Hendrickx David, Stephen Anna, Lehmann Deborah, Silva Desiree, Boelaert Marleen, Carapetis Jonathan, Walker Roz
Telethon Kids Institute, University of Western Australia.
Child Health Division, Menzies School of Health Research, Royal Darwin Hospital, Northern Territory.
Aust N Z J Public Health. 2016 Feb;40(1):30-6. doi: 10.1111/1753-6405.12433. Epub 2015 Sep 3.
To provide an overview of the evidence for health and wellbeing benefits associated with swimming pools in remote Aboriginal* communities in Australia.
Peer-reviewed and grey literature from 1990 to 2014 was searched to identify studies set in remote Australia that evaluated health and wellbeing benefits that have been associated with swimming pools. Studies were categorised using an evidence classification scale.
Twelve studies met our search criteria. All prospective studies that collected data on skin infections found access to swimming pools to be associated with a drop of skin sore prevalence and -where measured- severity. Studies documenting ear and eye infections showed mixed outcomes. Many wider community and wellbeing benefits were documented in various studies, although many of these were primarily anecdotal in nature.
Although a case can be made regarding skin infections and the broader wellbeing benefits that swimming pools may bring to remote Aboriginal communities, the benefit to ear and eye health remains unresolved.
The decision to provide swimming pools to remote Aboriginal communities should not hinge on the demonstration of direct health benefits alone. Equity considerations and the potential broader benefits such amenities may entail are equally important.
概述与澳大利亚偏远原住民社区游泳池相关的健康和福祉益处的证据。
检索1990年至2014年同行评审文献和灰色文献，以确定在澳大利亚偏远地区进行的、评估与游泳池相关的健康和福祉益处的研究。使用证据分类量表对研究进行分类。
12项研究符合我们的检索标准。所有收集皮肤感染数据的前瞻性研究发现，使用游泳池与皮肤溃疡患病率下降以及（在有测量的情况下）严重程度下降有关。记录耳部和眼部感染的研究结果不一。各项研究记录了许多更广泛的社区和福祉益处，尽管其中许多主要是 anecdotal（此处可能有误，推测为“传闻性的”或“ anecdotal 应改为 anecdotal”）性质。
尽管可以就皮肤感染以及游泳池可能给偏远原住民社区带来的更广泛福祉益处提出理由，但对耳部和眼部健康的益处仍未明确。
为偏远原住民社区提供游泳池的决定不应仅取决于直接健康益处的证明。公平考虑以及此类设施可能带来的潜在更广泛益处同样重要。
