Royal Life Saving Society - Australia, Broadway, NSW, Australia.
College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD, Australia.
Health Promot J Austr. 2021 Feb;32 Suppl 1:49-60. doi: 10.1002/hpja.407. Epub 2020 Sep 21.
Drowning is a global public health challenge with a need to ensure equity to drowning prevention information and interventions. In Australia, people born overseas are identified as being at greater risk of drowning. This paper presents findings from a community-based qualitative evaluation of swimming and water safety (SWS) programs delivered to adults from migrant backgrounds in Sydney, Australia.
A qualitative study was conducted in November-December 2019 among 35 female participants of SWS programs targeted to adult migrants. While offered to all SWS program participants, no males took part in the study. Focus groups and interviews were recorded, transcribed and thematically analysed using a deductive approach. The domains of enquiry were guided by the health belief model and the theory of planned behaviour.
Study participants were ≥25 years, first generation and most had lived in Australia for ≥10 years. Most were nonswimmers and were fearful of water prior to the program. Key themes were: direct SWS program outcomes, health and well-being; enablers and barriers to participation including: motivation, a program coordinator, fear and settlement priorities.
Findings suggest that in order to increase SWS participation among migrant communities, the broader determinants of health need to be considered. Culturally appropriate strategies are required to enable both men and women equal opportunities to access SWS programs.
SWS programs provide multiple benefits for adult migrants; however, the impact on reducing inequities is limited, with broader multi-strategic health promotion approaches and policies required for inclusion and sustainability.
溺水是一个全球性的公共卫生挑战，需要确保溺水预防信息和干预措施的公平性。在澳大利亚，被认定为海外出生的人溺水风险更大。本文介绍了在澳大利亚悉尼针对移民背景的成年人进行游泳和水上安全 (SWS) 计划的基于社区的定性评估的结果。
2019 年 11 月至 12 月期间，对 35 名参加 SWS 计划的女性参与者进行了一项定性研究，该计划针对成年移民。虽然向所有 SWS 计划参与者提供，但没有男性参加这项研究。使用演绎法对焦点小组和访谈进行了记录、转录和主题分析。研究领域由健康信念模型和计划行为理论指导。
研究参与者年龄≥25 岁，第一代，大多数人在澳大利亚生活了≥10 年。他们大多不会游泳，在参加该计划之前对水感到恐惧。主要主题包括：直接 SWS 计划结果、健康和福祉；参与的促成因素和障碍，包括：动机、计划协调员、恐惧和安置优先事项。
研究结果表明，为了增加移民社区对 SWS 的参与，需要考虑健康的更广泛决定因素。需要采取文化上适宜的策略，使男女都有平等的机会参加 SWS 计划。
SWS 计划为成年移民提供了多种好处；然而，减少不平等的影响是有限的，需要采取更广泛的多策略健康促进方法和政策，以确保包容性和可持续性。
