Identifying a gap in drowning prevention: high-risk populations
Introduction Some populations have been less susceptible to reductions in drowning than others. It has been hypothesised that this is due to prevention strategies failing to account for the influence of social determinants (such as ethnicity, socioeconomic status). Populations such as ethnic minorit...
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fthighwire:oai:open-archive.highwire.org:injuryprev:26/3/279 2023-05-15T16:16:57+02:00 Identifying a gap in drowning prevention: high-risk populations Willcox-Pidgeon, Stacey M Franklin, Richard Charles Leggat, Peter A Devine, Sue 2020-06-01 00:00:00.0 text/html http://injuryprevention.bmj.com/cgi/content/short/26/3/279 https://doi.org/10.1136/injuryprev-2019-043432 en eng BMJ Publishing Group Ltd http://injuryprevention.bmj.com/cgi/content/short/26/3/279 http://dx.doi.org/10.1136/injuryprev-2019-043432 Copyright (C) 2020, BMJ Publishing Group Ltd Systematic review TEXT 2020 fthighwire https://doi.org/10.1136/injuryprev-2019-043432 2020-06-16T09:49:52Z Introduction Some populations have been less susceptible to reductions in drowning than others. It has been hypothesised that this is due to prevention strategies failing to account for the influence of social determinants (such as ethnicity, socioeconomic status). Populations such as ethnic minorities have been over-represented in injury statistics, however this is not well explored in drowning. This study aims to identify high-risk populations for drowning, risk factors and prevention strategies. Methods A literature review undertaken systematically using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach was conducted of peer-reviewed literature in English, published between 1990 and 2018 from high-income countries. Search terms included drowning, water safety, ethnic minority, migrant, and culturally diverse. Results In total, 35 articles were included. High-risk populations identified were: ethnic minorities, First Nations/Aboriginal people, migrants and rural residents. Over half (51%) focused on children (0–18 years). Risk factors included social determinants, swimming ability and knowledge, attitudes and behaviour. Four intervention studies were found; two focused on upskilling adults from high-risk populations to increase employment opportunities within the aquatic industry; an evaluation of a 10-year rock fishing safety education project and a learn-to-swim programme for minority children. Proposed prevention strategies included education, practical skills, research, policy and engagement. Discussion Limited literature exists pertaining to drowning among adults from high-risk populations. There is a need to increase the sophistication of drowning prevention strategies addressing the disparities in drowning from a culturally appropriate perspective. Acknowledging the role of the social determinants of health in drowning prevention is essential in order to improve drowning outcomes for high-risk populations globally. Text First Nations HighWire Press (Stanford University) Injury Prevention 26 3 279 288 |
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Systematic review Willcox-Pidgeon, Stacey M Franklin, Richard Charles Leggat, Peter A Devine, Sue Identifying a gap in drowning prevention: high-risk populations |
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Systematic review |
description |
Introduction Some populations have been less susceptible to reductions in drowning than others. It has been hypothesised that this is due to prevention strategies failing to account for the influence of social determinants (such as ethnicity, socioeconomic status). Populations such as ethnic minorities have been over-represented in injury statistics, however this is not well explored in drowning. This study aims to identify high-risk populations for drowning, risk factors and prevention strategies. Methods A literature review undertaken systematically using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses approach was conducted of peer-reviewed literature in English, published between 1990 and 2018 from high-income countries. Search terms included drowning, water safety, ethnic minority, migrant, and culturally diverse. Results In total, 35 articles were included. High-risk populations identified were: ethnic minorities, First Nations/Aboriginal people, migrants and rural residents. Over half (51%) focused on children (0–18 years). Risk factors included social determinants, swimming ability and knowledge, attitudes and behaviour. Four intervention studies were found; two focused on upskilling adults from high-risk populations to increase employment opportunities within the aquatic industry; an evaluation of a 10-year rock fishing safety education project and a learn-to-swim programme for minority children. Proposed prevention strategies included education, practical skills, research, policy and engagement. Discussion Limited literature exists pertaining to drowning among adults from high-risk populations. There is a need to increase the sophistication of drowning prevention strategies addressing the disparities in drowning from a culturally appropriate perspective. Acknowledging the role of the social determinants of health in drowning prevention is essential in order to improve drowning outcomes for high-risk populations globally. |
format |
Text |
author |
Willcox-Pidgeon, Stacey M Franklin, Richard Charles Leggat, Peter A Devine, Sue |
author_facet |
Willcox-Pidgeon, Stacey M Franklin, Richard Charles Leggat, Peter A Devine, Sue |
author_sort |
Willcox-Pidgeon, Stacey M |
title |
Identifying a gap in drowning prevention: high-risk populations |
title_short |
Identifying a gap in drowning prevention: high-risk populations |
title_full |
Identifying a gap in drowning prevention: high-risk populations |
title_fullStr |
Identifying a gap in drowning prevention: high-risk populations |
title_full_unstemmed |
Identifying a gap in drowning prevention: high-risk populations |
title_sort |
identifying a gap in drowning prevention: high-risk populations |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2020 |
url |
http://injuryprevention.bmj.com/cgi/content/short/26/3/279 https://doi.org/10.1136/injuryprev-2019-043432 |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
http://injuryprevention.bmj.com/cgi/content/short/26/3/279 http://dx.doi.org/10.1136/injuryprev-2019-043432 |
op_rights |
Copyright (C) 2020, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/injuryprev-2019-043432 |
container_title |
Injury Prevention |
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26 |
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3 |
container_start_page |
279 |
op_container_end_page |
288 |
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