Compliance with an ordinance requiring the use of personal flotation devices by children in public waterways

Garen J Wintemute, Amy Anton, Emily R Andrada-Brown, Ryan Ribeira

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Introduction: For children ages 1-14, 21.6% of drowning cases involve swimming, wading, or playing in natural bodies of water, such as rivers and lakes. Personal flotation devices (PFDs) are believed to be an effective prevention measure. We measure compliance with city and county ordinances, publicized but not actively enforced, requiring that PFDs be worn by children accessing public bodies of water in Sacramento County, California. Methods: During June-August 2010, volunteers conducted 79 observation sessions at three popular local river beaches where PFDs were available for use at no cost. They recorded personal characteristics and PFD use for 1,727 children in or very near the water and believed to be 0-13 years of age (the age covered by the ordinances). We used logistic regression to quantify differences in use by subject characteristics and study site. Results: The prevalence of PFD use was 29.9% overall, with large and significant differences by age: < 1, 55.6%; 1-4, 37.6%; 5-10, 29.4%; 10-13, 14.6%; P < 0.0001. Usage did not vary significantly by sex or race/ethnicity, and was somewhat higher at one study site (33.1%) than at the others (25.9% and 27.3%), P = 0.009. Conclusion: The combination of a statutory requirement and a cost-elimination strategy was associated with moderate rates of PFD use that were highest among young children.

Original languageEnglish (US)
Pages (from-to)200-203
Number of pages4
JournalWestern Journal of Emergency Medicine
Volume14
Issue number2
DOIs
StatePublished - 2013

Fingerprint

Equipment and Supplies
Body Water
Rivers
Costs and Cost Analysis
Lakes
Volunteers
Logistic Models
Observation
Water

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

@article{e77891d9f47e4a83ab5e3e6be886ffc6,
title = "Compliance with an ordinance requiring the use of personal flotation devices by children in public waterways",
abstract = "Introduction: For children ages 1-14, 21.6{\%} of drowning cases involve swimming, wading, or playing in natural bodies of water, such as rivers and lakes. Personal flotation devices (PFDs) are believed to be an effective prevention measure. We measure compliance with city and county ordinances, publicized but not actively enforced, requiring that PFDs be worn by children accessing public bodies of water in Sacramento County, California. Methods: During June-August 2010, volunteers conducted 79 observation sessions at three popular local river beaches where PFDs were available for use at no cost. They recorded personal characteristics and PFD use for 1,727 children in or very near the water and believed to be 0-13 years of age (the age covered by the ordinances). We used logistic regression to quantify differences in use by subject characteristics and study site. Results: The prevalence of PFD use was 29.9{\%} overall, with large and significant differences by age: < 1, 55.6{\%}; 1-4, 37.6{\%}; 5-10, 29.4{\%}; 10-13, 14.6{\%}; P < 0.0001. Usage did not vary significantly by sex or race/ethnicity, and was somewhat higher at one study site (33.1{\%}) than at the others (25.9{\%} and 27.3{\%}), P = 0.009. Conclusion: The combination of a statutory requirement and a cost-elimination strategy was associated with moderate rates of PFD use that were highest among young children.",
author = "Wintemute, {Garen J} and Amy Anton and Andrada-Brown, {Emily R} and Ryan Ribeira",
year = "2013",
doi = "10.5811/westjem.2012.1.11717",
language = "English (US)",
volume = "14",
pages = "200--203",
journal = "Western Journal of Emergency Medicine",
issn = "1936-900X",
publisher = "University of California",
number = "2",

}

TY - JOUR

T1 - Compliance with an ordinance requiring the use of personal flotation devices by children in public waterways

AU - Wintemute, Garen J

AU - Anton, Amy

AU - Andrada-Brown, Emily R

AU - Ribeira, Ryan

PY - 2013

Y1 - 2013

N2 - Introduction: For children ages 1-14, 21.6% of drowning cases involve swimming, wading, or playing in natural bodies of water, such as rivers and lakes. Personal flotation devices (PFDs) are believed to be an effective prevention measure. We measure compliance with city and county ordinances, publicized but not actively enforced, requiring that PFDs be worn by children accessing public bodies of water in Sacramento County, California. Methods: During June-August 2010, volunteers conducted 79 observation sessions at three popular local river beaches where PFDs were available for use at no cost. They recorded personal characteristics and PFD use for 1,727 children in or very near the water and believed to be 0-13 years of age (the age covered by the ordinances). We used logistic regression to quantify differences in use by subject characteristics and study site. Results: The prevalence of PFD use was 29.9% overall, with large and significant differences by age: < 1, 55.6%; 1-4, 37.6%; 5-10, 29.4%; 10-13, 14.6%; P < 0.0001. Usage did not vary significantly by sex or race/ethnicity, and was somewhat higher at one study site (33.1%) than at the others (25.9% and 27.3%), P = 0.009. Conclusion: The combination of a statutory requirement and a cost-elimination strategy was associated with moderate rates of PFD use that were highest among young children.

AB - Introduction: For children ages 1-14, 21.6% of drowning cases involve swimming, wading, or playing in natural bodies of water, such as rivers and lakes. Personal flotation devices (PFDs) are believed to be an effective prevention measure. We measure compliance with city and county ordinances, publicized but not actively enforced, requiring that PFDs be worn by children accessing public bodies of water in Sacramento County, California. Methods: During June-August 2010, volunteers conducted 79 observation sessions at three popular local river beaches where PFDs were available for use at no cost. They recorded personal characteristics and PFD use for 1,727 children in or very near the water and believed to be 0-13 years of age (the age covered by the ordinances). We used logistic regression to quantify differences in use by subject characteristics and study site. Results: The prevalence of PFD use was 29.9% overall, with large and significant differences by age: < 1, 55.6%; 1-4, 37.6%; 5-10, 29.4%; 10-13, 14.6%; P < 0.0001. Usage did not vary significantly by sex or race/ethnicity, and was somewhat higher at one study site (33.1%) than at the others (25.9% and 27.3%), P = 0.009. Conclusion: The combination of a statutory requirement and a cost-elimination strategy was associated with moderate rates of PFD use that were highest among young children.

UR - http://www.scopus.com/inward/record.url?scp=84879107516&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84879107516&partnerID=8YFLogxK

U2 - 10.5811/westjem.2012.1.11717

DO - 10.5811/westjem.2012.1.11717

M3 - Article

C2 - 23599870

AN - SCOPUS:84879107516

VL - 14

SP - 200

EP - 203

JO - Western Journal of Emergency Medicine

JF - Western Journal of Emergency Medicine

SN - 1936-900X

IS - 2

ER -