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This study aims to determine whether the perceived advantages and disadvantages (leading to acceptance) of decentralized wastewater plants in such regions are the same in regions where the population is not aware of these water issues. Firstly, this study systematically reviews previous findings on public perceptions of the acceptance of decentralized wastewater treatment systems. Then, the study details the results of a focus group study to determine whether the elements identified in the literature are also relevant in a region where people are unaware of water problems. The results show that a lack of awareness of water issues seems to be a critical factor influencing acceptance. Reframing the usefulness of these systems by focusing on other aspects, such as environmental sustainability, is key.<\/jats:p>","DOI":"10.3390\/ijerph17239060","type":"journal-article","created":{"date-parts":[[2020,12,4]],"date-time":"2020-12-04T11:59:00Z","timestamp":1607083140000},"page":"9060","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["\u201cWho Cares?\u201d: The Acceptance of Decentralized Wastewater Systems in Regions without Water Problems"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1302-6130","authenticated-orcid":false,"given":"Cristina","family":"G\u00f3mez-Rom\u00e1n","sequence":"first","affiliation":[{"name":"CRETUS Institute and Department of Social Psychology, Basic and Methodology, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"}]},{"given":"Luisa","family":"Lima","sequence":"additional","affiliation":[{"name":"CIS-IUL\/ISCTE, Instituto Universit\u00e1rio de Lisboa, 1649-026 Lisboa, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8065-9881","authenticated-orcid":false,"given":"Sergio","family":"Vila-Tojo","sequence":"additional","affiliation":[{"name":"CRETUS Institute and Department of Social Psychology, Basic and Methodology, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2936-5137","authenticated-orcid":false,"given":"Andrea","family":"Correa-Chica","sequence":"additional","affiliation":[{"name":"Department of Social Psychology, Basic and Methodology, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5616-2584","authenticated-orcid":false,"given":"Juan","family":"Lema","sequence":"additional","affiliation":[{"name":"CRETUS Institute and Department of Chemical Engineering, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"}]},{"given":"Jos\u00e9-Manuel","family":"Sabucedo","sequence":"additional","affiliation":[{"name":"CRETUS Institute and Department of Social Psychology, Basic and Methodology, Universidade de Santiago de Compostela, 15705 Santiago de Compostela, Spain"}]}],"member":"1968","published-online":{"date-parts":[[2020,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Kallis, G., and Cocossis, H. 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