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Drowning is a global public health issue. Aims were to assess (a) face validity of the "Pictorial Scale of Perceived Water Competence (PSPWC)," (b) the association between child and parent perception of child swimming competence and (c) factors associated with perception of child swimming competence. Child-parent dyads and swim instructors were recruited for a mixed method study. Children aged 4-8years (n=51) reported on familiarity, progressions and their own swim competence in 17 swimming situations. Parents (n=51) reported on child co
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