Creating Chinese Ethnicity

Abstract Aims Social determinants of health have the potential to influence mental health and addictions-related emergency department (ED) visits and the likelihood of admission to hospital. We aimed to determine how social determinants of health, individually and in combination, relate to the likelihood of hospital admission at the time of postpartum psychiatric ED visits. Methods Among 10 702 postpartum individuals (female based on health card) presenting to the ED for a psychiatric reason in Ontario, Canada (2008–2017), we evaluated the relation between six social determinants of health (age, neighbourhood quintile [Q, Q1 = lowest, Q5 = highest], rurality, immigrant category, Chinese or South Asian ethnicity and neighbourhood ethnic diversity) and the likelihood of hospital admission from the ED. Poisson regression models generated relative risks (RR, 95% CI) of admission for each social determinant, crude and adjusted for clinical severity (diagnosis and acuity) and other potential confounders. Generalised estimating equations were used to explore additive interaction to understand whether the likelihood of admission depended on intersections of social determinants of health. Results In total, 16.0% (n = 1715) were admitted to hospital from the ED. Being young (age 19 or less v. 40 or more: RR 0.60, 95% CI 0.45–0.82), rural-dwelling (v. urban-dwelling: RR 0.75, 95% CI 0.62–0.91) and low-income (Q1 v. Q5: RR 0.81, 95% CI 0.66–0.98) were each associated with a lower likelihood of admission. Being an immigrant (non-refugee immigrant v. Canadian-born/long-term resident: RR 1.29, 95% CI 1.06–1.56), of Chinese ethnicity (v. non-Chinese/South Asian ethnicity: RR 1.88, 95% CI 1.42–2.49); and living in the most v. least ethnically diverse neighbourhoods (RR 1.24, 95% CI 1.01–1.53) were associated with a higher likelihood of admission. Only Chinese ethnicity remained significant in the fully-adjusted model (aRR 1.49, 95% CI 1.24–1.80). Additive interactions were non-significant. Conclusions For the most part, whether a postpartum ED visit resulted in admission from the ED depended primarily on the clinical severity of presentation, not on individual or intersecting social determinants of health. Being of Chinese ethnicity did increase the likelihood of admission independent of clinical severity and other measured factors; the reasons for this warrant further exploration.

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Rekonstruksi Identitas Naratif Ricoeurian Etnis Tionghoa melalui Ingatan Kudus Volfian demi Indonesia yang lebih Baik

MELINTAS ◽

10.26593/mel.v36i1.4680.47-66 ◽

2021 ◽

Vol 36 (1) ◽

pp. 47-66

Author(s):

David Tobing

Keyword(s):

Narrative Identity ◽

Chinese Ethnicity

In Indonesia’s history as a nation, Chinese ethnicity has been victimised, especially during the transitions of power occured in this nation. Among others, the incidents are the 1965 tragedy which signifies transition from “Orde Lama” to “Orde Baru”, and the May 1998 riot which signifies transition of power from “Orde Baru” to Reformation Order. Referring to the incidents, this article analyses the roots of the problem and sees the possibilities to prevent them to happen again. The author of this article presents an argument and a suggestion as follows. First, Chinese ethnicity has become the victim because of a ‘dark’ narration that constructs a narrative identity of the ethnicity as a victim or a wounded self—this dark narration seems to justify the discriminative actions directed to the Chinese individuals. Second, one can respond to this problem by reconstructing a Ricoeurian narrative identity as the form and a Volfian sacred memory as the content, in order to transform the Chinesse narrative identity from a victim or a wounded self into a survivor or a healing self.

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The Certainty of Uncertainty: Taiwanese Public Opinion on U.S.–Taiwan Relations in the Early Trump Presidency

World Affairs ◽

10.1177/0043820019885103 ◽

2019 ◽

Vol 182 (4) ◽

pp. 350-369

Author(s):

Chung-li Wu ◽

Alex Min-Wei Lin

Keyword(s):

Public Opinion ◽

The State ◽

Foreign Affairs ◽

Regional Security ◽

Donald Trump ◽

White House ◽

Mainland Chinese ◽

Chinese Ethnicity ◽

Taiwan Independence

The election of Donald Trump has injected new uncertainties into the conduct of U.S. foreign affairs in Asia. For Taiwan, regional security is challenging because it must simultaneously deal with an increasingly belligerent China and an America led by the unconventional Trump. Based on public opinion data, this study analyzes how the Taiwanese public perceives the state of U.S.–Taiwan relations, and how certain they are about America’s overall commitment to Taiwan in this era. Results indicate that people in their 20s, pan-Green partisans, and those favoring Taiwan independence perceive U.S.–Taiwan relations to be better under President Trump. Moreover, supporters of the pan-Green coalition and of Taiwan independence, together with the more “ambivalent” respondents, likewise feel more certain about America’s commitment to Taiwan’s security. On the contrary, pan-Blue partisans and Taiwanese citizens with mainland Chinese ethnicity are generally more pessimistic and skeptical about U.S.–Taiwan ties and partnership with Trump in the White House.

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Quality of life of children with tuberous sclerosis complex

Archives of Disease in Childhood ◽

10.1136/archdischild-2018-316394 ◽

2019 ◽

Vol 104 (10) ◽

pp. 972-978 ◽

Cited By ~ 2

Author(s):

Choong Yi Fong ◽

Kexin Ng ◽

Ann Nie Kong ◽

Lai Choo Ong ◽

Mohamed Ahmad Rithauddin ◽

...

Keyword(s):

Quality Of Life ◽

Parenting Stress ◽

Psychosocial Health ◽

Summary Score ◽

Healthy Children ◽

Proxy Report ◽

Chinese Ethnicity ◽

Scale Scores ◽

Clinically Significant

AimEvaluation of impaired quality of life (QOL) of Malaysian children with tuberous sclerosis complex (TSC) and its possible risk factors.MethodCross-sectional study on 68 parents of Malaysian children aged 2–18 years with TSC. QOL was assessed using proxy-report Paediatric Quality of Life Inventory (PedsQL) V.4.0, and scores compared with those from a previous cohort of healthy children. Parents also completed questionnaires on child behaviour (child behaviour checklist (CBCL)) and parenting stress (parenting stress index-short form). Multiple regression analysis was used to determine sociodemographic, medical, parenting stress and behavioural factors that impacted on QOL.ResultsThe mean proxy-report PedsQL V.4.0 total scale score, physical health summary score and psychosocial health summary score of the patients were 60.6 (SD 20.11), 65.9 (SD 28.05) and 57.8 (SD 19.48), respectively. Compared with healthy children, TSC patients had significantly lower mean PedsQL V.4.0 total scale, physical health and psychosocial health summary scores (mean difference (95% CI): 24 (18–29), 20 (12–27) and 26 (21–31) respectively). Lower total scale scores were associated with clinically significant CBCL internalising behaviour scores, age 8–18 years and Chinese ethnicity. Lower psychosocial health summary scale scores were associated with clinically significant CBCL internalising behaviour scores, Chinese ethnicity or >1 antiepileptic drug (AED).ConclusionParents of children with TSC reported lower PedsQL V.4.0 QOL scores in all domains, with psychosocial health most affected. Older children, those with internalising behaviour problems, of Chinese ethnicity or on >1 AED was at higher risk of lower QOL. Clinicians need to be vigilant of QOL needs among children with TSC particularly with these additional risk factors.

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