{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:42:43Z","timestamp":1786977763656,"version":"build-2736575974"},"reference-count":38,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,10,8]],"date-time":"2023-10-08T00:00:00Z","timestamp":1696723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100021708","name":"New South Wales Government","doi-asserted-by":"publisher","award":["RG214380"],"award-info":[{"award-number":["RG214380"]}],"id":[{"id":"10.13039\/501100021708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Issue Addressed<\/jats:title>\n                    <jats:p>To understand barriers to uptake of subsidised swimming lessons by children aged 3\u20136\u2009years old (\u2018preschool aged children\u2019), including from priority populations, in New South Wales (NSW).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A thematic analysis of 4191 qualitative responses from parents\/carers of preschool aged children describing barriers that resulted in their child's non\u2010participation in subsidised swimming lessons in the past 12\u2009months was conducted. Data, including parent\/carer sociodemographic variables, were collected through registrations for the NSW Government's First Lap voucher program.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven overarching barriers to participation were identified: (1) child's disability or health needs; (2) swimming lesson affordability; (3) family or personal circumstances; (4) lack of or poor availability of swimming lessons; (5) parent\/carer availability, including to fulfil participation requirements; (6) COVID\u201019 and (7) deprioritisation of formal swimming lessons due to parent\/carer perceptions relating to its importance. These may limit the uptake of swimming lessons in preschool aged children, particularly those who are Aboriginal and Torres Strait Islander, from culturally and linguistically diverse backgrounds, living with a disability, from low socioeconomic families and living in regional and remote areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Structural barriers must be addressed to increase uptake of swimming lessons in preschool aged children, particularly in priority populations, to reduce drowning risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>So What?<\/jats:title>\n                    <jats:p>Evidence\u2010based policy initiatives, with robust evaluation, should seek to address the availability and flexibility of swimming lessons, including for priority populations; complexities associated with supervision requirements; poor awareness of parents\/carers of the importance of swimming for preschool aged children and the lack of continuity of swimming for children in out of home care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.811","type":"journal-article","created":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T19:48:36Z","timestamp":1697053716000},"page":"770-783","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Barriers to preschool aged children's participation in swimming lessons in New South Wales, Australia"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2728-6896","authenticated-orcid":false,"given":"Vidthyany","family":"Ananthapavan","sequence":"first","affiliation":[{"name":"School of Population Health, Faculty of Medicine and Health University of New South Wales  Kensington Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6424-1511","authenticated-orcid":false,"given":"Amy E.","family":"Peden","sequence":"additional","affiliation":[{"name":"School of Population Health, Faculty of Medicine and Health University of New South Wales  Kensington Australia"},{"name":"College of Public Health, Medical and Veterinary Sciences James Cook University  Townsville Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7188-7740","authenticated-orcid":false,"given":"Blake","family":"Angell","sequence":"additional","affiliation":[{"name":"The George Institute for Global Health  Newtown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2967-7977","authenticated-orcid":false,"given":"Rona","family":"Macniven","sequence":"additional","affiliation":[{"name":"School of Population Health, Faculty of Medicine and Health University of New South Wales  Kensington Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,10,8]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Preventing drowning: an implementation guide [Internet]","author":"World Health Organization","year":"2017"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15618"},{"key":"e_1_2_12_4_1","volume-title":"Royal Life Saving National Drowning Report 2022 [Internet]","author":"Royal Life Saving Society\u2014Australia","year":"2022"},{"key":"e_1_2_12_5_1","volume-title":"Global report on drowning: preventing a leading killer [Internet]","author":"World Health Organization","year":"2014"},{"key":"e_1_2_12_6_1","volume-title":"Towards a water\u2010loving nation free from drowning: the role of learn to swim. 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