The effect of the 'Swim Reaper' program on water safety awareness, drowning mortality and morbidity among males aged 15-34 years in Aotearoa, New Zealand.

Adolescent Behavior change Drowning Male Prevention Public awareness Risk Water safety

Journal

Journal of safety research
ISSN: 1879-1247
Titre abrégé: J Safety Res
Pays: United States
ID NLM: 1264241

Informations de publication

Date de publication:
Feb 2024
Historique:
received: 01 06 2023
revised: 22 10 2023
accepted: 08 11 2023
medline: 18 3 2024
pubmed: 15 3 2024
entrez: 14 3 2024
Statut: ppublish

Résumé

To increase water safety awareness among young males New Zealand introduced the Swim Reaper program in 2016. The program ran annually over summer and in 2018/19 an evaluation was conducted. The objective of this study was to evaluate the impact of the 2018/19 Swim Reaper social media-based campaign on self-reported water safety awareness and identify changes in fatal and nonfatal drowning rates for New Zealand resident males aged 15-34 years before and after the 2016 Swim Reaper program. Online surveys pre (December-2018) and post (February-March-2019) Swim Reaper campaign were used to estimate water safety awareness post-campaign relative to pre-campaign using negative binomial regression adjusted for potential confounders. Interrupted time series (ITS) analysis, adjusted for seasonality, explored changes in drowning mortality, hospital admissions and Accident Compensation Corporation (ACC) claims pre and post program introduction (2016). A total of 518 males responded (50.6% post-campaign). There were significant improvements (post vs. pre-campaign) in self-reported water safety awareness. ITS analysis showed a reduction in drowning related hospital admissions post relative to pre-program (RR = 0.47; [95%CI: 0.24-0.90]; p = 0.02). Young males are an at-risk cohort for drowning and creating behavior change among this group can be challenging. Using a unique, humor-based approach the Swim Reaper program appears to be having some impact on self-reported water safety behaviors, as well as unintentional drowning-related hospitalization rates. Further evaluation, more clearly linked to campaign themes, is required to ascertain direct impact of the program. The novelty and reach of the campaign within the context of a prevailing downward trend in drownings may provide support for social media-based programs targeting this hard-to-reach demographic.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
To increase water safety awareness among young males New Zealand introduced the Swim Reaper program in 2016. The program ran annually over summer and in 2018/19 an evaluation was conducted. The objective of this study was to evaluate the impact of the 2018/19 Swim Reaper social media-based campaign on self-reported water safety awareness and identify changes in fatal and nonfatal drowning rates for New Zealand resident males aged 15-34 years before and after the 2016 Swim Reaper program.
METHODS METHODS
Online surveys pre (December-2018) and post (February-March-2019) Swim Reaper campaign were used to estimate water safety awareness post-campaign relative to pre-campaign using negative binomial regression adjusted for potential confounders. Interrupted time series (ITS) analysis, adjusted for seasonality, explored changes in drowning mortality, hospital admissions and Accident Compensation Corporation (ACC) claims pre and post program introduction (2016).
RESULTS RESULTS
A total of 518 males responded (50.6% post-campaign). There were significant improvements (post vs. pre-campaign) in self-reported water safety awareness. ITS analysis showed a reduction in drowning related hospital admissions post relative to pre-program (RR = 0.47; [95%CI: 0.24-0.90]; p = 0.02).
DISCUSSION CONCLUSIONS
Young males are an at-risk cohort for drowning and creating behavior change among this group can be challenging. Using a unique, humor-based approach the Swim Reaper program appears to be having some impact on self-reported water safety behaviors, as well as unintentional drowning-related hospitalization rates. Further evaluation, more clearly linked to campaign themes, is required to ascertain direct impact of the program.
CONCLUSION CONCLUSIONS
The novelty and reach of the campaign within the context of a prevailing downward trend in drownings may provide support for social media-based programs targeting this hard-to-reach demographic.

Identifiants

pubmed: 38485362
pii: S0022-4375(23)00174-3
doi: 10.1016/j.jsr.2023.11.006
pii:
doi:

Substances chimiques

Water 059QF0KO0R

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

190-198

Informations de copyright

Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Simon Williamson (SW) and Felicity Fozard (FF) are employed by Water Safety New Zealand. Water Safety New Zealand provided funding support for the research. Analyses were conducted independent of the funder and authors SW and FF. The authors declare no conflict of interest..

Auteurs

Amy E Peden (AE)

School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Queensland 4811, Australia. Electronic address: a.peden@unsw.edu.au.

Simon Williamson (S)

Water Safety New Zealand, Wellington 6011, New Zealand.

Felicity Fozard (F)

Water Safety New Zealand, Wellington 6011, New Zealand.

Mark Hanly (M)

Centre for Big Data Research in Health, UNSW Sydney, Kensington, NSW 2052, Australia.

Holger Möller (H)

School of Population Health, Faculty of Medicine and Health, UNSW Sydney, Kensington, NSW 2052, Australia; The George Institute for Global Health, University of New South Wales, Newtown, NSW, Australia.

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Classifications MeSH