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Ethnicity, deprivation and road traffic injury risk: a survey of risk and road safety and implications for injury prevention

Abstract Objective: To gain an insight into the relationship between ethnicity and road safety among adults living in low socioeconomic areas. Design: Questionnaire based face-to-face interview survey among residents from low socioeconomic areas. Setting: The survey was conducted in five districts which represent the poorest 15% of districts in England and Wales which also have high road traffic collision rates. Subjects: Community residents aged 16 or over living in low socioeconomic areas Results: Black, Asian and Minority Ethnic (BAME) participants in low socioeconomic areas are significantly more likely to report being injured in a collision as a car occupant, have access to a car in their household and less likely to report that they “always” wear a seat belt in the back of a car compared to the majority population. The data suggest that particular groups, notably Asian British, report relatively high casualty rates, are more likely to have access to a car in there household and are least likely to report “always” wearing a seat belt. Conclusions: More needs to be done to understand the reasons that underpin these observed differences between ethnic groups. The data suggests that the dichotomy between majority and BAME groups obscures important differences in risk between BAME groups. A segmented approach is required to targeting interventions at those most at risk. In order to do this we need to understand more about the types of car occupant collisions involving BAME groups and more about the factors that influence their safety behaviour.