Unintentional drowning in northern Iran: A population-based study

Division of Social Medicine, Department of Public Health Science, Krolinska Institutet, Norrbacka, SE-171 76 Stockholm, Sweden.
Accident; analysis and prevention (Impact Factor: 1.65). 12/2008; 40(6):1977-81. DOI: 10.1016/j.aap.2008.08.008
Source: PubMed


The Iranian Ministry of Health documented that about 1500 people died from drowning annually in Iran between years 2000 and 2001. This study is a descriptive, retrospective, population-based analysis of 342 unintentional drowning deaths occurring to residents and tourists in Guilan and Mazandran Provinces in Iran over a 1-year period (2005-2006), using multiple data sources. The findings from this study demonstrate that the drowning rate for residents of the study population, 4.24 per 100,000, is much higher than drowning rates for populations in developed economies in Europe. Risk factors for drowning in the study populations include male gender, young age, and swimming in unsupervised areas. Drownings occurred most frequently in rivers, followed by canals and lakes. While much more remains to be done to investigate the problems associated with drowning deaths and injuries in Iran, the information obtained from this study can help point the way to targeted interventions.

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    • "In low-income settings, children, particularly young males, have been found to be more likely to be victims of unintentional drowning in a variety of cultural contexts. Most deaths occur relatively close to home and reflect risks within regular daily routines (e.g., Kiakalayeh et al. 2008). By contrast, disasters lower the life expectancy of women more than that of men—predominantly because of everyday lower socioeconomic status of women in many low-income cultural contexts (Neumayer and Plümper 2007). "
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    • "Drowning data could be obtained from three sources in Iran including: the Death Registry System (DRS) and Forensic Medicine System (FMS), both of which were based on death certificate data, and a weekly report (WR) obtaining case reports from ambulance excursions, thus allowing for case reports not usually registered in hospitals (6). All three datasets were used in the study. "
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