Abstract

AbstractA biocultural approach provides an emerging framework for clarifying the mechanisms that connect water security to human health and wellbeing. Five basic tenets of the biocultural approach are outlined: The focus on the local, the centrality of culture, the notion of embodied disadvantage, a concern with proximate mechanisms as a means to test theorized pathways, and recognition of intersecting and potentially amplified (syndemic) risks. From a review of both new and dispersed biocultural literature on household water, four key themes emerge: (a) individual vulnerabilities to the biological effects of water insecurity are shaped by cultural practices; (b) water insecurity is a powerful biocultural stressor on mental health; (c) water insecurity mediates between low power and worse health within communities, and through multiple mechanisms; (d) the household is a nexus for food–water interactions, each likely worsening each other and health through syndemic relationships. This sets an agenda for a biocultural approach to the household as a localizing nexus for manifesting the very human costs to mental and physical health of managing under conditions of extreme household resource insecurity.This article is categorized under:Engineering of Water > Planning WaterHuman Water > Water GovernanceHuman Water > Water as Imagined and Represented

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