title: Informing policy on open water drowning prevention: an observational survey of life jacket use in Washington State.
abstract: OBJECTIVE
  To assess life jacket use among Washington State boaters and to examine the relationship between life jacket use and boating laws.
  
  
  METHODS
  A statewide observational survey of boaters was conducted between August 2010 and September 2010. Data collection included age, sex, life jacket use, boat type, and weather and water conditions.
  
  
  RESULTS
  Among 5157 boaters, 30.7% wore life jackets. Life jacket use was highest among groups required by state law: personal watercraft users (96.8%), people being towed (eg, water-skiers) (95.3%) and children 0-12 years old (81.7%). Children and youth were more likely to use a life jacket if any adult in the boat wore a life jacket: 100% versus 87.2% for 0-5 years, 92.8% versus 76.7% for 6-12 years and 81.4% versus 36.1% for 13-17 years. Adult role modelling was particularly beneficial for adolescents aged 13-17 years, who were not covered by a life jacket law. In multivariable analysis, the presence of at least one adult wearing a life jacket was associated with a 20-fold increased likelihood that adolescents were also wearing a life jacket.
  
  
  CONCLUSIONS
  Highest life jacket use was strongly associated with laws requiring use and with adult role modelling. Legislation requiring life jackets for ages 13-17 years and social marketing encouraging adult life jacket wear in the company of children and youth are promising strategies to increase life jacket use in Washington State.
authors: Seattle Children's Hospital, Seattle, WA, USA.
authors: Celeste
authors: C
authors: Chung
authors: Seattle Children's Hospital, Seattle, WA, USA Department of Pediatrics, University of Washington, Seattle, WA, USA.
authors: Linda
authors: L
authors: Quan
authors: Seattle Children's Hospital, Seattle, WA, USA.
authors: Elizabeth
authors: E
authors: Bennett
authors: Department of Epidemiology, University of Washington, Seattle, WA, USA Harborview Injury Prevention & Research Center, Seattle, WA, USA.
authors: Mary A
authors: MA
authors: Kernic
authors: Seattle Children's Hospital, Seattle, WA, USA Department of Pediatrics, University of Washington, Seattle, WA, USA Department of Epidemiology, University of Washington, Seattle, WA, USA Harborview Injury Prevention & Research Center, Seattle, WA, USA.
authors: Beth E
authors: BE
authors: Ebel
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D002675:Child, Preschool; D004332:Drowning / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D011481:Protective Clothing / Q000706:statistics & numerical data*; D011998:Recreation; D012449:Safety / Q000331:legislation & jurisprudence; D012737:Sex Factors; D012767:Ships / Q000331:legislation & jurisprudence; D014861:Washington; D055815:Young Adult