Wealthy Countries Research Articles

Modeling the intention and adoption of food waste prevention practices among Chinese households

Considerable attention has been paid to the problem of food waste on a worldwide scale. Evidence demonstrates that food waste occurs mostly in private households, and that home food waste has been identified as the leading cause of global food waste. Home food waste poses a severe threat to food security and involves environmental and financial ramifications. While this is a global issue, most studies on what motivates people to make changes that would result in less food waste have been conducted in wealthy countries. Integrating the Theory of Interpersonal Behavior (TIB), this study fills this gap by investigating the factors influencing Chinese household consumers’ intentions toward food waste reduction and their actual food waste behavior. This study used a cross-sectional survey approach to collect data from households using social media platforms. Partial least squares structural equation modeling was adopted to assess and evaluate the conceptual model. The empirical findings demonstrate that cognitive (perceived value of sustainability), environmental (awareness of consequences and ascription of responsibility), social (social norms), and emotional (anticipated guilt) aspects tend to have a positive influence on Chinese household consumers’ intentions toward reducing food waste, suggesting that interpersonal behavior could reduce food consumption in developing countries like China. Furthermore, the findings show that the intention to decrease food waste serves as an intermediary variable that highlights another route of association between the TIB factors and actual food waste reduction behavior. The findings will be more informative to policymakers, marketers, and researchers in developing strategies to reduce food waste.

Access and barriers to genomic classifiers for breast cancer and prostate cancer in India.

The incidence of cancer in general, including breast and prostate cancer specifically, is increasing in India. Breast and prostate cancers have genomic classifiers developed to guide therapy decisions. However, these genomic classifiers are often inaccessible in India due to high cost. These classifiers may also be less suitable to the Indian population, as data primarily from patients in wealthy Western countries were used in developing these genomic classifiers. In addition to the limitations in using these existing genomic classifiers, developing and validating new genomic classifiers for breast and prostate cancer in India is challenging due to the heterogeneity in the Indian population. However, there are steps that can be taken to address the various barriers that currently exist for accurate, accessible genomic classifiers for cancer in India.

Vaccine Nationalism Counterintuitively Erodes Public Trust in Leaders

Global access to resources like vaccines is key for containing the spread of infectious diseases. However, wealthy countries often pursue nationalistic policies, stockpiling doses rather than redistributing them globally. One possible motivation behind vaccine nationalism is a belief among policymakers that citizens will mistrust leaders who prioritize global needs over domestic protection. In seven experiments (total N = 4,215 adults), we demonstrate that such concerns are misplaced: Nationally representative samples across multiple countries with large vaccine surpluses (Australia, Canada, United Kingdom, and United States) trusted redistributive leaders more than nationalistic leaders—even the more nationalistic participants. This preference generalized across different diseases and manifested in both self-reported and behavioral measures of trust. Professional civil servants, however, had the opposite intuition and predicted higher trust in nationalistic leaders, and a nonexpert sample also failed to predict higher trust in redistributive leaders. We discuss how policymakers’ inaccurate intuitions might originate from overestimating others’ self-interest.

A 5-year review of prevalence, temporal trends and characteristics of individuals experiencing moderate and severe food insecurity in 34 high income countries

BackgroundDue to the relatively low numbers of households in high income countries experiencing food insecurity most studies conflate the levels of severity, which masks between- and within-country differences. This study aims to describe the characteristics of individuals living in high income countries who were moderately or severely food insecure and investigates temporal trends in prevalence. It assesses these characteristics in comparison to those who were food secure.MethodsThis is a secondary analysis of data collected by the FAO Voices of the Hungry between 2014–2018. The data were collected during the annual Gallup World Polls of nationally representative samples using the Food Insecurity Experience Scale. Data from 34 highly developed, wealthy countries were analysed. The age, gender, income, education, area of residence and household structure of individuals experiencing moderate/severe food insecurity (FI), and severe FI, were compared using ANOVA, Welch’s F, Pearson’s Chi-square, and Linear-by-Linear Association, dependent on the variable of interest. Hierarchical cluster analysis was used to group countries according to their prevalence of moderate/severe FI, and severe FI.ResultsOverall, 6.5% of the weighted sample were moderately/severely food insecure (M-SFI), while 1.6% were severely food insecure. M-SFI individuals were present in all 34 countries, in all years and across all education levels and income quintiles. The proportion of individuals experiencing moderate/severe FI varied between years and countries. Fifteen countries showed a significant downward temporal trend in prevalence of moderate/severe FI (p < 0.001), while three countries demonstrated an increasing temporal trend driven by increasing prevalence in those aged 65 years or less (p < 0.001). Comparing individuals experiencing moderate versus severe FI showed over-representation of males, single adult households and lower household income in the severe FI group.ConclusionsIndividuals across all income, education and age categories living in high income countries are experiencing moderate/severe food insecurity, but with higher prevalence in those experiencing more disadvantage. Over the study period some countries experienced escalating while others demonstrated decreasing moderate/severe FI trends. This comparison of countries with similar economic and human development indices highlights an opportunity to investigate subtle variations in social, economic and education policy that could have profound impacts on food insecurity.

The negative impact of global health worker migration, and how it can be addressed

International migration of healthcare workers is well established and has become a means of maintaining service quality in many high income countries. In recent years, there has been a dramatic increase in recruitment of health personnel who have been trained abroad, including from the poorest countries in the world. In this article, using General Medical Council (GMC) data, we chart the growth in numbers of international staff working in the United Kingdom, where since 2018, over half of all new GMC registrations have been of doctors trained abroad. There is evidence that this migration of health staff results in poorer health service provision in low and middle income countries, as well as substantial economic impacts in these countries that have invested in training their health workforce. Recruiting governments have argued that remittances compensate for the loss of personnel, and that training opportunities can enable skills transfer to countries with weaker health systems. However, we found that the costs to the source countries dwarfed remittances, and that only a tiny fraction of people who move to take up posts in wealthier countries ever return to their countries of origin to work. We conclude that in addition to the investment in health systems (and workforce development) in low and middle income countries as part of Official Development Assistance for Health, there is an urgent need to increase training of nurses and doctors so that damaging migration is no longer relied upon to fill gaps in healthcare personnel.

Exploring the Financial Benefits of Mental Health in African Nations: Overcoming Mental Obstacles

Governments in wealthier countries have taken an increasing interest in mental health in recent years, conscious of its impact on quality of life and the economic consequences of poor mental health. In Africa, however, mental health is still not given the attention and resources it needs, with the majority of the focus being on communicable disorders. This review of the literature looks at the economic effects of mental health in African countries, exploring the difficulties they face and how economic data can be used to push for more investment in mental health. It examines the available information, identifies any gaps in the evidence, and examines how mental health services are provided. In high-income countries, NGOs have been demonstrated to be a significant factor in the financing, organization, and supply of mental health services, which is of great importance. In African countries, where mental health policy and infrastructure are more limited, NGOs have an even more essential part to play in removing obstacles to the establishment of mental health policy and practice.

European countries on the road to sustainable development: successes and contradictions

The article considers the main European trends concerning sustainable investment. The study is based on the analysis of official documents, reports, statistical data, as well as the opinions of experts in the field of sustainable development policy. Statistics show a growing interest in sustainable investment in the world as a whole, and Europe continues to take one of the leading positions in terms of financial injections into sustainable development. Although not all European countries are members of the European Union, the development of legislation in sustainable policy demonstrates the same trend, while retaining some pecularities, which are also highlighted in this article. At the same time, the growing disagreements and disproportions among EU countries on certain issues of sustainable development are emphasized. In particular, the classification of nuclear power as «green», the disproportion in the distribution of financial investment flows, the high costs of the «green transition» and their distribution between consumers and producers in the «rich» and less wealthy countries of Europe. The initially unified «intention» is supplemented by a large number of exceptions and concessions generated by lobbies of the corporations which are based in certain countries

The climate change impacts and responses index: quantifying disparities and guiding policies for collective resilience

ABSTRACT Identifying climate change risks, vulnerabilities of exposed populations, and implemented responses to climate change are crucial for developing effective strategies to mitigate climate hazards. However, existing climate change assessment indexes still have some limitations, such as insufficient consideration of policy response, limited coverage of countries, and lack of a multidimensional perspective. In this study, we developed a novel climate change impacts and responses (CCIR) index that incorporates comprehensive information on climate risks, disease burden, and mitigation actions in response to climate risks and damage. To our best knowledge, the CCIR index is the first of its kind that explores variations in climate risks, impacts, and responses across countries to identify vulnerabilities and find more targeted solutions. A positive correlation was found between the CCIR index and national Gross Domestic Product per capita, indicating that wealthier countries might allocate more resources toward mitigating climate impacts. Moreover, countries with better climate education tended to have a lower carbon footprint, highlighting the importance of climate education. Furthermore, countries with lower risks of emerging infectious diseases were more likely to consume more renewable energy. The results highlight the value of using a multidimensional CCIR framework to analyze the interactions among socioeconomic factors, environmental policies, and climate change risks in 158 countries. This comprehensive approach provides actionable insights to mitigate climate impacts and improve national climate resilience. It also streamlines monitoring efforts and promotes joint climate action across international boundaries. By identifying climate risks and opportunities, the CCIR index can help policymakers design, refine, and implement adaptation policies and measures to respond to the impacts of climate change.

Recurrence of wheeze in preschool aged children: a retrospective cohort study in primary care

Abstract Background Approximately 1 in 7 children with wheeze will be admitted to hospital for treatment, often leading to repeat visits to emergency departments and hospital admissions. The UK lags other wealthy countries in the management of preschool wheeze and has amongst the highest rates of asthma deaths in Europe. There were reports that wheeze and asthma admissions to hospitals fell during the Covid-19 pandemic lockdowns, but the changing community incidence is unknown. We aimed to report the changing incidence of recurrent wheeze across the Covid-19 pandemic. Methods Using data from the UK Clinical Practice Datalink, a nationally representative sample of the UK population, we followed a cohort of 57,603 children aged 1-5 years who consulted their general practitioner with their first wheeze attack between January 2009 and July 2020. We calculated the incidence of wheezing recurrence by calendar year. We will calculate the incidence rate ratios for recurrent wheeze by level of area-based deprivation whilst accounting for potential confounders including child age, sex, birth weight, gestation age, ethnicity, comorbidities, bronchiolitis, maternal smoking, maternal asthma, and maternal age at birth. Results The incidence of recurrent preschool wheeze remained stable across the Covid-19 pandemic (e.g., 2019: 27% vs 2020: 23%) even though total wheeze events in general practice fell from 3,135 in 2019 to 1,280 in 2020. Conclusions Around a quarter of children with wheeze have repeat visits to the GP. Our next steps are to identify preventive actions to reduce the risks of recurrent wheeze for children presenting with their first wheeze attack in primary care. Key messages • Around a quarter of children will have a repeat visit to the GP for wheeze within the first year after their initial wheeze attack. • The incidence of recurrent preschool wheeze remained stable across the Covid-19 pandemic.

The nexus of food and nutrition security in youth: linking a Canadian survey and administrative data

Abstract Background Food insecurity is impacted by social determinants of health and is a risk factor for poor nutrition. Simultaneously, nutrition insecurity remains a pervasive public health concern in wealthy countries, especially for children. This study describes characteristics of youth that may increase risk of food and nutrition insecurity. Methods A cross-sectional study of grade nine students took place in 37 schools in Manitoba, Canada. Students completed a web-based survey on food security, diet, and nutrition-related behaviours. When consenting, parents/guardians could provide their child's health number. This sub-sample (n = 943) was linked with social and health variables through a de-identified data repository and used for this study. Bivariate associations explored relationships between sociodemographic information, diet quality, eating behaviours, mental health, and food security. A multivariable logistic regression model determined adjusted odds ratios and 95% confidence limits for food security, and a general linear model for diet quality. Significance was set at p &amp;lt; 0.05 for all analyses. Results Twenty percent of participants were food insecure and 70% had sub-optimal diets. Food security was positively associated with living in a rural area, in higher income neighbourhoods and eating family dinner more frequently, while living in a northern area or in social housing, were negatively associated. Food security was not significantly related to diet quality; however, better nutrition was associated with being female, higher self-rated health, absence of a mental health diagnosis, and more frequent breakfast consumption, while receiving social assistance and living in a northern area were negatively associated with diet. Conclusions While results show a socioeconomic and geographic vulnerability to food insecurity, the diet quality of most adolescents was low. A multidimensional public health approach is needed to resolve these connected yet different issues. Key messages • Food insecurity and nutrition insecurity are public health concerns that require distinct but related interventions. • Scaling up income supports to resolve food insecurity is insufficient to improve dietary quality across adolescent populations.

Integrating Equity Considerations in an International Pandemic Instrument

Abstract Background The COVID-19 pandemic is widely regarded as a catastrophic failure of global governance with far-reaching consequences. Actions from wealthy countries severely limited access to essential medicines and supplies for the majority of the world's population. While the World Health Assembly has established an intergovernmental negotiating body (INB) to draft an instrument to strengthen pandemic prevention, preparedness and response, and equity considerations have been positioned as central to this process, there remains a danger that international power imbalances sabotage meaningful equity action. What priorities should an equity-centred pandemic instrument reflect? Methods Using a sequential deliberative dialogue (DD) methodology, international participants were purposefully selected for expertise, life experience, and spheres of influence. Two Fall 2022 dialogues were virtually convened to coincide with the study's official representation at the INB process and participants were engaged to respond specifically to the instrument's development. Dialogue findings were synthesized with a Systematic Equity Action-Analysis1 and participants were invited to review and respond. Results Alongside specific recommendations to prevent future inequitable pandemic responses, three overarching equity-centred approaches were identified as crucial: (1) consistently align stated intentions with operational proposals; (2) openly acknowledge causes and contexts of global inequity; and (3) create mechanisms for accountability and enforcement. Conclusions Achieving equity in international instruments is possible, but vague language threatens this potential. Beyond aspirational rhetoric, deliberate and coherent equity-promoting mechanisms are needed throughout the pandemic instrument in order to avoid the next catastrophic failure of global governance. 1. Plamondon et al. Turning the tide on inequity through systematic equity action-analysis. BMC Public Health. 2023;23(1):890. Key messages • Despite a rhetoric of ‘virtuous’ equity statements by the world's power and resource-wealthy countries, global contexts of inequity will continue or worsen without mitigation. • Given future pandemics are likely, the cost of not mitigating inequities through this treaty poses risks to global public health.

Lead Exposure Survey Tool (LEST): A methodological approach to highlight the invisible lead poisoning

Lead is the most common heavy metal found in the Earth's crust. Lead has been widely dispersed and incorporated in the natural world since prehistoric times. In the majority of wealthy countries, the amount of lead entering the atmosphere has been significantly reduced. Acute lead exposure becomes relatively low, but chronic lead exposure remains a substantial public health hazard. Disadvantaged people, are developing and industrializing countries in the Middle East and North Africa (MENA). Between 1981 and 2018, a comprehensive literature search was undertaken in the PubMed and Scopus databases. All studies were evaluated equally based on predetermined inclusion and exclusion criteria. The Delphi method was used to identify numerous resources of lead pollutants. The Mixed Method Appraisal Tool (MMAT) was used to evaluate the quality of identified papers for inclusion in the systematic review synthesis. The studies and sources of lead toxicology were further evaluated using a scale of evidence to establish the degree of evidence based on SIGN & GRADE standards. There were 14 genres and 82 subgenres identified. Through a comprehensive analysis, our cohort developed an exposure survey tool that takes into account the local sociocultural aspects of MENA countries, which will serve as a resource forresearchers,medical toxicologists, and public health professionals in the MENA region to enhance early detection of potential subjects, conduct further studies and implement exposure prevention strategies.•There is no single tool available to detect the invisible lead poison. Lead poisoning is a serious public health problem that can have devastating consequences.•The tool, called the Lead Exposure Survey Tool (LEST), uses a combination of but not limited to data sources, including blood lead levels, environmental lead levels, and demographic information, to identify subjects who are at risk of lead poisoning. LEST is a powerful tool that can help to improve early detection and prevention of lead poisoning.•The development of LEST is a major breakthrough in the fight against lead poisoning. This tool has the potential to save lives and improve the health of high risk subjects around the world.

The Effectiveness of Consume-less Appeals in Social Marketing

Consume-less appeals in social marketing can help reduce the lavish consumption in wealthy countries, which poses a major threat to the climate. This study experimentally examines the effectiveness of three different types of consume-less appeals (informative, social normative, and emotional appeals) on participants’ actual spending levels during a real shopping trip compared to a control group (no appeal). In addition, the study tests whether these appeals evoke negative rebounds (in terms of post-purchase climate donation) or positive rebounds (in terms of accepting post-purchase material giveaways). A field experiment in a grocery store in Germany with 170 participants shows that social normative and the emotional appeals reduce actual shopping spending. Informative and social normative appeals increase donations, and emotional appeals reduce the items of taken giveaways. The findings further support certain indirect impacts of the consume-less appeals on rebounds in terms of spending levels.

A cross-sectional study to assess the epidemiologic profile and complications among chickenpox patients in an infectious disease hospital in a Metropolitan city

Background: Chickenpox is a highly contagious and acute disease caused by the varicella-zoster virus. According to a WHO position paper, varicella has a global disease burden of 140 million infections, 42 million severe sequelae, and 4200 fatalities every year. Chickenpox affects 16 persons per 1,000 people annually in wealthy countries. With a case fatality rate of 3 per 1,000 instances annually, 3% of these cases have problems, and 5% require hospitalization. This cross-sectional study assesses the epidemiological determinants &amp; complications among the patients admitted to infectious disease hospitals. Methods: It was a descriptive, cross sectional and hospital based study. Total duration of study was 18 months (Jan 2020 -August 2021), conducted in infectious hospital of a metropolitan city. A total of 453 patients with confirmed diagnosis of chickenpox and getting admitted in the infectious disease hospital .were selected as study subjects and interviewed by a validated questionnaire. Results: A total of 453 chickenpox patients were included in the study and because of covid pandemic situation only 118 samples are interviewed of which 91 (77.1%) were males, remaining 27 (22.9%) were females and all 118 (100%) patients presented with rash which is the diagnostic feature of chickenpox, out of that 106 had fever, 84 had cough, 74 had malaise and 32, 17 patients had shivering and backache respectively. Conclusions: It was found that about one-quarter of cases recorded were in the age group of 19–40 years. This group most probably comprised those who missed the vaccination when they were children. Health education among the general population is suggested to reduce the secondary cases by early diagnosis and vaccination and isolation to reduce the burden of diseases.

Common Skin Diseases and Their Psychosocial Impact among Jazan Population, Saudi Arabia: A Cross-Sectional Survey during 2023.

Background and Objectives: Skin problems are a widespread issue that affects people in both developing and wealthy countries, posing significant public health concerns. These disorders can profoundly impact individuals' social and psychological well-being. In this study, we aimed to determine the prevalence of the most common skin diseases in the Jazan region of southwestern Saudi Arabia and investigate their impact on patients' quality of life and psychological and social well-being. Materials and Methods: An observational cross-sectional survey conducted among a random sample of 940 adults ≥ 18 years in the Jazan region, Saudi Arabia. Four standardized questionnaires were used for data collection: Patient Health Questionnaire (PHQ-9), a five-dimension questionnaire (EQ-5D), Rosenberg Self-Esteem Scale, and Loneliness Scale (ULS-8). Results: The most prevalent skin conditions involved hair loss, which was reported by (61.1%) of the study population. These disorders significantly affected a higher percentage of females (71.9%) compared to males (46.3%) (p < 0.001). Melasma was more common in females (14.1%) than in males (4.3%) p < 0.001. The lowest prevalence was found for urticaria. Those with acne and hair loss reported higher mean scores on the PHQ-9 Scale than the group without these conditions (p < 0.05 for all). Patients with alopecia, acne, and melasma also reported significantly lower self-esteem scores compared to those without these skin conditions (p < 0.05 for all). Regarding the activity domain of QoL, participants with skin conditions reported no problems doing usual activities, compared to those without skin problems (p < 0.001). Conclusions: In conclusion, research revealed that the most prevalent skin condition was hair loss. Further, an association was found between skin diseases and the mental and social well-being of those affected, resulting in a negative impact on their quality of life. The results call for improving the condition of patients with skin diseases, improving their quality of life, and providing appropriate interventions.

The old friends hypothesis: evolution, immunoregulation and essential microbial inputs.

In wealthy urbanised societies there have been striking increases in chronic inflammatory disorders such as allergies, autoimmunity and inflammatory bowel diseases. There has also been an increase in the prevalence of individuals with systemically raised levels of inflammatory biomarkers correlating with increased risk of metabolic, cardiovascular and psychiatric problems. These changing disease patterns indicate a broad failure of the mechanisms that should stop the immune system from attacking harmless allergens, components of self or gut contents, and that should terminate inappropriate inflammation. The Old Friends Hypothesis postulates that this broad failure of immunoregulation is due to inadequate exposures to the microorganisms that drive development of the immune system, and drive the expansion of components such as regulatory T cells (Treg) that mediate immunoregulatory mechanisms. An evolutionary approach helps us to identify the organisms on which we are in a state of evolved dependence for this function (Old Friends). The bottom line is that most of the organisms that drive the regulatory arm of the immune system come from our mothers and family and from the natural environment (including animals) and many of these organisms are symbiotic components of a healthy microbiota. Lifestyle changes that are interrupting our exposure to these organisms can now be identified, and many are closely associated with low socioeconomic status (SES) in wealthy countries. These insights will facilitate the development of education, diets and urban planning that can correct the immunoregulatory deficit, while simultaneously reducing other contributory factors such as epithelial damage.

A review on effectiveness of selected herbal paste in the management of Rheumatoid Arthritis (Āmavāta)

Rheumatoid arthritis (RA) is a chronic, systemic autoimmune condition that causes joint abnormalities, articular tissue loss, and non-specific inflammation of peripheral joints. Rheumatoid arthritis is more prevalent in women and wealthy countries, where it affects 0.3% to 1% of the population. Ayurveda Rheumatoid arthritis (Āmavāta) occurs due to vitiation of Kapha and Vāta Dōsha (body humors). The purpose of this study was to determine the efficacy of a particular herbal paste in treating rheumatoid arthritis based on the pharmacological characteristics and effects of its constituent parts. Information about rheumatoid arthritis was acquired from Ayurvedic scriptures, contemporary texts and earlier research studies (from primary and secondary sources). Afterwards a survey of the literature was done on those five ingredients in the selected paste and then analyzed for their Pancha Padārtha (five elements of herb) and pharmacological qualities regarding in the management of rheumatoid arthritis. Reviewed articles have highlighted that selected herbal formula has anti-inflammatory qualities because of their compatibility with Shōtha Hara (reduce swelling), Vēdanāsthāpana (reduce pain) Guna (qualities). According to the literature review and Pancha Padārtha analysis, selected herbal formula is useful in the treatment of rheumatoid arthritis.

Toxic freedom: how middle-class seasonal fruit pickers perceive and manage agrochemical exposures

ABSTRACT In a global agricultural context that is more chemically dependent than ever, occupational exposure to pesticides typically maps onto entrenched inequalities. Existing research has documented the health hazards of agrochemical exposure facing predominantly low-income, racialized farmworkers. Yet some young middle-class people in wealthy countries are intentionally pursuing informal seasonal farm jobs. How do workers in social positions that typically protect against workplace vulnerability manage the uncertainty of toxic exposures? This study draws on ethnographic observations and in-depth interviews with French, English and Spanish-speaking domestic and international farmworkers in British Columbia, Canada. I identify three pathways by which farmworkers perceive and manage agrochemical exposure: informal bodily evidence, individually managing risks and rationalizing exposure. This article introduces the concept of ‘toxic freedom’ to show how workers may downplay workplace risks by framing pesticide exposure as a reasonable trade-off for personal autonomy, countercultural idealism and temporary youthful adventure. This research underscores why individual-level agricultural health and safety interventions may be limited in protecting workers from harmful agrochemical exposures. Rather, it signals the opportunity for policy interventions such as stronger pesticide regulation, proactive spot inspections, higher penalties for non-compliance, and clearer channels for farmworkers to have a collective democratic voice in the workplace.

Sustainable Development Goal 6 Assessment and Attribution Analysis of Underdeveloped Small Regions Using Integrated Multisource Data

Data scarcity is a key factor impacting the current emphasis on individual indicators and the distribution of large-scale spatial objects in country-level SDG 6 research. An investigation of progress assessments and factors influencing SDG implementation in cities and counties indicates that smaller-scale regions hold greater operational significance for achieving the 2030 Agenda for Sustainable Development from the bottom up; thus, urgent attention should be given to data deficiencies and inadequate analyses related to SDG impact attribution. This study, conducted in the National Innovative Demonstration Zone for Sustainable Development of Lincang City, investigates multisource data sources such as integrated statistics, survey data, and remote sensing data to analyze the progress and status of SDG 6 achievement from 2015–2020, and employs the LMDI decomposition model to identify influential factors. The assessment results demonstrate that the SDG 6 composite index in Lincang increased from 0.47 to 0.61 between 2015 and 2020. The SDG 6 indicators and SDG 6 composite index have significant spatial heterogeneity. The water resources indexes in wealthy countries are high, the water environment and water ecology indexes in developing countries are comparatively high, and the SDG 6 composite index is high in undeveloped counties. Technological and economic advances are the main positive drivers impacting the SDG 6 composite index, and the relative contributions of technology, economy, structure, and population are 61.84%, 54.16%, −4.03%, and −11.96%, respectively. This study shows that integrated multisource data can compensate for the lack of small-scale regional statistical data when quantitative and comprehensive multi-indicator evaluations of the SDGs are conducted. And, policies related to SDG 6.1.1, SDG 6.2.1, and SDG 6.3.1 can be a priority for implementation in undeveloped regions with limited funding.

Global Transportation Decarbonization

Replacing fossil fuels in the name of decarbonization is necessary but will be particularly difficult due to their as-yet unrivaled bundle of attributes: abundance, ubiquity, energy density, transportability and cost. There is a growing commitment to electrification as the dominant decarbonization pathway. While deep electrification is promising for road transportation in wealthy countries, it will face steep obstacles. In other sectors and in the developing world, it’s not even in pole position. Global transportation decarbonization will require decoupling emissions from economic growth, and decoupling emissions from growth will require not only new technologies, but cooperation in governance. The menu of policy options is replete with grim tradeoffs, particularly as the primacy of energy security and reliability (over emissions abatement) has once again been demonstrated in Europe and elsewhere.