TY - JOUR
T1 - Validity of a four-item household water insecurity experiences scale for assessing water issues related to health and well-being
AU - HWISE Research Coordination Network
AU - Young, Sera L.
AU - Miller, Joshua D.
AU - Frongillo, Edward A.
AU - Boateng, Godfred O.
AU - Jamaluddine, Zeina
AU - Neilands, Torsten B.
AU - Brewis, Alexandra
AU - Trowell, Alex
AU - Pearson, Amber L.
AU - Wutich, Amber
AU - Sullivan, Andrea
AU - Rosinger, Asher Y.
AU - Hagaman, Ashley
AU - Workman, Cassandra
AU - Staddon, Chad
AU - Tshala-Katumbay, Desire
AU - Krishnakumar, Divya
AU - Adams, Ellis
AU - Sánchez-Rodriguez, Ernesto C.
AU - Carrillo, Genny
AU - Asiki, Gershim
AU - Ghattas, Hala
AU - Eini-Zinab, Hassan
AU - Melgar-Quiñonez, Hugo
AU - Ahmed, Jam Farooq
AU - Moran-Martinez, Javier
AU - Vonk, Jaynie
AU - Maupin, Jonathan
AU - Escobar-Vargas, Jorge
AU - Stoler, Justin
AU - Mathad, Jyoti
AU - Chapman, Kelly
AU - Maes, Kenneth
AU - Samayoa-Figueroa, Luisa
AU - Sheikhi, Mahdieh
AU - Alexander, Mallika
AU - Santoso, Marianne V.
AU - Freeman, Matthew C.
AU - Boivin, Michael J.
AU - Morales, Milton Marin
AU - Balogun, Mobolanle
AU - Ghorbani, Monet
AU - Omidvar, Nasrin
AU - Triviño, Nathaly
AU - Hawley, Nicola
AU - Owuor, Patrick Mbullo
AU - Tutu, Raymond
AU - Schuster, Roseanne C.
AU - Rasheed, Sabrina
AU - Collins, Shalean M.
N1 - Publisher Copyright:
© 2021 by The American Society of Tropical Medicine and Hygiene
PY - 2021/1/6
Y1 - 2021/1/6
N2 - We sought to determine whether a shortened version of the 12-item Household Water Insecurity Experiences (HWISE) Scale, which measures water insecurity equivalently in low- and middle-income countries (LMICs), is valid for broad use. Using data from 9,261 households in 25 LMICs, subsets of candidate items were evaluated on their predictive accuracy, criterion validity, and sensitivity-specificity. A subset with items assessing “worry,” “changing plans,” “limited drinking water,” and “inability to wash hands” because of problems with water (range: 0-12) were highly correlated with full HWISE Scale scores (correlation coefficient: 0.949-0.980) and introduced minimal additional error (root mean square error: 2.13-2.68). Criterion validity was demonstrated, and a cut point of 3 4 correctly classified more than 91% of households as water secure or insecure. The brief HWISE-4 can be used in LMICs to inform decisions about how to most effectively target resources and evaluate public health interventions.
AB - We sought to determine whether a shortened version of the 12-item Household Water Insecurity Experiences (HWISE) Scale, which measures water insecurity equivalently in low- and middle-income countries (LMICs), is valid for broad use. Using data from 9,261 households in 25 LMICs, subsets of candidate items were evaluated on their predictive accuracy, criterion validity, and sensitivity-specificity. A subset with items assessing “worry,” “changing plans,” “limited drinking water,” and “inability to wash hands” because of problems with water (range: 0-12) were highly correlated with full HWISE Scale scores (correlation coefficient: 0.949-0.980) and introduced minimal additional error (root mean square error: 2.13-2.68). Criterion validity was demonstrated, and a cut point of 3 4 correctly classified more than 91% of households as water secure or insecure. The brief HWISE-4 can be used in LMICs to inform decisions about how to most effectively target resources and evaluate public health interventions.
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U2 - 10.4269/AJTMH.20-0417
DO - 10.4269/AJTMH.20-0417
M3 - Article
C2 - 33124535
AN - SCOPUS:85100125858
SN - 0002-9637
VL - 104
SP - 391
EP - 394
JO - American Journal of Tropical Medicine and Hygiene
JF - American Journal of Tropical Medicine and Hygiene
IS - 1
ER -