Published: 2019-11-27

A cross-sectional study on health related behaviors among swimming pool users and sanitary conditions of swimming pools in Hubballi city

Geeta V. Bathija, Roopakala Narasimha


Background: With evolving and advancing civilization, man-made water recreational environments such as swimming pools, not only offer health promotions and social benefits but are also accompanied with health risks. It is necessary to properly manage and consistently monitor swimming pool to make sure about water treatment methods and health, to protect health of the users. This study aimed to assess the health related behaviours in swimming pool users and to study sanitary condition of swimming pool.

Methods: A cross-sectional study done in Hubballi city among swimming pool users. A semi-structured pre-tested self-administered questionnaire applied to 200 participants of 3 swimming pools. Data collected regarding socio-demographic details, swimming pool regulations, health related events and health benefits and sanitary conditions of swimming pool.

Results: Among 200 participants, 65% were males and 35% were females. 78.5% of the participants had knowledge about swimming pool regulation. 68% had unhealthy habits in swimming pool, among these 62% had at least one reported symptom. 73% of males had unhealthy habits and 57% had at least one reported symptom (p<0.05 significant). As the experience in swimming increases, unhealthy habits decreases (p<0.05 significant) and symptoms will be decreased (p<0.05 significant).

Conclusions: In our study majority of the participants had unhealthy habits and knowledge about swimming pool regulations. All swimming pools were chlorinated and pH was maintained within WHO recommended guidelines.


Swimming pool, Health related behaviours, Reported symptoms, Unhealthy habits, Sanitary conditions

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Garber A, Klein E, Bruce S, Sankoh S, Mohideen P. Metformin-glibenclamide versus metformin plus rosiglitazone in patients with type 2 diabetes inadequately controlled on metformin monotherapy. Diabetes Obes Metab. 2006;8(2):156-63.

O'Brien C. Drug addiction and drug abuse. In: Brunton LB, Lazo JS, Parker KL, eds. Goodman and Gilman's The Pharmacological Basis of Therapeutics. 11th ed. New York, NY: McGraw-Hill; 2005: 607-629.

National Cancer Institute. Fact sheet: targeted cancer therapies, 2012. Available at: http://www. Accessed on 9 June 2019.

Fadaie A, Amiri M. Comparison of chemical, biological and physical quality assessment of indoor swimminhg pools in Shahrekord City, Iran in 2013. Global J Health Sci. 2014;7(3):1916-9736.

Rabi A, Khader Y, Alkafajei A, Aqoulah A. Sanitary conditions of public swimming pools in Amman, Jordan. Intl J Environ Res Public Health. 2008;5(3):152-7.

Recreational Water Illnesses, Healthy Swimming, Healthy Water, CDC, 2019. Available at: Accessed on 18 September 2019

Galle F, Dallolio L, Marotta M, Raggi A, Di Onofrio V, Liguori G, et al. Health related behaviours in swimming pool users: Influence of knowledge of regulations and awareness of health risks. Int J Environ Res Public Health. 2016;13(5):513.

Momas I, Brette F, Spinasse A, Squinazi F, Dab W, Festy B. Health effects of attending a public swimming pool follow up of a cohort of pupils in Paris. J Epidemiol Community Health. 1993;47:464-8.

Bowen AB, Kile JC, Otto C, Kazerouni N, Austin C, Blount BC, et al. Outbreaks of short incubation ocular and Respiratory illness following exposure to indoor swimming pools. Environ Health Perspect. 2006;115(2):267-71.

Bonadonna L, La Rosa G. A review and upadate on waterborne viral diseases associated with swimming pools. Int J Environ Res Public Health. 2019;16(2):166.

Barna Z, Kadar M. The risk of contracting infectious diseases in public swimming pools. Ann Ist Super Sanita. 2012;48(4):374-86.

Karini A, Radfard M, Naghizadeh A, Bigalri H, Alvani V, Mahdavi M, et al: Formation of disinfection by products and fungal contamination data in swimming pools: a case study in Gonabad, Iran. Elsevier. 2018;22:2352-3409.

Crone PB, Tee GH. Staphylococci in swimming pool. J Hyg (Lond). 1974;73(2):213-20.

Wei X, Li J, Hou S, Xu C, Zhang H, Atwill ER, et al. Assessment of microbiological safety of water in public swimming pools in Guangzhou, China. Int J Environ Res Public Health. 2018;15(7):e1416.

van Veldhoven K, Keski-Rahkonen P, Kbarupal DK, Villanueva CM, Font-Ribera L, Scalbert A, et al. Effects of exposure to water disinfection by products in a swimming pool: a metabolome wide association study. Environ Int. 2018;111:60-70.

Favero MS. Microbiologic indicators of health risks associated with swimming. Am J Public Health. 1985;75(9):1051-4.

Li J, Lu X, Sun Y, Lin C, Li F, Yang Y, et al. A swimming pool associated outbreak of pharyngoconjuctival fever caused by human adenovirus type 4 Beijing, China. Int J Infect Dis. 2018;75:89-91.

Berg AP, Fang TA, Tang HL. Variability of residual chlorine in swimming pool water and determination of chlorine consumption for maintaining hygienic safety of bathers with a simple mass balance model. J Water Health. 2019;17(2):227-36.

Botlagunta M, Bondili JS, Mathi P. Water and chlorination and its relevance to human health. Asian J Pharmaceuticals Clin Res. 2015;8(1):20-4.

Dufour AP, Evans O, Behymer T, Cantu R. Water ingestion during swimming activities in a pool a pilot study. J Water Health. 2006;4(4):425-30.

Voisin C, Sardella A, Marcucci F, Bernard A. Infant swimming in chlorinated pools and the risks of bronchitis, asthma and allergy. Europ Respirator J. 2010;36(1):41-7.

Ekopai JM, Mussi NI, Onyuth H, Namara BG, Sente C. Determination of bacterial quality of water in randomly selected swimming pools in Kampala city, Ugande. Hindawi New J Sci. 2017:16525598.