Perceptions of Tap Water and School Water Fountains and Association With Intake of Plain Water and Sugar-Sweetened Beverages

Authors

  • Stephen J. Onufrak PhD,

    Corresponding author
    1. Epidemiologist, (seo5@cdc.gov), Division of Nutrition, Physical Activity, and Obesity, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-77, Atlanta, GA 30341.
    • Address correspondence to: Stephen J. Onufrak, Epidemiologist, (seo5@cdc.gov), Division of Nutrition, Physical Activity, and Obesity, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-77, Atlanta, GA 30341.

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  • Sohyun Park PhD,

    1. Epidemiologist, (geo7@cdc.gov), Division of Nutrition, Physical Activity, and Obesity, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-77, Atlanta, GA 30341.
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  • Joseph R. Sharkey PhD,

    1. Professor, (jrsharkey@srph.tamhsc.edu), Department of Health Promotion and Community Health Sciences, Texas A&M School of Rural Public Health, College Station, TX 77845.
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  • Caitlin Merlo MPH,

    1. Health Scientist, (ihb7@cdc.gov), Division of Population Health, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-78, Atlanta, GA 30341.
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  • Wesley R. Dean PhD,

    1. Assistant Professor, (wdean@srph.tamhsc.edu), Department of Health Promotion and Community Health Sciences, Texas A&M School of Rural Public Health, College Station, TX 77845.
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  • Bettylou Sherry PhD, RD

    1. Lead Epidemiologist, (bls6@cdc.gov), Division of Nutrition, Physical Activity, and Obesity, US Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-77, Atlanta, GA 30341.
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ABSTRACT

BACKGROUND

Little is known regarding youth perceptions of tap water and school water fountains and how these relate to water and sugar-sweetened beverage (SSB) intake.

METHODS

We used national 2010 YouthStyles data to assess perceptions of tap water and school water fountains and associations with water and SSB intake.

RESULTS

Nearly 1 in 5 participants disagreed their tap water was safe and nearly 2 in 5 disagreed school water fountains were clean and safe. Perceived tap water risk was more prevalent among non-Hispanic (NH) Blacks (26.4%) and Hispanics (28.3%) compared with NH Whites (14.7%, p < .001) and more prevalent among lower-income youth. Negative water fountain perceptions were more common among high school-aged youth. Perceived tap water risk was not associated with SSB intake (odds ratio [OR] = 1.0, 95% confidence interval [CI]: 0.6, 1.5) or water intake (OR = 1.4, 95% CI: 0.9, 2.1). Negative water fountain perceptions were associated with SSB intake only among Hispanics (race/ethnicity interaction p < .001; OR = 2.9, 95% CI: 1.3, 6.6) but were not associated with water intake.

CONCLUSION

Negative perceptions of tap water and water fountains among youth are common and should be considered in efforts to provide water in schools.

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