Adolescents Young Adults Adults women of reproductive age
Introduction: The Flint, Michigan Water Crisis (2014-present) increased awareness of the dangers of drinking lead-contaminated water. Elevated blood lead levels during pregnancy are associated with spontaneous abortion, lower birth weight, and infant mortality. During the Washington DC Water Crisis (2000-2004), exposure to lead-contaminated drinking water was associated with fetal death and reduced birth rates.
Purpose: A web-based intervention was implemented and tested to increase knowledge and skills related to lead water contamination and
improve behaviors related to safe drinking among females of reproductive age.
Materials and Methods: The intervention used a one-group pre-test design. University of Michigan – Flint female students aged 18 to 45 who
wished to become pregnant in the next 2 years were recruited via email, classroom contact, and flyers. A survey was administered at the start
of and two weeks after the end of the intervention to investigate changes in knowledge, skills, and behaviors. The online course consisted of
these sessions:
– How to take care of oneself to have a healthy pregnancy one day: The session focused on the importance of a healthy diet, use of folic
acid, and regular exercise.
– Lead water contamination: The session focused on lead contamination and the effects of lead on the mother and baby. Types of food to
consume if exposed to lead were discussed.
– Prevention of exposure to contaminated water: Demonstrations of testing water, installing filters, and cleaning aerators were given in videos.



