title: EPIDEMIOLOGY AND RISK FACTORS FOR NONFATAL DROWNING IN THE MIGRANT CHILDREN.
abstract: The purpose of this study was to determine the incidence and potential risk factors for nonfatal drowning among migrant workers' children in China. We conducted a cross-sectional survey of students from third to ninth grade at five Migrant Workers' Children schools in Ningbo, China in 2014. General information and a history of nonfatal drowning was obtained from self-reported questionnaires by migrant students. A multivariate logistic regression model was used to identify potential risk factors. A total 3,859 students were included in the current study. Of these, 13.4% had experienced a nonfatal drowning accident (15.2% for males, 11.2% for females). Most nonfatal drowning occurred in natural water settings. Diving into unknown water without adult supervision had the greatest association with history of nonfatal drowning [odds ratio (OR) = 1.97; 95% confidential interval (CI): 1.31-2.95], followed by fishing in water (OR = 1.50; 95% CI: 1.05-2.14), swimming or playing in water (OR = 1.47; 95% CI: 1.02-2.12), and trying to rescue peers in the water if they were drowning (OR = 1.31; 95% CI: 1.04-1.64). There were factors associated with a lower risk of drowing: having a parent accompany the child to school (OR = 0.69; 95% CI: 0.51-0.93),understanding the the danger of swimming alone (OR = 0.69; 95% CI: 0.48-0.99) and having a knowledge about water safety (OR = 0.98; 95% CI: 0.98-0.99). The study population was at inceased risk for nonfatal drowning. Preventive measures, such as improved water-safety knowledge, decreasing risky water-related activities and better supervision of children need to be developed and tested to decrease the risk of nonfatal drowning among the study population.
authors: Yinchao
authors: Y
authors: Zhu
authors: Guozhang
authors: G
authors: Xu
authors: Hui
authors: H
authors: Li
authors: Yaqin
authors: Y
authors: Huang
authors: Ke
authors: K
authors: Ding
authors: Jieping
authors: J
authors: Chen
mesh_terms: D000293:Adolescent; D002648:Child; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D015701:Near Drowning / Q000453:epidemiology*; D016017:Odds Ratio; D010290:Parents; D012307:Risk Factors; D012574:Schools; D011795:Surveys and Questionnaires; D014171:Transients and Migrants / Q000706:statistics & numerical data*