ArticleBMJ open2021
Cross-sectional study to measure household water insecurity and its health outcomes in urban Mexico.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 45 citations in OpenAlex.
- Hydropower development, resettlement, and urban water security: Evidence from Brazil's Belo Monte Dam.World development · 2026Article
- Water Insecurity Is Associated with Sugar-Sweetened Beverage Consumption in a Small-Scale Population in Lowland Bolivia Experiencing Lifestyle Changes.Journal of the Academy of Nutrition and Dietetics · 2026Article
- Trend and change-point dynamics of urban water supply in Gondar City, Ethiopia: a sequential mixed-methods analysis.Scientific reports · 2026Article
- Interacting Water Insecurity and Food Insecurity: Recent Advances in Theory and Application.American journal of human biology : the official journal of the Human Biology Council · 2025Article
- Household water security is a mediator of household food security in a nationally representative sample of Mexico.Public health nutrition · 2025Article
- How water intermittency and water perceptions influence household coping strategies in northwestern Ecuador.PLOS water · 2025Article
- Coping strategies for household water insecurity in rural Gambia, mediating factors in the relationship between weather, water and health.BMC public health · 2024Article
- Article
- Food and nutrition security definitions, constructs, frameworks, measurements, and applications: global lessons.Frontiers in public health · 2024Review
- A declaration on the value of experiential measures of food and water insecurity to improve science and policies in Latin America and the Caribbean.International journal for equity in health · 2023Article
- Explaining Neighbourhood Variations in the Incidence of Dengue Fever in Jeddah City, Saudi Arabia.International journal of environmental research and public health · 2021Article
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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.
designCross-sectional household survey conducted in two waves (rainy and dry seasons).
participants500 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.
resultsWater 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,
conclusionShort-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.
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