U.S. border colonias are peri-urban settlements along the U.S.–Mexico border. Residents often face substandard housing, inadequate septic and sewer systems, and unsafe or inadequate household water. As of 2015, an estimated 30% of over 5 million U.S. colonia residents lacked access to clean drinking water, suggesting health complications. This scoping review identifies a very limited existing set of research on water and sanitation insecurity in U.S.–Mexico border colonias, and suggests value in additional focused research in this specific context to address health challenges. Preliminary health data indicates that due to water insecurity, colonia residents are more likely to contract gastrointestinal diseases, be exposed to carcinogenic compounds from contaminated water, and experience psychosocial distress. These widespread health issues in colonias are exacerbated by historical and ongoing socioenvironmental injustices in the U.S.–Mexico border region and their relation to the poor health outcomes.
This content will become publicly available on August 25, 2024
Energy insecurity poses a global challenge with far-reaching social equity and health implications. This paper provides a comprehensive perspective on the relationship between energy insecurity and health outcomes in developed countries. Existing research has identified associations between energy insecurity and various physical and mental health outcomes. Moreover, climate change can exacerbate the adverse health consequences of energy insecurity, disproportionately affecting vulnerable populations. Based on a review of existing literature, this paper identifies several knowledge gaps, proposes future research directions, and discusses data challenges faced by researchers in measuring energy insecurity and assessing the health impacts of existing programs that tackle energy insecurity. Furthermore, the paper highlights the importance of fostering collaboration among different governmental agencies and other sectors to enhance energy insecurity program management and data collection for program evaluation.
more » « less- Award ID(s):
- 1940319
- NSF-PAR ID:
- 10494400
- Publisher / Repository:
- Frontiers
- Date Published:
- Journal Name:
- Frontiers in Sustainable Energy Policy
- Volume:
- 2
- ISSN:
- 2813-4982
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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null (Ed.)ABSTRACT Background Household food insecurity (FI) and water insecurity (WI) are prevalent public health issues that can co-occur. Few studies have concurrently assessed their associations with health outcomes, particularly among people living with HIV. Objectives We aimed to investigate the associations between FI and WI and how they relate to physical and mental health. Methods Food-insecure adult smallholder farmers living with HIV in western Kenya were recruited to participate in a cluster-randomized controlled trial of a multisectoral agricultural and asset loan intervention. We used baseline data on experiences of FI (using the Household Food Insecurity Access Scale, range: 0–27) and WI (using a modified scale developed for this region, range: 0–51) in the prior month (n = 716). Outcomes included probable depression (using the Hopkins Symptom Checklist), fatigue and diarrhea in the prior month, and overall mental and physical health (using the Medical Outcomes Study HIV Health Survey, range: 0–100). We first assessed Pearson correlations between FI, WI, and sociodemographic characteristics. We then developed 3 regressions for each health outcome (control variables and FI; control variables and WI; control variables, FI, and WI) and compared model fit indexes. Results Correlations between household FI, WI, and wealth were low, meaning they measure distinct constructs. FI and WI were associated with numerous physical and mental health outcomes; accounting for both resource insecurities typically provided the best model fit. For instance, when controlling for FI, each 10-point higher WI score was associated with a 6.42-point lower physical health score (P < 0.001) and 2.92 times greater odds of probable depression (P < 0.001). Conclusions Assessing both FI and WI is important for correctly estimating their relation with health outcomes. Interventions that address food- and water-related issues among persons living with HIV concurrently will likely be more effective at improving health than those addressing a single resource insecurity. This trial was registered at clinicaltrials.gov as NCT02815579.more » « less
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The United States Department of Agriculture (USDA) has utilized the term food desert to highlight regions within low-income communities located far from fresh and healthy sources of food such as supermarkets and farmers markets. Most research on food deserts has revolved around urban areas, which bring about other considerations such as sidewalks, pedestrian access, rideshares, and public transportation, typically not viable options in rural regions. Rural food insecurity is also a problem in North Carolina. Utilizing data provided by the United States Department of Agriculture’s Food Access Atlas, this paper explored if and to what extent rural food insecurity exists, with findings showing 1) a higher percentage of people living in rural areas live in food insecurity compared to non-rural areas 2) counties in the eastern part of the state are more prone to food insecurity and 3) racial, ethnic minorities, as well as the young (age under 17), are more subjected to food insecurity compared to the majority and older cohorts. This research highlights the need for a rigorous and comprehensive understanding of rural food security that transcends the economic, cultural, and sociological reasons of differential food access with long-term health outcomes that have multi-generational consequences.more » « less
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Abstract Household water insecurity is a complex socioecological challenge with a range of consequences for health and wellbeing. Understanding individual and household‐level coping strategies, i.e., responses or adaptations to manage water insecurity, can shape future research and development practice. We therefore (a) systematically describe the characteristics and contexts of 173 studies documenting coping strategies and (b) classify the types of strategies within four domains of water insecurity: access, use, quality, and reliability. Most studies were from Sub‐Saharan Africa or South Asia. In the domain of access, the most common coping strategies were building infrastructure, and storing, purchasing, and sharing water. For use, changing food consumption, agricultural practices, and hygiene were most frequently mentioned. For quality, water treatment was the most common strategy. To ensure water reliability, people most frequently reported changing routines or relocating their homes altogether. Our review provides a useful framework to understand coping strategies, but more research is needed to address three gaps in particular. First, we recommend more representative exploration of the range of coping strategies, particularly in middle‐ and high‐income countries. Second, the links between coping with water insecurity and a range of other nutritional, social, financial, and health outcomes need to be better understood to address overall household wellbeing. Third, we recommend the development of a metric to quantify individual and household‐level water insecurity‐related coping strategies. This line of inquiry can enable practitioners to design and implement context‐specific interventions that leverage preexisting strategies to improve experiences of water insecurity.
This article is categorized under:
Human Water > Water Governance
Engineering Water > Planning Water
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null (Ed.)Multifunctional crops can simultaneously contribute to multiple societal objectives. As a result, they represent an attractive means for improving rural livelihoods. Moringa oleifera is an example of a multifunctional crop that produces nutritious leaves with uses as food, fodder, and a biostimulant to enhance crop growth. It yields seeds containing a water purifying coagulant and oil with cosmetic uses and possible biofuel feedstock. Despite Moringa oleifera's (and other multifunctional crops') various Food-Energy-Water uses, optimizing the benefits of its multiple uses and livelihood improvements remains challenging. There is a need for holistic approaches capable of assessing the multifunctionality of agriculture and livelihood impacts. Therefore, this paper critically evaluates Moringa oleifera's Food-Energy-Water-Livelihood nexus applications to gain insight into the tradeoffs and synergies among its various applications using a systems thinking approach. A systems approach is proposed as a holistic thinking framework that can help navigate the complexity of a crop's multifunctionality. The “Success to the Successful” systems archetype was adopted to capture the competition between the need for leaf yields and seed yields. In areas where there is energy and water insecurity, Moringa oleifera seed production is recommended for its potential to coproduce oil, the water purifying coagulant, and a residue that can be applied as a fertilizer. In areas where food insecurity is an issue, focusing on leaf production would be beneficial due to its significance in augmenting food for human consumption, animal feed, and its use as a biostimulant to increase crop yields. A causal loop diagram was found to effectively map the interconnections among the various uses of Moringa oleifera and associated livelihood improvements. This framework provides stakeholders with a conceptual decision-making tool that can help maximize positive livelihood outcomes. This approach can also be applied for improved management of other multifunctional crops.more » « less
