Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017

Abstract Objective: To explore injury deaths in international and domestic interstate travellers, together with those newly arrived to Australia. Methods: A population‐based cohort study of all injury‐related deaths between 1January 2006 and 31 December 2017 registered with Births Death and Marriage...

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Main Authors: Lauren Miller, Richard C. Franklin, Kerrianne Watt, Peter A. Leggat
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.13217
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author Lauren Miller
Richard C. Franklin
Kerrianne Watt
Peter A. Leggat
author_facet Lauren Miller
Richard C. Franklin
Kerrianne Watt
Peter A. Leggat
author_sort Lauren Miller
collection DOAJ
description Abstract Objective: To explore injury deaths in international and domestic interstate travellers, together with those newly arrived to Australia. Methods: A population‐based cohort study of all injury‐related deaths between 1January 2006 and 31 December 2017 registered with Births Death and Marriages in Australia was conducted using Australian Bureau of Statistics’ (ABS) Cause of Death information. Population data on travellers were obtained from Tourism Research Australia. Results: There were 4,503 injury‐related traveller deaths (domestic interstate:3,055; international:934; new arrivals:514). The average annual age‐standardised mortality rates in domestic interstate travellers was 0.75 per 100,000, compared with 2.22 per 100,000 in international travellers. Leading causes of injury‐related death were land transport incidents (n=1495, 33.2%), self‐harm (n=786, 17.5%) and falls (n=513, 11.4%), with differences in mechanism by state/territory, traveller type and age group. Intentional self‐harm was common amongst all visitor types, however, it was the primary cause of death in new arrivals Conclusion: Age‐standardised mortality rates were almost three‐fold higher in international than domestic travellers. New arrivals, international and domestic travellers have different injury profiles, and each require specific prevention strategies. Implications for public health: While COVID has restricted travel to and within Australia, this has provided an opportunity for exploration, reflection, and consideration of risk factors for travellers, and to develop targeted injury prevention strategies for visitor types, so travel experience can be optimised and the magnitude of harm can be reduced.
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spelling doaj.art-c4c0a34c81194cc28a10253f89dc9a3e2023-09-02T21:26:15ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052022-06-0146340741410.1111/1753-6405.13217Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017Lauren Miller0Richard C. Franklin1Kerrianne Watt2Peter A. Leggat3College of Public Health, Medical & Veterinary Sciences James Cook University QueenslandCollege of Public Health, Medical & Veterinary Sciences James Cook University QueenslandCollege of Public Health, Medical & Veterinary Sciences James Cook University QueenslandCollege of Public Health, Medical & Veterinary Sciences James Cook University QueenslandAbstract Objective: To explore injury deaths in international and domestic interstate travellers, together with those newly arrived to Australia. Methods: A population‐based cohort study of all injury‐related deaths between 1January 2006 and 31 December 2017 registered with Births Death and Marriages in Australia was conducted using Australian Bureau of Statistics’ (ABS) Cause of Death information. Population data on travellers were obtained from Tourism Research Australia. Results: There were 4,503 injury‐related traveller deaths (domestic interstate:3,055; international:934; new arrivals:514). The average annual age‐standardised mortality rates in domestic interstate travellers was 0.75 per 100,000, compared with 2.22 per 100,000 in international travellers. Leading causes of injury‐related death were land transport incidents (n=1495, 33.2%), self‐harm (n=786, 17.5%) and falls (n=513, 11.4%), with differences in mechanism by state/territory, traveller type and age group. Intentional self‐harm was common amongst all visitor types, however, it was the primary cause of death in new arrivals Conclusion: Age‐standardised mortality rates were almost three‐fold higher in international than domestic travellers. New arrivals, international and domestic travellers have different injury profiles, and each require specific prevention strategies. Implications for public health: While COVID has restricted travel to and within Australia, this has provided an opportunity for exploration, reflection, and consideration of risk factors for travellers, and to develop targeted injury prevention strategies for visitor types, so travel experience can be optimised and the magnitude of harm can be reduced.https://doi.org/10.1111/1753-6405.13217injurytouristtravelepidemiologyincidence
spellingShingle Lauren Miller
Richard C. Franklin
Kerrianne Watt
Peter A. Leggat
Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
Australian and New Zealand Journal of Public Health
injury
tourist
travel
epidemiology
incidence
title Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
title_full Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
title_fullStr Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
title_full_unstemmed Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
title_short Travel‐weary to travel‐worry: the epidemiology of injury‐related traveller deaths in Australia, 2006‐2017
title_sort travel weary to travel worry the epidemiology of injury related traveller deaths in australia 2006 2017
topic injury
tourist
travel
epidemiology
incidence
url https://doi.org/10.1111/1753-6405.13217
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AT kerriannewatt travelwearytotravelworrytheepidemiologyofinjuryrelatedtravellerdeathsinaustralia20062017
AT peteraleggat travelwearytotravelworrytheepidemiologyofinjuryrelatedtravellerdeathsinaustralia20062017