Clin Nutr Res.  2018 Apr;7(2):91-101. 10.7762/cnr.2018.7.2.91.

Community-Based Policies and Support for Free Drinking Water Access in Outdoor Areas and Building Standards in U.S. Municipalities

Affiliations
  • 1Division of Nutrition, Physical Activity and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. spark3@cdc.gov
  • 2Legal Consultant, Cummaquid, MA 02637, USA.
  • 3Prevention Research Center on Nutrition and Physical Activity, Harvard T.H. Chan School of Public Health, Landmark Center, Boston, MA 02115, USA.

Abstract

We examined community-level characteristics associated with free drinking water access policies in U.S. municipalities using data from a nationally representative survey of city managers/officials from 2,029 local governments in 2014. Outcomes were 4 free drinking water access policies. Explanatory measures were population size, rural/urban status, census region, poverty prevalence, education, and racial/ethnic composition. We used multivariable logistic regression to test differences and presented only significant findings. Many (56.3%) local governments had at least one community plan with a written objective to provide free drinking water in outdoor areas; municipalities in the Northeast and South regions and municipalities with ≤ 50% of non-Hispanic whites were less likely and municipalities with larger population size were more likely to have a plan. About 59% had polices/budget provisions for free drinking water in parks/outdoor recreation areas; municipalities in the Northeast and South regions were less likely and municipalities with larger population size were more likely to have it. Only 9.3% provided development incentives for placing drinking fountains in outdoor, publicly accessible areas; municipalities with larger population size were more likely to have it. Only 7.7% had a municipal plumbing code with a drinking fountain standard that differed from the statewide plumbing code; municipalities with a lower proportion of non-Hispanic whites were more likely to have it. In conclusion, over half of municipalities had written plans or a provision for providing free drinking water in parks, but providing development incentives or having a local plumbing code provision were rare.

Keyword

Drinking water; Policy; Municipalities; Provision; Plumbing code

MeSH Terms

Censuses
Drinking Water*
Drinking*
Education
Logistic Models
Motivation
Population Density
Poverty
Prevalence
Recreation
Sanitary Engineering
Drinking Water

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