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Systematic Reviews
Published in: Systematic Reviews 1/2019

Open Access 01-12-2019 | Public Health | Research

Factors influencing perceptions of private water quality in North America: a systematic review

Authors: Abraham Munene, David C. Hall

Published in: Systematic Reviews | Issue 1/2019

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Abstract

Background

An estimated four million and 43 million people in Canada and the USA use private water supplies. Private water supplies are vulnerable to waterborne disease outbreaks. Private water supplies in Canada and the USA are often unregulated and private water management is often a choice left to the owner. Perceptions of water quality become important in influencing the adoption of private water stewardship practices, therefore safeguarding public health.

Methods

We conducted a systematic literature review to understand factors that shape perceptions of water quality among private water users. We searched six computer databases (Web of science, Medline, Scopus, EBSCO, PubMed and Agricola). The search was limited to primary peer-reviewed publications, grey literature and excluded conference proceedings, review articles, and non-peer review articles. We restricted the search to papers published in English and to articles which published data on surveys of private water users within Canada and the USA. The search was also restricted to publications from 1986 to 2017. The literature search generated 36,478 records. Two hundred and four full text were reviewed.

Results

Fifty-two articles were included in the final review. Several factors were found to influence perceptions of water quality including organoleptic preferences, chemical and microbiological contaminants, perceived risks, water well infrastructure, past experience with water quality, external information, demographics, in addition to the values, attitudes, and beliefs held by well owners.

Conclusions

Understanding the factors that shape perceptions of water quality among private water users is an important step in developing private water management policies to increase compliance towards water testing and treatment in Canada and the USA. As many jurisdictions in Canada and the USA do not have mandatory private water testing or treatment guidelines, delineating these factors is an important step in informing future research and guiding policy on the public health of private water systems.
Appendix
Available only for authorised users
Literature
1.
Jones AQ, Dewey CE, Dore K, Majowicz SE, McEwen SA, David WT, Eric M, Carr DJ, Henson SJ. Public perceptions of drinking water: a postal survey of residents with private water supplies. BMC Public Health. 2006;6:94.CrossRef
2.
Flanagan SV, Marvinney RG, Zheng Y. Influences on domestic well water testing behavior in a Central Maine area with frequent groundwater arsenic occurrence. Sci Total Environ. 2015;505:1274–81.CrossRef
3.
Said B, Wright F, Nichols GL, Reacher M, Rutter M. Outbreaks of infectious disease associated with private drinking water supplies in England and Wales 1970–2000. Epidemiol Infect. 2003;130:469–79.CrossRef
4.
Schuster CJ, Ellis AG, Robertson WJ, Charron DE, Aramini JJ, Marshall BJ, Medeiros DT. Infectious disease outbreaks related to drinking water in Canada, 1974-2001. Can J Public Health. 2005;96:254–8.PubMed
5.
Hooda PS, Edwards AC, Anderson HA, Miller A. A review of water quality concerns in livestock farming areas. Sci Total Environ. 2000;250:143–67.CrossRef
6.
Campagnolo ER, Johnson KR, Karpati A, Rubin CS, Kolpin DW, Meyer MT, Esteban JE, Currier RW, Smith K, Thu KM, McGeehin M. Antimicrobial residues in animal waste and water resources proximal to large-scale swine and poultry feeding operations. Sci Total Environ. 2002;299:89–95.CrossRef
7.
Kolodziej EP, Harter T, Sedlak DL. Dairy wastewater, aquaculture, and spawning fish as sources of steroid hormones in the aquatic environment. Environ Sci Technol. 2004;38:6377–84.CrossRef
8.
Johnson AC, Williams RJ, Matthiessen P. The potential steroid hormone contribution of farm animals to freshwaters, the United Kingdom as a case study. Sci Total Environ. 2006;362:166–78.CrossRef
9.
Burkholder J, Libra B, Weyer P, Heathcote S, Kolpin D, Thorne PS, Wichman M. Impacts of waste from concentrated animal feeding operations on water quality. Environ Health Persp. 2007;115:308–12.CrossRef
10.
Coleman BL, Louie M, Salvadori MI, McEwen SA, Neumann N, Sibley K, Irwin RJ, Jamieson FB, Daignault D, Majury A, et al. Contamination of Canadian private drinking water sources with antimicrobial resistant Escherichia coli. Water Res. 2013;47:3026–36.CrossRef
11.
Villanueva CM, Kogevinas M, Cordier S, Templeton MR, Vermeulen R, Nuckols JR, Nieuwenhuijsen MJ, Levallois P. Assessing exposure and health consequences of chemicals in drinking water: current state of knowledge and research needs. Environ Health Persp. 2014;122:213–21.CrossRef
12.
13.
Charrois JWA. Private drinking water supplies: challenges for public health. Can Med Assoc J. 2010;182(10):1061–4.CrossRef
14.
15.
Dunn G, Bakker K, Harris L. Drinking water quality guidelines across Canadian provinces and territories: jurisdictional variation in the context of decentralized water governance. Int J Environ Res Public Health. 2014;11:4634–51.CrossRef
16.
Fox MA, Nachman KE, Anderson B, Lam J, Resnick B. Meeting the public health challenge of protecting private wells. Proceedings and recommendations from an expert panel workshop. Sci Total Environ. 2016;554:113–8.CrossRef
17.
Jones AQ, Dewey CE, Dore K, Majowicz SE, McEwen SA, Waltner-Toews D, Henson SJ, Mathews E. Public perception of drinking water from private water supplies: focus group analyses. BMC Public Health. 2005;5:129.CrossRef
18.
Flanagan SV, Marvinney RG, Johnston RA, Yang Q, Zheng Y. Dissemination of well water arsenic results to homeowners in Central Maine: influences on mitigation behavior and continued risks for exposure. Sci Total Environ. 2015;505:1282–90.CrossRef
19.
Roche SM, Jones-Bitton A, Majowicz SE, Pintar KDM, Allison D. Investigating public perceptions and knowledge translation priorities to improve water safety for residents with private water supplies: a cross-sectional study in Newfoundland and Labrador. BMC Public Health. 2013;13:1225.CrossRef
20.
de França Doria M. Factors influencing public perception of drinking water quality. Water Policy. 2010;12:1–19.CrossRef
21.
Deonna JA. Emotion, perception and perspective. Dialectica. 2006;60:29–46.CrossRef
22.
Hochberg J. Perception: toward the recovery of a definition. Psychol Rev. 1956;63:400–5.CrossRef
23.
Schardt C, Adams MB, Owens T, Keitz S, Fontelo P. Utilization of the PICO framework to improve searching PubMed for clinical questions. BMC Med Inform Decis. 2007;7:16.CrossRef
24.
Sargeant JM, Rajic A, Read S, Ohlsson A. The process of systematic review and its application in agri-food public-health. Prev Vet Med. 2006;75:141–51.CrossRef
25.
Moher D, Liberati A, Tetzlaff J, Altman DG, The PG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6:e1000097.CrossRef
26.
Garcia LB, Sobin C, Tomaka J, Santiago I, Palacios R, Walker WS. A comparison of water-related perceptions and practices among West Texas and South New Mexico Colonia residents using hauled-stored and private well water. J Environ Health. 2016;79:14–20.PubMed
27.
Murti M, Yard E, Kramer R, Haselow D, Mettler M, McElvany R, Martin C. Impact of the 2012 extreme drought conditions on private well owners in the United States, a qualitative analysis. BMC Public Health. 2016;16:430.CrossRef
28.
Colt JS, Baris D, Clark SF, Ayotte JD, Ward M, Nuckols JR, Cantor KP, Silverman DT, Karagas M. Sampling private wells at past homes to estimate arsenic exposure: a methodologic study in New England. J Expo Anal Env Epid. 2002;12:329–34.CrossRef
29.
Shaw WD, Walker M, Benson M. Treating and drinking well water in the presence of health risks from arsenic contamination. Results from a US hot spot. Risk Anal. 2005;25:1531–43.CrossRef
30.
Schwartz JJ, Waterman AB, Lemley AT, Wagenet LP, Landre P, Allee DJ. Homeowner perceptions and management of private water supplies and wastewater treatment systems. J Soil Water Conserv. 1998;53:315–9.
31.
Poe GL, van HM E, VandenBerg TP, Bishop RC. Do participants in well water testing programs update their exposure and health risk perceptions? J Soil Water Conserv. 1998;53:320.
32.
Lewandowski AM, Montgomery BR, Rosen CJ, Moncrief JF. Groundwater nitrate contamination costs: a survey of private well owners. J Soil Water Conserv. 2008;63:153–61.CrossRef
33.
Pieper KJ, Krometis LAH, Gallagher DL, Benham BL, Edwards M. Incidence of waterborne lead in private drinking water systems in Virginia. J Water Health. 2015;13:897–908.CrossRef
34.
Postma J, Butterfield PW, Odom-Maryon T, Hill W, Butterfield PG. Rural children’s exposure to well water contaminants: implications in light of the American Academy of Pediatrics’ recent policy statement. J Am Acad Nurse Prac. 2011;23:258–65.CrossRef
35.
Mechenich C, Shaw BH. Chemical use practices and opinions about groundwater contamination in two unsewered subdivisions. J Environ Health. 1994;56:17.
36.
Strauss B, King W, Ley A, Hoey JR. A prospective study of rural drinking water quality and acute gastrointestinal illness. BMC Public Health. 2001;1:8.CrossRef
37.
Schade CP, Wright N, Gupta R, Latif DA, Jha A, Robinson J. Self-reported household impacts of large-scale chemical contamination of the public water supply, Charleston, West Virginia, USA. PLOS One. 2015;10:e0126744.CrossRef
38.
Slovic P, Fischhoff B, Lichtenstein S. Why study risk perception? Risk Anal. 1982;2:83–93.CrossRef
39.
Walker M, Shaw WD, Benson M. Arsenic consumption and health risk perceptions in a rural western US area. J Am Water Resour As. 2006;42:1363–70.CrossRef
40.
McLeod L, Bharadwaj L, Waldner C. Risk factors associated with the choice to drink bottled water and tap water in rural Saskatchewan. Int J Env Res Pub He. 2014;11:1626–46.CrossRef
41.
McLeod L, Bharadwaj L, Waldner C. Risk factors associated with perceptions of drinking water quality in rural Saskatchewan. Canadian Water Resources Journal / Revue canadienne des ressources hydriques. 2015;11(2):1–11.
42.
Levallois P, Theriault M, Rouffignat J, Tessier S, Landry R, Ayotte P, Girard M, Gingras S, Gauvin D, Chiasson C. Groundwater contamination by nitrates associated with intensive potato culture in Quebec. Sci Total Environ. 1998;217:91–101.CrossRef
43.
Acharya M, Kalischuk RG, Klein KK, Bjornlund H. Farmstead drinking water sources, concerns and safety practices of livestock farm families in southern Alberta, Canada. Water Pollution IX. 2008;111:627–36.CrossRef
44.
McSpirit S, Reid C. Residents’ perceptions of tap water and decisions to purchase bottled water: a survey analysis from the Appalachian, big Sandy coal mining region of West Virginia. Soc Nat Resour. 2011;24:511–20.CrossRef
45.
Merkel L, Bicking C, Sekhar D. Parents’ perceptions of water safety and quality. J Commun Health. 2012;37:195–201.CrossRef
46.
Summers R. Alberta well water survey. A report prepared for Alberta environment. Edmonton: University of Alberta; 2010.
47.
Chappells H, Campbell N, Drage J, Fernandez CV, Parker L, Dummer TJB. Understanding the translation of scientific knowledge about arsenic risk exposure among private well water users in Nova Scotia. Sci Total Environ. 2015;505:1259–73.CrossRef
48.
Mahler R, Barber M, Shafii B. Drinking water issues and concerns of urban residents of the Pacific Northwest, USA Urban Water 2; 2014. p. 139.
49.
Flanagan SV, Spayd SE, Procopio NA, Marvinney RG, Smith AE, Chillrud SN, Braman S, Zheng Y. Arsenic in private well water part 3 of 3: socioeconomic vulnerability to exposure in Maine and New Jersey. Sci Total Environ. 2016;562:1019–30.CrossRef
50.
Straub CL, Leahy JE. Application of a modified health belief model to the pro-environmental behavior of private well water testing. J Am Water ResouR As. 2014;50:1515–26.CrossRef
51.
Lothrop N, Wilkinson ST, Verhougstraete M, Sugeng A, Loh MM, Klimecki W, Beamer PI. Home water treatment habits and effectiveness in a rural Arizona community. Water. 2015;7:1217–31.CrossRef
52.
Kreutzwiser R, de Loe R, Imgrund K, Conboy MJ, Simpson H, Plummer R. Understanding stewardship behaviour: factors facilitating and constraining private water well stewardship. J Environ Manag. 2011;92:1104–14.CrossRef
53.
Schubert C, Knobeloch L, Kanarek MS, Anderson HA. Public response to elevated nitrate in drinking water wells in Wisconsin. Arch Environ Health. 1999;54:242–7.CrossRef
54.
Feinman SJ, Ryan PB, Toth B, Honey WA, Gargano JW. Primary drinking water source and acute gastrointestinal illness: New Mexico, 2007. Water Qual Expos Hea. 2015;7:285–94.CrossRef
55.
Imgrund K, Kreutzwiser R, de Loe R. Influences on the water testing behaviors of private well owners. J Water Health. 2011;9:241–52.CrossRef
56.
Jones AQ, Majowicz SE, Edge VL, Thomas MK, MacDougall L, Fyfe M, Atashband S, Kovacs SJ. Drinking water consumption patterns in British Columbia: an investigation of associations with demographic factors and acute gastrointestinal illness. Sci Total Environ. 2007;388:54–65.CrossRef
57.
Johnson BB. Public views on drinking water standards as risk indicators. Risk Anal. 2008;28:1515–30.CrossRef
58.
Renaud J, Gagnon F, Michaud C, Boivin S. Evaluation of the effectiveness of arsenic screening promotion in private wells: a quasi-experimental study. Health Promot Int. 2011;26:465–75.CrossRef
59.
Ridpath A, Taylor E, Greenstreet C, Martens M, Wicke H, Martin C. Description of calls from private well owners to a national well water hotline, 2013. Sci Total Environ. 2016;544:601–5.CrossRef
60.
Flanagan SV, Spayd SE, Procopio NA, Chillrud SN, Ross J, Braman S, Zheng Y. Arsenic in private well water part 2 of 3: who benefits the most from traditional testing promotion? Sci Total Environ. 2016;562:1010–8.CrossRef
61.
Morris L, Wilson S, Kelly W. Methods of conducting effective outreach to private well owners—a literature review and model approach. J Water Health. 2016;14:167–82.CrossRef
62.
Flanagan SV, Spayd SE, Procopio NA, Chillrud SN, Braman S, Zheng Y. Arsenic in private well water part 1 of 3: impact of the New Jersey private well testing act on household testing and mitigation behavior. Sci Total Environ. 2016;562:999–1009.CrossRef
63.
Levallois P, Grondin J, Gingras S. Evaluation of consumer attitudes on taste and tap water alternatives in Québec. Water Sci Technol. 1999;40(6):135–9.CrossRef
64.
Egger M, Dickersin K, Smith GD. Problems and limitations in conducting systematic reviews. In Systematic Reviews in Health Care; 2008.
65.
Morrison A, Polisena J, Husereau D, Moulton K, Clark M, Fiander M, Mierzwinski-Urban M, Clifford T, Hutton B, Rabb D. The effect of English-language restriction on systematic review-based meta-analyses: a systematic review of empirical studies. Int J Technol Assess. 2012;28:138–44.CrossRef
66.
Laflamme DM, VanDerslice JA. Using the behavioral risk factor surveillance system (BRFSS) for exposure tracking: experiences from Washington state. Environ Health Persp. 2004;112:1428–33.CrossRef
67.
Severtson DJ, Baumann LC, Brown RL. Applying a health behavior theory to explore the influence of information and experience on arsenic risk representations, policy beliefs, and protective behavior. Risk Anal. 2006;26:353–68.CrossRef
68.
Severtson DJ, Baumann LC, Brown RL. Applying the common-sense model to measure representations of arsenic contaminated well water. J Health Commun. 2008;13:538–54.CrossRef
69.
Slotnick MJ, Meliker JR, Nriagu JO. Effects of time and point-of-use devices on arsenic levels in southeastern Michigan drinking water, USA. Sci Total Environ. 2006;369:42–50.CrossRef
70.
Kite-Powell AC, Harding AK. Nitrate contamination in Oregon well water: geologic variability and the public's perception. J American Water Resour As. 2006;42:975–87.CrossRef
71.
Tabbot PN, Robson MG. The New Jersey residential well-testing program—a case study: Randolph township. J Environ Health. 2006;69:15–9.PubMed
72.
Hexemer AM, Pintar K, Bird TM, Zentner SE, Garcia HP, Pollari F. An investigation of bacteriological and chemical water quality and the barriers to private well water sampling in a southwestern Ontario community. J Water Health. 2008;6:521–5.CrossRef
73.
Swistock BR, Clemens S, Sharpe WE, Rummel S. Water quality and management of private drinking water wells in Pennsylvania. J Environ Health. 2013;75:60–6.PubMed
74.
Paul MP, Rigrod P, Wingate S, Borsuk ME. A community-driven intervention in Tuftonboro, New Hampshire, succeeds in altering water testing behavior. J Environ Health. 2015;78:30–9.PubMedPubMedCentral
75.
Pintar KDM, Waltner-Toews D, Charron D, Pollari F, Fazil A, McEwen SA, Nesbitt A, Majowicz S. Water consumption habits of a south-western Ontario community. J Water Health. 2009;7:276–92.CrossRef
76.
Yu ZM, TJB D, Adams A, Murimboh JD, Parker L. Relationship between drinking water and toenail arsenic concentrations among a cohort of Nova Scotians. J Expo Sci Env Epid. 2013;24:135.CrossRef
77.
Malecki KMC, Schultz AA, Severtson DJ, Anderson HA, VanDerslice JA. Private-well stewardship among a general population-based sample of private well-owners. Sci Total Environ. 2017;601-602:1533–43.CrossRef
Metadata
Title
Factors influencing perceptions of private water quality in North America: a systematic review
Authors
Abraham Munene
David C. Hall
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Public Health
Published in
Systematic Reviews / Issue 1/2019
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-019-1013-9

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