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ArticleFrontiers in psychology2026

Knowledge-behavior mechanisms and configurations for drowning prevention among Chinese school-aged children: a hybrid multi-analytical study combining regression-based mediation and fsQCA.

Changlin Yuan, Xi Yang, Zhiping Li, Shuaifeng Qiu, Siyang Wu, Zhe Xiao, Hui Zhang, Chao Xie

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Article in Frontiers in psychology, 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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5 · Who and what money

Authors and funding

8 authors.

Changlin YuanSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Xi YangSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Zhiping LiSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Shuaifeng QiuSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Siyang WuSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Zhe XiaoSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Hui ZhangSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.
Chao XieSchool of Physical Education, Hubei Minzu University, Enshi, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study examined the psychological mechanisms and configurational pathways by which water safety knowledge is associated with high-risk swimming behaviors among fifth- and sixth-grade primary school children in Hubei Province, China, with the goal of establishing a theoretical and empirical foundation for targeted drowning-prevention interventions. Methods: In a hybrid multi-analytical study combining regression-based mediation and fsQCA, we analyzed a single quantitative survey dataset of 1,573 fifth- and sixth-grade primary school children from four schools in Hubei Province, China mean age 11.31 ± 0.46 years; 850 boys (54.04%), 723 girls (45.96%). Data collection employed the self-report Water Safety Knowledge Scale (perceived mastery), Risk Perception Scale, Drowning Risk Attitude Scale, Swimming Self-Efficacy Scale, Sensation Seeking Scale, and Swimming High-Risk Behavior Scale. Regression-based mediation was tested with the PROCESS 4.2 macro (model 82, 5000 bias-corrected bootstrap resamples) in SPSS 27.0, and configurational analysis was conducted in fsQCA 4.2. Results: (1) After controlling for the grade factor, water safety knowledge had no significant direct effect on high-risk swimming behaviors (β = 0.006, Conclusions: (1) Water safety knowledge is associated with high-risk swimming behaviors through two parallel mediating paths: "cognition - emotion" and "motivation - impulse". (2) Configuration analysis shows that the association between water safety knowledge and high-risk swimming behaviors follows a nonlinear, equifinal, and conjunctural pattern. Drowning-prevention interventions for school-age children may benefit from extending beyond knowledge transmission to comprehensive psychological adjustment.

Indexed as

high-risk swimming behaviorsrisk attituderisk perceptionself-efficacysensation seekingwater safety knowledge

Identifiers

PMID42807065
PMCPMC13617020

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