Positive Check or Chinese Checks?

2002 ◽  
Vol 61 (2) ◽  
pp. 591-607 ◽  
Author(s):  
James Lee ◽  
Cameron Campbell ◽  
Wang Feng

As recently as twenty-five years ago, there were virtually no demographers of China and there was little available data on Chinese demographic behavior. Thus in spite of intense interest in China's population dating back at least to Malthus (1766–1834), his initial understanding, or rather misunderstanding, of Chinese population dynamics remains dominant. While recent research on European population history has confirmed Malthus's observations that European, or at least English, population size was controlled largely by the preventive check, nuptiality, the absence of similar studies of Chinese population history ironically facilitated the persistence of a Malthusian hypothesis that Chinese population size was controlled largely by the positive check, mortality. It is a tribute to the elegance and power of the Malthusian orthodoxy that in spite of the lack of information on Chinese historic demographic behavior and economic performance, many of the most distinguished Western scholars of late imperial China continue to interpret social and economic processes in China during the last three hundred years in Malthusian or neo-Malthusian terms (Elvin 1973; Chao 1986; Huang 1990).

Author(s):  
Judith A. Berling ◽  
James Hayes ◽  
Robert E. Hegel ◽  
Leo Ou-fan Lee ◽  
Victor H. Mair ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Lisa J. Messersmith ◽  
Rose Adjei ◽  
Jennifer Beard ◽  
Angela R. Bazzi ◽  
Joel J. Earlywine ◽  
...  

Abstract Background Drug use is a growing concern in Ghana. People who inject drugs (PWID) are highly vulnerable to HIV and other infectious diseases. Ghana’s National Strategic Plan for HIV/AIDS 2016–2020 identifies PWID as a key population, but efforts to address the needs of PWID have lagged behind those targeting sex workers and men who have sex with men. Lack of information about PWID is a critical barrier to implementing effective HIV prevention and treatment. We aimed to learn more about the vulnerability of the PWID population in order to inform much-needed harm reduction interventions. Methods From April to July 2018, we conducted a mixed methods study in Kumasi, Ghana, to identify all major drug using locations, count the numbers of PWID to obtain rough population size estimations, and administer anonymous surveys to 221 PWID regarding drug use and sexual behavior. We also tested for HIV, HCV, and HBV from syringes used by survey participants. Results Key informants identified five major drug using locations and estimated the total PWID population size to be between 600 and 2000. Enumerators counted between 35 and 61 individuals present at each of the five bases. Sharing syringes and reusing discarded syringes are common practices. Over half of survey participants (59%) reported past-month syringe sharing (34% used a used syringe and 52% gave away a used syringe). Individuals with higher injection frequency (≥ 21 times weekly) and who injected with four or more people had higher odds of syringe sharing. Of the survey participants reporting sex in the last month (23%), most reported having one partner, but only 12% used condoms. Nearly all women (11/13) reported exchanging sex for drugs and 6/13 reported exchanging sex for money in the last six months. Fifteen percent of participants (all men) reported paying for sex using drugs or money. Of the used syringes, prevalence estimates were 3% (HIV), 2% (HCV), and 9% (HBV). Conclusions Our findings confirm the urgent need to implement harm reduction interventions targeting PWID and to build a strong and enabling legal and policy environment in Ghana to support these efforts.


T oung Pao ◽  
2019 ◽  
Vol 105 (1-2) ◽  
pp. 183-228 ◽  
Author(s):  
Meir Shahar

AbstractWritten documents from rural north China are rare. This essay examines the newly-discovered records of a Shanxi village association, which was dedicated to the cult of the Horse King. The manuscripts detail the activities, revenues, and expenditures of the Horse King temple association over a hundred-year period (from 1852 until 1956). The essay examines them from social, cultural, and religious perspectives. The manuscripts reveal the internal workings and communal values of a late imperial village association. They unravel the social and economic structure of the village and the centrality of theater in rural culture. Furthermore, the manuscripts bring to the fore a forgotten cult and its ecological background: the Horse King was among the most widely worshiped deities of late imperial China, his flourishing cult reflecting the significance of his protégés – horses, donkeys, and mules – in the agrarian economy.


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