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Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial

BACKGROUND: Drowning is the leading cause of death for children under the age of 15 years in Guangdong Province, China. This serious public health issue also exists in low- and middle-income countries (LMICs), which have few value-integrated intervention programs. The current study presents an integ...

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Autores principales: Meng, Ruilin, Xu, Haofeng, Zhang, Mingqu, Ye, Pengpeng, Zhou, Zhishan, Zhu, Xuhao, Li, Xingru, Lin, Lifeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076092/
https://www.ncbi.nlm.nih.gov/pubmed/37019086
http://dx.doi.org/10.1093/tropej/fmad012
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author Meng, Ruilin
Xu, Haofeng
Zhang, Mingqu
Ye, Pengpeng
Zhou, Zhishan
Zhu, Xuhao
Li, Xingru
Lin, Lifeng
author_facet Meng, Ruilin
Xu, Haofeng
Zhang, Mingqu
Ye, Pengpeng
Zhou, Zhishan
Zhu, Xuhao
Li, Xingru
Lin, Lifeng
author_sort Meng, Ruilin
collection PubMed
description BACKGROUND: Drowning is the leading cause of death for children under the age of 15 years in Guangdong Province, China. This serious public health issue also exists in low- and middle-income countries (LMICs), which have few value-integrated intervention programs. The current study presents an integrated intervention project that aims to explore an effective pattern of prevention for child drowning in rural areas and feasibility to perform in other LMICs. METHODS: We conducted a cluster randomized controlled trial by comparing the incidence of non-fatal drowning among children in two groups in rural areas of southern China. We recruited the participants in two phases and reached a total of 10 687 students from 23 schools at two towns in Guangdong Province, China. At the first and second phases, 8966 and 1721 students were recruited, respectively. RESULTS: The final evaluation questionnaires were collected after 18 months of integrated intervention, where we obtained 9791 data from Grades 3–9. The incidence of non-fatal drowning between the intervention and control groups after intervention did not differ significantly from the baseline according to the total number of students, male students, female students and Grades 6–9 [0.81; 95% confidence interval (CI): [0.66, 1.00]; p = 0.05, 1.17; 95% CI: [0.90, 1.51]; p = 0.25, 1.40; 95% CI: [0.97, 2.02]; p = 0.07 and 0.97; 95% CI: [0.70, 1.34]; p = 0.86], except for Grades 3–5 (1.36; 95% CI: [1.02, 1.82]; p = 0.037). The study observed a significantly positive benefit of awareness and risk behaviours of non-fatal drowning between the intervention and control groups (0.27, 95% CI: [0.21, 0.33]; p = 0.00, −0.16; 95% CI: [−0.24, −0.08]; p = 0.00). CONCLUSIONS: The integrated intervention exerted a significant impact on the prevention and management of child non-fatal drowning, especially in rural areas.
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spelling pubmed-100760922023-04-06 Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial Meng, Ruilin Xu, Haofeng Zhang, Mingqu Ye, Pengpeng Zhou, Zhishan Zhu, Xuhao Li, Xingru Lin, Lifeng J Trop Pediatr Original Paper BACKGROUND: Drowning is the leading cause of death for children under the age of 15 years in Guangdong Province, China. This serious public health issue also exists in low- and middle-income countries (LMICs), which have few value-integrated intervention programs. The current study presents an integrated intervention project that aims to explore an effective pattern of prevention for child drowning in rural areas and feasibility to perform in other LMICs. METHODS: We conducted a cluster randomized controlled trial by comparing the incidence of non-fatal drowning among children in two groups in rural areas of southern China. We recruited the participants in two phases and reached a total of 10 687 students from 23 schools at two towns in Guangdong Province, China. At the first and second phases, 8966 and 1721 students were recruited, respectively. RESULTS: The final evaluation questionnaires were collected after 18 months of integrated intervention, where we obtained 9791 data from Grades 3–9. The incidence of non-fatal drowning between the intervention and control groups after intervention did not differ significantly from the baseline according to the total number of students, male students, female students and Grades 6–9 [0.81; 95% confidence interval (CI): [0.66, 1.00]; p = 0.05, 1.17; 95% CI: [0.90, 1.51]; p = 0.25, 1.40; 95% CI: [0.97, 2.02]; p = 0.07 and 0.97; 95% CI: [0.70, 1.34]; p = 0.86], except for Grades 3–5 (1.36; 95% CI: [1.02, 1.82]; p = 0.037). The study observed a significantly positive benefit of awareness and risk behaviours of non-fatal drowning between the intervention and control groups (0.27, 95% CI: [0.21, 0.33]; p = 0.00, −0.16; 95% CI: [−0.24, −0.08]; p = 0.00). CONCLUSIONS: The integrated intervention exerted a significant impact on the prevention and management of child non-fatal drowning, especially in rural areas. Oxford University Press 2023-04-05 /pmc/articles/PMC10076092/ /pubmed/37019086 http://dx.doi.org/10.1093/tropej/fmad012 Text en © The Author(s) [2023]. Published by Oxford University Press. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), whichpermits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Paper
Meng, Ruilin
Xu, Haofeng
Zhang, Mingqu
Ye, Pengpeng
Zhou, Zhishan
Zhu, Xuhao
Li, Xingru
Lin, Lifeng
Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title_full Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title_fullStr Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title_full_unstemmed Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title_short Effect of integrated intervention to prevent child drowning in rural areas of Guangdong, China: a cluster randomized controlled trial
title_sort effect of integrated intervention to prevent child drowning in rural areas of guangdong, china: a cluster randomized controlled trial
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10076092/
https://www.ncbi.nlm.nih.gov/pubmed/37019086
http://dx.doi.org/10.1093/tropej/fmad012
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