Reducing inequities among adult female migrants at higher risk for drowning in Australia: the value of swimming and water safety programs

Willcox-Pidgeon, Stacey M., Franklin, Richard C., Devine, Sue, Leggat, Peter A., and Scarr, Justin (2021) Reducing inequities among adult female migrants at higher risk for drowning in Australia: the value of swimming and water safety programs. Health Promotion Journal of Australia, 32 (S1). pp. 49-60.

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Issue addressed Drowning is a global public health challenge with a need to ensure equity to drowning prevention information and interventions. In Australia, people born overseas are identified as being at greater risk of drowning. This paper presents findings from a community-based qualitative evaluation of swimming and water safety (SWS) programs delivered to adults from migrant backgrounds in Sydney, Australia. Methods A qualitative study was conducted in November-December 2019 among 35 female participants of SWS programs targeted to adult migrants. While offered to all SWS program participants, no males took part in the study. Focus groups and interviews were recorded, transcribed and thematically analysed using a deductive approach. The domains of enquiry were guided by the health belief model and the theory of planned behaviour. Results Study participants were >= 25 years, first generation and most had lived in Australia for >= 10 years. Most were nonswimmers and were fearful of water prior to the program. Key themes were: direct SWS program outcomes, health and well-being; enablers and barriers to participation including: motivation, a program coordinator, fear and settlement priorities. Conclusion Findings suggest that in order to increase SWS participation among migrant communities, the broader determinants of health need to be considered. Culturally appropriate strategies are required to enable both men and women equal opportunities to access SWS programs. So what SWS programs provide multiple benefits for adult migrants; however, the impact on reducing inequities is limited, with broader multi-strategic health promotion approaches and policies required for inclusion and sustainability.

Item ID: 64685
Item Type: Article (Research - C1)
ISSN: 2201-1617
Keywords: culturally and linguistically diverse people, health equity, health literacy, program evaluation
Copyright Information: © 2020 Australian Health Promotion Association. This article is freely available via the Publisher.
Funders: Royal Lifesaving Society, Australia, Australian Government Research Training Program Scholarship, James Cook University (JCU)
Projects and Grants: JCU Cohort Doctoral Studies Program
Date Deposited: 21 Oct 2020 07:54
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420603 Health promotion @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920409 Injury Control @ 100%
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