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- Title
An analysis of risk factors of non-fatal drowning among children in rural areas of Guangdong Province, China: a case-control study.
- Authors
Wen Jun Ma; Shao Ping Nie; Hao Feng Xu; Yan Jun Xu; Xiu Ling Song; Qiao Zhi Guo; Yu Run Zhang; Ma, Wen Jun; Nie, Shao Ping; Xu, Hao Feng; Xu, Yan Jun; Song, Xiu Ling; Guo, Qiao Zhi; Zhang, Yu Run
- Abstract
<bold>Background: </bold>Drowning is a major cause of morbidity and mortality for children, yet non-fatal drowning remains poorly understood. The aim of this study was to explore potential modifiable risk factors of non-fatal drowning among children in rural areas of China.<bold>Methods: </bold>A cross-sectional survey was first conducted to obtain non-fatal drowning cases, and 7432 students in grades three to eight from 17 schools participated in the cross sectional survey. Of these, 805 students reported that they experienced non-fatal drowning in the previous year. Then 368 cases were selected randomly to participate in a 1:1 matched case-control study. Each drowning case was matched by one control with the same sex and similar age (the gap less than 2 years) who was selected randomly from the same class.<bold>Results: </bold>Boys were more likely to be involved in non-fatal drowning. Non-fatal drowning most often happened in the afternoon (65.1%) and natural bodies of water were the most common sites of drowning (71.1%). Swimming, diving and playing in natural waters were the leading activities that preceded non-fatal drowning. The significant risk factors for non-fatal drowning were swimming in natural waters without adult supervision (OR = 3.40, 95% CI: 1.92-6.03), playing in or beside natural waters (OR = 2.08, 95% CI: 1.17-3.70) and poor swimming skills (OR = 2.74, 95% CI: 1.14-6.62). However, the following variables were protective factors: supervisor aged 30 years or over (OR = 0.20, 95% CI: 0.09-0.49) and no water activities (OR = 0.36, 95% CI: 0.18-0.70).<bold>Conclusions: </bold>The reduction in dangerous water activities, swimming training and enhancement in supervision among children might decrease the risk of non-fatal drowning.
- Subjects
GUANGDONG Sheng (China); CHINA; DROWNING; MORTALITY; SWIMMING
- Publication
BMC Public Health, 2010, Vol 10, Issue 1, p156
- ISSN
1471-2458
- Publication type
journal article
- DOI
10.1186/1471-2458-10-156