4.5 Article

Can child drowning be eradicated? A compelling case for continued investment in prevention

期刊

ACTA PAEDIATRICA
卷 110, 期 7, 页码 2126-2133

出版社

WILEY
DOI: 10.1111/apa.15618

关键词

adolescent; child; drowning; injury prevention; policy

资金

  1. Royal Life Saving Society, Australia
  2. Federal Government
  3. Drowning Prevention Research Centre-the lead agency for drowning and water incident research in Canada

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The study found that Australia and Canada have seen significant decreases in drowning rates among children aged 0-4, while New Zealand has had a slight increase in this age group; First Nations children in New Zealand have higher drowning proportions. Investment in prevention for 0-4 year olds has contributed to reducing drowning deaths, but more attention is needed for adolescents (especially females) and First Nations children. Lessons from each country's approach can inform future prevention strategies to fully eliminate child drowning deaths.
Aim To explore temporal trends in fatal child drowning and benchmark progress across three high-income countries to provide prevention and future investment recommendations. Methods A total population analysis of unintentional fatal drownings among 0- to 19-year-olds in Australia, Canada and New Zealand from 2005 to 2014 was undertaken. Univariate and chi-square analyses were conducted, age- and sex-specific crude rates calculated and linear trends explored. Results A total of 1454 children drowned. Rates ranged from 0.92 (Canada) to 1.35 (New Zealand) per 100 000. Linear trends of crude drowning rates show both Australia (y = -0.041) and Canada (y = -0.048) reduced, with New Zealand (y = 0.005) reporting a slight rise, driven by increased drowning among females aged 15-19 years (+200.4%). Reductions of 48.8% in Australia, 51.1% in Canada and 30.4% in New Zealand were seen in drowning rates of 0- to 4-year-olds. First Nations children drowned in significantly higher proportions in New Zealand (X-2 = 31.7; P < .001). Conclusion Continual investment in drowning prevention, particularly among 0- to 4-year-olds, is contributing to a reduction in drowning deaths; however, greater attention is needed on adolescents (particularly females) and First Nation's children. Lessons can be learned from each country's approach; however, further investment and evolution of prevention strategies will be needed to fully eradicate child drowning deaths.

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