Mecrow Tom Stefan, Rahman Aminur, Linnan Michael, Scarr Justin, Mashreky Saidur Rahman, Talab Abu, Rahman A K M Fazlur
International Drowning Research Centre-Bangladesh (IDRC-B), Dhaka, Bangladesh.
The Alliance for Safe Children (TASC), Atlanta, USA.
Inj Prev. 2015 Apr;21(e1):e51-5. doi: 10.1136/injuryprev-2013-041015. Epub 2014 Mar 31.
SwimSafe, a basic swimming and safer rescue curriculum, has been taught to large numbers of Bangladeshi children since 2006. This study examines the frequency and characteristics of rescues reported by children who graduated from SwimSafe and compares them with age-matched and sex-matched children who did not participate in SwimSafe.
Interviews were conducted during the swimming season in Raiganj, Bangladesh. Data were collected from 3890 SwimSafe graduates aged 6-14. Two age-matched and sex-matched controls were selected; one who had learned to swim naturally, the other who had not learned to swim.
188 rescues were reported by the three groups. The 12-14-year age groups reported the highest monthly rate of rescues (SwimSafe 10.5/100 000 (95% CI 3.4 to 24.5), natural swimmers 8.5/100 000 (95% CI 2.2 to 21.2)) and annual rate of rescue reported (SwimSafe 25.4/100 000 (95% CI 13.2 to 43.9), natural swimmers 35.4/100 000 (20.8 to 56.2)). Reported rescue numbers among both swimming groups was similar. Mean victim age was 4.1 years and 92.5% were under 7 years. All victims were younger than their rescuer (mean 5.9 years less). Most rescues (73.7%) took place in ponds or ditches with most (86.6%) within 10 m of the bank. Most victims had entered the water to bathe (53.8%). A large majority of reported rescues (90.9%) were conducted with the rescuer in the water, half requiring the rescuer to swim.
Children report frequent drowning rescues of younger children in rural Bangladesh. Most reported are contact rescues with the rescuer in the water. Formal training for in-water rescue techniques may be needed to reduce the risk to the child rescuer.
自2006年以来，“游泳安全”这一基础游泳和更安全救援课程已传授给大量孟加拉国儿童。本研究调查了完成“游泳安全”课程的儿童报告的救援事件的频率和特点，并将其与年龄和性别匹配但未参加“游泳安全”课程的儿童进行比较。
在孟加拉国赖根杰的游泳季节进行访谈。收集了3890名6至14岁完成“游泳安全”课程儿童的数据。选取了两个年龄和性别匹配的对照组；一个是自然学会游泳的儿童，另一个是未学过游泳的儿童。
三组共报告了188起救援事件。12至14岁年龄组报告的每月救援发生率最高（“游泳安全”组为10.5/100 000（95%置信区间3.4至24.5），自然游泳者为8.5/100 000（95%置信区间2.2至21.2）），报告的年度救援发生率（“游泳安全”组为25.4/100 000（95%置信区间13.2至43.9），自然游泳者为35.4/100 000（20.8至56.2））。两个游泳组报告的救援事件数量相似。受害者的平均年龄为4.1岁，92.5%的受害者年龄在7岁以下。所有受害者都比救援者年龄小（平均小5.9岁）。大多数救援事件（73.7%）发生在池塘或沟渠中，大多数（86.6%）发生在距离岸边10米以内。大多数受害者下水是为了洗澡（53.8%）。报告的大多数救援事件（90.9%）是救援者在水中进行的，其中一半需要救援者游泳。
儿童报告在孟加拉国农村地区经常发生对年幼儿童溺水的救援事件。报告的大多数是救援者在水中的接触式救援。可能需要对水中救援技术进行正规培训，以降低儿童救援者面临的风险。
