The Strong Heart Water Study: Informing and designing a multi-level intervention to reduce arsenic exposure among private well users in Great Plains Indian Nations

Elizabeth D. Thomas, Joel Gittelsohn, Joseph Yracheta, Martha Powers, Marcia O'Leary, David E. Harvey, Reno Red Cloud, Lyle G. Best, Annabelle Black Bear, Ana Navas Acien, Christine Marie George

Research output: Contribution to journalArticle

Abstract

Elevated arsenic exposure from drinking water is associated with an increased risk of cardiovascular disease, diabetes, kidney disease, and skin, lung, and bladder cancer. Arsenic contamination in groundwater supplies disproportionately affects rural populations using private wells. Arsenic mitigation programs for American Indian communities are limited. There is an urgent need for targeted approaches to reduce arsenic exposure for at-risk communities using private wells. Formative research was conducted to inform and design a community-based arsenic mitigation intervention for Lakota and Dakota Nations in the Great Plains Area of the United States, where, in some communities, one-quarter of private wells are estimated to have elevated arsenic. Formative research included semi-structured interviews, a community workshop, intervention-planning workshops, and a pilot study of the developed intervention. Community members prioritize aesthetic qualities of water (e.g. taste, color), safety, and other situational factors (e.g. cost) when considering their drinking and cooking water. Although water safety is a concern, awareness and concern for arsenic vary substantially within communities. To reduce arsenic exposure, community members recommended communication of water test results, home visits for intervention delivery, and reminders to use arsenic-safe water. Findings informed the development of an intervention to prevent arsenic exposure through drinking water and cooking, including health promotion messages and household items to facilitate use of an arsenic removal device (e.g. tankards to store filtered water). The pilot study indicated promising acceptability and operability of the developed intervention. This research provides a model for the development of environmental health interventions in partnership with American Indian and other private well-using communities.

LanguageEnglish (US)
Pages3120-3133
Number of pages14
JournalScience of the Total Environment
Volume650
DOIs
StatePublished - Feb 10 2019

Fingerprint

Arsenic
arsenic
well
Water
water
Drinking Water
Cooking
Potable water
plain
exposure
mitigation
drinking water
Health
safety
diabetes
cardiovascular disease
rural population
Medical problems
drinking
esthetics

Keywords

  • American Indian
  • Drinking water
  • Formative research
  • Private wells

ASJC Scopus subject areas

  • Environmental Engineering
  • Environmental Chemistry
  • Waste Management and Disposal
  • Pollution

Cite this

The Strong Heart Water Study : Informing and designing a multi-level intervention to reduce arsenic exposure among private well users in Great Plains Indian Nations. / Thomas, Elizabeth D.; Gittelsohn, Joel; Yracheta, Joseph; Powers, Martha; O'Leary, Marcia; Harvey, David E.; Red Cloud, Reno; Best, Lyle G.; Black Bear, Annabelle; Navas Acien, Ana; George, Christine Marie.

In: Science of the Total Environment, Vol. 650, 10.02.2019, p. 3120-3133.

Research output: Contribution to journalArticle

Thomas, Elizabeth D. ; Gittelsohn, Joel ; Yracheta, Joseph ; Powers, Martha ; O'Leary, Marcia ; Harvey, David E. ; Red Cloud, Reno ; Best, Lyle G. ; Black Bear, Annabelle ; Navas Acien, Ana ; George, Christine Marie. / The Strong Heart Water Study : Informing and designing a multi-level intervention to reduce arsenic exposure among private well users in Great Plains Indian Nations. In: Science of the Total Environment. 2019 ; Vol. 650. pp. 3120-3133.
@article{da1e76eefe50433db718fb3158a0d3fd,
title = "The Strong Heart Water Study: Informing and designing a multi-level intervention to reduce arsenic exposure among private well users in Great Plains Indian Nations",
abstract = "Elevated arsenic exposure from drinking water is associated with an increased risk of cardiovascular disease, diabetes, kidney disease, and skin, lung, and bladder cancer. Arsenic contamination in groundwater supplies disproportionately affects rural populations using private wells. Arsenic mitigation programs for American Indian communities are limited. There is an urgent need for targeted approaches to reduce arsenic exposure for at-risk communities using private wells. Formative research was conducted to inform and design a community-based arsenic mitigation intervention for Lakota and Dakota Nations in the Great Plains Area of the United States, where, in some communities, one-quarter of private wells are estimated to have elevated arsenic. Formative research included semi-structured interviews, a community workshop, intervention-planning workshops, and a pilot study of the developed intervention. Community members prioritize aesthetic qualities of water (e.g. taste, color), safety, and other situational factors (e.g. cost) when considering their drinking and cooking water. Although water safety is a concern, awareness and concern for arsenic vary substantially within communities. To reduce arsenic exposure, community members recommended communication of water test results, home visits for intervention delivery, and reminders to use arsenic-safe water. Findings informed the development of an intervention to prevent arsenic exposure through drinking water and cooking, including health promotion messages and household items to facilitate use of an arsenic removal device (e.g. tankards to store filtered water). The pilot study indicated promising acceptability and operability of the developed intervention. This research provides a model for the development of environmental health interventions in partnership with American Indian and other private well-using communities.",
keywords = "American Indian, Drinking water, Formative research, Private wells",
author = "Thomas, {Elizabeth D.} and Joel Gittelsohn and Joseph Yracheta and Martha Powers and Marcia O'Leary and Harvey, {David E.} and {Red Cloud}, Reno and Best, {Lyle G.} and {Black Bear}, Annabelle and {Navas Acien}, Ana and George, {Christine Marie}",
year = "2019",
month = "2",
day = "10",
doi = "10.1016/j.scitotenv.2018.09.204",
language = "English (US)",
volume = "650",
pages = "3120--3133",
journal = "Science of the Total Environment",
issn = "0048-9697",
publisher = "Elsevier",

}

TY - JOUR

T1 - The Strong Heart Water Study

T2 - Science of the Total Environment

AU - Thomas, Elizabeth D.

AU - Gittelsohn, Joel

AU - Yracheta, Joseph

AU - Powers, Martha

AU - O'Leary, Marcia

AU - Harvey, David E.

AU - Red Cloud, Reno

AU - Best, Lyle G.

AU - Black Bear, Annabelle

AU - Navas Acien, Ana

AU - George, Christine Marie

PY - 2019/2/10

Y1 - 2019/2/10

N2 - Elevated arsenic exposure from drinking water is associated with an increased risk of cardiovascular disease, diabetes, kidney disease, and skin, lung, and bladder cancer. Arsenic contamination in groundwater supplies disproportionately affects rural populations using private wells. Arsenic mitigation programs for American Indian communities are limited. There is an urgent need for targeted approaches to reduce arsenic exposure for at-risk communities using private wells. Formative research was conducted to inform and design a community-based arsenic mitigation intervention for Lakota and Dakota Nations in the Great Plains Area of the United States, where, in some communities, one-quarter of private wells are estimated to have elevated arsenic. Formative research included semi-structured interviews, a community workshop, intervention-planning workshops, and a pilot study of the developed intervention. Community members prioritize aesthetic qualities of water (e.g. taste, color), safety, and other situational factors (e.g. cost) when considering their drinking and cooking water. Although water safety is a concern, awareness and concern for arsenic vary substantially within communities. To reduce arsenic exposure, community members recommended communication of water test results, home visits for intervention delivery, and reminders to use arsenic-safe water. Findings informed the development of an intervention to prevent arsenic exposure through drinking water and cooking, including health promotion messages and household items to facilitate use of an arsenic removal device (e.g. tankards to store filtered water). The pilot study indicated promising acceptability and operability of the developed intervention. This research provides a model for the development of environmental health interventions in partnership with American Indian and other private well-using communities.

AB - Elevated arsenic exposure from drinking water is associated with an increased risk of cardiovascular disease, diabetes, kidney disease, and skin, lung, and bladder cancer. Arsenic contamination in groundwater supplies disproportionately affects rural populations using private wells. Arsenic mitigation programs for American Indian communities are limited. There is an urgent need for targeted approaches to reduce arsenic exposure for at-risk communities using private wells. Formative research was conducted to inform and design a community-based arsenic mitigation intervention for Lakota and Dakota Nations in the Great Plains Area of the United States, where, in some communities, one-quarter of private wells are estimated to have elevated arsenic. Formative research included semi-structured interviews, a community workshop, intervention-planning workshops, and a pilot study of the developed intervention. Community members prioritize aesthetic qualities of water (e.g. taste, color), safety, and other situational factors (e.g. cost) when considering their drinking and cooking water. Although water safety is a concern, awareness and concern for arsenic vary substantially within communities. To reduce arsenic exposure, community members recommended communication of water test results, home visits for intervention delivery, and reminders to use arsenic-safe water. Findings informed the development of an intervention to prevent arsenic exposure through drinking water and cooking, including health promotion messages and household items to facilitate use of an arsenic removal device (e.g. tankards to store filtered water). The pilot study indicated promising acceptability and operability of the developed intervention. This research provides a model for the development of environmental health interventions in partnership with American Indian and other private well-using communities.

KW - American Indian

KW - Drinking water

KW - Formative research

KW - Private wells

UR - http://www.scopus.com/inward/record.url?scp=85054570234&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85054570234&partnerID=8YFLogxK

U2 - 10.1016/j.scitotenv.2018.09.204

DO - 10.1016/j.scitotenv.2018.09.204

M3 - Article

VL - 650

SP - 3120

EP - 3133

JO - Science of the Total Environment

JF - Science of the Total Environment

SN - 0048-9697

ER -