Table 1

Alcohol involvement in deaths arising from recreational swimming: summary of results from main studies

Country and yearsPopulation*Swimming†Alcohol determination criteria
*Study population for the whole study from which the swimming data come, plus relevant information about the activity of the subjects included in the results for this table (which attempts to only cover recreational swimming).
†“n” represents the total number of persons in the study in the swimming (or similar) category.
United States (New York), 1988–94; Browne et al, 20032All unintentional drowningsn = 214Death within 6 hours; blood taken with 24 hours of death
Persons ⩾15 years; “swimming”More than zero49%
>0.0540%Available for 111 (52%)
>0.1035%
United States (California), 1974–85; Wintemute et al, 198832All drowningsn = 73Death within 6 hours; blood taken with 24 hours of death
Persons ⩾20 years; “swimming, wading, diving”More than zero63%Available for 40 (55%)
>0.0555%
>0.1040%
Canada, 1999; Canadian Red Cross Society, 200033All drowning deathsn = 58“Blood testing”—no more details
Persons ⩾15 years; “recreational swimming”More than zero63%Available for 40 (69%)
>0.0853%
United States (Maryland), 1968–72; Dietz and Baker 197434“Accidental” drowningsn = ? (total number not known)“Blood tests”; body submerged less than 12 hours
Persons ⩾15 years; “swimming”More than zero79%
>0.1064%Available for 14 (unknown %)
>0.1550%
Australia (Geelong), 1959–83; Plueckhahn, 198436“Accidental” drowningsn = ? (total number not known)“Valid” blood alcohol levels in autopsy blood sample
Persons ⩾15 years; “swimming or surfing”More than zero37%
⩾0.0816%Available for 43 (unknown % of swimming deaths, but available for 61% of all drownings)
⩾0.1516%
Australia (Geelong), 1967–71; Plueckhahn, 197235“Accidental” drowningsn = ? (total number not known)“Valid” blood alcohol levels in autopsy blood sample
Persons ⩾16 years; “swimming, etc”More than zero43%
⩾0.0836%Available for 14 (unknown % of swimming deaths, but available for 69% of all drownings)
⩾0.1536%
South Africa (Cape Town), 1980–83; Davis and Smith, 198537All drowningsn = 87Alcohol present in autopsy blood sample
Persons ⩾16 years; “swimming”More than zero55%Available for 87 (100%)
United States (North Carolina), 1980–84; Patetta and Biddinger, 198838Unintentional drowningsn = ? (total number not known)Alcohol present in autopsy blood sample
Persons ⩾15 years; “swimming and wading”>0.10>20%Available for an unknown % of swimming deaths, but for 87% of all drownings
United States (army soldiers), 1980–97; Bell et al, 20013Non-intentional drowningsn = 352Alcohol information obtained from investigative reports. No blood alcohol values presented.
Active male soldiers ⩾18 years; 83% associated with recreation, particularly swimming (40%), boating (15%) and diving (6%)“Contributed” to 31% of all cases, and 58% of cases with information on blood alcoholAvailable for 187 (53%)
Denmark, 1989–93; Steensberg, 199839“Accidental” drowning deathsn = 33Information on alcohol involvement from the death certificate summary Available for an unknown % of swimming deaths
Persons ⩾15 years; “bathing or swimming”“Under the influence”36%