Compliance with water advisories after water outages in Norway

Background: Water advisories, especially those concerning boiling drinking water, are widely used to reduce risks of infection from contaminants in the water supply. Since the effectiveness of boil water advisories (BWAs) depends on public compliance, monitoring the public response to such advisories is essential for protecting human health. However, assessments of public compliance with BWAs remain sparse. Thus, this study was aimed at investigating awareness and compliance among residents who had received BWAs in Baerum municipality in Norway. Method: We conducted a cross-sectional study among 2764 residents who had received water advisories by SMS in the municipality of Baerum between January and September 2017. We analysed data from two focus group discussions and an online survey sent to all residents who had received an advisory. We condu cted descriptive analyses and calculated odds ratios (OR) using logistic regression to identify associations of compliance and awareness with demographic characteristics. Results: Of the 611 respondents, 67% reported that they had received a water advisory notificatio n. Effective compliance rate with safe drinking water practices, either by storing clean drinking water or boiling tap water, after a water outage was 72% among those who remembered receiving a notification. Compliance with safe drink ing w ater a dvisories was lower amon g men than women (OR 0.53, 95% CI 0.2 9– 0.96), but was independent of age, education and household type. The main reason for respondents ’ non-complian ce with safe water practices was that they perceived the water to be sa fe to drink after letting it flush through the tap until it became clear. Conclusions: Awareness of advisories was suboptimal among residents who had received notifications, but compliance was high. The present study highlights the need to impr ove the distribution, phrasing and content of wa ter advisor y notifications to achieve greater a warene ss and co mplian ce. Future studies should include hard-to-reach groups with adequate dat a collection approaches and examine the use of BWAs i n a national context to inform future poli cies on BWAs. Key words: Boil w ater advisori es, BWAs, Public com pliance, Water supply i nterrupti ons, Ad herence, Dri nking water, Communication, Consumer trust

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PID https://www.doi.org/10.6084/m9.figshare.c.4649060.v1
PID https://www.doi.org/10.6084/m9.figshare.c.4649060
URL http://dx.doi.org/10.6084/m9.figshare.c.4649060
URL http://dx.doi.org/10.6084/m9.figshare.c.4649060.v1
URL http://hdl.handle.net/11250/2631847
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Author Hyllestad, Susanne
Author Veneti, Lamprini
Author Bugge, Annechen Bahr
Author Rosenberg, Thea Grav
Author Nygård, Karin Maria
Author Aavitsland, Preben
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Collected From Datacite; Norwegian Open Research Archives
Hosted By figshare; Norwegian Open Research Archives
Publication Date 2019-01-01
Publisher figshare
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Language UNKNOWN
Resource Type Collection; Other ORP type
keyword FOS: Chemical sciences
keyword FOS: Biological sciences
keyword FOS: Earth and related environmental sciences
keyword FOS: Health sciences
system:type other
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Source https://science-innovation-policy.openaire.eu/search/other?orpId=dedup_wf_001::7895cd05a7e1bb1690c918472f82f3b8
Author jsonws_user
Last Updated 20 December 2020, 03:34 (CET)
Created 20 December 2020, 03:34 (CET)