ArticleInternational journal of behavioral medicine2016
Cognitive and Behavioral Risk Factors for Unintentional Drowning Among Rural Chinese Children.
Article in International journal of behavioral medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Community risk perceptions and recommendations for drowning prevention: A qualitative study across West Bengal, India.PLOS global public health · 2026Article
- Temporal trends of avoidable mortality among children under-five in China from 2004 to 2021.Pediatric research · 2025Article
- Child drowning and associated risk factors: Findings from a qualitative study in Bangladesh.Health science reports · 2023Article
- Compliance to playpen usages to enhance parental supervision of under-five children in rural community of Bangladesh.PloS one · 2022Article
- Epidemiology of Drowning in Bangladesh: An Update.International journal of environmental research and public health · 2017Article
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundUnintentional drowning is among the top causes of pediatric death worldwide and the leading cause of death for children under age 14 in China. Environmental factors such as abundant bodies of water and psychosocial factors such as lack of parental supervision contribute to heightened risk of pediatric drowning in rural China, but little is known about the role of individual characteristics such as knowledge and perceived vulnerability in the drowning risk of rural Chinese children. PURPOSE: The present study aimed to explore the cognitive and behavioral risk factors for unintentional drowning among school-aged rural Chinese children.
methodTwo hundred and eighty children (mean age = 10.03 years, range 8-13) enrolled at an elementary school in rural Zhejiang Province, China completed self-report assessments of knowledge about drowning prevention, perceived vulnerability toward drowning, and history of non-fatal drowning experiences, as well as demographic information. A simulation task using a dollhouse assessed children's anticipated behaviors with water.
resultsFifty-two percent of the sample reported exposure to water sources at least once daily, and 21 % of the sample reported at least one non-fatal drowning experience in their lifetime. Regression analysis showed that male gender, better swimming ability, less safety knowledge, and lower levels of perceived vulnerability were associated with more self-reported risky practice in/near water. More safety knowledge also predicted safer behaviors in the dollhouse simulation task. None of the risk factors predicted self-reported history of non-fatal drowning incidents.
conclusionHigh exposure to water sources and non-fatal drowning experiences were found among school-aged children in rural China. Drowning risk factors included demographic, cognitive, and behavioral characteristics of children. Results offer evidence for developing interventions in both Zhejiang Province and other regions with similar geographic and population characteristics.
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