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Disparities in Water and Sewer Services in North Carolina

An Analysis of the Decision-Making Process

Bibliographic Data

ID11034838
AuthorsJulia Marie Naman (Julia Marie Naman and Jacqueline MacDonald Gibson are with the Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill.), Jacqueline MacDonald Gibson (0000-0002-5468-0713, Julia Marie Naman and Jacqueline MacDonald Gibson are with the Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill.)
Year2015
Volume105
Issue10
Pagese20-e26
Publication date2015-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2015.302731
PMID26270307
OpenAlexW1928543866
LanguageEN
Citations received6
References cited10

Objectives. We examined the factors that affect access to municipal water and sewer service for unincorporated communities relying on wells and septic tanks. Methods. Using a multisite case study design, we conducted in-depth, semistructured interviews with 25 key informants from 3 unincorporated communities in Hoke, New Hanover, and Transylvania counties, North Carolina, July through September 2013. Interviewees included elected officials, health officials, utility providers, and community members. We coded the interviews in ATLAS.ti to identify common themes. Results. Financing for water and sewer service emerged as the predominant factor that influenced decisions to extend these services. Improved health emerged as a minor factor, suggesting that local officials may not place a high emphasis on the health benefits of extending public water and sewer services. Awareness of failed septic systems in communities can prompt city officials to extend sewer service to these areas; however, failed systems are often underreported. Conclusions. Understanding the health costs and benefits of water and sewer extension and integrating these findings into the local decision-making process may help address disparities in access to municipal services

Business · Community health · Environmental health · Environmental planning · Geography · Public health · Sanitary sewer · Service (business) · Service provider · Child Nutrition and Water Access · Engineering · Environmental Engineering · Fecal contamination and water quality · Marketing · Medicine · Nursing · Urban Stormwater Management Solutions

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  • Intersectionality of water insecurity on the US-Mexico border

    Open Access•Ricardo Rubio, Grineski et al.•Population and Environment•2025

  • Exposure to Contaminated Drinking Water and Health Disparities in North Carolina

    Frank Stillo, Jacqueline MacDonald Gibson•American Journal of Public Health•2017

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  • Racial Disparities in Access to Community Water Supply Service in Wake County, North Carolina

    Jacqueline MacDonald Gibson, Nicholas DeFelice et al.•American Journal of Public Health•2014

  • The role of public health improvements in health advances

    Open Access•Donald Cutler, David Cutler et al.•Demography•2005

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    Open Access•Andrea Altschuler, Carol P Somkin et al.•Social Science & Medicine•2004

Unique citing works6
Citations per year0,67
Citation span2017 - 2025 (9)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 6

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