Royal Life Saving Society - Australia, New South Wales.
School of Population Health, Faculty of Medicine, UNSW Sydney, New South Wales.
Aust N Z J Public Health. 2021 Jun;45(3):248-254. doi: 10.1111/1753-6405.13124. Epub 2021 May 24.
To examine temporal trends in drowning in Australia against targets set in the Australian Water Safety Strategy (AWSS) 2008-2020 and to inform the development of the next iteration of the Strategy.
A national analysis of unintentional fatal drowning rates per 100,000 population over 16 years (2004/05-2019/20) was conducted. Baseline rates (three-year average 2004/05-2006/07) were compared to the current three-year average (2017/18-2019/20) by sex, age group, drowning location and jurisdiction.
The overall rate of unintentional fatal drowning during the period decreased by 28%. Substantial reductions were observed in children 0-4 years (-63%) and 5-14 years (-56%). Progress has been less pronounced among people aged 75 years and over (-11%) and 15-24-year-olds (-14%). All locations and jurisdictions recorded reductions, aside from rocks (+46%).
Although the strategy fell short of its aspirational target of a 50% reduction in drowning by the year 2020, this target was exceeded in key age groups, including children. Implications for public health: The AWSS is a powerful tool to align drowning prevention sector actions to agreed objectives. Forthcoming strategies must take into consideration demographic and social change, areas where limited progress has been made and the latest evidence to guide future priorities.
根据 2008-2020 年澳大利亚水上安全战略（AWSS）设定的目标，检查澳大利亚溺水事件的时间趋势，并为制定该战略的下一个版本提供信息。
对 16 岁以上人群每 10 万人非故意溺水死亡率（2004/05-2019/20 年）进行全国性分析。将基线率（2004/05-2006/07 三年平均）与当前三年平均（2017/18-2019/20 年）进行比较，按性别、年龄组、溺水地点和司法管辖区进行比较。
在此期间，非故意致命溺水的总体发生率下降了 28%。0-4 岁（-63%）和 5-14 岁（-56%）儿童的降幅显著。75 岁及以上人群和 15-24 岁人群的进展不太明显（分别减少 11%和 14%）。除岩石（+46%）外，所有地点和司法管辖区均有记录下降。
尽管该战略未能实现到 2020 年溺水减少 50%的预期目标，但在包括儿童在内的关键年龄组中，这一目标已经超过。对公共卫生的影响：AWSS 是使溺水预防部门的行动与既定目标保持一致的有力工具。即将出台的战略必须考虑到人口和社会变化、进展有限的领域以及最新证据，以指导未来的优先事项。
