The prevention of child drowning: the causal factors and social determinants impacting fatalities in portable pools.
children
epidemiology
injury
social determinants
socially disadvantaged
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
23
02
2019
accepted:
28
07
2019
pubmed:
2
8
2019
medline:
27
1
2021
entrez:
2
8
2019
Statut:
ppublish
Résumé
There is a scarcity of research into portable pool drowning and its prevention. This total population study examines fatal drowning among children under five in portable pools in Australia. All child drowning deaths in portable pools for the period 1 July 2002 to 30 June 2018 were identified. A portable pool was defined as any structure used for swimming and wading which, when emptied, can be moved. Twenty-three children (aged 0-17 years) drowned in portable pools. The drowning rate for children less than 5 years of age was 0.09 per 100 000 population. The peak age of death was 12-23 months (RR = 2.99; CI: 1.09-8.23), with the majority (n = 20 deaths) aged 16-31 months. Ninety per cent followed a fall into water. None were supervised. Children commonly resided in areas classified as socially and economically disadvantaged (85%; n = 17). Drowning rates in very remote areas were 15 times greater (RR = 15.41; CI: 0.03-7579.65) than city children. Eleven (55%) drowning deaths occurred in pools with a depth >300 mm, of which 10 (91%) were known to be unfenced. Social determinants impact child drowning in portables pools, which can occur quickly and in just 150 mm of water. Active supervision and a regulation-compliant barrier are effective prevention stratagems, factors which were absent from the deaths in this study. SO WHAT?: Portable pool drowning disproportionately impacts those aged 16-31 months who reside in very remote areas and areas classified as having high socio-economic disadvantage. Education for these groups on fencing and supervision of children must be provided.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
184-191Subventions
Organisme : Department of Mines, Industry Regulation and Safety
Informations de copyright
© 2019 Australian Health Promotion Association.
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