1887
Volume 2024, Issue 4
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

Drowning is defined as a process with consequences ranging from death to survival without continuous injury. This study was conducted to determine the mortality rate and the years of life lost (YLL) due to drowning in Fars Province.

All deaths due to drowning in Fars Province were obtained from the electronic population-based death registration system (EDRS). Crude and age-standardized mortality rate, YLL, and YLL rate data were calculated, and joinpoint regression was used to examine the trend.

During the study period (2004–2019), 910 deaths due to drowning occurred in Fars Province. Of these, 80.5% (733 cases) were reported in men and 41.0% (373 cases) were in the age group of 15–29 years. Crude mortality rate had decreasing trends in male and stable trends in female. The total YLL due to drowning during the 16-year study period were 19,583 (0.62 per 1000 people) in men and 4797 (0.15 per 1000 people) in women. According to the joinpoint regression analysis, the 16-year trend of YLL rate due to premature mortality in males was decreasing. The annual percent change (APC) was -6.0% [95% confidence interval (95% CI) -8.4 to -3.5, < 0.001] and stable trends in female (APC = - 5.4%; 95% CI -11.8 to 1.4, = 0.108).

Although the trend of crude and standardized mortality rates and YLL due to drowning in men decreased during 2004–2019, these trends have been constant in women. Therefore, the need to invest in the implementation and evaluation of drowning prevention interventions cannot be ignored.

Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2024.16
2024-08-20
2024-12-22
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2024/4/jemtac.2024.16.html?itemId=/content/journals/10.5339/jemtac.2024.16&mimeType=html&fmt=ahah

References

  1. Işn A, Turgut A, Peden AE. Descriptive epidemiology of rescue-related fatal drowning in Turkey. Int J Environ Res Public Health. 2021; 18:(12):6613. https://doi.org/10.3390/ijerph18126613
    [Google Scholar]
  2. Tyler MD, Richards DB, Reske-Nielsen C, Saghafi O, Morse EA, Carey R, et al. The epidemiology of drowning in low- and middle-income countries: a systematic review. BMC Public Health. 2017; 17:(1):413. https://doi.org/10.1186/s12889-017-4239-2
    [Google Scholar]
  3. Miller L, Alele FO, Emeto TI, Franklin RC. Epidemiology, risk factors and measures for preventing drowning in Africa: a systematic review. Medicina (Kaunas). 2019; 55:(10):637https://doi.org/10.3390/medicina55100637
    [Google Scholar]
  4. Willcox-Pidgeon S, Franklin RC, Leggat PA, Devine S. Epidemiology of unintentional fatal drowning among migrants in Australia. Aust N Z J Public Health. 2021Jun; 45:(3):255–62. https://doi.org/10.1111/1753-6405.13102
    [Google Scholar]
  5. Peden AE, Işn A. Drowning in the Eastern Mediterranean region: a systematic literature review of the epidemiology, risk factors and strategies for prevention. BMC Public Health. 2022; 22:(1):1477. https://doi.org/10.1186/s12889-022-13778-6
    [Google Scholar]
  6. Lin CY, Wang YF, Lu TH, Kawach I. Unintentional drowning mortality, by age and body of water: an analysis of 60 countries. Inj Prev. 2015; 21:(e1):e43–50. https://doi.org/10.1136/injuryprev-2013-041110
    [Google Scholar]
  7. Franklin RC, Peden AE, Hamilton EB, Bisignano C, Castle CD, Dingels ZV, et al. The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study. Inj Prev. 2020; 26:(Suppl 2):i83–95. https://doi.org/10.1136/injuryprev-2019-043484
    [Google Scholar]
  8. Shahbazi F, Mirtorabi SD, Mahdavi SAH, Nazari SSH. Trend of mortality rate due to drowning in Iran (2013–2018). Arch Trauma Res. 2020; 9:(3):111–5.
    [Google Scholar]
  9. Kiakalayeh AD, Mohammadi R, Ekman DS, Chabok SY, Janson B. Unintentional drowning in northern Iran: a population-based study. Accid Anal Prev. 2008; 40:(6):1977–81.
    [Google Scholar]
  10. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012; 380:(9859):2095–128. https://doi.org/10.1016/S0140-6736(12)61728-0
    [Google Scholar]
  11. Rad EH, Kouchakinezhad-Eramsadati L, Mohtsham-Amiri Z, Davoudi-Kiakalayeh A, Yousefzadeh-Chabok SJB. Effectiveness of an educational program on decreasing burns and injuries in Persian festival of fire: a burden of diseases approach. Burns. 2019; 45:(2):466–70. https://doi.org/10.1016/j.burns.2018.07.011
    [Google Scholar]
  12. Azarbakhsh H, Baeradeh N, Dehghani SP, Hassanzadeh J, Janfada M, Razeghi A, et al. Trend of mortality rate and years of life lost due to cerebrovascular diseases in Fars Province, Iran (2004-2019). Arch Iran Med. 2023; 26:(4):198–204.
    [Google Scholar]
  13. Azarbakhsh H, Rezaei F, Hamedi A, Hassanzadeh J, Razeghi A, Mirahmadizadeh A. Unintentional injuries in children in the south of Iran, 2004-2019: a trend analysis of mortality rates. BMJ Paediatr Open. 2023; 7:(1):e002144. https://doi.org/10.1136/bmjpo-2023-002144
    [Google Scholar]
  14. Mirahmadizadeh A, Vali M, Hassanzadeh J, Dehghani SP, Razeghi A, Azarbakhsh H. Mortality rate and years of life lost due to hypertension in the South of Iran between 2004 and 2019: a population-based study. Int J Hypertens. 2022; 2022:7759699. https://doi.org/10.1155/2022/7759699
    [Google Scholar]
  15. Sankoh O, Sharrow D, Herbst K, Whiteson Kabudula C, Alam N, Kant S, et al. The INDEPTH standard population for low- and middle- income countries, 2013. Glob Health Action. 2014; 7:(1):23286. https://doi.org/10.3402/gha.v7.23286
    [Google Scholar]
  16. Azarbakhsh H, Sharifi MH, Hassanzadeh J, Dewey RS, Janfada M, Mirahmadizadeh A. Diabetes in southern Iran: a 16-year follow-up of mortality and years of life lost. Int J Diabetes Dev Ctries. 2022: 43:(4):574–80. https://doi.org/10.1007/s13410-022-01125-9
    [Google Scholar]
  17. Derakhshan P, Moghaddam SS, Saadat S, Ghanbari A, Rezaei N, Khosravi S, et al. Trends in the drowning mortality rate in Iran. Inj Prev. 2020; 26:(4):351–9.
    [Google Scholar]
  18. Alpert B. Bathtub drowning: unintentional, neglect, or abuse. Med Health R I. 2003; 86:(12):385–6.
    [Google Scholar]
  19. Soori H, Akbarpour S, Jafari N, Khosravi A, Ainy E. P1-339 pattern of drowning and its burden in North Coast of Iran. J Epidemiol Commun Health. 2011; 65:(Suppl 1):A161. https://doi.org/10.1136/jech.2011.142976f.31
    [Google Scholar]
  20. Sheikhazadi A, Ghadyani MH. Epidemiology of drowning in Isfahan province, center of Iran. J Res Med Sci. 2009; 14:(2):79–87.
    [Google Scholar]
  21. Moran K. (Young) Men behaving badly: dangerous masculinities and risk of drowning in aquatic leisure activities. Ann Leisure Res. 2011; 14:(2-3):260–72.
    [Google Scholar]
  22. Rahman A, Alonge O, Bhuiyan AA, Agrawal P, Salam SS, Talab A, et al. Epidemiology of drowning in Bangladesh: an update. Int J Environ Res Public Health. 2017; 14:(5):488. https://doi.org/10.3390/ijerph14050488
    [Google Scholar]
  23. Lindeboom W, Alam N, Begum D, Streatfield PK. The association of meteorological factors and mortality in rural Bangladesh, 1983–2009. Glob Health Action. 2012; 5:(1):61–73. https://doi.org/10.3402/gha.v5i0.19063
    [Google Scholar]
  24. Modarres R, Silva VPD. Rainfall trends in arid and semi-arid regions of Iran. J Arid Environ. 2007; 70:(2):344–55.
    [Google Scholar]
  25. Kolahdoozan A, Dinpajooh Y, Mirabbasi NR, Asadi E, Darbandi S. Effect of Zayandehrood river dry becoming on Najafabad aquifer oscillations during past two decades. Iran J Soil Water Res. 2015; 46:(1):81–93. https://doi.org/10.22059/IJSWR.2015.54298
    [Google Scholar]
  26. Davoudi-Kiakalayeh A, Barshan J, Sigaroudi FE, Mirak HM, Alavi SAN. The application of the Haddon matrix in identifying drowning prevention solutions in the north of Iran. Heliyon. 2023; 9:(6):e16958. https://doi.org/10.1016/j.heliyon.2023.e16958
    [Google Scholar]
/content/journals/10.5339/jemtac.2024.16
Loading
/content/journals/10.5339/jemtac.2024.16
Loading

Data & Media loading...

  • Article Type: Research Article
Keyword(s): drowningIranjoinpoint regressionmortality rate and years of life lost
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error