@article{ref1,
title="Informing policy on open water drowning prevention: an observational survey of life jacket use in Washington state",
journal="Injury prevention",
year="2014",
author="Chung, Celeste and Quan, Linda and Bennett, Elizabeth and Kernic, Mary A. and Ebel, Beth E.",
volume="20",
number="4",
pages="238-243",
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.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2013-041005",
url="http://dx.doi.org/10.1136/injuryprev-2013-041005"
}