Wealthy Countries Research Articles

Drivers and attitudes of public support for technological solutions to climate change in 30 countries

Abstract Some experts contend that addressing global climate challenges requires consideration of technologies such as Carbon Dioxide Removal (CDR) and, possibly, Solar Radiation Modification (SRM). Previous studies, primarily centered on the OECD region, have indicated that most of these technologies are contentious, eliciting low levels of public support. By conducting a set of nationally representative surveys examining seven CDR and three SRM technologies in 30 countries, we show that public skepticism is most prominent in wealthier countries. Respondents from these countries express lower confidence in the potential of science and technology to address climate change, diminished trust in industry, and expect to experience less personal harm from climate change. At the same time, there are many countries, not previously studied, where the levels of support for CDR and SRM are relatively high. As middle-income countries, their capability to effectively implement these technologies may be deficient; additionally, there is a risk of the unilateral implementation of certain technologies with uncertain implications in terms of their impacts on climate. This underscores the necessity for long term climate strategies that are context-specific and tailored to individual countries, while moreover emphasizing the imperative for extensive international collaboration, including through technological and financial transfers. Finally, strong international governance structures, especially in the context of SRM, are crucial to ensure a responsible approach towards these technologies.

Protecting the environment at home or abroad?

Abstract By importing goods whose production affects the environment abroad, wealthy countries are ”offshoring” a large share of their total environmental footprint of consumption to less affluent societies. We argue that current efforts to mitigate this problem, which focus largely on informational policy instruments for global supply chains, could result in unintended side effects. The reason pertains to a potential tradeoff between a home bias in consumption and the geographic allocation of environmental impacts. We develop a theoretical argument on how consumers may respond when they prefer a domestically produced good but are made aware that this results in more environmental damage at home, compared to importing the same product from abroad. Based on choice experiments in Germany, Japan, and the United States, we observe that information provision can reduce consumer demand for environmentally harmful products, but also find some support for environmental NIMBYism when environmental and provenance information are combined. The key implication of this finding is that policymakers should address potentially unintended side-effects of more stringent informational requirements for global supply chains.

Meeting places against the background of loneliness

Meetings in themselves were perceived as a positive phenomenon until the seventies of the twentieth century. Since the last quarter of the last century, there has been a growing ‘epidemic of loneliness’. Today, a large part of the society, especially in wealthy Western countries, has lost the skills of meeting and has become accustomed to loneliness. This trend is reflected in modern architecture and urban planning in the form of strong trends of segregation and ghettoisation of cities, as well as in the construction of small houses for solitary living. The negative effect of the spread of loneliness and the ways to overcome this trend are shown.

Performance assessment of food safety systems (FSMSs and FSC) in water bottling factories in view of their contextual characteristics

Foodborne illnesses affect 30% of people in developed nations and lead to financial difficulties in less wealthy countries. Insufficient understanding of pathogens and inadequate food safety practices in water bottling facilities impede progress. To prevent illnesses, ensuring clean water, proper sanitation, and good hand hygiene are essential in order to decrease the 829,000 annual deaths related to diarrhea. This study aimed to evaluate the performance of food safety systems in water bottling factories in view of their contextual characteristics. A study was conducted in northwestern Ethiopia at water bottling factories from January 2023 to August 2023. This study used a mixed method approach to collect and analyze data through laboratory testing, observations, interviews, questionnaires, and document analysis. The Kruskal‒Wallis H test was used to compare mean scores of context riskiness and food safety output across four clusters, while the Mann‒Whitney U test was used to compare means between certified and noncertified factories. In our study, 43% of the samples showed positive total plate count. The result also indicated the presence of potentially dangerous by-products of chlorine, trihalomethanes was found in bottled water. On average, the manufacturers operated in a moderate risk context. Inadequate food safety outcomes resulted from lower food safety management systems scores. Factories with insufficient Food Safety Management Systems often face challenges marked by safety protocol discrepancies, leading to higher risks of contamination and non-compliance with regulations. This assessment underscores the need for tailored interventions focusing on specific contextual barriers to improve food safety outcomes in the bottled water industry.

U.S. Children Die at Higher Rates Overall Than Children in Other Wealthy Countries.

Infant mortality and teen deaths from firearms drive the disparity.

Antimicrobial Resistance: The Impact from and on Society According to One Health Approach

Antibiotics are drugs that target and destroy bacteria, and they are hailed as one of the most amazing medical breakthroughs of the 20th century. They have completely changed how we treat infections and have saved countless lives. But their usefulness is not limited to just medicine; they have also been used for many years in sectors like farming to prevent infections in animals, especially in less wealthy countries. Antimicrobial resistance (AMR) is the ability of microorganisms such as bacteria, viruses, fungi, and parasites to resist the effects of antimicrobial agents, like antibiotics, antivirals, antifungals, and antiparasitics, that were once effective in treating infections caused by these organisms. AMR presents an intricate challenge that endangers the health of both humans and animals, as well as the global economy, and the security of nations and the world at large. Because resistant bacteria are swiftly appearing and spreading among humans, animals, and the environment worldwide, AMR is acknowledged as a challenge within the framework of One Health. The One Health approach involves cooperation among various fields to attain the best possible health outcomes for humans, animals, and the environment. It acknowledges the interconnectedness of human, animal, and environmental health. AMR is not merely a scientific or medical issue; it is a societal challenge that demands collective action and awareness. In the intricate tapestry of society, every thread contributes to the fabric of AMR, and every individual holds a stake in its resolution.

The Gender-Equality Paradox in Intraindividual Academic Strengths: A Cross-Temporal Analysis.

Independent of overall achievement, girls' intraindividual academic strength is typically reading, whereas boys' strength is typically mathematics or science. Sex differences in intraindividual strengths are associated with educational and occupational sex disparities in science, technology, engineering, and mathematics (STEM) fields. Paradoxically, these sex differences are larger in more gender-equal countries, but the stability of this paradox is debated. We assessed the stability of the gender-equality paradox in intraindividual strengths, and its relation to wealth, by analyzing the academic achievement of nearly 2.5 million adolescents across 85 countries and regions in five waves (from 2006 to 2018) of the Programme for International Student Assessment (PISA). Girls' intraindividual strength in reading and boys' strength in mathematics and science were stable across countries and waves. Boys' advantage in science as an intraindividual strength was larger in more gender-equal countries, whereas girls' advantage in reading was larger in wealthier countries. The results have implications for reducing sex disparities in STEM fields.

Treatment of Atopic Dermatitis in Children.

Atopic dermatitis (AD), also called eczema, is a common inflammatory skin condition that causes itchy lesions and is widespread globally, especially in wealthy countries. It is the most prevalent skin disorder among children. A small percentage of children's eczema persists into adulthood, and a few of them exhibit a severe form of the condition. The development of AD is influenced by immune, environmental, and genetic factors; mutations in the filaggrin gene and a family history of atopy are regarded as risk factors that cause a hyperimmune response, which in turn increases the production of interleukin-13 and interleukin-4. As a result, the skin barrier is compromised, the T-helper 2 immune response is subsequently triggered, and atopic dermatitis develops. Diagnosing and treating AD are mostly dependent on primary care physicians. Nonetheless, treating AD is still challenging, and most pediatricians send even patients with mild eczema to dermatologists for management. To conduct this review, we posed the central question, 'How to treat atopic dermatitis in children?' utilizing 'atopic dermatitis in children: what is the best treatment?' as the primary keywords. A comprehensive search strategy was employed, incorporating reputable databases such as PubMed, Google Scholar, and Elsevier. The inclusion criteria were set to encompass articles published in the 21st century; however, some cross-references were from the 20th century, focusing exclusively on pediatric populations worldwide. We exclusively considered articles within the realm of pediatrics to ensure relevance to our target audience, pediatricians. The overarching objective of this review article is to elucidate the challenges encountered by pediatricians in managing even mild cases of AD and to delineate the impact on the daily lives of children and caregivers. Furthermore, this article seeks to explore the spectrum of available treatments, providing valuable insights for primary care providers to enhance the efficacy of AD management in pediatric populations.

The moderation of culture dimensions on the relationships between expectancy-value factors and reading achievement

The expectancy-value theory (EVT) explains the relationship between reading achievement and expectancy-value factors (i.e., self-concept and task value). As an extension of EVT, the situated expectancy-value theory (SEVT) emphasizes the influence of situational context. Adopting a multi-level modeling approach and drawing on Hofstede's (2011) Cultural Dimensions Theory, we investigated the relationship between SEVT factors (i.e., reading enjoyment and self-concept) and reading achievement using the PISA 2018 dataset. We focused on the moderation effects of six cultural dimensions (e.g., collectivism-individualism) on the relationship between reading enjoyment, self-concept, and reading achievement, along with socioeconomics factors (i.e., country income inequality, country affluence) as country-level covariates. Our findings confirm that (1) there is a positive relationship between the expectancy-value factors and reading achievement and (2) reading self-concept but not enjoyment is a stronger predictor of reading achievement in countries that highly value individualism, egalitarianism, and short-term orientation. Besides, reading enjoyment is more strongly linked to reading achievement in wealthy countries. Educational relevance statementThe findings of this study have important implications for teaching and educational policy-making. Since self-concept and enjoyment strongly correlate with reading achievement, the intervention in students' reading enjoyment and self-concept should be an important consideration in reading classes. In addition, the strength of the association between expectancy-value factors and reading achievement depends on the cultural and socioeconomic characteristics. While it is difficult to change a country's cultural norms and socioeconomic situation fundamentally, reforms can be made to create a school and family environment that affords the motivation “seeds” to grow. Particularly, policymakers need to consider how to promote egalitarianism, respect personal goal pursuit and autonomy, emphasize both long-term and short-term goals during teaching and learning. Finally, in developing countries, boosting education investment can provide additional resources to foster the literacy development of students with a passion for reading, ultimately enhancing their reading achievement.

Trends in habitat quality and habitat degradation in terrestrial protected areas.

Protected areas are typically considered a cornerstone of conservation programs and play a fundamental role in protecting natural areas and biodiversity. Human-driven land-use and land-cover (LULC) changes lead to habitat loss and biodiversity loss inside protected areas, impairing their effectiveness. However, the global dynamics of habitat quality and habitat degradation in protected areas remain unclear. We used the Integrated Valuation of Ecosystem Services and Trade-offs (InVEST) model based on global annual remotely sensed data to examine the spatial and temporal trends in habitat quality and degradation in global terrestrial protected areas. Habitat quality represented the ability of habitats to provide suitable conditions for the persistence of individuals and populations, and habitat degradation represented the impacts on habitats from human-driven LULC changes in the surrounding landscape. Based on a linear mixed-effects modeling method, we also explored the relationship between habitat degradation trends and protected area characteristics, biophysical factors, and socioeconomic factors. Habitat quality declined by 0.005 (0.6%) and habitat degradation increased by 0.002 (11%) from 1992 to 2020 globally, and similar trends occurred even in remote or restrictively managed protected areas. Habitat degradation was attributed primarily to nonirrigated cropland (62%) and urbanization (27%) in 2020. Increases in elevation, gross domestic production per capita, and human population density and decreases in agricultural suitability were associated with accelerated habitat degradation. Our results suggest that human-induced LULC changes have expanded from already-exploited areas into relatively undisturbed areas, and that in wealthy countries in particular, degradation is related to rapid urbanization and increasing demand for agricultural products.

Health inequalities

Abstract There are marked differences in life expectancy between regions of England, between countries in the UK, and between the UK and other wealthy countries. In England, there are large differences in mortality rates between less and more educated adults, and between less and more deprived places. Austerity measures enacted after the financial crisis of 2008 not only harmed many people directly and unequally, through reductions in public services, but may also have played a role in the anaemic reduction in mortality rates observed for adults after 2010. Prescriptions on policy to improve the health of those left behind will need to wait for more and better data. It is not possible to understand the upstream mechanisms responsible for health outcomes using geographic indices of multiple deprivation. The most promising approach to improving population health is to continue to focus on the health and well-being of children.

O-242 Why do we need to act NOW?

Abstract In the early 1970s, the Report of Rome represented a powerful wake up call to the world. If the world population would continue to grow the way it did until then, catastrophe was predicted and the future of the planet would be in danger. All attempts should focus on decreasing world population growth. At that time the global total fertility rate (the number of children born per woman) was around 5. Policies were implemented worldwide aiming to reduce the number of children born, and the widespread introduction – at least in the more developed world - of various contraceptive strategies in the 1970s certainly helped to reach this goal. Especially in Western societies, the liberation in women (increased participation in higher education, more focus on work and career, and control over when to start a family if at all) was significantly enhanced, dramatically reducing the number of children born. In this context, it is no surprise that organizations like the European Union or the World Health Organization gave very low priority to fertility care, which would potentially increase the number of children born. For a population to remain stable, approximately 2.1 child needs to be born per woman. At present, in more than 50% of all countries worldwide – mainly the more prosperous ones – the number of children born is below replacement level. It is anticipated that societies below replacement will increase up to 90% of all countries worldwide during the 21th century. Hence, underpopulation - causing distinct society challenges - rapidly becomes of distinct concern to many governments, especially in European countries, China, and Japan. It is a generally recognized human right, in case individuals or couples wish to establish a family. However, historically little attention has been dedicated by policy makers to fertility care, mainly because the justified concerns for overpopulation. However, the incidence of infertility remains around 15% worldwide and treatment options have significantly improved. In addition, demand for fertility care is increasing year by year, especially by single individuals, lesbian or gay couples and other members from the LGBTQ+ community who wish to establish a family. At present, at least 10% of all children born are due to infertility therapies in some wealthy countries. However, access to fertility care varies dramatically due to high cost of treatment and lack of insurance coverage of such treatments in the great majority of countries. At present, governments increasingly introduce so called “child friendly” policies (such as financial compensations, extended pregnancy and parental leave, free child care, tax benefits, etc), aiming to decrease barriers for people who wish to have children. Unfortunately, improved access to fertility care is not yet part of this discussion. Over half a century, family planning strategies exclusively focused on the prevention of unwanted pregnancies aiming to reduce world population growth. However, at present family building strategies (helping people who wish to establish a family) should also be included in future family planning strategies.

User acceptance of health information technologies (HIT): an application of the theory of planned behavior

Health Information Technologies (HIT) has a significant chance of enhancing the standard of medical treatment, but their acceptance faces major obstacles including low adoption rates and professional hesitancy. Limited research on HIT adoption, especially in poor nations, adds to this problem and clearly challenges health care managers and researchers. It emphasizes the need of knowing the elements influencing acceptance, choice, and usage of healthcare technology to improve user adoption willingness. Using past studies from several nations, this paper investigates the elements driving HIT adoption within the prism of the Theory of Planned Behavior (TPB). Using a Systematic Literature Review (SLR) under direction from the PRISMA framework guaranteed an open and exhaustive study. With eight publications compared to six from wealthy countries, the results expose a notable trend: emerging countries help more to promote HIT adoption research. Furthermore, the combination of TPB with other theories like the Technology Acceptance Model (TAM) provides a whole framework for grasp the elements influencing HIT uptake. Core TPB components include subjective norms, attitude, and perceived behavioral control are well known in industrialized nations and supported by TAM's perceived utility and simplicity of use, along with demographic elements, therefore stressing a user-centric approach. Research on emerging nations, particularly China, shows, on the other hand, a wide spectrum of variables on HIT adoption including personal, technical, social, and institutional ones. The results greatly improve our knowledge of HIT adoption seen from the TPB perspective and provide insightful analysis for legislators developing sensible plans for HIT implementation

Disengagement from the Ribeirão Preto early intervention program for psychosis: A retrospective cohort study

BackgroundTreatment discontinuation within Early Intervention Services (EIS) for psychosis poses a significant challenge to achieving better outcomes in the early stages of psychotic disorders. Prevalence and predictors of early disengagement from EIS located in low- and middle-income countries (LMICs) remain poorly investigated. We aimed to examine the rates and predictors of disengagement from the Ribeirão Preto Early Intervention Program for Psychosis (Ribeirão Preto-EIP) in Brazil. MethodsWe conducted a retrospective cohort study using data from patients referred to the Ribeirão Preto-EIP between January 01, 2015, and December 31, 2018. Exclusion criteria were individuals with a single consultation, a diagnosis other than a psychotic disorder, and documented cases of death. ResultsOur sample comprised 234 patients, with an overall median follow-up time of 14.2 months. Early treatment disengagement was observed in 26.5 % (n=62), with a median time to disengagement of 5.25 months. Univariable analysis identified non-white skin color (HR=2.10, 95 %CI 1.26–3.49), positive THC screening (HR=2.22, 95 %CI 1.23–4.01), and substance-induced psychosis (HR=2.15, 95 %CI 1.10–4.21) as significant predictors. In multivariable analysis, only non-white skin color remained a significant predictor of early disengagement (HR=1.87, 95 %CI 1.08–3.27). ConclusionsThe observed rates of early disengagement in our sample are similar to those reported in wealthy countries, but higher than previously reported for LMICs. Non-white skin color predicted early disengagement in our sample, probably due to social disadvantages. Our data highlights the need for enhanced research elucidating the specific features of EIS in LMICs.

Precarious labour geographies of working holiday makers: querying sustainability

The boundaries between tourism and migration are blurry. This blurring has been beneficial for the governments of wealthy countries enabling them to import a large and flexible temporary workforce that can be directed toward regions and industries where there are labour shortages. Such is the case with the Australian Working Holiday Program (AWHP); a historically tourism-focused cultural exchange program that began in 1975. Since the 1990s, the Australian Government has leveraged the AWHP to support several of Australia’s critical industries. This has been achieved through the tweaking of mobility infrastructures that link Working Holiday Makers’ (WHMs) ability to stay in Australia to employment conditions. Such conditions increase precarity among WHMs, directing them towards remote regions and industries where there are evident labour shortages. While these mobility infrastructures significantly benefit Australia’s economy, they result in WHMs being highly vulnerable to exploitation. Such vulnerability is layered with WHMs from less wealthy, non-English-speaking countries facing the highest levels of vulnerability. This study investigates the way mobility infrastructures in the AWHP influence WHMs’ mobilities, as well as how such mobilities are experienced in uneven and unjust ways. There is urgency to interrogate the role that such programs play in contributing to unjust mobilities, and to query the attendant implications for sustainability.

Connecting lab, clinic, and community.

Despite great progress in biomedical research, the health of the US population appears to be getting worse. The United States spends substantially more per capita on health care than other wealthy countries, yet US life expectancy ranks low among its peers. Mortality rates have been increasing for segments of the US population, including those in rural areas, certain racial and ethnic groups, and individuals with low socioeconomic status. A whole-of-society approach is required to address such negative trends and disparities, and the biomedical research enterprise must play a key role.

Evaluating Patient Satisfaction and Quality of Life After Undergoing Laparoscopic Cholecystectomy in Al-Qunfudhah Governorate, Saudi Arabia.

Gallstone disease, commonly referred to as cholelithiasis, is a prevalent medical condition that has substantial global implications. Due to its numerous benefits, such as cheaper costs and shorter hospital stays, laparoscopic cholecystectomy (LC) has replaced open surgery as the most often performed surgical method for treating a range of biliary problems in wealthy countries. Any medical procedure's long-term patient well-being must be assessed, starting with the quality of life (QoL), patient satisfaction, and postoperative healing. The current study aims to evaluate patient satisfaction and QoL after undergoing LCin Al-Qunfudhah Governorate. A cross-sectional study was conducted targeting all patients who underwent LCin Al-Qunfudhah Governorate during the period from January to March 2024. The online survey was initiated by the study researchers after an intensive literature review and experts' consultation. The validated questionnaire was uploaded online using Google Forms and distributed electronically via social media apps. The current study included records of 200 participants where thehighest proportion falls within the 26 to 35 age group, comprising 57 individuals (28.5%). In terms of gender, males represent the majority, with 109 participants (54.5%). A total of 122 individuals (61.0%)reported being satisfied with their procedures. Conversely, 18 patients (9.0%) expressed dissatisfaction. The majority of participants under investigation expressed satisfaction with their overall QoL after undergoing LC, with 84 patients (42.0%) reporting satisfaction and 67 patients (33.5%) reporting being very satisfied. Additionally, only a small proportion of participants expressed dissatisfaction or very dissatisfaction Conclusion: In summary, the current study demonstrated high satisfaction with the LC treatment and highly reported QoL, which were mostly attributable to a number of factors such as the staff's cooperation, the lack of severe problems, and the sufficiency of the pre-surgery information supplied.

Characteristics of mask adherence in low and medium-income countries and high-income countries: Results from round II of the global COVIDiSTRESS survey

Many studies have connected mask-wearing during the coronavirus pandemic to various characteristics and beliefs; yet much of this research has been conducted in wealthy countries in the Global North. Performing a secondary analysis of the COVIDiSTRESS survey, conducted online in 137 countries between May 28th and August 29th of 2021, we find that there are important differences in the characteristics related to mask adherence in places the World Bank classifies as low and medium-income countries (LMICs) and high-income countries (HICs). Our findings suggest that: (1) identifying as a woman has a stronger impact on the likelihood of mask adherence in HICs than LMICs; (2) an increase in age only has a positive impact on mask adherence in LMICs; (3) SES (especially higher levels of education) has a much stronger positive impact on mask adherence in LMICs than HICs; (4) while a belief in conspiracy theories has a stronger negative impact in HICs than LMICs, this result is not statistically significant; and (5) acquiring of scientific information on COVID-19 is only positively correlated with an increased likelihood of mask adherence in LMICs. If there is another pandemic, we argue that this shows that research on mask adherence conducted in the Global North should not simply be applied to countries in the Global South.

Technology and monetary sovereignty: Understanding motivations for central bank digital currencies

Central bank digital currency (CBDC) projects have advanced the furthest in small or developing economies. In contrast, central banks in wealthy countries where technologies that fuelled this trend developed are holding back on such plans. What explains this divergence? I argue that CBDCs are attractive to states which see them as useful to increase and reinforce sovereignty over economic territory. They have thus been adopted in states with high currency substitution, large informal economies, or limited reach of the banking system. For similar reasons, wealthier states see less need for CBDCs. This paper contributes to understanding the impacts of digital money on the spatial dynamics of monetary politics.

Estimating the Carbon Footprint of Healthcare in the Canton of Geneva and Reduction Scenarios for 2030 and 2040.

Switzerland, a wealthy country, has a cutting-edge healthcare system, yet per capita, it emits over one ton of CO2, ranking among the world's most polluting healthcare systems. To estimate the carbon footprint of the healthcare system of Geneva's canton, we collected raw data on the activities of its stakeholders. Our analysis shows that when excluding medicines and medical devices, hospitals are the main greenhouse gas emitter by far, accounting for 48% of the healthcare system's emission, followed by nursing homes (20%), private practice (18%), medical analysis laboratories (7%), dispensing pharmacies (4%), the homecare institution (3%), and the ambulance services (<1%). The most prominent emission items globally are medicines and medical devices by far, accounting for 59%, followed by building operation (19%), transport (11%), and catering (4%), among others. To actively reduce Geneva's healthcare carbon emissions, we propose direct and indirect measures, either with an immediate impact or implementing systemic changes concerning medicine prescription, building heating and cooling, low-carbon means of transport, less meaty diets, and health prevention. This study, the first of its kind in Switzerland, deciphers where most of the greenhouse gas emissions arise and proposes action levers to pave the way for ambitious emission reduction policies. We also invite health authorities to engage pharmaceutical and medical suppliers in addressing their own responsibilities, notably through the adaptation of procurement processes and requirements.