Demographic differences in use of household tap water in a representative sample of US adults, FallStyles 2019

Abstract

Tap water that is safe to consume may cause respiratory illness (e.g., Legionnaires’ disease) when water conditions allow for proliferation and aerosolization of biofilm-associated pathogens. This study assessed household tap water consumption, exposure to aerosolized tap water, and associated demographics. A nationally representative FallStyles survey administered by Porter Novelli Public Services was sent to 4,677 US adult panelists in October 2019. There were 3,624 adults who completed the survey (77.5% response rate). Respondents were asked about self-reported use of household tap water for consumption (i.e., drinking, rinsing produce, or making ice) and use through water-aerosolizing devices (e.g., showerheads, humidifiers). Demographics included gender, age, race/ethnicity, education, income, region, and health status. Weighted analyses using complex sample survey procedures were used to assess tap water exposure by route and demographics. Most US adults are exposed to aerosolized tap water through showering (80.6%), and one in five are exposed through other water-aerosolizing devices (20.3%). Consumption and showering were greatest among older, White, higher educated, and higher-income adults. Aerosolized tap water can transmit waterborne pathogens and cause respiratory illness, especially among older age groups and people with weakened immune systems. These results will help target health messages for using water-aerosolizing devices safely. HIGHLIGHTS Most individuals report using tap water through a showerhead at home, and one in five report using in aerosolizing devices, such as vaporizers and humidifiers.; Demographic differences were found among groups that reported using tap water for aerosolizing devices.; Public health efforts are needed to promote good water management practices when using household devices that aerosolize tap water.;

Keywords

• aerosolized water
• drinking water
• environmental health
• household water exposures
• tap water
• waterborne disease