Personal, social, and environmental factors associated with lifejacket wear in adults and children: A systematic literature review
Peden, A. E., Demant, D., Hagger, M., & Hamilton, K. (2018). Personal, social, and environmental factors associated with lifejacket wear in adults and children: A systematic literature review. PLoS ONE, 13(5), Article e0196421. https://doi.org/10.1371/journal.pone.0196421
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PLoS ONEDate
2018Copyright
© 2018 Peden et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License.
Objective:
Drowning claims 7% of the global burden of injury-related deaths. Lifejackets are routinely
recommended as a drowning prevention strategy; however, a review of related factors
regarding lifejacket wear has not previously been investigated.
Methods:
This systematic review examined literature published from inception to December 2016 in
English and German languages. The personal, social, and environmental factors associated
with lifejacket wear among adults and children were investigated, a quantitative evaluation
of the results undertaken, and gaps in the literature identified.
Results:
Twenty studies, with sample sizes of studies ranging between 20 and 482,331, were identified.
Fifty-five percent were cross-sectional studies. All studies were scored IV or V on the
Australian National Health and Medical Research Council (NHMRC) grading system indicating
mostly descriptive and cross-sectional levels of evidence. Factors associated with
increased wear included age (mostly children), gender (mostly female), boat type (nonmotorised),
boat size (small boats), role modelling (children influenced by adult lifejacket
wear), and activity (water-skiing, fishing). Factors not associated or inconsistent with lifejacket
wear included education, household income, ethnicity, boating ability, confidence in
lifejackets, waterway type, and weather and water conditions. Factors associated with
reduced lifejacket wear included adults, males, discomfort, cost and accessibility, consumption
of alcohol, and swimming ability. Three studies evaluated the impact of interventions. Conclusion:
This review identified factors associated with both increased and decreased lifejacket wear.
Future research should address the motivational factors associated with individuals’ decisions
to wear or not wear lifejackets. This, combined with further research on the evaluation
of interventions designed to increase lifejacket wear, will enhance the evidence base to support
future drowning prevention interventions.
...
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Public Library of ScienceISSN Search the Publication Forum
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- Liikuntatieteiden tiedekunta [3077]
License
Except where otherwise noted, this item's license is described as © 2018 Peden et al. This is an open
access article distributed under the terms of the
Creative Commons Attribution License.
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