@article{ref1,
title="Association between swimming lessons, urbanisation, and drowning in Taiwan",
journal="Injury prevention",
year="2012",
author="KAo, W. and Guttmacher, S. and Yaffee, R.",
volume="18",
number="Suppl 1",
pages="A69-A70",
abstract="Background Unintentional drowning remains a leading cause of injury-related death, especially in low- and middle-income countries (LMIC). In 2004, approximately 388 000 people died from drowning, of which 96% occurred in LMIC. In 2001, the Taipei city government launched a school-based swimming programme aimed to reduce drowning. An evaluation of the impact of the swimming programme provides a better understanding to further prevent this global public health burden.  Research Objectives  1. to examine the impact of a comprehensive school-based swimming programme on drowning;  2. to explore the association between urbanisation and drowning.  Methods (1) Difference in differences (DID) is used to examine the impact of swimming programme on drowning; (2) time-series panel approach is used to assess the association between urbanisation and drowning mortality among 23 jurisdictions from 1980 to 2001.  Results Swimming education was associated with a faster decline in drowning among policy-intervened groups. A 'cross-over' change, of which a policy-targeted group declined faster (from 6.7 to 1.7/100 000) and becomes lower in drowning compared to a non-intervened group (from 5.7 to 3.7/100 000, p value 0.023). Urbanisation was associated with the decline of drowning after controlling for medical services and household disposable income (p value=0.03 in fixed effect, multivariate regression model). Medical service was not associated with the drowning decline in Taiwan.  Significance/Contribution to the Field This study provides empirical evidence supporting a protective effect of a school-based swimming programme. It explained urbanisation as a background influence on drowning in the last few decades before any deliberate intervention was promoted.   This is an abstract of a presentation at Safety 2012, the 11th World Conference on Injury Prevention and Safety Promotion, 1-4 October 2012, Michael Fowler Center, Wellington, New Zealand. Full text does not seem to be available for this abstract. <p />",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2012-040580f.27",
url="http://dx.doi.org/10.1136/injuryprev-2012-040580f.27"
}