Variations in household water affordability and water insecurity: An intersectional perspective from 18 low- and middle-income countries

Author:

Shah Sameer H1ORCID,Harris Leila M2,Menghwani Vikas3,Stoler Justin4,Brewis Alexandra5,Miller Joshua D6ORCID,Workman Cassandra L7,Adams Ellis Adjei8,Pearson Amber L9,Hagaman Ashley10,Wutich Amber5,Young Sera L11

Affiliation:

1. University of Washington, USA; The University of British Columbia, Canada

2. The University of British Columbia, Canada

3. The University of British Columbia, Canada; University of Saskatchewan, Canada

4. University of Miami, USA

5. Arizona State University, USA

6. The University of North Carolina at Chapel Hill, USA

7. University of North Carolina at Greensboro, USA

8. University of Notre Dame, USA

9. Michigan State University, USA

10. Yale School of Public Health, USA

11. Northwestern University, USA

Abstract

Compounding systems of marginalization differentiate and shape water-related risks. Yet, quantitative water security scholarship rarely assesses such risks through intersectionality, a paradigm that conceptualizes and examines racial, gendered, class, and other oppressions as interdependent. Using an intersectionality approach, we analyze the relationships between household head gender and self-reported socio-economic status, and water affordability (proportion of monthly income spent on water) and water insecurity (a composite measure of 11 self-reported experiences) for over 4000 households across 18 low- and middle-income countries in Central and South America, Africa, and Asia. Interaction terms and composite categorical variables were included in regression models, adjusting for putative confounders. Among households with a high socio-economic status, the proportion of monthly income spent on water differed by household head gender. In contrast, greater household water insecurity was associated with lower socio-economic status and did not meaningfully vary by the gender of the household head. We contextualize and interpret these experiences through larger systems of power and privilege. Overall, our results provide evidence of broad intersectional patterns from diverse sites, while indicating that their nature and magnitude depend on local contexts. Through a critical reflection on the study’s value and limitations, including the operationalization of social contexts across different sites, we propose methodological approaches to advance multi-sited and quantitative intersectional research on water affordability and water insecurity. These approaches include developing scale-appropriate models, analyzing complementarities and differences between site-specific and multi-sited data, collecting data on gendered power relations, and measuring the impacts of household water insecurity.

Funder

National Science Foundation

National Institutes of Health

Center for Global Health at the School of Human Evolution and Social Change and Decision Center for a Desert City at Arizona State University

Innovative Methods and Metrics for Agriculture and Nutrition Actions

Buffett Institute for Global Studies and the Center for Water Research at Northwestern University

College of Health and Human Development and Social Science Research Institute at Pennsylvania State University

Social Sciences and Humanities Research Council of Canada

The Office of the Vice Provost for Research of the University of Miami

Lloyd’s Register Foundation for Labuan Bajo

Peter Wall Institute for Advanced Studies at The University of British Columbia

Publisher

SAGE Publications

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