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Does the decline in road traffic injury in London vary by ethnicity?

¹ London Health Observatory, London, UK
² Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK
³ Department of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK

Correspondence to:
Neeraj Malhotra, London Health Observatory, London SW1E 6QT, UK; neeraje5{at}yahoo.co.uk

ABSTRACT
Objective: To examine ethnic variations in trends in road traffic injuries in London.

Design: Analysis of STATS19 data comparing trends in road traffic casualty rates by ethnic group.

Setting: London, 2001–6.

Subjects: Children (14 years) and adults (15 years).

Main outcome measures: Annual casualty rates in white, black, and Asian pedestrians, cyclists, and car occupants.

Results: Casualty rates in London declined each year between 2001 and 2006 by an average of 8.8% (95% CI 8.5% to 9.0%). After adjustment for area-level deprivation, there was good evidence that the average annual reduction in injury rates in car occupants was significantly less in Asian than in white adults (10.9% vs 14.4%, p<0.001). There was some evidence that average annual reductions in injury rates were lower in black than in white adult pedestrians (7.4% vs 9.3%, p = 0.041) and car occupants (13.2% vs 14.4%, p = 0.03).

Conclusions: Casualty rates in London have declined for pedestrians, cyclists, and car occupants in three broad ethnic groups. Asian car drivers appear to have benefited least from these reductions.