LJ 11 Increase Access to Life Jacket Loaner Stations
Increase access to life jackets for all ages through life jacket loaner stations at boat ramps, open water swimming venues, and designated water access points.
Spectrum level: Changing Organizational Practices
Evidence level: Medium
Rationale:
Evidence shows that 90% of people who drown on/in U.S. Army Corps of Engineers (USACE) managed lakes and rivers were not wearing a life jacket. Additionally, wearing a life jacket may decrease drowning deaths among boaters by 50%. Increased life jacket wear has been shown to be significantly correlated with lower fatality rates across all spectrum of activities, in fact, survivability among those casualties wearing life jackets has been found to be 94%. Finally, community-based campaigns have led to the availability of life jacket loaner stations, which have been reported to save lives.
Anticipated Impact:
After implementing this recommendation, you can expect to experience the following outcomes.
- Greater access to life jackets should lead to an increase in life jacket use, which in turn should lead to a decrease in the number of drowning fatalities.
Evidence:
The U.S. Army Corps of Engineers (USACE) has established a LJL (life jacket loaner) program that they offer at their USACE lakes and waterways. USACE research indicates that 90% of drownings at USACE sites could have been prevented if a life jacket had been worn by the victim. They have established life jacket loaner programs to increase wear and educate the public on the importance of life jackets. USACE recommends the development of a national life jacket loaner program. There is evidence indicating that wearing a life jacket may decrease drowning deaths among boaters by 50%. Additionally, research has found that increased life jacket wear lowers fatality rates across all spectrums of activities, and survivability rates among those wearing life jackets up to 94%. Research has shown that life jacket wear significantly decreases with increasing age. A study with close to 2,000 individuals found that children less than 6 years old had the highest use of some type of flotation (66%), and that they had the highest use of life jackets (50.5%). Children less than 13 years old were more likely to use flotation devices and life jackets than teens; boys were more likely than girls to wear life jackets. While teenagers and adults used flotation (29.5% and 23.5%), they rarely used life jackets (2–3%). Boys less than 6 years old who were further than arm’s length of an adult were more likely to wear life jackets than girls. Substandard flotation use did not differ among age groups (15.5–26.5%) but their use was greater among females in most age groups. The authors conclude that flotation devices were frequently used for recreational wading and swimming in open water by all age groups. Life jacket use was limited to children. Therefore, promoting the use of flotation devices with adequate safety standards to provide effective protection, as well as devices that can be fun, could potentially decrease open-water drowning rates. Additionally, there is evidence that community-based campaigns have led to the increased availability of life jacket loaner stations and that loaner stations are an effective drowning prevention strategy (Bennett & Bernthal, 2001). Given the efficacy of life jackets in preventing drowning among boaters, it is reasonable to promote life jackets or approved floatation devices for recreational swimmers, especially in a non-lifeguarded area. Observations, policy reviews, and educational materials all indicate that life jackets for swimmers have some acceptability among the user, prevention specialists and aquatic organizations. Importantly, many swimmers already use some type of floatation, although it is usually not approved for drowning prevention. Ultimately, life jackets can be an extra layer of protection for individuals engaging in a wide range of aquatic activities.
Evidence Sources:
Quan L, & Gilchrist J. (2022). The epidemiology and prevention of drowning. Boulton M.L., & Wallace R.B.(Eds.), Maxcy-Rosenau-Last Public Health & Preventive Medicine (16th ed.). McGraw Hill. https://accessmedicine.mhmedical.com/content.aspx?bookid=3078§ionid=257531213
U.S. Army Corps of Engineers. (2011). Memorandum-Life jacket loaner program guidelines. https://corpslakes.erdc.dren.mil/employees/watersafety/pdfs/LifeJacketLoanerProgramMemo-Guidelines.pdf
Cummings P, Mueller BA, Quan L. (2011). Association between wearing a personal floatation device and death by drowning among recreational boaters: a matched cohort analysis of United States Coast Guard data. Injury Prevention, 17, 56-159. http://dx.doi.org/10.1136/ip.2010.028688
Pitman S.J., Wright M., & Hocken R. (2019). An analysis of lifejacket wear, environmental factors, and casualty activity on marine accident fatality rates. Safety Science, 111, 234-242. https://doi.org/10.1016/j.ssci.2018.07.016
Quan L., Mangione T., Bennett E., & Chow W. (2018). Use of life jackets and other types of flotation for in-water recreation in designated swim areas in Washington State. Injury Prevention, 24(2), 123-128. https://doi.org/10.1136/injuryprev-2016-042296
Wintemute G.J., Anton A., Andrada E., & Ribeira R. (2013). Compliance with an ordinance requiring the use of personal flotation devices by children in public waterways. Western Journal of Emergency Medicine, 14(2), 200-203. https://doi.org/10.5811/westjem.2012.1.11717
Bennett, E., & Quan, L. (2018). Wearing life Jackets while swimming in open water. International Journal of Aquatic Research and Education, 11(2), 1-3. https://www.doi.org/10.250035/ijare.11.02.02
U.S. Army Corps of Engineers. (2012) Life jacket policy study. https://corpslakes.erdc.dren.mil/employees/watersafety/pdfs/Life%20Jacket%20Policy%20Study%20Public.pdf
Stempski S., Schiff M., Bennett E., & Quan L. (2014). A case-control study of boat-related injuries and fatalities in Washington state. Injury Prevention, 20(4), 232-237. https://doi.org/10.1136/injuryprev-2013-041022
High Risk Populations Addressed:
Populations whose risk of drowning decreases the most with the implementation of this recommendation may have one or more of the following characteristics:
- Children age 1-4 and 5-9
- Males 15-35 years old
- Individuals who primarily speak a language other than English
- Individuals with limited financial resources
- Individuals swimming outside of designated swim areas
- Individuals with limited water competency
- Individuals who don’t own life jackets
Evaluation Metrics:
Indicators of long-term impact:
- Increase in the number of life jacket loaner stations, and, or programs at public swimming and boating areas
- Enhanced, and, or increased partnerships with life jacket loaner station sponsors
- Increase in life jacket wear for people participating in boating, swimming, watercraft and other water activities
Indicators of intermediate impact:
- Life jacket loaner programs are meeting the eight best practices laid out by the SeaTow Foundation
Indicators of initial impact:
- Additional national sponsors for programs are involved
- Measures are in place that help limit the liability of those providing, and, or sponsoring a life jacket loaner program
- Suggestions for effective messaging for such a program (signage, promotion, etc.) are available
- Culturally relevant signage and education about the programs are available
- Life jackets are secure and in place at all times
- A guide on how to develop, maintain, and evaluate the effectiveness of a life jacket loaner program is developed
- Both community-based approaches, as well as standard options for programs are available (including signage)
Implementation:
Consider the following to ensure successful implementation:
- Develop a national standard for life jacket loaner boards, or life jacket loaner stations, with guidelines supportive of diverse communities and community-based approaches (varying abilities, age considerations, cultural aspects, language, etc.)
- Define best practice recommendations for where life jacket loaner programs should exist (include public access points to waterways, both for boaters and swimmers, aquatic recreational areas, city, county, state, and national parks, indoor and outdoor pools, and water parks).
- Seek additional national, state, and local partners and sponsors to help establish life jacket loaner stations and life jacket loaner programs.
- Create life jacket loaner stations and loaner board manuals (available in various languages/delivery modalities).
- Provide templates to download for signage (with space for sponsorship logos, multiple languages, etc.).
- Provide life jacket educational and social media promotion messages.
- Provide guidance on how to address liability concerns, etc.
- Increase funding opportunities both to develop and maintain a loaner program.
- Identify potential stakeholders in communities to support the life jacket loaner programs (examples of partners to create a sustainable life jacket loaner program could include: Parks & Recreations Departments, aquatics facilities, boat rentals, food vendors, hotels, school districts, Departments of Natural Resources, Game & Fish Departments, public health agencies, community-based organizations, etc.)
- Explore options for a national sponsor to support loaner station and program efforts.
- Provide both adult and child and youth-sized life jackets at stations and boards so that parents and caregivers can model life jacket use as well as be prepared if a rescue is necessary.
- Evaluate the impact of loaner stations and programs, including wear and attitudes among boaters and swimmers.
Challenges to Implementation:
When implementing this recommendation, you might encounter challenges related to the following factors:
- There may be costs and on-going maintenance.
- There may be liability concerns.
- There could be a lack of community or organizational (either at a specific site or overall) buy in for a life jacket loaner program.
Potential Facilitators:
The following factors might facilitate the implementation of this recommendation:
- Community-based ownership and engagement (determining, and, or reviewing visuals, language, promotion, and the overall approach).
- Engagement and partnership from groups like the SeaTow Foundation, U.S. Coast Guard Auxiliary, big box stores (Cabelas, Bass Pro Shop, Nike, Dick’s Sporting Goods, etc.), State Game and Fish Departments, State Departments of Natural Resources Agencies, service clubs, Boy and Girl Scout groups, City and State Parks and Recreation, Boat U.S. Foundation.
GAP Recommendation:
NEW LJ ACC A1 GAP: Evaluate the efffectiveness of life jacket loaner programs at boat ramps, open water swimming venues, and designated water access points."