Self-reported Effects of Water on Health in First Nations Communities in Saskatchewan, Canada: Results From Community-Based Participatory Research
Self-reported Effects of Water on Health in First Nations Communities in Saskatchewan, Canada: Results From Community-Based Participatory Research
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加拿大萨斯喀彻温省原住民社区自我报告的水对健康的影响：基于社区的参与性研究的结果
DOI：
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发表时间：
2017
影响因子：
2.7
通讯作者：
Lalita Bharadwaj
中科院分区：
文献类型：
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作者：
C. Waldner;H. Alimezelli;Lianne McLeod;Rebecca Zagozewski;L. Bradford;Lalita Bharadwaj
加拿大原住民保留地与水有关的健康挑战以前已有记录。我们的目标是描述与自来水在8个第一民族保留社区在萨斯喀彻温省，加拿大自我报告的健康影响的相关因素。在设计和执行跨部门住户调查时采用了社区参与式办法。在多水平分析中考虑了个人、家庭、社区和背景效应。28%的家庭（n = 579）报告了自来水对健康的负面影响。关注影响水质的环境因素（比值比[OR] = 3.4，95%置信区间[CI] = 1.8-6.7），很少或从不饮用自来水（OR = 2.9，95% CI = 1.3-6.6），自来水不足（OR = 3.0，95%CI = 1.4-6.3），购买瓶装水（OR = 3.2，95% CI = 1.2-8.7），对自来水的不满意与自报的健康影响相关（n = 393）;然而，不满意的影响被修改的受访者年龄（P = 0.03）。质量和可用性与饮用水对健康影响的看法有关，这提供了更多的信息，说明对饮用水的持续关注如何影响一些原住民自我报告的健康状况。
Water-related health challenges on First Nations reserves in Canada have been previously documented. Our objective was to describe factors associated with self-reported health effects from tap water in 8 First Nations reserve communities in Saskatchewan, Canada. Community-based participatory approaches were used in designing and implementing cross-sectional household surveys. Individual, household, community, and contextual effects were considered in multilevel analysis. Negative health effects from tap water were reported by 28% of households (n = 579). Concerns about environmental factors affecting water quality (odds ratio [OR] = 3.4, 95% confidence interval [CI] = 1.8-6.7), rarely or never drinking tap water (OR = 2.9, 95% CI = 1.3-6.6), insufficient tap water (OR = 3.0, 95% CI = 1.4-6.3), paying for bottled water (OR = 3.2, 95% CI = 1.2-8.7), and dissatisfaction with tap water were associated with self-reported health effects (n = 393); however, the effect of dissatisfaction was modified by respondent age (P = .03). Quality and availability were associated with perceptions of health effects from drinking water, providing additional information on how ongoing concerns about drinking water influence self-reported health in some First Nations.