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The Regressive Costs of Drinking Water Contaminant Avoidance


  • Hyde, Kelly


Up to 45 million Americans in a given year are potentially exposed to contaminated drinking water, increasing their risk of adverse health outcomes. Existing literature has demonstrated that individuals respond to drinking water quality violations by increasing their purchases of bottled water and filtration avoidance, thereby avoiding exposure to contaminants. This paper demonstrates that poorer households, for whom the costs of avoidance comprise a greater share of disposable income, bear disproportionate costs of water quality violations in the United States. Following a health-based water quality violation, poor households' expenditure on nutritious grocery products in a nationally representative panel differentially decreases by approximately $7 per month. This is associated with a decrease of about 1,500 calories per household member per day, placing these individuals at a higher risk of food insecurity. This finding suggests that the indirect costs of drinking water contamination through economic channels exacerbate health disparities associated with poverty.

Suggested Citation

  • Hyde, Kelly, 2020. "The Regressive Costs of Drinking Water Contaminant Avoidance," GLO Discussion Paper Series 703, Global Labor Organization (GLO).
  • Handle: RePEc:zbw:glodps:703

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    References listed on IDEAS

    1. Hilary W. Hoynes & Diane Whitmore Schanzenbach, 2009. "Consumption Responses to In-Kind Transfers: Evidence from the Introduction of the Food Stamp Program," American Economic Journal: Applied Economics, American Economic Association, vol. 1(4), pages 109-139, October.
    2. Johnston, Robert J. & Thomassin, Paul J., 2010. "Willingness to Pay for Water Quality Improvements in the United States and Canada: Considering Possibilities for International Meta-Analysis and Benefit Transfer," Agricultural and Resource Economics Review, Northeastern Agricultural and Resource Economics Association, vol. 39(1), pages 1-18, February.
    3. Hoynes, Hilary & Page, Marianne & Stevens, Ann Huff, 2011. "Can targeted transfers improve birth outcomes?: Evidence from the introduction of the WIC program," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 813-827, August.
    4. Freeman, Richard & Liang, Wenquan & Song, Ran & Timmins, Christopher, 2019. "Willingness to pay for clean air in China," Journal of Environmental Economics and Management, Elsevier, vol. 94(C), pages 188-216.
    5. Karen Clay & Werner Troesken & Michael Haines, 2014. "Lead and Mortality," The Review of Economics and Statistics, MIT Press, vol. 96(3), pages 458-470, July.
    6. David Switzer & Manuel P. Teodoro, 2018. "Class, Race, Ethnicity, and Justice in Safe Drinking Water Compliance," Social Science Quarterly, Southwestern Social Science Association, vol. 99(2), pages 524-535, June.
    7. Frisvold, David E., 2015. "Nutrition and cognitive achievement: An evaluation of the School Breakfast Program," Journal of Public Economics, Elsevier, vol. 124(C), pages 91-104.
    8. Beach, Brian & Ferrie, Joseph & Saavedra, Martin & Troesken, Werner, 2016. "Typhoid Fever, Water Quality, and Human Capital Formation," The Journal of Economic History, Cambridge University Press, vol. 76(1), pages 41-75, March.
    9. Achyuta Adhvaryu & James Fenske & Anant Nyshadham, 2019. "Early Life Circumstance and Adult Mental Health," Journal of Political Economy, University of Chicago Press, vol. 127(4), pages 1516-1549.
    10. Joshua Graff Zivin & Matthew Neidell & Wolfram Schlenker, 2011. "Water Quality Violations and Avoidance Behavior: Evidence from Bottled Water Consumption," American Economic Review, American Economic Association, vol. 101(3), pages 448-453, May.
    11. Werner Troesken, 2004. "Water, Race, and Disease," MIT Press Books, The MIT Press, edition 1, volume 1, number 0262201488, December.
    12. Raj Chetty & John N. Friedman & Nathaniel Hendren & Maggie R. Jones & Sonya R. Porter, 2018. "The Opportunity Atlas: Mapping the Childhood Roots of Social Mobility," Working Papers 18-42, Center for Economic Studies, U.S. Census Bureau.
    13. Roy Brouwer & Fumbi Job & Bianca Kroon & Richard Johnston, 2015. "Comparing Willingness to Pay for Improved Drinking-Water Quality Using Stated Preference Methods in Rural and Urban Kenya," Applied Health Economics and Health Policy, Springer, vol. 13(1), pages 81-94, February.
    14. Lilia Rodríguez-Tapia & Daniel A. Revollo-Fernández & Jorge A. Morales-Novelo, 2017. "Household’s Perception of Water Quality and Willingness to Pay for Clean Water in Mexico City," Economies, MDPI, vol. 5(2), pages 1-14, April.
    15. Hilary Hoynes & Doug Miller & David Simon, 2015. "Income, the Earned Income Tax Credit, and Infant Health," American Economic Journal: Economic Policy, American Economic Association, vol. 7(1), pages 172-211, February.
    16. repec:wly:soecon:v:82:4:y:2016:p:1078-1105 is not listed on IDEAS
    17. Hoynes, Hilary & Page, Marianne & Stevens, Ann Huff, 2011. "Can targeted transfers improve birth outcomes?," Journal of Public Economics, Elsevier, vol. 95(7), pages 813-827.
    18. Florencia Devoto & Esther Duflo & Pascaline Dupas & William Parienté & Vincent Pons, 2012. "Happiness on Tap: Piped Water Adoption in Urban Morocco," American Economic Journal: Economic Policy, American Economic Association, vol. 4(4), pages 68-99, November.
    19. James A. Brox & Ramesh C. Kumar & Kenneth R. Stollery, 2003. "Estimating Willingness to Pay for Improved Water Quality in the Presence of Item Nonresponse Bias," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 85(2), pages 414-428.
    20. Joseph P. Ferrie & Karen Rolf & Werner Troesken, 2011. "Cognitive Disparities, Lead Plumbing, and Water Chemistry: Intelligence Test Scores and Exposure to Water-Borne Lead Among World War Two U.S. Army Enlistees," NBER Working Papers 17161, National Bureau of Economic Research, Inc.
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