Abstract

Introduction
The knowledge and beliefs of those engaged in activities are seen to provide valuable information to inform the development of incident prevention strategies.
Objectives
This study aimed to explore the perception of the cause of injuries and medical conditions amongst those paddling kayaks in the sea environment.
Methods
Four-hundred questionnaires were distributed at coastal launch sites in West Wales. One hundred and seventy-eight questionnaires were returned.
Results
Impact with rocks and the beach were seen to be the two most likely causes of negative health consequences. Statistically significant differences in responses to the most likely cause of injuries and medical conditions were observed according to the type of boat used, the activities undertaken, the qualifications held, ability, and direct experience of health impacts. While impact with rocks and beach were seen to be a major causal factor among users of different types of boats, there was variation in the observed use of protective helmets. Direct observation also indicates that the adoption and use of personal flotation devices should not be a major issue of concern for those in the United Kingdom wishing to promote water safety among those kayaking in the sea. There appears to be a mismatch between health impacts of kayaking as outlined in the literature and perceptions of causality. It may be the case that respondents focus upon acute incidents as opposed to conditions that develop over time. This in turn may influence prevention strategies with the emphasis being placed upon immediate as opposed to chronic conditions.
Conclusions
It is concluded that there is variation in the perception of the cause of injuries and medical conditions and this may be linked to the demands of particular activities and boats and experience and beliefs of participants. Such information could usefully inform incident prevention strategies.
