Drinking Water Violations and Environmental Justice in the United States, 2011-2015. 2018

Yolanda J McDonald, and Nicole E Jones
Yolanda J. McDonald is with the Department of Human and Organizational Development, Peabody College, Vanderbilt University, Nashville, TN. Nicole E. Jones is with the Sociology Department, College of Arts and Sciences, University of Missouri, Columbia.

To assess the extent to which drinking water violations in the United States differed on the basis of county race/ethnicity and socioeconomic status using the primary county served by the community water system (CWS) as the unit of analysis and to determine whether counties with higher proportions of underrepresented groups were disproportionately burdened with repeat violations. We used multivariable logistic regression to calculate odds ratios of contextual environmental justice covariates associated with initial and repeat drinking water violations. We obtained violations from the federal Safe Drinking Water Information System. Results were nonstratified and stratified on the basis of population size served by the CWS. Stratified multivariable logistic regression results revealed previously unobservable patterns in nonstratified findings. Minorities face significant challenges, including exposure to poor water quality. The most notable differences in both initial and repeat violations that we observed were among CWSs that serve large populations. Our most consistent finding was the positive association of initial and repeat violations with the proportion of those who were uninsured, irrespective of stratification. Greater efforts are needed to ensure that counties with higher proportions of minorities, uninsured households, and low-income households have access to safe drinking water, irrespective of the size of population served by the CWS.

UI MeSH Term Description Entries
D008297 Male Males
D011204 Poverty Areas City, urban, rural, or suburban areas which are characterized by severe economic deprivation and by accompanying physical and social decay. Ghettos,Slums,Area, Poverty,Areas, Poverty,Ghetto,Poverty Area,Slum
D005006 Ethnicity A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships. Ethnic Groups,Nationality,Ethnic Group,Nationalities
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012923 Social Class A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income. Caste,Social Gradients,Socioeconomic Level,Socioeconomic Status,Middle Class Population,Castes,Class, Social,Gradient, Social,Level, Socioeconomic,Middle Class Populations,Population, Middle Class,Social Classes,Social Gradient,Socioeconomic Levels,Status, Socioeconomic
D012935 Social Justice An interactive process whereby members of a community are concerned for the equality and rights of all. Food Justice,Common Good,Justice,Obligations of Society,Good, Common,Justice, Food,Justice, Social
D014481 United States A country in NORTH AMERICA between CANADA and MEXICO.
D017057 Medically Uninsured Individuals or groups with no or inadequate health insurance coverage. Those falling into this category usually comprise three primary groups: the medically indigent (MEDICAL INDIGENCY); those whose clinical condition makes them medically uninsurable; and the working uninsured. Medically Underinsured,Underinsured,Uninsured
D060753 Water Quality A rating of a body of water based on measurable physical, chemical, and biological characteristics. Quality, Water

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