Department of Disease Control and Environmental Health, Makerere University College of Health Sciences, Kampala, Uganda
Department of Disease Control and Environmental Health, Makerere University College of Health Sciences, Kampala, Uganda.
Inj Prev. 2022 Dec;28(6):513-520. doi: 10.1136/injuryprev-2022-044608. Epub 2022 May 30.
Drowning death rates in lakeside fishing communities in Uganda are the highest recorded globally. Over 95% of people who drowned from a boating activity in Uganda were not wearing a lifejacket. This study describes the prevalence of lifejacket wear and associated factors among boaters involved in occupational boating activities on Lake Albert, Uganda.
We conducted a cross-sectional survey, grounded on etic epistemology and a positivist ontological paradigm. We interviewed 1343 boaters across 18 landing sites on Lake Albert, Uganda. Lifejacket wear was assessed through observation as boaters disembarked from their boats and self-reported wear for those who 'always wore a life jacket while on the lake'. We used a mixed-effects multilevel Poisson regression, with landing site-specific random intercepts to elicit associations with lifejacket wear. We report adjusted prevalence ratios (PRs) at 95% confidence intervals.
The majority of respondents were male, 99.6% (1338/1343), and the largest proportion, 38.4% (516/1343) was aged 20-29 years. Observed lifejacket wear was 0.7% (10/1343). However, self-reported wear was 31.9% (428/1343). Tertiary-level education (adjusted PR 1.57, 95% CI 1.29- 1.91), boat occupancy of at least four people (adjusted PR 2.12, 95% CI 1.28 - 3.52), big boat size (adjusted PR 1.55, 95% CI 1.13 - 2.12) and attending a lifejacket-use training session (adjusted PR 1.25, 95% CI 1.01 - 1.56) were associated with higher prevalence of self-reported lifejacket wear. Self-reported wear was lower among the 30-39 year-olds compared to those who were aged less than 20 years (adjusted PR 0.66, 95% CI 0.45 - 0.99).
Lifejacket wear was low. Training on lifejacket use may improve wear among boaters involved in occupational boating activities on Lake Albert.
在乌干达湖滨钓鱼社区，溺水死亡率是全球最高的。在乌干达，因划船活动溺水的人中，超过 95%的人没有穿救生衣。本研究描述了在乌干达阿尔伯特湖从事职业划船活动的船民中，救生衣穿戴情况及其相关因素。
我们进行了一项横断面调查，以etic 认识论和实证主义本体论为基础。我们在乌干达阿尔伯特湖的 18 个登陆点对 1343 名船民进行了访谈。当船民从船上下来时，通过观察评估救生衣的穿戴情况，对于那些“在湖上总是穿救生衣”的人，则通过自我报告来评估。我们使用了混合效应多级泊松回归模型，考虑了登陆点特定的随机截距，以确定与救生衣穿戴相关的因素。我们报告了 95%置信区间的调整后患病率比（PR）。
大多数受访者为男性，占 99.6%（1338/1343），比例最大的是 38.4%（516/1343），年龄在 20-29 岁之间。观察到的救生衣佩戴率为 0.7%（10/1343）。然而，自我报告的佩戴率为 31.9%（428/1343）。接受过高等教育（调整后的 PR 1.57，95%CI 1.29-1.91）、船载人数至少 4 人（调整后的 PR 2.12，95%CI 1.28-3.52）、大船尺寸（调整后的 PR 1.55，95%CI 1.13-2.12）和参加过救生衣使用培训课程（调整后的 PR 1.25，95%CI 1.01-1.56）与更高的自我报告救生衣佩戴率相关。与年龄小于 20 岁的人相比，30-39 岁的人自我报告的救生衣佩戴率较低（调整后的 PR 0.66，95%CI 0.45-0.99）。
救生衣佩戴率较低。对参与阿尔伯特湖职业划船活动的船民进行救生衣使用培训可能会提高他们的佩戴率。
