. , 1993, Accident; analysis and prevention.

[70]  Gordon S. Smith,et al.  Drowning surveillance: how well do E codes identify submersion fatalities , 1998, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[71]  J D Langley,et al.  Injuries due to falls from horses. , 2010, Australian journal of public health.

[72]  J D Langley,et al.  An evaluation of the New Zealand graduated driver licensing system. , 1996, Accident; analysis and prevention.

[73]  J. Leathem,et al.  Incidence and aetiology of head injury in a New Zealand adolescent sample. , 1996, Brain injury.

[74]  David J Chalmers,et al.  An intervention to reduce playground equipment hazards , 1999, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[75]  J. Sceats,et al.  Paediatric attendance at Waikato Hospital accident and emergency department 1980-86. , 1989, The New Zealand medical journal.

[76]  R. Norton,et al.  Auckland children's exposure to risk as pedestrians. , 1994, The New Zealand medical journal.

[77]  R. Norton,et al.  Child pedestrian injury 1978-87. , 1992, The New Zealand medical journal.

[78]  I. Hassall Thirty‐six consecutive under 5 year old domestic swimming pool drownings , 1989, Australian paediatric journal.

[79]  J D Langley,et al.  Injuries to pedal cyclists resulting in death and hospitalisation. , 1993, The New Zealand medical journal.

[80]  J. Langley,et al.  Injury mortality and morbidity in New Zealand. , 1989, Accident; analysis and prevention.

[81]  A I Reeder,et al.  The New Zealand graduated driver licensing system: teenagers' attitudes towards and experiences with this car driver licensing system. , 1995, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.