ArticleAmerican journal of public health2015
Disparities in Water and Sewer Services in North Carolina: An Analysis of the Decision-Making Process.
Article in American journal of public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Development of a framework to structure decision-making in environmental and occupational health: A systematic review and Delphi study.Environment international · 2025Pooled it
- Aerobic Treatment Units for Widespread Onsite Wastewater Treatment in Coastal Louisiana: Pollution, Policy, and Market-Based Solutions.Environmental science & technology · 2026Article
- Effect of Community Water Service on Lead in Drinking Water in an Environmental Justice Community.Environmental science & technology · 2024Article
- Digital Inclusion for Farmworkers in a Pandemic: The North Carolina Farmworker Health Program Internet Connectivity Project, 2020‒2021.American journal of public health · 2022Article
- Impacts of Exclusion From Municipal Water Service on Water Availability: A Case Study.New solutions : a journal of environmental and occupational health policy : NS · 2020Article
- Relationship between race and community water and sewer service in North Carolina, USA.PloS one · 2018Article
- Strategies to Improve Private-Well Water Quality: A North Carolina Perspective.Environmental health perspectives · 2017Review
- Exposure to Contaminated Drinking Water and Health Disparities in North Carolina.American journal of public health · 2017Article
- Reducing Emergency Department Visits for Acute Gastrointestinal Illnesses in North Carolina (USA) by Extending Community Water Service.Environmental health perspectives · 2016Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe examined the factors that affect access to municipal water and sewer service for unincorporated communities relying on wells and septic tanks.
methodsUsing a multisite case study design, we conducted in-depth, semistructured interviews with 25 key informants from 3 unincorporated communities in Hoke, New Hanover, and Transylvania counties, North Carolina, July through September 2013. Interviewees included elected officials, health officials, utility providers, and community members. We coded the interviews in ATLAS.ti to identify common themes.
resultsFinancing for water and sewer service emerged as the predominant factor that influenced decisions to extend these services. Improved health emerged as a minor factor, suggesting that local officials may not place a high emphasis on the health benefits of extending public water and sewer services. Awareness of failed septic systems in communities can prompt city officials to extend sewer service to these areas; however, failed systems are often underreported.
conclusionsUnderstanding the health costs and benefits of water and sewer extension and integrating these findings into the local decision-making process may help address disparities in access to municipal services.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.