Perceived Water Safety and Elevated Liver Enzymes in Rural West Virginia: Links between Drinking Water, Beverage Habits, and Liver Health

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Analyzes associations between perceived home tap water quality, liver enzyme levels, and other clinical indicators among 272 adults in rural West Virginia. Discusses how perceived environmental health and access to affordable filtration may influence health outcomes in rural, Appalachian areas.

Joanna Bailey, Terezia Lilly, Adam D. Baus

Rural and Remote Health, 26(1)

02/2026

Appalachia · Environmental health · Infrastructure · West Virginia