Dataset Information

A stepped wedge, cluster-randomized trial of a household UV-disinfection and safe storage drinking water intervention in rural Baja California Sur, Mexico.

ABSTRACT: In collaboration with a local non-profit organization, this study evaluated the expansion of a program that promoted and installed Mesita Azul, an ultraviolet-disinfection system designed to treat household drinking water in rural Mexico. We conducted a 15-month, cluster-randomized stepped wedge trial by randomizing the order in which 24 communities (444 households) received the intervention. We measured primary outcomes (water contamination and diarrhea) during seven household visits. The intervention increased the percentage of households with access to treated and safely stored drinking water (23-62%), and reduced the percentage of households with Escherichia coli contaminated drinking water (risk difference (RD): -19% [95% CI: -27%, -14%]). No significant reduction in diarrhea was observed (RD: -0.1% [95% CI: -1.1%, 0.9%]). We conclude that household water quality improvements measured in this study justify future promotion of the Mesita Azul, and that future studies to measure its health impact would be valuable if conducted in populations with higher diarrhea prevalence.

SUBMITTER: Gruber JS

PROVIDER: S-EPMC3741243 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature

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A stepped wedge, cluster-randomized trial of a household UV-disinfection and safe storage drinking water intervention in rural Baja California Sur, Mexico.

Gruber Joshua S JS Reygadas Fermin F Arnold Benjamin F BF Ray Isha I Nelson Kara K Colford John M JM

The American journal of tropical medicine and hygiene 20130603 2

In collaboration with a local non-profit organization, this study evaluated the expansion of a program that promoted and installed Mesita Azul, an ultraviolet-disinfection system designed to treat household drinking water in rural Mexico. We conducted a 15-month, cluster-randomized stepped wedge trial by randomizing the order in which 24 communities (444 households) received the intervention. We measured primary outcomes (water contamination and diarrhea) during seven household visits. The inter ...[more]

PMID: 23732255

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Project description:Individuals from small populations face challenges to initiating reproduction because stochastic demographic processes create local mate scarcity. In response, flexible dispersal patterns that facilitate the movement of individuals across groups have been argued to reduce mate search costs and inbreeding depression. Furthermore, factors that aggregate dispersed peoples, such as rural schools, could lower mate search costs through expansion of mating markets. However, research suggests that dispersal and school attendance are costly to fertility, causing individuals to delay marriage and reproduction. Here, we investigate the role of dispersal and school attendance on marriage and reproductive outcomes using a sample of 54 married couples from four small, dispersed ranching communities in Baja California Sur, Mexico. Our analyses yield three sets of results that challenge conventional expectations. First, we find no evidence that dispersal is associated with later age at marriage or first reproduction for women. For men, dispersal is associated with younger ages of marriage than those who stay in their natal area. Second, in contrast to research suggesting that dispersal decreases inbreeding, we find that female dispersal is associated with an increase in genetic relatedness among marriage partners. This finding suggests that human dispersal promotes female social support from genetic kin in novel locales for raising offspring. Third, counter to typical results on the role of education on reproductive timing, school attendance is associated with younger age at marriage for men and younger age at first birth for women. While we temper causal interpretations and claims of generalizability beyond our study site given our small sample sizes (a feature of small populations), we nonetheless argue that factors like dispersal and school attendance, which are typically associated with delayed reproduction in large population, may actually lower mate search costs in small, dispersed populations with minimal access to labor markets.

Dataset Information

A stepped wedge, cluster-randomized trial of a household UV-disinfection and safe storage drinking water intervention in rural Baja California Sur, Mexico.

Publications

A stepped wedge, cluster-randomized trial of a household UV-disinfection and safe storage drinking water intervention in rural Baja California Sur, Mexico.

Similar Datasets

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