Cargando…
Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico
OBJECTIVE: To assess the links between structural and household determinants of household water insecurity and test three water insecurity measures against self-reported diarrhoea, dengue fever and perceived stress in the middle-income and low-income urban areas of Torreón, Mexico. DESIGN: Cross-sec...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938997/ https://www.ncbi.nlm.nih.gov/pubmed/33674365 http://dx.doi.org/10.1136/bmjopen-2020-040825 |
_version_ | 1783661677203423232 |
---|---|
author | Jepson, Wendy E Stoler, Justin Baek, Juha Morán Martínez, Javier Uribe Salas, Felipe Javier Carrillo, Genny |
author_facet | Jepson, Wendy E Stoler, Justin Baek, Juha Morán Martínez, Javier Uribe Salas, Felipe Javier Carrillo, Genny |
author_sort | Jepson, Wendy E |
collection | PubMed |
description | OBJECTIVE: To assess the links between structural and household determinants of household water insecurity and test three water insecurity measures against self-reported diarrhoea, dengue fever and perceived stress in the middle-income and low-income urban areas of Torreón, Mexico. DESIGN: Cross-sectional household survey conducted in two waves (rainy and dry seasons). PARTICIPANTS: 500 households selected via multistage cluster sample in selected communities. Socioeconomic status determined the selection of participant neighbourhoods; five were identified in low socioeconomic status neighbourhoods and five in low-medium socioeconomic status neighbourhoods. We examine how the context of urban water provision is related to a new cross-culturally valid Household Water Insecurity Experiences (HWISE) Scale. PRIMARY OUTCOME MEASURES: The HWISE Scale, self-reported diarrhoea, dengue fever and the Perceived Stress Scale. RESULTS: Water system intermittency (adjusted OR (AOR) 3.96, 95% CI 2.40 to 6.54, p<0.001), unpredictability (AOR 2.24, 95% CI 1.34 to 3.74, p=0.002) and the dry season (AOR 3.47, 95% CI 2.18 to 5.52, p<0.001) were structural correlates of the HWISE Scale. This study also found that the HWISE Scale was associated with two health outcomes, self-reported diarrhoea (AOR 1.09, 95% CI 1.03 to 1.15, p=0.002) and perceived stress (β=0.28, SE=0.07, t=4.30, p<0.001), but not self-reported dengue fever (AOR 1.02, 95% CI 0.98 to 1.06). A 3-item hygiene subscore and a 3-item water worry subscore were also both positively associated with self-reported diarrhoea and perceived stress. CONCLUSION: Short-form screeners of water insecurity may be useful for assessing certain health risks by lay survey workers in settings with limited healthcare resources, particularly in lieu of more expensive microbiological tests that require specialised training and facilities. |
format | Online Article Text |
id | pubmed-7938997 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-79389972021-03-21 Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico Jepson, Wendy E Stoler, Justin Baek, Juha Morán Martínez, Javier Uribe Salas, Felipe Javier Carrillo, Genny BMJ Open Global Health OBJECTIVE: To assess the links between structural and household determinants of household water insecurity and test three water insecurity measures against self-reported diarrhoea, dengue fever and perceived stress in the middle-income and low-income urban areas of Torreón, Mexico. DESIGN: Cross-sectional household survey conducted in two waves (rainy and dry seasons). PARTICIPANTS: 500 households selected via multistage cluster sample in selected communities. Socioeconomic status determined the selection of participant neighbourhoods; five were identified in low socioeconomic status neighbourhoods and five in low-medium socioeconomic status neighbourhoods. We examine how the context of urban water provision is related to a new cross-culturally valid Household Water Insecurity Experiences (HWISE) Scale. PRIMARY OUTCOME MEASURES: The HWISE Scale, self-reported diarrhoea, dengue fever and the Perceived Stress Scale. RESULTS: Water system intermittency (adjusted OR (AOR) 3.96, 95% CI 2.40 to 6.54, p<0.001), unpredictability (AOR 2.24, 95% CI 1.34 to 3.74, p=0.002) and the dry season (AOR 3.47, 95% CI 2.18 to 5.52, p<0.001) were structural correlates of the HWISE Scale. This study also found that the HWISE Scale was associated with two health outcomes, self-reported diarrhoea (AOR 1.09, 95% CI 1.03 to 1.15, p=0.002) and perceived stress (β=0.28, SE=0.07, t=4.30, p<0.001), but not self-reported dengue fever (AOR 1.02, 95% CI 0.98 to 1.06). A 3-item hygiene subscore and a 3-item water worry subscore were also both positively associated with self-reported diarrhoea and perceived stress. CONCLUSION: Short-form screeners of water insecurity may be useful for assessing certain health risks by lay survey workers in settings with limited healthcare resources, particularly in lieu of more expensive microbiological tests that require specialised training and facilities. BMJ Publishing Group 2021-03-05 /pmc/articles/PMC7938997/ /pubmed/33674365 http://dx.doi.org/10.1136/bmjopen-2020-040825 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Global Health Jepson, Wendy E Stoler, Justin Baek, Juha Morán Martínez, Javier Uribe Salas, Felipe Javier Carrillo, Genny Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title | Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title_full | Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title_fullStr | Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title_full_unstemmed | Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title_short | Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico |
title_sort | cross-sectional study to measure household water insecurity and its health outcomes in urban mexico |
topic | Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7938997/ https://www.ncbi.nlm.nih.gov/pubmed/33674365 http://dx.doi.org/10.1136/bmjopen-2020-040825 |
work_keys_str_mv | AT jepsonwendye crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico AT stolerjustin crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico AT baekjuha crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico AT moranmartinezjavier crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico AT uribesalasfelipejavier crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico AT carrillogenny crosssectionalstudytomeasurehouseholdwaterinsecurityanditshealthoutcomesinurbanmexico |