Identifying a gap in drowning prevention: high-risk populations

Autor: Richard C. Franklin, Stacey Willcox-Pidgeon, Sue Devine, Peter A. Leggat
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
Rural Population
Health Knowledge
Attitudes
Practice
Native Hawaiian or Other Pacific Islander
risk/determinants
Adolescent
Social Determinants of Health
Ethnic group
Poison control
Suicide prevention
Occupational safety and health
03 medical and health sciences
0302 clinical medicine
Accident Prevention
Population Groups
Risk Factors
Environmental health
0502 economics and business
Injury prevention
Ethnicity
immigrant/refugee
Humans
030212 general & internal medicine
Social determinants of health
indigenous
Child
Socioeconomic status
Minority Groups
Swimming
Transients and Migrants
Drowning
populations/contexts
05 social sciences
Public Health
Environmental and Occupational Health
Infant
Newborn
Infant
Systematic review
Social Class
Child
Preschool
population characteristics
Female
Systematic Review
Psychology
human activities
050212 sport
leisure & tourism
Zdroj: Injury Prevention
ISSN: 1475-5785
1353-8047
Popis: IntroductionSome 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.MethodsA 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.ResultsIn 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.DiscussionLimited 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.
Databáze: OpenAIRE
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