Interplay of Depression, Smoking Intention, and Smoking Behavior in Chinese Dai Adolescents.

ABSTRACT: Tobacco smoking and depression are important contributors to the burden of disease in China, and their onset typically occurs in adolescence. However, there is no consensus on the nature and underlying mechanisms of their interplay, and related studies on Chinese adolescents and ethnic minorities are limited. This study tested the mediation role of depression in the link between smoking intention and behavior in relation to sex. A secondary analysis was conducted on data from a survey of 1,322 Chinese Dai middle school students aged 15-19 years (M = 17.02 years; 773 female students and 542 male students) in Xishuangbanna, China. We found that the mediation role of depression between smoking intention and smoking behavior was nonsignificant, although smoking intention and depression both had significant associations with smoking behavior. Therefore, depression might be better theorized as an underlying predictor of smoking intention or that other volitional factors may link smoking intention and smoking behavior more closely. Nevertheless, depression was a significant independent variable for smoking behavior even when smoking intention was adjusted. Women perceived more depression than men with similar smoking intention levels, yet the relationship between smoking intention and smoking behavior was stronger in men. Although it seems that men were abler to translate their smoking intention into actual smoking, the high level of depression among young women who reported higher levels of smoking intention is noteworthy. Tobacco control for Chinese adolescents could incorporate sex-specific psychological therapies for negative emotions and for the internalization of problems by children.

Combatting thalassemia in the United Arab Emirates.

Thalassemia is a major health challenge in the United Arab Emirates (UAE), however previous studies have focused on genetics and molecular characterisation while neglecting culture and society. In this commentary, we discuss how tradition and religion in the UAE (e.g. consanguinity, endogamy, illegality of abortion and in vitro fertilisation, adoption restrictions), and limited academic research, affect the prevention and management of the blood disorder. It is suggested that changing attitudes towards traditional marriage practices, education and awareness campaigns targeting families and young people, and earlier genetic testing, are culturally acceptable solutions to curbing the high incidence of thalassemia in the UAE.

Acceptance of virtual consultations among older adults and caregivers in Malaysia: a pilot study during the COVID-19 pandemic.

AIM: The COVID-19 pandemic has disrupted the delivery of healthcare to vulnerable older adults, prompting the expansion of telemedicine usage. This study surveyed the acceptance of virtual medical consultations among older adults and caregivers within geriatric outpatient services in a tertiary hospital during the pandemic. METHODS: A cross-sectional survey was conducted among caregivers and patients attending geriatric outpatient services in Kuala Lumpur, Malaysia. The survey measured the availability of equipment for virtual consultations, prior knowledge and experience of telemedicine, and willingness to consult geriatricians through virtual technology, using the Unified Theory of Acceptance and Use of Technology (UTAUT) scale. RESULTS: A total of 197 caregivers and 42 older patients with a mean age of 54.28 (±13.22) and 75.62 (±7.32) years, respectively, completed the survey. One hundred and fifty-six (79.2%) of the caregivers were adult children accompanying patients. The mean UTAUT score was 65.97 (±13.71) out of 90, with 66.64 (±13.25) for caregivers and 62.79 (±15.44) for older adults, suggesting a high acceptance of adopting virtual consultations in lieu of face-to-face care. The independent predictors of acceptance of virtual consultation were : possession of an electronic device capable of video-communication, living with someone, living in a care home, weekly online banking usage, and perceived familiarity with virtual platforms. CONCLUSION: Caregivers and patients indicated a high level of acceptance of virtual medical consultations, which is likely facilitated by caregivers such as adult children or spouses at home or staff in care homes. To minimize the transmission of COVID-19 in a highly vulnerable group, virtual consultations are an acceptable alternative to face-to-face consultations for older people and their caregivers in our setting.

Areca Nut Use among a Chinese Ethnic Minority, and Its Health Implications.

Objectives: Most of the world's areca nut users reside in south and southeast Asia, but research is scarce. We examine areca nut use among Dai, a Chinese ethnic minority, and its implications. Results: The history, common knowledge, traditional medical applications, social functions, and changing epidemiology of areca nut use are reviewed. Importantly, areca nut use is embedded in complex social meanings and practices, and is changing as long-standing customs are being shaped by new fashions. Its declining popularity among Dai has important implications for the management of substance misuse, as changing contextual factors such as customs and social norms have been more important than interventions or policies and laws. Conclusions/Importance: The findings contribute to future strategies to curb the consumption of areca nut, and also help to explain unsuccessful control in China of other substances such as tobacco which overlooked social context. It is imperative that health professionals and researchers engage with the culture, health beliefs, and society of specific populations to formulate culturally appropriate and innovative oral health strategies.

Free-Roaming Cat (Felis Catus) Management and Welfare Policies in Two University Campuses in Beirut, Lebanon: Strengths, Weaknesses, and Opportunities.

Little information has been reported about the welfare and management of free-roaming animals in Middle Eastern countries. Here we describe a case study of free-roaming cat (Felis catus) management policies in two universities in Beirut, Lebanon whereby cats are immensely valued for their presence and the benefits they bring to students and employees. Guided by concern for animal welfare, the innovative, humane approaches by the universities include arranging adoptions, discouraging pet abandonment, food provision, health monitoring, nurturing a social responsibility consciousness among young people, formal endorsement of animal rights and humane treatment in student conduct expectations, sterilization, and veterinary care. The policies serve as blueprint for universities and other institutions across the globe to adopt proactive approaches to free-roaming cat management as well take responsibility for the welfare of all animals on campus (rather than only for ethical conduct in use of animals in scientific research). They also inspire students, as the next generation, to safeguard animals and the environment.

Limited awareness of animal influenza prevention and control among Dai Lue smallholder farmers in Southwest China.

Awareness of animal influenza and its prevention and control is important for ensuring livestock health, production and welfare. In China, a country stereotyped as a major source of emerging zoonotic infectious diseases, research on the public understanding of animal influenza is limited to the Han, the main ethnic group. The present qualitative study in Southwest China investigated awareness of animal influenza among the Dai, an ethnic minority. The participants (15 men and 10 women, ages 18-83) were smallholder farmers of pigs and poultry in rural areas of Jinghong, Xishuangbanna, Yunnan Province. A mixture of interviews and group discussions took place in homes and villages. The participants were asked about their knowledge of avian influenza (H7N9), swine influenza (H1N1), precautions taken to protect against influenza, procedures when animals were sick and perceived risk of animal influenza. The data were analysed following coding and thematic analysis. The findings demonstrated a limited understanding of animal health and welfare among participants. Specifically, they were largely unaware of animal influenza (H7N9, H1N1) including its causes, symptoms, prevention and treatment. The farmers were also uninformed of the risks they faced and unknowingly engaged in behaviours which increased direct or indirect exposure to infected animals, a risk factor for human infection. They also reported poor usage of veterinary services. In order to guarantee the health, welfare and production of their livestock, immediate action is needed to enable Dai smallholder farmers to prevent and respond to animal influenza effectively and timely.

Contesting modernity: Tobacco use and romanticism among older Dai farmers in Xishuangbanna, China.

The majority of research about tobacco use in China focuses on Han Chinese, the main ethnic group comprising over 90 per cent of the population, and a paucity of research exists on ethnic minorities. The present study elucidates tobacco use among the Dai people, an ethnic group in Yunnan Province, Southwest China. The study design consisted of interviews and grounded theory methodology in a symbolic interactionist theoretical framework. The categories of the grounded theory revealed tobacco consumption was weaved in a complex web of meanings: social practices, perceptions of health, and work lives as agriculturalists, situated in Dai cultural and social milieu. An important finding was the stage-managing of tobacco as a symbol of 'tradition' versus 'modernity': Through a process of contested modernity, the older men championed long-standing tobacco customs as representative of Dai heritage and thus their own tobacco use as upholding traditions amid encroaching cultural and societal change in China. These findings are important because little is known about Dai people's tobacco use and how they are responding to social change. There are also implications for the development of culturally-appropriate tobacco control strategies.

Defining the nociceptor transcriptome.

Unbiased "omics" techniques, such as next generation RNA-sequencing, can provide entirely novel insights into biological systems. However, cellular heterogeneity presents a significant barrier to analysis and interpretation of these datasets. The neurons of the dorsal root ganglia (DRG) are an important model for studies of neuronal injury, regeneration and pain. The majority of investigators utilize a dissociated preparation of whole ganglia when studying cellular and molecular function. We demonstrate that the standard methods for producing these preparations gives a 10%-neuronal mixture of cells, with the remainder of cells constituting satellite glia and other non-neuronal cell types. Using a novel application of magnetic purification, we consistently obtain over 95% pure, viable neurons from adult tissue, significantly enriched for small diameter nociceptors expressing the voltage gated ion channel Nav1.8. Using genome-wide RNA-sequencing we compare the currently used (10% neuronal) and pure (95% nociceptor) preparations and find 920 genes enriched. This gives an unprecedented insight into the molecular composition of small nociceptive neurons in the DRG, potentially altering the interpretation of previous studies performed at the tissue level, and indicating a number of novel markers of this widely-studied population of cells. We anticipate that the ease of use, affordability and speed of this technique will see it become widely adopted, delivering a greatly improved capacity to study the roles of nociceptors in health and disease.

'A real man smells of tobacco smoke'--Chinese youth's interpretation of smoking imagery in film.

Previous studies have associated youth's exposure to filmic images of smoking with real-life smoking acquisition; initial research in low- and middle-income countries confirms this relationship. The present study in Yunnan, southwest China sought answers to the following questions: How do young people in China make sense of smoking imagery they have seen in film? How are these perceptions shaped by the cultural and social context of images? How do these understandings relate to real-life tobacco use? A study with focus groups and grounded theory was conducted in 2010 and 2011 (Sept-Jan) with middle-school students ages 12 and 13 (n=68, focus groups=12, schools=6). Films and media literacy were important means through which knowledge about smoking was constructed and communicated. Film representations of smoking concurred with Chinese social behaviour (Confucian social networks, face-making, and the notion of society as a harmonious social unit), and were interpreted as congruent with real-life smoking. This pattern, in turn, was intertwined with perceived gender identities of smokers, gender-specific social behaviour, and willingness of girls to explore issues of gender equity. These findings lend new insights into interaction between smoking imagery in film and Chinese youth's smoking beliefs. Tobacco control programs in China should consider young people's interpretations of smoking and the ways they are nested in cultural and social milieu.

Home literacy experiences and literacy acquisition among children in Guangzhou, south China.

Sénéchal's research in the West with English- and French-speaking children included positive relations of the development of literacy skills with home literacy experiences. There is a need to extend this research to other countries, especially in China where few studies have been done. This study examined relations of parental reports of formal and informal home literacy variables with Chinese children's vocabulary and written language development. Consistent with previous studies in the West, informal home literacy experiences were associated with Chinese children's vocabulary knowledge, and formal literacy experiences with reading skills. These findings fit previous research which distinguishes formal and informal literacy experiences in relation to children's performance on reading and language skills, and indicates reading to children is less effective for acquisition of print-specific skills.

Avoidance ratings and fears of Chinese adults by age, ethnic group, sex, and residency.

Few studies among the Chinese population concerning avoidance out of fear have been reported. Existing studies are limited to school and collegiate samples while overlooking ethnic minorities, of which China has more than 50. In this study, a general population sample in China indicated the level at which they would avoid certain situations. The data were analyzed relative to age, ethnicity, sex, and the amount of time living in urban or rural areas. Three samples (urban Han, n=144; rural Han, n=144; Urban Hui, n=72) were selected using stratified quota sampling. Respondents identified that they avoided social situations the most and agoraphobic situations the least. Overall, women expressed significantly greater fear. This sex difference was less marked in the urban sample where the Chinese tradition of male dominance has been diluted due to urbanization and modernization. There were few age-related differences, although some fears among the elderly were explained by age-related vulnerabilities and folklore. The Hui minority group had significantly lower overall scores than the Han group; this was attributed to the role of their Islamic beliefs.

Attitudes in China toward the use of animals in laboratory research.

Public support is a strong impetus for the adoption of alternatives to laboratory animals. It is therefore important to find out what a society thinks about ethical animal use. In the case of China, a useful line of enquiry was to survey Chinese people's as their country is renowned for the deplorable conditions under which animals are kept. This report concerns an investigation into the attitudes of Chinese university students toward the use of animals in laboratory research. The survey revealed a moderate concern amongst students; for example, they agreed that the use of animals for testing cosmetics and household products is unnecessary and should be stopped, and disagreed that humans have the right to use animals as they see fit. This finding is very encouraging. Further research is needed, in order to understand Chinese views about the justification of using animals in research.

Visitors' effects on the welfare of animals in the zoo: a review.

Since the 1970s, research about zoo visitors' effects on the welfare of nonhuman animals in captivity has intensified. Numerous studies have shown that characteristics such as visitor presence, density, activity, size, and position are associated with animal behavioral and--to a lesser extent physiological--changes. Studies usually interpret these changes as negative (undesirable) or positive (enriching), but it remains unclear whether they significantly impinge on animal welfare. To make confident conclusions about visitors' effects necessitates more studies using (a) a wider range of animal groupings, (b) measures of stress, (c) visitor-animal variables, and (d) other methodological improvements In the meantime, in addition to further research, individual zoos need to emphasize (a) monitoring the stress indicators of their captive animals, (b) observing visitor behavior, and (c) ensuring that staffs are aware of the "visitor effect" concept.

Mental health nurses' experiences of schizophrenia rehabilitation in China and India: a preliminary study.

Nursing methods based on Western models may not be culturally relevant to patients from ethnic minority groups or other countries. In order to meet the needs of all patients, more research is needed to understand the cultural and social factors that influence nursing approaches. This paper reports preliminary open-ended discussions with mental health nurses in China and India in order to gain insights into the cultural and social issues that surround social rehabilitation of patients with schizophrenia. Rehabilitation methods included cognitive behavioural therapy, psychosocial methods, and employment/vocational training. Several cultural and social issues drive the rehabilitation process in both countries, including the use of traditional medicine and healers, emphasis on family involvement, stigma, gender inequality, and lack of resources. Participants in both countries were working hard to tackle some of these issues, but also expressed need for improved resources. The study provides an insight into the cultural and social factors that shape schizophrenia rehabilitation in China and India, and serves as a baseline for further research about nursing across cultures. The study also highlights the marked differences in attitudes, values, and behaviours across cultural groups that need to be considered by nursing professionals to ensure that services are culturally competent.

An hourly variation in zoo visitor interest: measurement and significance for animal welfare research.

A methodological difficulty facing welfare research on nonhuman animals in the zoo is the large number of uncontrolled variables due to variation within and between study sites. Zoo visitors act as uncontrolled variables, with number, density, size, and behavior constantly changing. This is worrisome because previous research linked visitor variables to animal behavioral changes indicative of stress. There are implications for research design: Studies not accounting for visitors' effect on animal welfare risk confounding (visitor) variables distorting their findings. Zoos need methods to measure and minimize effects of visitor behavior and to ensure that there are no hidden variables in research models. This article identifies a previously unreported variable--hourly variation (decrease) in visitor interest--that may impinge on animal welfare and validates a methodology for measuring it. That visitor interest wanes across the course of the day has important implications for animal welfare management; visitor effects on animal welfare are likely to occur, or intensify, during the morning or in earlier visits when visitor interest is greatest. This article discusses this issue and possible solutions to reduce visitor effects on animal well-being.

Chinese university students' attitudes toward the ethical treatment and welfare of animals.

An important step in ensuring ethical animal treatment and welfare is to understand people's attitudes toward them. However, research is lacking from some Asian countries, such as China. This needs improvement. In this study I asked Chinese university students about their attitudes toward animal welfare issues. The students reported strong concern for the treatment of animals across a broad spectrum of issues, although the level of concern varied according to the issue. The results are in agreement with recent research showing that Chinese society displays generally positive attitudes and behaviors toward animal welfare initiatives. This study, combined with previous work reported in the literature, suggests that the Chinese public is perhaps philosophically ready to accept and support the urgent changes needed to improve animal welfare standards in their country.

The influence of environmental enrichment on Chinese visitor behavior.

Welfare improvements for nonhuman animals should aim to satisfy the needs of visitors as well as those of the animals. Little research has been conducted, however, and existing work is confined to zoos in developed countries. This article reports the behavioral responses of Chinese visitors to environmental enrichment improvements in a zoo enclosure. Visit, viewing, and stopping behaviors significantly increased at the transformed exhibit, indicating that it provoked greater visitor interest. Furthermore, increased intragroup behaviors suggested that the exhibit probably motivated visitors to interact socially. The positive impact of the exhibit changes supports the enrichment efforts taking place in zoos around the world. The changes also provide encouragement for zoos in developing countries such as China because greater visitor interest provides a strong argument and an incentive for improving welfare standards.

Visitor circulation and nonhuman animal welfare: an overlooked variable?

This article investigates visitor circulation and behaviors within a gallery of primate exhibits in relation to their possible implications for nonhuman animal welfare. When entering a primate house, the majority of visitors (84%) turned right, a pattern upheld throughout all times of the day. These findings demonstrate the existence of the "right-turn" principle, a concept previously identified and investigated in the museum setting. The existence of this circulation pattern in zoos has important implications for the practical management of animal welfare issues because unbalanced or large numbers of visitors at specific enclosures could present a stressful influence. The "direction bias" could not be attributed to demographic or behavioral traits, therefore suggesting that the principle, like similar findings from museum research, generalizes across visitor populations and, therefore, zoos. A visitor sample at another exhibit (located outside the exhibit gallery) did not display a direction bias, suggesting that the marked circulation pattern may be specific to exhibit galleries. The article discusses the significance and consequences of visitor circulation with respect to visitor management and animal welfare.