Bermedo-Carrasco Silvia, Bharadwaj Lalita, Waldner Cheryl L
a School of Public Health , University of Saskatchewan , Saskatoon , SK , Canada.
b Western College of Veterinary Medicine , University of Saskatchewan , Saskatoon , SK , Canada.
Int J Circumpolar Health. 2018 Dec;77(1):1466605. doi: 10.1080/22423982.2018.1466605.
Previous studies have described concerns regarding tap water in Indigenous communities, yet there is little information on participants who report drinking their tap water and being satisfied with its quality. This study undertaken with members of 8 Indigenous communities in Saskatchewan, Canada, and identified factors associated with both the decision to drink tap water at home and being satisfied with its quality. We examined the importance of factors such as individual attributes, experiences, attitudes, household and community-based variables. Less than one-quarter of participants (23.4%) drank tap water and were satisfied with its quality. Individuals who did not boil tap water (odds ratio [OR] = 5.76, 95% confidence interval [CI] = 1.68-19.8), those who did not experience tap water odour (OR = 2.38, 95% CI = 1.26-4.50) and participants living in communities away from urban centres (OR = 2.74, 95% CI = 1.63-4.51) were more likely to drink and be satisfied with their tap water. Concerns about the environment had the most impact on community members aged 55+ years. Those not reporting concerns about environmental problems affecting water (OR = 11.4, 95% CI = 3.10-42.2) were much more likely to drink and be satisfied with their tap water. Programmes to improve water quality, reduce the need for boil water advisories and increase community confidence in the environment could improve tap water satisfaction and consumption.
以往的研究描述了原住民社区对自来水的担忧，但关于那些报告饮用自来水并对其水质感到满意的参与者的信息却很少。本研究对加拿大萨斯喀彻温省8个原住民社区的成员进行了调查，确定了与在家中饮用自来水的决定以及对其水质感到满意相关的因素。我们考察了个人属性、经历、态度、家庭和社区层面变量等因素的重要性。不到四分之一的参与者（23.4%）饮用自来水并对其水质感到满意。不煮沸自来水的个体（优势比[OR]=5.76，95%置信区间[CI]=1.68 - 19.8）、没有经历过自来水异味的个体（OR=2.38，95% CI=1.26 - 4.50）以及居住在远离城市中心社区的参与者（OR=2.74，95% CI=1.63 - 4.51）更有可能饮用自来水并对其感到满意。对环境的担忧对55岁及以上的社区成员影响最大。那些没有报告对影响水质的环境问题感到担忧的个体（OR=11.4，95% CI=3.10 - 42.2）饮用自来水并对其感到满意的可能性要大得多。改善水质、减少开水饮用建议的必要性以及增强社区对环境的信心的项目可以提高对自来水的满意度和消费量。
