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Instituto Nacional de Salud Pública

2023, Number 3

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salud publica mex 2023; 65 (3)

Feasibility of a water insecurity experiences scale in Mexican households

Shamah-Levy T, Mundo-Rosas V, Muñoz-Espinosa A, Méndez-Gómez HI, Pérez-Escamilla R, Melgar-Quiñonez H, Frongillo EA, Lewise YS

Language: Spanish
References: 34
Page: 219-226
PDF size: 339.63 Kb.


ABSTRACT

Objective. To identify the feasibility of the Household Water Insecurity Experiences Scale (HWISE), as a tool to assess the experience of Mexican households in relation to water insecurity. Materials and methods. The HWISE scale was integrated in the Encuesta Nacional de Salud y Nutrición Continua 2021 (Ensanut Continua 2021) and three criteria were used to assess its feasibility: 1) Internal consistency: Cronbach’s Alpha test was applied to estimate the correlation among the HWISE scale items. A cut-off points of at least 0.80 was considered as a reliability criterion. 2) Item equivalence for different sociodemographic indicators and 3) Variables associated to water insecurity. Results. The HWISE scale showed: 1) Good reliability or internal consistency (Cronbach’s alpha of 0.928); 2) equivalent behaviour of the scale’s items in urban and rural contexts, as well as in nine regions of the country and by wealth tertiles, and 3) significant associations with predictor variables of water insecurity. Conclusions. The HWISE scale, adapted for Mexico, is appropriate to use to assess the condition of water insecurity in Mexican households. The measurement of water insecurity will allow to feedback public policies that affect water access and availability and to improve the monitoring of Sustainable Development Goal 6: “Clean water and sanitation”.


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