Rahman Aminur, Ashraf Lamisa, Rahman Akm Fazlur, Bhuiyan Md Al-Amin, Shafkat Hossain Md, Alam Zobaer, Talab Abu, Li Qingfeng, Bachani Abdulgafoor
Centre for Injury Prevention and Research Bangladesh, Dhaka, Bangladesh
Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Inj Prev. 2024 Jul 26. doi: 10.1136/ip-2024-045309.
Drowning is the leading cause of death among children in rural Bangladesh. While survival swimming for children ages 6 years and above is recommended in low-income and middle-income countries, research into the long-term retention of survival swimming skills is absent.
The retention of four survival swimming skills, including swimming for 25 m, floating/treading for 30 s, reach rescue skills and throw rescue skills, was observed among those trained under the SwimSafe programme more than 10 years ago. Information about the practice of survival swimming skills among SwimSafe graduates and whether they recommended such lessons for others was also collected through surveys. A multistage sampling strategy was used. Descriptive statistics on the retention of survival swimming skills and other variables and ORs from logistic regression analysis were reported.
A total of 3603 SwimSafe graduates were observed. The retention of swimming and floating/treading skills was 88.4% and 89.7%, respectively, and that of swimming and floating/treading skills combined was 84.2%. While 87.7% of the graduates retained reach rescue skills, the retention of throw rescue skills was lower (71.9%). Approximately 60.6% of the graduates retained all four survival swimming skills. The majority of the graduates (70.3%) rarely practised swimming following graduation. Overall, 61.7% of the graduates recommended other children to learn survival swimming skills.
The majority of the SwimSafe graduates retained swimming and floating/treading skills for over 10 years despite minimal practice. Retention of throw rescue skills was lower. Therefore, refresher training and awareness campaigns focused on survival swimming skills are recommended.
溺水是孟加拉国农村地区儿童死亡的主要原因。虽然在低收入和中等收入国家建议6岁及以上儿童学习生存游泳，但缺乏对生存游泳技能长期保持情况的研究。
观察了10多年前在“游泳安全”项目中接受培训的人员对四项生存游泳技能的保持情况，包括游25米、漂浮/踩水30秒、伸手救援技能和投掷救援技能。还通过调查收集了“游泳安全”项目毕业生的生存游泳技能实践情况以及他们是否推荐他人参加此类课程的信息。采用了多阶段抽样策略。报告了生存游泳技能保持情况及其他变量的描述性统计数据和逻辑回归分析的比值比。
共观察了3603名“游泳安全”项目毕业生。游泳和漂浮/踩水技能的保持率分别为88.4%和89.7%，游泳和漂浮/踩水技能综合保持率为84.2%。87.7%的毕业生保持了伸手救援技能，而投掷救援技能的保持率较低（71.9%）。约60.6%的毕业生保持了所有四项生存游泳技能。大多数毕业生（70.3%）毕业后很少游泳。总体而言，61.7%的毕业生推荐其他儿童学习生存游泳技能。
尽管实践较少，但大多数“游泳安全”项目毕业生在10多年后仍保持着游泳和漂浮/踩水技能。投掷救援技能的保持率较低。因此，建议开展针对生存游泳技能的复习培训和宣传活动。
