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Socio-Ecological Nature of Drowning in Low- and Middle-Income Countries: A Review to Inform Health Promotion Approaches 低收入和中等收入国家溺水的社会生态性质:为健康促进方法提供信息的综述
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.02.06
M. Cenderadewi, R. Franklin, S. Devine
Most deaths by drowning (91%) have occurred in low- and middle-income countries (LMICs), particularly in Southeast Asia (35%) and Africa (20%), in proportion to total drowning deaths worldwide. Poor data collection in LMICs hinders the planning, implementation, and evaluation of prevention strategies. The objective of this study was to review the rates and risk factors of unintentional drowning in LMICs and to identify drowning prevention strategies within a socio-ecological health promotion framework. A systematic search, guided by PRISMA, was conducted on Ovid MEDLINE, CINAHL, Informit health, PsycINFO (ProQuest), Scopus, SafetyLit, Google Scholar, and BioMed Central databases for all relevant studies published between 2012 and 2017. McMaster appraisal guideline was used for critical review. The disparity of available drowning data was observed across selected countries. The highest rates were identified in low-middle income South-east Asian countries. The socio-economic background of the family, overcrowding, and living close to water bodies were important predictors for paediatric drowning in LMICs, while the presence of mother as caregiver was identified as a protective factor. The over-reliance on active injury prevention strategies was identified. Further research focusing on developing relevant upstream drowning prevention and water safety promotion is needed to ensure the sustainability of drowning prevention in LMICs.
大多数溺水死亡(91%)发生在低收入和中等收入国家,特别是东南亚(35%)和非洲(20%),占全世界溺水死亡总数的比例。中低收入国家数据收集不良阻碍了预防战略的规划、实施和评价。本研究的目的是审查中低收入国家意外溺水的发生率和风险因素,并在社会生态健康促进框架内确定溺水预防策略。在PRISMA的指导下,对2012年至2017年间发表的所有相关研究在Ovid MEDLINE、CINAHL、Informit health、PsycINFO (ProQuest)、Scopus、SafetyLit、Google Scholar和BioMed Central数据库进行了系统检索。采用麦克马斯特评价准则进行批判性评价。在选定的国家中观察到现有溺水数据的差异。发病率最高的是中低收入的东南亚国家。家庭的社会经济背景、过度拥挤和居住在水体附近是中低收入国家儿童溺水的重要预测因素,而母亲作为照顾者的存在被认为是一个保护因素。过度依赖积极的伤害预防策略被确定。为确保中低收入国家溺水预防工作的可持续性,需要进一步开展相关的上游溺水预防和水上安全推广研究。
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引用次数: 5
Diversity in Aquatics 水生生物多样性
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.03.00
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引用次数: 1
Editorial Introducing the Special Issue for Diversity in Aquatics 社论介绍《水生生物多样性》特刊
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.03.06
Angela K. Beale-Tawfeeq, A. Anderson, Steven Waller
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引用次数: 0
Wai Puna: An Indigenous Model of Māori Water Safety and Health in Aotearoa, New Zealand Wai Puna:新西兰奥特罗阿地区Māori水安全与健康的土著模式
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.03.07
Chanel Phillips
Māori (the indigenous peoples of Aotearoa, New Zealand) are intimately connected to wai (i.e., water) yet are overrepresented in New Zealand’s drowning statistics each year. On average Māori account for 20-24% of all preventable and non-preventable drowning fatalities, despite comprising only 15 percent of New Zealand’s population. Drowning remains a significant issue posing a threat to whānau (i.e., families) through premature death being imminent and whakapapa (i.e., genealogy) being interrupted. There is limited research that has examined Māori and indigenous understandings of water safety within the literature and limited studies that have investigated the issue of Māori drowning from a distinctly Māori or indigenous approach. This paper proposes a theory of Māori water safety depicted as the Wai Puna model and draws on three core concepts pertinent to a Māori worldview: whakapapa, mātauranga (i.e., Māori knowledge and ways of knowing) and tikanga (i.e., customs, practices). Wai Puna provides the foundation for conceptualising Māori water safety in a New Zealand context and a way forward for other indigenous communities around the world to redefine water safety and drowning prevention from their distinct worldviews that reflect their unique beliefs and attitudes to water and thus to water safety.
Māori(新西兰奥特罗阿的土著人民)与wai(即水)密切相关,但在新西兰每年的溺水统计数据中所占比例过高。Māori平均占所有可预防和不可预防的溺水死亡人数的20-24%,尽管仅占新西兰人口的15%。溺水仍然是对whānau(即家庭)构成威胁的一个重大问题,因为过早死亡迫在眉睫,whakapapa(即家谱)被打断。文献中审查Māori和土著对水安全的理解的研究有限,从明显Māori或土著方法调查Māori溺水问题的研究也有限。本文提出了一种称为Wai Puna模型的Māori水安全理论,并借鉴了与Māori世界观相关的三个核心概念:whakapapa, mātauranga(即Māori知识和认知方式)和tikanga(即习俗,实践)。Wai Puna为在新西兰背景下概念化Māori水上安全提供了基础,并为世界各地其他土著社区从其独特的世界观中重新定义水上安全和溺水预防提供了途径,这些世界观反映了他们对水和水安全的独特信仰和态度。
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引用次数: 5
Evaluation of a Drowning Prevention Campaign in a Vietnamese American Community 越南裔美国人社区溺水预防活动的评估
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.03.04
L. Quan, E. Shephard, Mph Elizabeth Bennett Ches
To address Washington State’s high pediatric fatal drowning rates in Asian children, especially Vietnamese, we conducted and evaluated a community water safety campaign for Vietnamese American families. Working with community groups, parks departments and public health, we disseminated three messages (learn to swim, swim with a lifeguard, and wear a life jacket) in Vietnamese media and at events, increased access to free/low cost swim lessons and availability of lifeguarded settings and life jackets in the community. Parents completed 168 pre- and 230 post-intervention self-administered, bilingual surveys. Significantly more post-intervention compared to pre-intervention respondents had heard water safety advice in the previous year, (OR 8.75 (5.07, 15.09)) and had used lifeguarded sites at lakes and rivers (OR 2.3 (1.04,5.08)). The campaign also increased community assets: availability of low-cost family swim lessons, free lessons at beaches, low cost life jacket sales, life jacket loan kiosks in multiple languages, and more Asian, including Vietnamese, lifeguards.
为了解决华盛顿州亚洲儿童,尤其是越南儿童的高致命性溺水率问题,我们为越南裔美国家庭开展了一项社区水安全运动,并对其进行了评估。我们与社区团体、公园部门和公共卫生部门合作,在越南媒体和活动中传播了三条信息(学习游泳、与救生员一起游泳和穿救生衣),增加了免费/低成本游泳课程的机会,并在社区提供了救生员设施和救生衣。家长在干预前和干预后分别完成168份和230份自我管理的双语调查。与干预前相比,干预后受访者在前一年听取过水上安全建议的人数显著增加(OR 8.75(5.07, 15.09)),并使用过湖泊和河流的救生点(OR 2.3(1.04,5.08))。这项运动还增加了社区资产:提供低成本的家庭游泳课程、海滩免费课程、低成本的救生衣销售、多种语言的救生衣租借亭,以及更多的亚洲人(包括越南人)救生员。
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引用次数: 3
Alcohol_Focused Drowning Prevention Campaigns: What Do We Know and What Should We Do Now? 以酒精为重点的溺水预防运动:我们知道什么,我们现在应该做什么?
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.02.07
Hannah L. M. Calverley, Lauren A. Petrass, J. Blitvich
Alcohol and drugs have been identified as key risk factors for youth (aged 15-24 years) and adult drownings in high-income countries (HIC). Whilst alcohol specific drowning prevention education programs have been developed and implemented, youth continue to be over-represented in drowning statistics, including those linked with alcohol. Therefore, this project aimed to: (i) review and assess all alcohol themed drowning prevention campaigns within HICs; (ii) determine whether the campaign had undergone evaluation for effectiveness; and (iii) provide recommendations to improve the effectiveness of future interventions. For each of the eighty-one HICs identified for the 2019 fiscal year, searches of peer-reviewed literature (through academic databases) and grey literature (through webpages and emails to organisations) were conducted. Twelve alcohol focused campaigns were identified, with only two providing limited information about program evaluation. For most campaigns identified, there was a dearth of information available and therefore assessment of campaign quality was unfeasible. This brief report highlights a lack of alcohol themed drowning prevention campaigns in HIC, and an absence of evaluations on their effectiveness. Implications associated with a lack of program evaluation are discussed and adoption of the recommendations from this brief report should enhance the quality of future research in this area.
酒精和毒品已被确定为高收入国家青少年(15-24岁)和成人溺水的主要风险因素。虽然已经制定和实施了针对酒精的预防溺水教育方案,但在溺水统计数据中,包括与酒精有关的统计数据中,年轻人的比例仍然过高。因此,本项目旨在:(i)审查和评估高收入国家内所有以酒精为主题的预防溺水运动;(ii)确定运动的成效是否经过评估;(三)提出建议,以提高未来干预措施的有效性。对于2019财年确定的81个高收入国家中的每一个,都进行了同行评审文献(通过学术数据库)和灰色文献(通过网页和给组织的电子邮件)的搜索。确定了12项以酒精为重点的运动,其中只有两项提供了有关项目评估的有限信息。对于大多数已查明的运动,缺乏可用的资料,因此对运动质量的评估是不可行的。这份简短的报告强调了高收入国家缺乏以酒精为主题的预防溺水运动,并且缺乏对其有效性的评估。本文讨论了缺乏项目评估的影响,并采纳了这份简短报告中的建议,这将提高该领域未来研究的质量。
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引用次数: 7
Training Evaluation for Introductory Ocean Lifeguard Instruction: A Practical Example from California 海洋救生员入门指导的训练评估:来自加州的实际例子
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.02.09
W. Koon, Ryan M Gates, Jack A Futoran
Ocean lifeguards have several responsibilities that require precise training. California State Parks is one of the largest providers of open water lifeguard services in the United States, and trains approximately 200 new lifeguards per year. As part of our lifeguard training section's quality improvement efforts, we conducted a training needs assessment to help determine how well our introductory ocean lifeguard training curriculum prepared lifeguards to perform job related tasks upon successful completion of the training program. We surveyed both first year and seasoned lead lifeguards on operational needs, training gaps, and specific subject areas. We identified several areas where our training program required improvement. This assessment provided us with evidence from which to update our curriculum, helped identify gaps in the field, and provided a feedback mechanism from field staff not previously involved in prioritizing training needs.
海洋救生员有几项职责需要精确的训练。加州州立公园是美国最大的开放水域救生员服务提供者之一,每年培训约200名新救生员。作为我们救生员培训部门质量改进工作的一部分,我们进行了培训需求评估,以帮助确定我们的海洋救生员入门培训课程在成功完成培训课程后,对救生员执行工作相关任务的准备程度。我们调查了第一年和经验丰富的首席救生员的操作需求、培训差距和具体主题领域。我们确定了培训计划需要改进的几个方面。这一评估为我们提供了更新课程的证据,帮助确定了实地的差距,并为以前没有参与培训需求优先排序的实地工作人员提供了反馈机制。
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引用次数: 3
Citizen Engagement in Aquatics Equity: The Case of Winston Waterworks 水上运动公平中的公民参与:温斯顿自来水厂的案例
Pub Date : 2020-04-01 DOI: 10.25035/ijare.12.03.01
Steven Waller, Jim Bemiller, Emily Johnson, Chermaine D. Cole, Jason D. Scott, Angela Wolzencroft
Historically, swimming pools have been a source of inequity when it comes to the distribution of recreation services in the United States. Many of the problems that correlate with the inequitable allocation of recreation resources including public swimming pools began with ideas about race, geography, poor planning practices and faulty policymaking (Rothstein, 2017). Moreover, one of the primary outcomes of engaged, inclusive planning is equity in the provision of recreation programs and facilities. In this essay, we offer a summary of key legal cases that help address questions related resource allocation related to public swimming pools. Finally, we present a short case study on the Winston Water Works Project in Winston-Salem, North Carolina. This case illustrates the power of grassroots level advocacy, engaged community planning, and policymaking that protects the recreation infrastructure in a community and moves the needle of social justice toward equity. Our principle interest in this paper is in the equitable provision and distribution of aquatics programming and facilities.
从历史上看,游泳池一直是美国娱乐服务分配不平等的根源。与包括公共游泳池在内的娱乐资源分配不公平相关的许多问题始于种族、地理、糟糕的规划实践和错误的政策制定(Rothstein, 2017)。此外,参与式、包容性规划的主要成果之一是提供娱乐项目和设施的公平性。在这篇文章中,我们提供了一个关键的法律案例的总结,有助于解决与公共游泳池相关的资源分配问题。最后,我们对北卡罗来纳州温斯顿-塞勒姆的温斯顿自来水工程项目进行了简短的案例研究。这个案例说明了基层倡导、参与社区规划和政策制定的力量,它们保护了社区的娱乐基础设施,并将社会正义的指针推向了公平。我们在这篇论文中的主要兴趣在于公平地提供和分配水上项目和设施。
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引用次数: 0
Association of Drowning Mortality with Preventive Interventions: A Quarter of a Million Deaths Evaluation in Brazil 溺水死亡率与预防性干预措施的关联:巴西25万例死亡的评估
Pub Date : 2020-03-18 DOI: 10.25035/ijare.12.02.03
D. Szpilman, D. Mello, A. C. Queiroga, Rogerio Ferreira Emygdio Rfe
In 2015, drowning in Brazil was responsible for 6,043 deaths and was the second leading cause of death in children. Although several prevention strategies have been promoted to reduce drowning, most are still based on low levels of evidence. This study evaluated the effectiveness of prevention and water safety interventions in reducing drowning mortality. Data obtained from the National Mortality System for 36 years were split in two time periods to allow the comparison of drowning mortality numbers before and after implementation of SOBRASA’s drowning prevention and water safety programs and to check for any positive effects attributable to such programs. To assess differences between the two periods, a “drowning water safety score” (DSS) was estimated and compared to mortality/100,000 of population. There were 258,834 drowning deaths over 36 years. A significant decrease of 27% in drowning rates (5.2 to 3.8/100,000; p<0.05) was observed when comparing the pre and post-preventive interventions time periods. Males died 5.3 times more frequently than females, and mortality was higher in the 15-19-year age group (16.4%;4.7/100,000) than in other age groups. A linear dependent association was observed between prevention and water safety interventions and years affiliated to the national lifesaving organization (SOBRASA). A strong and significant association (OR=241.7; CI95% [9.0– 64.84]) between DSS and drowning reduction was observed. The DSS is a fundamental measure for institutions/municipalities/states/countries to estimate the efforts needed to achieve their drowning reduction goals. From this study, a DSS above 100 (i.e.: 10 actions implemented over 10 years) was able to reduce drowning deaths by as much as 2.3% a year.
2015年,巴西溺水造成6043人死亡,是儿童死亡的第二大原因。虽然已经推广了几种预防战略以减少溺水,但大多数战略仍然基于低水平的证据。本研究评估了预防和水安全干预措施在降低溺水死亡率方面的有效性。从国家死亡率系统获得的36年数据被分成两个时间段,以便比较SOBRASA溺水预防和水安全计划实施前后的溺水死亡率数字,并检查可归因于此类计划的任何积极影响。为了评估两个时期之间的差异,估计了“溺水水安全评分”(DSS),并将其与每10万人的死亡率进行了比较。36年来,共有258,834人溺水死亡。溺水率显著下降27%(5.2至3.8/10万;P <0.05)。男性的死亡率是女性的5.3倍,15-19岁年龄组的死亡率(16.4%;4.7/10万)高于其他年龄组。观察到预防和水安全干预与隶属于国家救生组织(SOBRASA)的年份之间存在线性依赖关系。相关性强且显著(OR=241.7;DSS与溺水减少之间的CI95%[9.0 - 64.84])。DSS是机构/市政当局/州/国家估计实现其减少溺水目标所需努力的基本措施。从这项研究来看,超过100的DSS(即:在10年内实施10项行动)能够将溺水死亡人数每年减少2.3%。
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引用次数: 2
Effectiveness of an Intensive Drowning Prevention Program and Skills Retention by Children with and without Disabilities 强化溺水预防项目的有效性以及残疾儿童和非残疾儿童的技能保留
Pub Date : 2020-03-01 DOI: 10.25035/ijare.12.02.05
Anna L. Forde, Emily A. Zeman, L. Clarke, John Wong
This study examined the effectiveness of a drowning prevention program and the retention of swimming and water safety skills for 3-14 year-old children with and without disabilities. The intensive program, SWIM Central, used a top-down approach to teach 6 swimming and water safety skills during 10, 30-minute sessions. A post-participation parent survey results suggested that children ages 3-14 with and without disabilities who had previously participated in SWIM Central retained swimming and water safety skills to a similar degree. The current swim skill assessments showed that there was not an overall difference in swim skill performance in the presence of a disability; therefore, the SWIM Central program was effective in increasing overall swimming performance for children with and without disabilities.
本研究考察了溺水预防项目的有效性,以及3-14岁残疾和非残疾儿童游泳和水上安全技能的保留情况。这个名为SWIM Central的强化课程采用自上而下的方法,在10个30分钟的课程中教授游泳和水中安全技能。一项参与后的家长调查结果显示,3至14岁有或无残疾的儿童,如曾参加过“游泳中心”,其游泳及水上安全技能的保留程度大致相同。目前的游泳技能评估显示,在存在残疾的情况下,游泳技能表现没有总体差异;因此,SWIM中心项目在提高残疾和非残疾儿童的整体游泳成绩方面是有效的。
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引用次数: 1
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International Journal of Aquatic Research and Education
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