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Updated: Apr 8, 2026

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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
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Summary
Accidental drownings pose a risk to U.S. service members, with rates decreasing but fatality rates remaining stable. Young, male, Navy, and Marine Corps personnel face higher risks.
Area of Science:
- Public Health
- Military Medicine
- Injury Prevention
Background:
- Service members face significant risks of unintentional drowning during training, occupational duties, and recreational activities.
- Drowning incidents represent a serious concern within the U.S. military population, impacting readiness and well-being.
Purpose of the Study:
- To analyze the incidence and fatality rates of accidental drowning among U.S. service members from 2005 to 2014.
- To identify demographic and service-specific factors associated with increased drowning risk and mortality.
Main Methods:
- Retrospective analysis of accidental drowning incidents reported by U.S. service members between 2005 and 2014.
- Calculation of incidence and death rates per 100,000 person-years, stratified by demographic and service characteristics.
Main Results:
- A total of 1,193 drowning incidents occurred, with an overall incidence rate of 8.4 per 100,000 person-years.
- Approximately 13.6% of drowning incidents were fatal, with death rates remaining stable despite a decrease in overall incidence.
- Higher incidence and death rates were observed in males, younger service members, and those in the Navy or Marine Corps. Fatalities were disproportionately higher among black, non-Hispanic service members.
Conclusions:
- While the overall incidence of accidental drowning decreased, the fatality rate remained a persistent concern.
- Targeted prevention strategies are needed for high-risk groups, including young males in specific military branches and black, non-Hispanic service members.
- Increased awareness and focused interventions are crucial to mitigate drowning risks within the U.S. military.
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