Understanding consumption and purchase of tap water and diverse tap-alternative drinking water sources in Detroit, Michigan

Several gaps remain in understanding individuals' water consumption reliance outcomes in disadvantaged communities. We utilize a cross-sectional sample of household-level survey data from predominantly low-income, minoritized households in Detroit, MI, to examine the relationship between tap and tap-alternative drinking water consumption and purchase behavior. We collected survey data from one English-speaking adult per household in May-October 2021 (n = 259). Consistent with past studies, tap water consumption is negatively correlated with single-use bottled water consumption and consuming drinking water from multiple sources. We also find tap distrust is correlated with tap-alternative water consumption, yet there is a surprising positive relationship between tap and overall bottled water consumption levels. Very low-income households were more likely to rely on bottled water and multiple other water sources simultaneously. Female respondents reported lower levels of most types of water consumption. Black respondents reported lower tap water and bottled water consumption but had higher levels of other tap-alternative source consumption. Our results call into question whether higher tap water consumption is synonymous with tap trust or with reduced bottled water consumption. Public health interventions must further address high levels of bottled water consumption among low-income individuals, and low tap water consumption among Black individuals.