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Bottled, filtered, and tap water use in Latino and non-Latino children
Wendy L Hobson1, Miguel L Knochel, Carrie L Byington
1Division of General Pediatrics, University of Utah, Salt Lake City 84132, USA. wendy.hobson@hsc.utah.edu
Insights
Many Latino families avoid tap water due to illness fears, leading to costly bottled water use and potential dental issues. Physicians should educate families on tap water
Area of Science:
- Public Health
- Pediatric Health
- Health Disparities
Background:
- Tap water consumption and fluoride use are critical for pediatric dental health.
- Ethnic and socioeconomic disparities may influence water consumption patterns.
- Physician-parent communication regarding water choices is often infrequent.
Purpose of the Study:
- To assess bottled, filtered, and tap water consumption in pediatric patients.
- To analyze ethnic and socioeconomic differences in water choices.
- To determine the frequency of physician-parent discussions on water consumption.
Main Methods:
- A convenience sample survey was conducted.
- Participants included parents attending an urban public health clinic.
- Outcome measures focused on water type prevalence, fluoride use, and physician discussions.
Main Results:
- Latino parents were significantly less likely to drink or give tap water to children compared to non-Latino parents.
- Fear of tap water causing illness was higher among Latino parents.
- Low-income families predominantly used bottled or filtered water, with many children not receiving fluoride supplements.
Conclusions:
- Fear of illness drives tap water avoidance in many Latino families, increasing reliance on costly bottled/filtered water.
- This pattern may negatively impact pediatric dental health outcomes.
- Physicians should counsel families on tap water's safety, cost-effectiveness, and dental benefits.
Objectives:
To describe bottled, filtered, and tap water consumption and fluoride use among pediatric patients; to analyze differences between ethnic and socioeconomic groups; and to describe the frequency of physician-parent discussions regarding water consumption.
Design:
Convenience sample survey.
Setting:
An urban public health clinic.
Participants:
Parents attending a public health clinic.
Outcome Measures:
The primary outcome measure was the prevalence of tap, filtered, and bottled water use. The secondary outcome measures were supplemental fluoride use and the percentage of patients reporting discussions of water consumption with their physician.
Results:
A total of 216 parents (80.5% Latino and 19.5% non-Latino) completed the survey. Of the parents, 30.1% never drank tap water and 41.2% never gave it to their children. Latino parents were less likely than non-Latino parents to drink tap water (odds ratio, 0.26; 95% confidence interval, 0.10-0.67) and less likely to give tap water to their children (odds ratio, 0.32; 95% confidence interval, 0.15-0.70). More Latinos believed that tap water would make them sick (odds ratio, 5.63; 95% confidence interval, 2.17-14.54). Approximately 40% of children who never drank tap water were not receiving fluoride supplements. Of the lowest-income families (
Conclusions:
Many Latino families avoid drinking tap water because they fear it causes illness. Unnecessary use of bottled and filtered water is costly and may result in adverse dental health outcomes. Physicians should provide guidance to families regarding the safety, low cost, and dental health benefits of drinking tap water.
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