Mecrow Tom Stefan, Linnan Michael, Rahman Aminur, 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 Jun;21(3):185-8. doi: 10.1136/injuryprev-2013-041053. Epub 2015 Jan 7.
SwimSafe, a basic swimming and safe rescue curriculum, has been taught to large numbers of children in Bangladesh. Teaching swimming potentially increases risk if it increases water exposure or high-risk practices in water. This study compares water exposure and risk practices for SwimSafe graduates (SS) with children who learned swimming naturally.
Interviewers obtained detailed water exposure histories for the preceding 48 h from 3936 SS aged 6-14 and 3952 age-matched and sex-matched children who had learned swimming naturally. Frequencies of water exposure and water entries for swimming or playing were compared.
There were 9741 entries into water among the 7046 participants in the 48 h prior to interview. About one-third (31.2%) had no water entries, one-tenth (10.5%) entered once, half (49.2%) entered twice and a tenth (9.1%) entered three or more times. Proportions of children in each group were similar. About 99.5% of both groups only entered the water for bathing. For those entering to swim or play, the mean number of entries was similar (SS 1.63, natural swimmer (NS) 1.36, p=0.40). Swimming or playing alone in the water was rare (1 SS, 0 NS).
Most water exposure for children is for bathing. Less than 1% swam or played in the water during the 48 h recall period (0.6% SS, 0.4% NS). Learning swimming in SwimSafe did not increase water exposure nor did it increase water entry for playing or swimming compared with children who learned to swim naturally.
“游泳安全”是一门基础游泳和安全救援课程，已在孟加拉国大量儿童中开展教学。如果教授游泳增加了儿童接触水的机会或在水中的高风险行为，那么教授游泳可能会增加风险。本研究比较了“游泳安全”课程毕业生（SS）与自然学会游泳的儿童的水接触情况和风险行为。
访谈者从3936名6 - 14岁的SS儿童以及3952名年龄和性别匹配的自然学会游泳的儿童那里获取了前48小时详细的水接触史。比较了游泳或玩耍时水接触和入水的频率。
在访谈前的48小时内，7046名参与者中有9741次入水。约三分之一（31.2%）的人没有入水，十分之一（10.5%）的人入水一次，一半（49.2%）的人入水两次，十分之一（9.1%）的人入水三次或更多次。每组儿童的比例相似。两组中约99.5%的儿童仅为洗澡入水。对于那些入水游泳或玩耍的人，平均入水次数相似（SS组为1.63次，自然游泳者（NS）组为1.36次，p = 0.40）。在水中独自游泳或玩耍的情况很少见（SS组1人，NS组0人）。
儿童的大部分水接触是为了洗澡。在48小时回忆期内，不到1%的儿童在水中游泳或玩耍（SS组0.6%，NS组0.4%）。与自然学会游泳的儿童相比，通过“游泳安全”课程学习游泳既没有增加水接触，也没有增加玩耍或游泳时的入水次数。
