The George Institute for Global Health India, New Delhi 110025, India.
The George Institute for Global Health, Newtown, NSW 2042, Australia.
Int J Environ Res Public Health. 2021 Sep 15;18(18):9738. doi: 10.3390/ijerph18189738.
Limited access to health care and the lack of robust data systems means non-fatal drownings are largely missed in low-and middle-income countries. We report morbidity among individuals who experienced non-fatal drowning in the Barishal Division, Bangladesh. A representative household survey was conducted in the Barishal Division in southern Bangladesh between September 2016 and February 2017, covering a population of 386,016. The burden of non-fatal drowning was assessed using the WHODAS 2.0 disability assessment tool, a generic assessment instrument for health and disability. A total of 5164 non-fatal drowning events occurred in the one year preceding the survey. Among these 18% were multiple events. From these, 4235 people were administered the WHODAS 2.0 questionnaire. Non-fatal drowning incidence rates were highest in children aged 1-4 years at 5810 per 100,000 population, and among males. Non-fatal drowning was associated with lower socio-economic status and larger family sizes. Few respondents (6.5%; 95% CI: 4.5-8.4%) reported some level of disability (WHODAS-12 score > 8). Incidence of non-fatal drowning is high in the population, however limited impact on morbidity was found. There is a need to develop tools and methodologies for reliable and comparable data for non-fatal drowning, especially to capture post-event disability in children.
卫生保健的可及性有限，以及缺乏稳健的数据系统，意味着在中低收入国家，非致命性溺水事件在很大程度上被忽视了。我们报告了在孟加拉国巴里萨尔地区经历非致命性溺水的个体的发病情况。在 2016 年 9 月至 2017 年 2 月期间，在孟加拉国南部的巴里萨尔地区进行了一项具有代表性的家庭调查，覆盖了 386016 人口。使用 WHODAS 2.0 残疾评估工具评估了非致命性溺水的负担，这是一种用于评估健康和残疾的通用评估工具。在调查前一年共发生了 5164 起非致命性溺水事件。其中 18%是多次事件。在这些事件中，有 4235 人接受了 WHODAS 2.0 问卷。非致命性溺水的发生率在 1-4 岁的儿童中最高，为每 10 万人 5810 人，且男性的发生率更高。非致命性溺水与社会经济地位较低和家庭规模较大有关。很少有受访者（6.5%；95%CI：4.5-8.4%）报告存在某种程度的残疾（WHODAS-12 评分>8）。该人群中非致命性溺水的发生率很高，但发病情况的影响有限。需要开发工具和方法，以便可靠和可比地收集非致命性溺水数据，特别是为了捕捉儿童溺水后的残疾情况。
