ArticlePloS one2025
A protocol for the development of a validated scale of household water insecurity in the United States: HWISE-USA.
Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Dual Burden of Food and Water Insecurity Among SNAP Households with Children in the Southern United States.International journal of environmental research and public health · 2026Article
- Addressing the Impacts of Water Insecurity on Infant Feeding: Policy Solutions for the US.Maternal & child nutrition · 2026Article
- Why water security matters to cities under extreme heat in the Global North.npj urban sustainability · 2026Article
- The Water Insecurity Experiences (WISE) Scales are suitable for use in high-income settings: findings from cognitive interviews and nationally representative surveys.International journal for equity in health · 2025Article
- Characterizing Water Insecurity Among US College Students: Prevalence, Scope and Linkages With Food Insecurity.American journal of human biology : the official journal of the Human Biology Council · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundNew metrics of household water insecurity have been validated for low- to middle-income countries, but it is unclear how these measurements apply to the experiences of people living in high-income countries. This project aims to develop and validate a novel metric for household water insecurity experiences in the United States (HWISE-USA) using a cross-sectional design and data from the Southwest, Midwest, and Western regions.
methodsWe outline the protocol for the development and validation of a novel household water insecurity scale for the United States to address this scientific need, including the following key steps: (1) item development through literature and theory; (2) pre-testing of items and expert review; (3) scale development and item reduction; and (4) scale validation. To assess the performance of the HWISE-USA scale, we will follow the same scale development analytics on a separate, quasi-nationally-representative U.S. sample. The scale will be generated from household survey data collected from communities at risk of water insecurity throughout the United States. DISCUSSION: We explain how a novel metric of water insecurity experiences for households in the United States has important implications for resource allocation, structural interventions, public health and infrastructure planning, and reductions in inequalities. REGISTRATION: osf.io/zvqs4.
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