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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Availability of drinking water in rural and remote communities in New South Wales, Australia

Christina Perry A , Yvonne Dimitropoulos B H , John Skinner B , Chris Bourke C , Kate Miranda D , Elyse Cain E , Damien Beaufils F , Vita Christie B , Boe Rambaldini B and Kylie Gwynne F G
+ Author Affiliations
- Author Affiliations

A Gallatin School of Individualized Study, New York University, New York, USA.

B Poche Centre for Indigenous Health, The University of Sydney, NSW 2006, Australia.

C Austrailan Healthcare and Hospitals Association, ACT 2600, Australia.

D Australian Dental Association, NSW 2065, Australia.

E New South Wales Council of Social Service, NSW 2011, Australia.

F Garfield Barwick Chambers, NSW 2000, Australia.

G Faculty of Medicine, Health and Human Sciences, Macquarie University, NSW 2109, Australia.

H Corresponding author. Email: Yvonne.dimitropoulos@sydney.edu.au

Australian Journal of Primary Health 28(2) 125-130 https://doi.org/10.1071/PY21119
Submitted: 1 June 2021  Accepted: 13 October 2021   Published: 1 February 2022

Journal Compilation © CSIRO 2022 Open Access CC BY-NC-ND

Abstract

Many rural communities in New South Wales (NSW), Australia, have poor-quality water supplies. The lack of a palatable alternative increases the risk of the high consumption of sugar-sweetened beverages, a significant contributor to adverse health outcomes. This disproportionately effects Aboriginal people living in these towns, who are also profoundly affected by the social determinants of health. Therefore, examining health inequalities linked to water access is important. This study investigated the availability of drinking water fountains in rural and remote communities in NSW. Telephone interviewer-assisted surveys were conducted with 32 representatives from local government councils or Local Aboriginal Land Councils in NSW from communities with a population of <5000 and an Aboriginal population of at least 3%. The results were analysed descriptively. Towns and communities with a higher population of Aboriginal people and lower median weekly income were less likely to have access to free refrigerated and filtered water within the community or at local schools compared with towns and communities with a lower Aboriginal population and higher median weekly income. The availability of free, clean and refrigerated water in rural and remote communities is critical to reducing the consumption of sugar-sweetened beverages and the promotion of water as the preferred drink.

Keywords: water, rural, remote, Aboriginal, population health, health promotion, NSW, Australia.


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