Rolig lek eller blodigt allvar? : En kvalitativ studie av lekplatssäkerhetsarbete på kommunala lekplatser i Sverige

Sammanfattning: Introduction: Injuries due to accidents are an underlying cause for a large proportion of the number of health care visits in Sweden every year. According to statistics from the National Board of Health and Welfare in Sweden (socialstyrelsen.se) between 1308,25 and 1405,66 health care visits per 100.000 residents are generated each year for the period 2001-2014 due to accidents, and falling is the largest underlying category. Falling can in turn be studied through a number of subcategories, where fall from equipment on playground is one of them, and this is the subcategory studied in this paper. Statistics from the National Board of Health and Welfare show an increase of the number of health care visits per 100.000 residents in Sweden due to this category during the period 2001-2014, despite the fact that since 1999 there are European standards with the purpose of raising the safety of playgrounds. The statistics also show that in Sweden there are large regional differences in injury prevalence for this category of accidents, which is the reason why this became the focus of this study.   One of the reasons this is an important area for injury prevention work is that it’s a shared societal responsibility, another reason is that the studied population has the largest statistical life expectancy left, so injuries that affect their health can also affect the future wellbeing of the society.  The municipalities’ work regarding this area is dictated by European Standards to ensure the safety of playgrounds. Beyond the specifications for the equipment itself, the standards dictate that a series of inspections of varying degrees are preformed throughout the year to ensure the standards are met.   Aim: The aim of this study is to examine if there are any identifiable and differing factors in the way that municipalities work with playgrounds and playground safety, both practically and theoretically, based on if they are located in a region with high injury prevalence or in a region with low injury prevalence of this type of injury.   Method: The study was designed as a qualitative interview study where representatives of 11 different municipalities were interviewed with the purpose to map out how they worked with playgrounds and playground safety within their municipality. The data collected was then analysed using thematically/ phenomenological content analysis to see if any differing factors between the two groups could be detected.   Results: No major unambiguous differences were discovered between the two compared groups included in the study, but certain tendencies could be found in the material. Four themes were uncovered, enabling factors for the practical work, hindering factors for the practical work, enabling factors for the theoretical work and hindering factors for the theoretical work. These themes in turn produce a number of categories and subcategories. The results show a wider range of both hindering and enabling factors of both the practical and theoretical work in the municipalities from regions with high injury prevalence, compared to the municipalities from regions with low injury prevalence.   Conclusion: The result indicates that there are differences in how the municipalities from regions with low injury prevalence work regarding playground safety compared to municipalities from regions with high injury prevalence. However, further research will be required to fully uncover and explore which these factors are.