Driver licensing: descriptive epidemiology of a social determinant of Aboriginal and Torres Strait Islander health

Education, employment and equitable access to services are commonly accepted as important underlying social determinants of health. For most Australians, access to health, education and other services is facilitated by private transport and a driver licence. This study aimed to examine licensing rat...

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Vydáno v:	Australian and New Zealand journal of public health Ročník 40; číslo 4; s. 377 - 382
Hlavní autoři:	Ivers, Rebecca Q., Hunter, Kate, Clapham, Kathleen, Helps, Yvonne, Senserrick, Teresa, Byrne, Jake, Martiniuk, Alexandra, Daniels, John, Harrison, James E.
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States Elsevier B.V 01.08.2016 Elsevier Limited John Wiley and Sons Inc Elsevier
Témata:	Aboriginal Australians Aboriginal health Access Adolescent Adult Area planning & development Attainment Audits Australasian cultural groups Australian Aboriginal and Torres Strait Islander Peoples Automobile Driver Examination - statistics & numerical data Cross-Sectional Studies driver licensing Drivers Drivers licenses Education Educational attainment Employment Epidemiology Female Health education Health services Health status Health Status Disparities Humans Indigenous Health Indigenous peoples Inequality Infrastructure Internet Licenses Licensing Licensure - statistics & numerical data Local government Male Middle Aged Native peoples New South Wales Private transport Public Health - methods Public Health - statistics & numerical data road safety Roads & highways Social determinants of health Social factors Social Welfare - statistics & numerical data South Australia Surveys and Questionnaires Trends Well being Young Adult New South Wales South Australia Torres Strait Australia Canberra Australian Capital Territory Australia New South Wales Australia ISW, Australia, South Australia PSE, New Zealand PSE, Australia, New South Wales ISEW, Australia, Queensland, Torres Strait road safety Aboriginal health driver licensing
ISSN:	1326-0200, 1753-6405, 1753-6405
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Shrnutí:	Education, employment and equitable access to services are commonly accepted as important underlying social determinants of health. For most Australians, access to health, education and other services is facilitated by private transport and a driver licence. This study aimed to examine licensing rates and predictors of licensing in a sample of Aboriginal and Torres Strait Islander people, as these have previously been poorly described. Interviewer‐administered surveys were conducted with 625 people 16 years or older in four Aboriginal Community Controlled Health Services in New South Wales and South Australia over a two‐week period in 2012–2013. Licensing rates varied from 51% to 77% by site. Compared to not having a licence, having a driver licence was significantly associated with higher odds of full‐time employment (adjusted OR 4.0, 95%CI 2.5–6.3) and educational attainment (adjusted OR 1.9, 95%CI 1.2–2.8 for trade or certificate; adjusted OR 4.0, 95%CI 1.6–9.5 for degree qualification). Variation in driver licensing rates suggests different yet pervasive barriers to access. There is a strong association between driver licensing, education and employment. Licensing inequality has far‐reaching impacts on the broader health and wellbeing of Aboriginal and Torres Strait Islander people, reinforcing the need for appropriate and accessible pathways to achieving and maintaining driver licensing.
Bibliografie:	The authors have stated they have no conflict of interest. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	1326-0200 1753-6405 1753-6405
DOI:	10.1111/1753-6405.12535