Contaminated unregulated drinking water in rural communities is a continuing health issue, leading many resource users to unknowingly consume water with elevated levels of harmful chemicals. Though geographic information systems (GIS) and Internet technology have been particularly useful for water resource management, to date, there exist few studies that specifically address the development of Internet-based GIS applications to increase user access to unregulated drinking water source information. Informed by an existing user centered development framework for Internet mapping, we created an Internet GIS that visualized groundwater contamination on the Navajo Nation in the southwest United States. We employed a usability focus group, expert review of content and pilot test of a prototype GIS application to gather empirical evidence on effectiveness for informing users of a significant water quality issue. Results suggested that the designed and deployed GIS application was appropriate for the target audience of environmental nongovernmental organization (ENGO) and institution of higher education (IHE) professionals. Usability testing and expert review confirmed the importance of these evaluation measures to ensure a high quality GIS prior to deployment. Use of existing Internet mapping guidelines was found to be insufficient for creating a refined GIS interface appropriate for the target audience. Additionally, we demonstrated that an existing user centered design and evaluation framework could be applied successfully to visualize water quality for unregulated groundwater wells in the rural southwest United States. Suggestions for continued research in the use of Internet GIS to inform rural residents about drinking water quality are provided. © 2014 Elsevier Ltd.

Background

Inadequate or excessive intake of micronutrients in pregnancy has potential to negatively impact maternal/offspring health outcomes.

Objective

The aim was to compare risks of inadequate or excessive micronutrient intake in diverse females with singleton pregnancies by strata of maternal age, race/ethnicity, education, and prepregnancy BMI.

Methods

Fifteen observational cohorts in the US Environmental influences on Child Health Outcomes (ECHO) Consortium assessed participant dietary intake with 24-h dietary recalls (n = 1910) or food-frequency questionnaires (n = 7891) from 1999-2019. We compared the distributions of usual intake of 19 micronutrients from food alone (15 cohorts; n = 9801) and food plus dietary supplements (10 cohorts with supplement data; n = 7082) to estimate the proportion with usual daily intakes below their age-specific daily Estimated Average Requirement (EAR), above their Adequate Intake (AI), and above their Tolerable Upper Intake Level (UL), overall and within sociodemographic and anthropometric subgroups.

Results

Risk of inadequate intake from food alone ranged from 0% to 87%, depending on the micronutrient and assessment methodology. When dietary supplements were included, some women were below the EAR for vitamin D (20-38%), vitamin E (17-22%), and magnesium (39-41%); some women were above the AI for vitamin K (63-75%), choline (7%), and potassium (37-53%); and some were above the UL for folic acid (32-51%), iron (39-40%), and zinc (19-20%). Highest risks for inadequate intakes were observed among participants with age 14-18 y (6 nutrients), non-White race or Hispanic ethnicity (10 nutrients), less than a high school education (9 nutrients), or obesity (9 nutrients).

Conclusions

Improved diet quality is needed for most pregnant females. Even with dietary supplement use, >20% of participants were at risk of inadequate intake of ≥1 micronutrients, especially in some population subgroups. Pregnancy may be a window of opportunity to address disparities in micronutrient intake that could contribute to intergenerational health inequalities.