Evidence map›Paper›PMID 42420934›Full record

ArticleBMC public health2026

Risk perceptions and behaviours of beachgoers toward recreational water quality in Canada: a qualitative study.

Binyam N Desta, Jordan Tustin, J Johanna Sanchez, Rachel Jardine, Sarah Elton, Abhinand Thaivalappil, Shannon E Majowicz, David L Pearl, Study Collaborative Group, Ian Young

Abstract read
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Binyam N DestaDepartment of Population Medicine, University of Guelph, Guelph, ON, Canada. bdesta@uoguelph.ca.ORCID http://orcid.org/0000-0002-1814-7487
Jordan TustinSchool of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada.
J Johanna SanchezSchool of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada.
Rachel JardineSchool of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada.
Sarah EltonDalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Abhinand ThaivalappilSchool of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada.
Shannon E MajowiczSchool of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
David L PearlDepartment of Population Medicine, University of Guelph, Guelph, ON, Canada.
Study Collaborative Group
Ian YoungSchool of Occupational and Public Health, Toronto Metropolitan University, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-5575-5174

Funding

CIHR 202210PJT/495277
6 · The paper itself

Abstract

backgroundBeach water leisure activities can increase the risk of acquiring infections from recreational water, and children are particularly at risk. However, gaps exist in public awareness of accessing and understanding beach water quality information and the risk of acquiring illnesses. There is no such available research in Canada, and this study was conducted to explore risk perceptions and behaviours of parent beachgoers.

methodsWe conducted two focus groups in each of three Canadian provinces: Ontario, Manitoba, and British Columbia in July 2023. Participants were parents or guardians of children 15 years or younger, who had taken their children to the beach in the past year. Participants were asked about their family's beach activities, their habits with beach warnings, and any illness experiences related to beach visits. The discussions were recorded, transcribed, and de-identified. Two team members created a coding scheme, analyzed all transcripts independently, and compiled the coded text for thematic analysis. We refined, organized, and interpreted the results in the context of the Health Belief Model (HBM).

resultsFour overarching themes were identified: (i) parents and kids participate in and enjoy beach activities, even when water quality advisories are present; (ii) parents acknowledge significant health risks associated with water exposure, though their risk perception often did not recognize risks from ingestion; (iii) parents' and kids' health behaviours at the beach are influenced by preconceived notions and attitudes concerning germs, both before arrival and during their visit; and (iv) parents require accessible and timely beach advisories to help them decide how to enjoy beach activities safely.

conclusionThis study highlights limited awareness among parents and a tendency to downplay the health risks of contaminated beach environments. It emphasizes the need for effective communication about water quality advisories to ensure safer beach experiences, particularly for children, and thereby minimizing impacts on public health.

Indexed as

Bathing BeachesHealth Knowledge, Attitudes, PracticeParentsRecreationWater QualityAdolescentAdultBritish ColumbiaCanadaChildChild, PreschoolFemaleFocus GroupsHumansMaleMiddle AgedBeachgoersBehaviourCanadaFocus groupParentsQualitativeRecreational waterRisk perception

Identifiers

PMID42420934
PMCPMC13632345

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.