Skip to main content
Top
Published in:

Open Access 01-12-2024 | Research

Unintentional drowning fatalities in Sweden between 2002 and 2021

Authors: Alexander Tyr, Emma Molander, Björn Bäckström, Andreas Claesson, Brita Zilg

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Despite declining over the past three decades, unintentional drownings still account for an estimated 236 000 annual deaths worldwide. Susceptibility persists amongst demographic groups and is influenced by sex, age, and socio-economic status, emphasizing the need for targeted interventions. Due to rapidly evolving population dynamics, particularly within Europe, there is a further responsibility to understand the impact of ethnicity on the risks of drowning to guide prevention.

Methods

We conducted a national population-based retrospective study using data from the Swedish National Board of Forensic Medicine and Statistics Sweden for the years 2002 to 2021. The analysis includes variables such as age, sex, presence of alcohol and narcotics as well as activity undertaken at the time of drowning and type of water body. Furthermore, we considered ethnicity to identify subpopulations at greater risks.

Results

Results revealed a plateau in unintentional drowning rates in Sweden since 2012, despite an overall decrease from 2002 to 2021. Findings confirm the trend that males are overrepresented within drowning statistics across all age groups, and that individuals aged > 50 constitute over half of all unintentional drownings. Men aged between 40-69 years boating, and individuals of non-Swedish origin, particularly those < 20 years of age, face a notably greater risk of drowning, underscoring the need for subpopulation-targeted prevention strategies.

Conclusion

The ten-year plateau in unintentional drowning signals the need for an official national prevention strategy with annual evaluations. Suggestions also include improved parental supervision of children, further avoidance of alcohol while swimming and boating, as well as targeted swimming lessons and water competency training for individuals of non-Swedish origin.
Appendix
Available only for authorised users
Literature
2.
go back to reference World Health Organization‎. Preventing drowning: practical guidance for the provision of day-care, basic swimming and water safety skills, and safe rescue and resuscitation training. World Health Organization. 2022. https://iris.who.int/handle/10665/352699. License: CC BY-NC-SA 3.0 IGO. World Health Organization‎. Preventing drowning: practical guidance for the provision of day-care, basic swimming and water safety skills, and safe rescue and resuscitation training. World Health Organization. 2022. https://​iris.​who.​int/​handle/​10665/​352699. License: CC BY-NC-SA 3.0 IGO.
3.
go back to reference Franklin RC, Peden AE, Hamilton EB, Bisignano C, Castle CD, Dingels ZV, Hay SI, Liu Z, Mokdad AH, Roberts NLS, Sylte DO, Vos T, Abady GG, Abosetugn AE, Ahmed R, Alahdab F, Andrei CL, Antonio CAT, Arabloo J, Arba AAK, Badiye AD, Bakkannavar SM, Banach M, Banik PC, Banstola A, Barker-Collo SL, Barzegar A, Bayati M, Bhardwaj P, Bhaumik S, Bhutta ZA, Bijani A, Boloor A, Carvalho F, Chowdhury MAK, Chu DT, Colquhoun SM, Dagne H, Dagnew B, Dandona L, Dandona R, Daryani A, Dharmaratne SD, Dibaji Forooshani ZS, Do HT, Driscoll TR, Eagan AW, El-Khatib Z, Fernandes E, Filip I, Fischer F, Gebremichael B, Gupta G, Haagsma JA, Hassan S, Hendrie D, Hoang CL, Hole MK, Holla R, Hostiuc S, Househ M, Ilesanmi OS, Inbaraj LR, Irvani SSN, Islam MM, Ivers RQ, Jayatilleke AU, Joukar F, Kalhor R, Kanchan T, Kapoor N, Kasaeian A, Khan M, Khan EA, Khubchandani J, Krishan K, Kumar GA, Lauriola P, Lopez AD, Madadin M, Majdan M, Maled V, Manafi N, Manafi A, McKee M, Meles HG, Menezes RG, Meretoja TJ, Miller TR, Mithra P, Mohammadian-Hafshejani A, Mohammadpourhodki R, Mohebi F, Molokhia M, Mustafa G, Negoi I, Nguyen CT, Nguyen HLT, Olagunju AT, Olagunju TO, Padubidri JR, Pakshir K, Pathak A, Polinder S, Pribadi DRA, Rabiee N, Radfar A, Rana SM, Rickard J, Safari S, Salamati P, Samy AM, Sarker AR, Schwebel DC, Senthilkumaran S, Shaahmadi F, Shaikh MA, Shin JI, Singh PK, Soheili A, Stokes MA, Suleria HAR, Tarigan IU, Temsah MH, Tesfay BE, Valdez PR, Veisani Y, Ye P, Yonemoto N, Yu C, Yusefzadeh H, Zaman SB, Zhang ZJ, James SL. The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study. Inj Prev. 2020;26(Supp 1):i83–i95. https://doi.org/10.1136/injuryprev-2019-043484. Erratum in: Inj Prev. 2020;26(Supp 1):i166. https://doi.org/10.1136/injuryprev-2019-043484corr1. Franklin RC, Peden AE, Hamilton EB, Bisignano C, Castle CD, Dingels ZV, Hay SI, Liu Z, Mokdad AH, Roberts NLS, Sylte DO, Vos T, Abady GG, Abosetugn AE, Ahmed R, Alahdab F, Andrei CL, Antonio CAT, Arabloo J, Arba AAK, Badiye AD, Bakkannavar SM, Banach M, Banik PC, Banstola A, Barker-Collo SL, Barzegar A, Bayati M, Bhardwaj P, Bhaumik S, Bhutta ZA, Bijani A, Boloor A, Carvalho F, Chowdhury MAK, Chu DT, Colquhoun SM, Dagne H, Dagnew B, Dandona L, Dandona R, Daryani A, Dharmaratne SD, Dibaji Forooshani ZS, Do HT, Driscoll TR, Eagan AW, El-Khatib Z, Fernandes E, Filip I, Fischer F, Gebremichael B, Gupta G, Haagsma JA, Hassan S, Hendrie D, Hoang CL, Hole MK, Holla R, Hostiuc S, Househ M, Ilesanmi OS, Inbaraj LR, Irvani SSN, Islam MM, Ivers RQ, Jayatilleke AU, Joukar F, Kalhor R, Kanchan T, Kapoor N, Kasaeian A, Khan M, Khan EA, Khubchandani J, Krishan K, Kumar GA, Lauriola P, Lopez AD, Madadin M, Majdan M, Maled V, Manafi N, Manafi A, McKee M, Meles HG, Menezes RG, Meretoja TJ, Miller TR, Mithra P, Mohammadian-Hafshejani A, Mohammadpourhodki R, Mohebi F, Molokhia M, Mustafa G, Negoi I, Nguyen CT, Nguyen HLT, Olagunju AT, Olagunju TO, Padubidri JR, Pakshir K, Pathak A, Polinder S, Pribadi DRA, Rabiee N, Radfar A, Rana SM, Rickard J, Safari S, Salamati P, Samy AM, Sarker AR, Schwebel DC, Senthilkumaran S, Shaahmadi F, Shaikh MA, Shin JI, Singh PK, Soheili A, Stokes MA, Suleria HAR, Tarigan IU, Temsah MH, Tesfay BE, Valdez PR, Veisani Y, Ye P, Yonemoto N, Yu C, Yusefzadeh H, Zaman SB, Zhang ZJ, James SL. The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study. Inj Prev. 2020;26(Supp 1):i83–i95. https://​doi.​org/​10.​1136/​injuryprev-2019-043484. Erratum in: Inj Prev. 2020;26(Supp 1):i166. https://​doi.​org/​10.​1136/​injuryprev-2019-043484corr1.
9.
go back to reference Xu J. Unintentional drowning deaths in the United States, 1999-2010. NCHS Data Brief. 2014;(149):1–8. Xu J. Unintentional drowning deaths in the United States, 1999-2010. NCHS Data Brief. 2014;(149):1–8.
16.
go back to reference Janson S, Schyllander J, Hansson C, Eriksson UB. Barn med ensamstående förälder riskgrupp för drunkning. Aven barn från Mellanöstern och Iran löper okad risk, visar deskriptiv studie [Children with a single parent are a risk group for drowning. Also immigrant children from the Middle East and Iran are at risk according to a descriptive study]. Lakartidningen. 2010;107(24-25):1618–22. Swedish. Janson S, Schyllander J, Hansson C, Eriksson UB. Barn med ensamstående förälder riskgrupp för drunkning. Aven barn från Mellanöstern och Iran löper okad risk, visar deskriptiv studie [Children with a single parent are a risk group for drowning. Also immigrant children from the Middle East and Iran are at risk according to a descriptive study]. Lakartidningen. 2010;107(24-25):1618–22. Swedish.
20.
go back to reference Muggeo VMR. segmented: An R Package to Fit Regression Models with Broken-Line Relationships. 2008;8. Muggeo VMR. segmented: An R Package to Fit Regression Models with Broken-Line Relationships. 2008;8.
26.
go back to reference Sakamoto I, Stempski S, Srinivasan V, Le T, Bennett E, Quan L. Adolescent Water Safety Behaviors, Skills, Training and Their Association with Risk-Taking Behaviors and Risk and Protective Factors. Children (Basel). 2020;7(12):301. https://doi.org/10.3390/children7120301. Sakamoto I, Stempski S, Srinivasan V, Le T, Bennett E, Quan L. Adolescent Water Safety Behaviors, Skills, Training and Their Association with Risk-Taking Behaviors and Risk and Protective Factors. Children (Basel). 2020;7(12):301. https://​doi.​org/​10.​3390/​children7120301.
32.
go back to reference Svensson J, Andersson DE. What Role Do Changes in the Demographic Composition Play in the Declining Trends in Alcohol Consumption and the Increase of Non-drinkers Among Swedish Youth? A Time-series Analysis of Trends in Non-drinking and Region of Origin 1971-2012. Alcohol Alcohol. 2016;51(2):172–6. https://doi.org/10.1093/alcalc/agv074. Svensson J, Andersson DE. What Role Do Changes in the Demographic Composition Play in the Declining Trends in Alcohol Consumption and the Increase of Non-drinkers Among Swedish Youth? A Time-series Analysis of Trends in Non-drinking and Region of Origin 1971-2012. Alcohol Alcohol. 2016;51(2):172–6. https://​doi.​org/​10.​1093/​alcalc/​agv074.
33.
go back to reference Larm P, Livingston M, Svensson J, Leifman H, Raninen J. The increased trend of non-drinking in adolescence: The role of parental monitoring and attitudes toward offspring drinking. Drug Alcohol Rev. 2018;37 Suppl 1:S34–S41. https://doi.org/10.1111/dar.12682. Larm P, Livingston M, Svensson J, Leifman H, Raninen J. The increased trend of non-drinking in adolescence: The role of parental monitoring and attitudes toward offspring drinking. Drug Alcohol Rev. 2018;37 Suppl 1:S34–S41. https://​doi.​org/​10.​1111/​dar.​12682.
41.
go back to reference Bessereau J, Fournier N, Mokhtari T, Brun PM, Desplantes A, Grassineau D, Guilhem N, Heireche F, Kerbaul F, Mancini J, Meyran D, Toesca R, Topin F, Tsapis M, Auffray JP, Michelet P. Epidemiology of unintentional drowning in a metropolis of the French Mediterranean coast: a retrospective analysis (2000-2011). Int J Inj Contr Saf Promot. 2016;23(3):317–22. https://doi.org/10.1080/17457300.2015.1047862. Bessereau J, Fournier N, Mokhtari T, Brun PM, Desplantes A, Grassineau D, Guilhem N, Heireche F, Kerbaul F, Mancini J, Meyran D, Toesca R, Topin F, Tsapis M, Auffray JP, Michelet P. Epidemiology of unintentional drowning in a metropolis of the French Mediterranean coast: a retrospective analysis (2000-2011). Int J Inj Contr Saf Promot. 2016;23(3):317–22. https://​doi.​org/​10.​1080/​17457300.​2015.​1047862.
42.
go back to reference Li F, Lu X, Yip PSF. Comparing Accidental Drownings Between Local Permanent Residents and Internal Migrants in Pudong, Shanghai, China (2004–2017). Int J Migr Integr. 2021;22(2):691–703. Li F, Lu X, Yip PSF. Comparing Accidental Drownings Between Local Permanent Residents and Internal Migrants in Pudong, Shanghai, China (2004–2017). Int J Migr Integr. 2021;22(2):691–703.
Metadata
Title
Unintentional drowning fatalities in Sweden between 2002 and 2021
Authors
Alexander Tyr
Emma Molander
Björn Bäckström
Andreas Claesson
Brita Zilg
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-20687-3