Abstract：
BACKGROUND: Drowning is the leading cause of death among children in rural Bangladesh. While survival swimming for children ages 6 years and above is recommended in low-income and middle-income countries, research into the long-term retention of survival swimming skills is absent.
METHODS: The retention of four survival swimming skills, including swimming for 25 m, floating/treading for 30 s, reach rescue skills and throw rescue skills, was observed among those trained under the SwimSafe programme more than 10 years ago. Information about the practice of survival swimming skills among SwimSafe graduates and whether they recommended such lessons for others was also collected through surveys. A multistage sampling strategy was used. Descriptive statistics on the retention of survival swimming skills and other variables and ORs from logistic regression analysis were reported.
RESULTS: A total of 3603 SwimSafe graduates were observed. The retention of swimming and floating/treading skills was 88.4% and 89.7%, respectively, and that of swimming and floating/treading skills combined was 84.2%. While 87.7% of the graduates retained reach rescue skills, the retention of throw rescue skills was lower (71.9%). Approximately 60.6% of the graduates retained all four survival swimming skills. The majority of the graduates (70.3%) rarely practised swimming following graduation. Overall, 61.7% of the graduates recommended other children to learn survival swimming skills.
CONCLUSIONS: The majority of the SwimSafe graduates retained swimming and floating/treading skills for over 10 years despite minimal practice. Retention of throw rescue skills was lower. Therefore, refresher training and awareness campaigns focused on survival swimming skills are recommended.
METHODS: The retention of four survival swimming skills, including swimming for 25 m, floating/treading for 30 s, reach rescue skills and throw rescue skills, was observed among those trained under the SwimSafe programme more than 10 years ago. Information about the practice of survival swimming skills among SwimSafe graduates and whether they recommended such lessons for others was also collected through surveys. A multistage sampling strategy was used. Descriptive statistics on the retention of survival swimming skills and other variables and ORs from logistic regression analysis were reported.
RESULTS: A total of 3603 SwimSafe graduates were observed. The retention of swimming and floating/treading skills was 88.4% and 89.7%, respectively, and that of swimming and floating/treading skills combined was 84.2%. While 87.7% of the graduates retained reach rescue skills, the retention of throw rescue skills was lower (71.9%). Approximately 60.6% of the graduates retained all four survival swimming skills. The majority of the graduates (70.3%) rarely practised swimming following graduation. Overall, 61.7% of the graduates recommended other children to learn survival swimming skills.
CONCLUSIONS: The majority of the SwimSafe graduates retained swimming and floating/treading skills for over 10 years despite minimal practice. Retention of throw rescue skills was lower. Therefore, refresher training and awareness campaigns focused on survival swimming skills are recommended.
摘要：
背景：溺水是孟加拉国农村儿童死亡的主要原因。虽然低收入和中等收入国家建议6岁及以上儿童存活游泳，缺乏对生存游泳技能的长期保留的研究。
方法：保留四种生存游泳技能，包括游泳25米，浮动/踩踏30秒，达到救援技能和投掷救援技能，在10多年前接受过SwimSafe计划培训的人员中观察到。通过调查还收集了有关SwimSafe毕业生的生存游泳技能实践以及他们是否向其他人推荐此类课程的信息。采用多阶段抽样策略。报告了有关生存游泳技能和其他变量的保留以及来自逻辑回归分析的OR的描述性统计。
结果：共观察到3603名游泳安全毕业生。游泳和漂浮/踏步技能的保留率分别为88.4%和89.7%,分别,游泳和漂浮/踏步技能的总和为84.2%。虽然87.7%的毕业生保留了救援技能，投掷救援技能的保留率较低(71.9%)。大约60.6％的毕业生保留了所有四种生存游泳技能。大多数毕业生（70.3％）毕业后很少练习游泳。总的来说,61.7%的毕业生推荐其他孩子学习生存游泳技能。
结论：尽管练习很少，但大多数SwimSafe毕业生仍保留了超过10年的游泳和漂浮/踩踏技能。投掷救援技能的保留率较低。因此,建议进行针对生存游泳技能的进修培训和宣传活动。
方法：保留四种生存游泳技能，包括游泳25米，浮动/踩踏30秒，达到救援技能和投掷救援技能，在10多年前接受过SwimSafe计划培训的人员中观察到。通过调查还收集了有关SwimSafe毕业生的生存游泳技能实践以及他们是否向其他人推荐此类课程的信息。采用多阶段抽样策略。报告了有关生存游泳技能和其他变量的保留以及来自逻辑回归分析的OR的描述性统计。
结果：共观察到3603名游泳安全毕业生。游泳和漂浮/踏步技能的保留率分别为88.4%和89.7%,分别,游泳和漂浮/踏步技能的总和为84.2%。虽然87.7%的毕业生保留了救援技能，投掷救援技能的保留率较低(71.9%)。大约60.6％的毕业生保留了所有四种生存游泳技能。大多数毕业生（70.3％）毕业后很少练习游泳。总的来说,61.7%的毕业生推荐其他孩子学习生存游泳技能。
结论：尽管练习很少，但大多数SwimSafe毕业生仍保留了超过10年的游泳和漂浮/踩踏技能。投掷救援技能的保留率较低。因此,建议进行针对生存游泳技能的进修培训和宣传活动。
