ORCID Profile
0000-0002-5327-4051
Current Organisations
Western Sydney University
,
Ekologigruppen AB
,
Maj Persson Illustratör
,
Tsinghua University
,
Lund University
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Publisher: Elsevier BV
Date: 2017
Publisher: Emerald
Date: 10-04-2017
DOI: 10.1108/IJEM-07-2015-0099
Abstract: The purpose of this paper is to examine Vietnamese international students’ experiences with the c us learning environment by analysing differences in staff and student perceptions. Two focus groups ( n =12) and ten in-depth interviews were conducted with Vietnamese students and four in-depth interviews with the university staff (totalling 26). The findings show a greater ergence of views between students and staff on teaching and learning than English language proficiency and student support services. These key differences were influenced by students’ prior expectations of their learning environment in Vietnam. This study is limited to one group of international students and to one Australian university. The lecturers/administrators must have a good understanding of international students’ learning backgrounds and expectations to enhance their positive experience appropriate teaching skills and practices are essential for teachers to meet the current needs of students. More effective training for international students to understand the multicultural nature of Australia is also essential. This study contributes to the literature by identifying the experience of Vietnamese international students in a western university, which is, a relatively under-researched nationality compared to other Asian nationalities such as Chinese and Indian.
Publisher: Elsevier BV
Date: 2022
Publisher: Oxford University Press (OUP)
Date: 2021
DOI: 10.1093/JUE/JUAB008
Abstract: Cities currently harbour more than half of the world’s human population and continued urban expansion replaces natural landscapes and increases habitat fragmentation. The impacts of urbanisation on bio ersity have been extensively studied in some parts of the world, but there is limited information from South Asia, despite the rapid expansion of cities in the region. Here, we present the results of monthly surveys of butterflies in three urban parks in Dhaka city, Bangladesh, over a 3-year period (January 2014 to December 2016). We recorded 45% (137 of the 305 species) of the country’s butterfly richness, and 40% of the species detected are listed as nationally threatened. However, butterfly species richness declined rapidly in the three study areas over the 3-year period, and the decline appeared to be more severe among threatened species. We developed linear mixed effect models to assess the relationship between climatic variables and butterfly species richness. Overall, species richness was positively associated with maximum temperature and negatively with mean relative humidity and saturation deficit. Our results demonstrate the importance of urban green spaces for nationally threatened butterflies. With rapidly declining urban green spaces in Dhaka and other South Asian cities, we are likely to lose refuges for threatened fauna. There is an urgent need to understand urban bio ersity dynamics in the region, and for proactive management of urban green spaces to protect butterflies in South Asia.
Publisher: Springer Science and Business Media LLC
Date: 23-03-2011
DOI: 10.1007/S13187-011-0212-4
Abstract: Chinese-Australian women are less likely to undergo breast health examination compared to women born in Australia, and cultural beliefs have been identified as a barrier to screening participation and breast health practices. We sought to promote awareness using trained lay health advisers (breast health advocates). This paper discusses the impact of the training program on advocate knowledge and beliefs, and women's experience as advocates. Thirty-seven of 50 women approached participated in an education program. The education was delivered over one full day and one half-day follow-up. Data were collected using questionnaires, focus groups and interviews. The program increased participant knowledge of breast health, decreased misperceptions about breast cancer and enhanced participants' readiness to discuss these topics with other Chinese women. Advocates enjoyed the role but did not always remember to promote awareness. The program appears effective and is suitable for further, more widespread testing.
Publisher: Wiley
Date: 06-09-2017
DOI: 10.1111/JOCN.13947
Abstract: To explore and describe the caregiving experiences of Chinese stroke caregivers. Previous research has indicated that culture can have a significant impact on the stroke caregiving experience. Moreover, scant research exists on stroke caregivers' experience within the Chinese culture. A qualitative descriptive design was used. In-depth, semistructured interviews were conducted with 25 family caregivers of stroke survivors. The interviews were audiotaped, transcribed and analysed. Content analysis was also performed. Twenty-five family caregivers of stroke survivors were recruited for the study. On average, respondents were 66 years old (range 45-82 years). Of 25 interviewees, 76% were female, 64% were spouse-caregivers and 36% were children-caregivers. Three themes reflecting the influence of Chinese culture on stroke caregiving emerged from the interviews. (i) Caregiving role perception. Informants accepted caregiving for the sick family member as an expected part of life, a culturally prescribed obligation and an expression of reciprocal love. (ii) Coping strategies. Connecting with family resources and connecting with inner strength were frequently reported coping strategies. (iii) Self-sacrifice. Informants identified self-reliance and feeling of restraint in their utilisation or access of formal caregiving service. Chinese caregivers sacrifice themselves for the care recipients regardless of the hardships and the neglect of their own health. Our findings provide a comprehensive and culturally sensitive perspective in understanding the experience of stroke caregivers in Chinese communities. Cultural and religious backgrounds were found to influence Chinese stroke caregivers' experience, coping strategies and self-sacrifice behaviour in idiosyncratic ways. Research on the practice of culture can serve as a basis for the formulation of specific policies and effective interventions for supporting stroke caregivers of different cultural backgrounds.
Publisher: OMICS Publishing Group
Date: 2012
Publisher: Elsevier BV
Date: 05-2021
Publisher: Common Ground Research Networks
Date: 2012
Publisher: CSIRO Publishing
Date: 2013
DOI: 10.1071/SH13097
Abstract: BackgroundThe HIV epidemic has been spreading rapidly among men who have sex with men (MSM) in China. The present study explored the pattern of HIV-related high-risk sexual practices among MSM in a rural Chinese setting. Methods: Data were collected by semistructured in-depth interviews conducted among 15 MSM in Yuxi Prefecture, Yunnan Province, China. Fifteen respondents were recruited through a local non-governmental organisation via purposive s ling. Thematic analysis was used. Results: Technological changes, risk behaviours, social stigma and high migration rates have played a significant role in the spread of HIV among MSM in rural China. The Internet has become the primary channel for soliciting casual sex partners in the MSM community. Bisexuality and having concurrent and multiple sexual partners were common among rural MSM. A large number of sexual partners and low condom use in all MSM partnership types were noted. Due to Chinese cultural traditions and social stigma, Chinese rural MSM were reluctant to disclose their homosexuality. Rural-to-urban migrant MSM were often engaged in the commercial sex trade. Conclusions: Rural MSM is a distinctive and complex population with multiple identities in China. Concurrent multiple sexual partnerships, high mobility and low disclosure rate are the major challenges for HIV prevention and intervention programs in MSM.
Publisher: Informa UK Limited
Date: 18-08-2021
Publisher: MDPI AG
Date: 09-02-2023
DOI: 10.3390/SU15043218
Abstract: This study examines the sediment retention in Wadi Baysh using the Revised Universal Soil Loss Equation (RUSLE) and TerrSet models, accompanied by integrated remote sensing and Geographic Information System (GIS) techniques. The contribution of this study is mainly associated with the application of TerrSet integrated with high resolution datasets to precisely estimate sediments load, which provide useful information to operate dams and improve the operational efficiency of dams. The Advanced Land Observing Satellite (ALOS) Phased Array type L-band Synthetic Aperture Radar (PALSAR) data are utilized to delineate the basin and have been used as an input to the TerrSet model. The rainfall erosivity (R factor) was calculated using the Climate Hazards Center Infrared Precipitation with Stations (CHIRPS) in the research area during 2015–2020. The soil erodibility (K factor) and LULC categorization are calculated using the digital soil map of the world (DSMW) and Sentinel-2 datasets, respectively. The R factor calculated for Wadi Baysh ranges between 91.35 and 115.95 MJ mm/ha/h/year, while the estimated K factor ranges from 0.139 to 0.151 t ha h/ha M. The Support Vector Machine (SVM) method categorized LULC of the study area into four major classes including barren land (81% of the total area), built-up area (11%), vegetation (8%), and water bodies (1%). Results from the sediment retention module (TerrSet) indicated that each year, 57.91 million tons of soil loss occurred in the basin. The data show that soil loss is greater in the northeast and south, whereas it is typical in the middle of Wadi Baysh. It is concluded from the current analyses that the dam lake of Wadi Baysh, located downstream, will be filled soon in the coming few years if sediment loads are carried to the lake at the same rate. Surface dam operators can obtain a full understanding of sedimentation and take proactive measures to reduce its influence on dam operations by leveraging TerrSet’s sophisticated capabilities.
Publisher: Springer Science and Business Media LLC
Date: 12-09-2022
DOI: 10.1007/S11252-022-01277-W
Abstract: Urbanisation drives overall declines in insect pollinators. Although urban green spaces can provide suitable habitat for pollinators much remains to be learned about how urban landscapes either promote or negatively impact pollinators. We investigated how backyard design, local (100 m) and landscape (500 m) scale vegetation cover and human population density were associated with non-eusocial native bee species, eusocial bees ( Apis mellifera and Tetragonula spp .), and hoverflies, in residential green spaces of the subtropical city Brisbane, Australia. We found that associations between bee abundance and vegetation cover were moderated by human density, but the direction of this effect differed for non-eusocial and eusocial species. Non-eusocial bee abundance was positively associated with tree cover at local and landscape scales when human densities were low, but negatively so at high human population densities. We suggest this may be because the quality of vegetation for non-eusocial bees deteriorates as human density increases. In contrast, abundance of eusocial bees was negatively associated with increasing local cover of grass and shrubs at low levels of human density, but positively associated at high densities. This affinity to humans could partly be explained by domesticated “kept” hives. We found no effect of urban gradients on bee species richness. Hoverfly abundance was negatively related to human density and positively related to vegetation cover at local and landscape scales. At the backyard scale, both bee species richness and bee and hoverfly abundances were positively associated to flower abundance. Backyards with more vegetation cover had higher densities of non-eusocial bees. Our results thus support the idea that urban greening in densely populated areas at multiple spatial scales can benefit a range of insect pollinators.
Publisher: Elsevier BV
Date: 07-2013
DOI: 10.1016/J.JSBMB.2012.12.005
Abstract: Known determinants of vitamin D status (measured in serum as 25(OH)Dnmol/L) are exposure to sunlight and intake of vitamin D, either from foods or vitamin supplements. Recently, low vitamin D status in East Asian Australian immigrants has been reported. Thus the aim of this study was to investigate associations with vitamin D status in East Asian Australian immigrant women. In this cross-sectional study of women (n=152 aged 18-92), 25(OH)D levels were measured from serum s les (radio-immuno assay). Demographics, sun exposure patterns, dietary intake and acculturation factors were obtained by questionnaire. In spring, 53% of the study population had serum 25(OH)D levels <50nmol/L (deficiency) whereas in summer only 19% were deficient. Associations with vitamin D deficiency were younger age, higher education, more sun protection behavior, fewer minutes of sun exposure on weekends, low vitamin D and calcium intake through foods or supplements and less acculturation to Australian lifestyle. After multivariate adjustment, those who had no intake of vitamin D supplements (OR=5.6, CI=1.4-22), less sunlight exposure on weekends (OR=2.7, CI=1.0-7.3) and lower acculturation to Australian lifestyle (OR=2.5, CI=1.0-6.3) had increased risk of being deficient in vitamin D. Thus there is a need for vitamin D education in this "at-risk" population. This article is part of a Special Issue entitled 'Vitamin D Workshop'.
Publisher: Wiley
Date: 04-2011
Publisher: Elsevier BV
Date: 03-2012
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-6220-9.CH003
Abstract: Understanding ethnic consumer behaviors through a case study of good practice and their innovative marketing strategies to ethnic consumers is important. Surprisingly, little has been done to discuss which practices and strategies may work best when marketing to ethnic consumers. This chapter presents a case study of the Immigration Museum (Melbourne, Australia) and how the organization uses strategies to promote their products and programs to ethnic consumers. The case study and in-depth interviews are the methods used. In this chapter, the authors argue that a combination of Alferder's and Schwartz's theoretical frameworks help museum marketers understand behaviors of ethnic groups, thereby using appropriate marketing strategies in encouraging their consumption. This chapter extends current marketing literature on consumers' motivation, drive, and needs, and non-profit marketing, and validates selected motivational theories. It also provides practical implications for marketers of non-profit organizations.
Publisher: Public Library of Science (PLoS)
Date: 26-06-2015
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2013
Publisher: Elsevier BV
Date: 2022
DOI: 10.1016/J.NEDT.2022.105650
Abstract: Building mastery of clinical skills is essential for nursing students to ensure readiness for clinical placements. During the coronavirus disease (COVID-19) pandemic, limited face-to-face teaching and student access to c us facilities, along with the rapid adoption of online methods, increased the need to develop innovative teaching tools to support students. This study aimed to explore nursing student perceptions and experiences of using Flipcharts for learning clinical nursing skills during the COVID-19 pandemic. This study used a qualitative descriptive design. Second-year nursing students were invited to participate at the end of the semester to share their experiences of using Flipcharts in their clinical simulation laboratory. A total of 12 nursing students participated in in idual semi-structured interviews conducted between December 2020 and February 2021. Data were analysed using Braun and Clarke's six-step method of thematic analysis. The findings of the study demonstrated that students considered Flipcharts to be beneficial in developing their clinical skills and were additionally valuable in supporting students with English as a second language. Three major themes were identified: the perceived value of Flipcharts during limited face-to-face teaching, the role of Flipcharts in supporting skills acquisition across learning domains, and the practicality and accessibility of this learning resource across different mediums. Students perceived the use of Flipcharts to be valuable in achieving mastery of clinical skills during COVID-19. The students' experience of using Flipcharts was positive overall and found the learning tool practical and accessible in supplementing learning.
Publisher: Springer Science and Business Media LLC
Date: 18-11-2016
DOI: 10.1007/S00520-016-3487-5
Abstract: Using Confucian philosophy as a conceptual framework, this article examines the extent to which cultural values and language affect the participation preferences and experiences of the breast cancer treatment decision-making (TDM) process among Chinese women with breast cancer in Australia. Three focus groups were conducted with 23 Chinese-Australian women diagnosed with breast cancer in their native language (Mandarin and Cantonese). Each interview was translated and transcribed. Content analysis was used to uncover the major themes. Four typologies emerged: the patient as an active decision maker, the patient as a passive decision maker, the patient as a reluctant decision maker and the patient as a reluctant passive decision maker. Language barriers, cultural expectation of doctor's role and family role in Chinese culture appear as influential factors in TDM process among this group of women. Intervention to improve doctors' cultural sensitivities in order to help them assess women's role preferences in TDM and the ability of doctors to communicate in a culturally appropriate manner, may improve the process of breast cancer TDM among women from Chinese background.
Publisher: Elsevier BV
Date: 12-2014
DOI: 10.1016/J.COLEGN.2013.06.002
Abstract: The Chinese community, a heterogeneous, highly visible non-English speaking ethnic group in Australia, remains mostly hidden and underrepresented in palliative care service delivery along with participation in health research despite being the fastest growing such group in the country. There is a lack of Australian research information concerning the impact of migration on the caregiving experience of women carers within the Chinese cultural framework and the Australian palliative care context. This paper aims to explore the influence of Chinese cultural norms and immigration on the experience of immigrant women of Chinese ancestry caring for a terminally ill family member at home in Sydney. This study also seeks to identify factors that may present access barriers to palliative care support services. A qualitative approach was used in this study. Data were collected from semi-structured interviews with five home-based Chinese women carers and were analysed using thematic analysis. Findings identified that the participants found being a carer is a lonely and isolating experience. Sources of isolation and loneliness included social isolation experienced as a solitary carer without meaningful family and social relationships loss of familiar cultural understandings and family values and emotional isolators expressed in response to the physical and emotional role commitment and other constraints. The study results suggest the need for palliative care educational programmes designed to help nurses to understand the impact of cultural background within the palliative care context. Results also indicate that health care professionals should provide culturally appropriate and competent palliative care services, sensitive to the erse socio-cultural influences and in idual needs of Chinese migrants.
Publisher: Elsevier BV
Date: 2017
DOI: 10.1016/J.IJCARD.2016.11.062
Abstract: Although Chinese form the largest non-English speaking group in Australia, cardiovascular disease (CVD) risk profiles among Chinese Australians have not been comprehensively examined, nor has the effect of mixed-Chinese ethnicity been adequately explored. This study is to investigate cardiovascular risk among Chinese, mixed-Chinese, and non-Chinese Australians. Using data from 266,696 Australian participants from the 45 and Up Study (2006-2009), this study investigated cardiovascular risk among Chinese (n=3454), mixed-Chinese (n=1062), and non-Chinese (n=262,180) participants. Poisson regression models with a robust error variance were used to estimate prevalence ratio (PR) and 95% confidence intervals (CI) for CVD (coronary heart disease (CHD) and stroke) and six major risk factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, and physical inactivity) by ethnicity using non-Chinese participants as the reference group. Each outcome was adjusted for sociodemographic characteristics. Compared with non-Chinese Australians, Chinese had lower prevalence of CHD (PR=0.67 95% CI=0.59-0.75) and stroke (PR=0.67 95% CI=0.51-0.88). Of the risk factors, Chinese had higher prevalence of diabetes (PR=1.25 95% CI=1.12-1.39), smoking (PR=1.22 95% CI=1.04-1.43) and physical inactivity (PR=1.48 95% CI=1.41-1.55) but lower prevalence of hypertension (PR=0.90 95% CI=0.86-0.95), high cholesterol (PR=0.87 95% CI=0.79-0.95), and overweight/obesity (PR=0.46 95% CI=0.43-0.48). Mixed-Chinese had higher prevalence of CVD and worse CVD risk profiles compared with Chinese. There are marked differences in the prevalence of CVD and risk factors among three groups. The noticeable variations in CVD risk between Chinese and mixed-Chinese indicate that conventional classification of treating all Chinese as homogeneous could be misleading. More investigation into the health outcomes of mixed ancestry is warranted.
Publisher: Wiley
Date: 19-05-2021
DOI: 10.1111/IJN.12960
Abstract: The aim of this study is to determine health professionals' experiences communicating with Chinese immigrants and identify potential education barriers. Health professionals caring for Chinese immigrants often encounter communication barriers, leading to uncertainty of quality of care. This study is a quantitative and qualitative systematic review. MEDLINE, Scopus, CINAHL, PubMed and Google Scholar were searched, limited to 1980 to October 2020. Articles were included if they reported results about health professional communication with Chinese patients. Quality was appraised using Consolidated Criteria for Reporting Qualitative Research guidelines and thematic synthesis conducted. Of 1363 articles, seven studies were included. These described provider–patient communication in primary care, oncology and palliative settings only. Three core themes were identified: (1) family‐centred health communication where family controls provider–patient information exchange (2) mismatch of provider–patient health beliefs and knowledge on diet, nutrition, traditional medicine, place for death and disease prevention and (3) mismatch of language and resources as skilled providers proficient in specific dialects are limited communication resources are perceived as infrequently available and content is insufficient. Studies describing health professionals' experiences communicating with Chinese immigrants are limited. Key barriers identified included cultural and language disparities and communication resources are inadequate to support health professionals' needs.
Publisher: IGI Global
Date: 2013
DOI: 10.4018/978-1-4666-3966-9.CH008
Abstract: The pace and intensity of social change in modern society is increasing, particularly through advances in modern technology and the remarkable innovations in information and communications technology (ICT), as well as through social movements, especially globalisation (Synott, 2004). This chapter will discuss the concept of globalisation and its impact on the economies, cultures, and international business in developing countries and, in particular, Vietnam. The chapter provides an insight into how national culture and technology affects business operations, including current issues in technological readiness for e-business adoption in Vietnam. By applying theories of globalisation to explain changes and progress in Vietnamese economic development, the chapter also provides a better understanding of the complex mix of culture, technology, and business operations in Vietnam. Recommendations are also made for the development of an appropriate environment for e-business in small to medium enterprises that will further strengthen the country’s international business operations.
Publisher: Human Kinetics
Date: 10-2011
Abstract: This qualitative study explores how older Hong Kong Chinese Australians perceive aging and to what extent this perception affects their participation in physical activities. The main methods used were in-depth interviews with 22 participants ranging in age from 60 to 91 years. Interviews were translated from Chinese (Cantonese) and transcribed into English. Content analysis was used to find recurring themes from the interview data. The main findings indicate that the perception of aging is to some extent influenced by culture. Some participants defined aging as being measured in years, and others defined it by the state of one’s physical health, appearance, and capacity to continue fulfilling one’s social roles. These perceptions strongly influenced their preferences for and participation in physical activities. Acknowledging the fact that Chinese-speaking people are not culturally homogeneous, this article makes some recommendations to health service providers with regard to the development of appropriate physical activity programs.
Publisher: Elsevier BV
Date: 02-2018
Publisher: Informa UK Limited
Date: 21-02-2014
DOI: 10.1080/13691058.2014.883643
Abstract: Bisexual behaviours are relatively common among men who have sex with men in China. This pilot study aims to reveal the complex processes through which such men manage their sexuality, family responsibilities and sexual behaviours in a rural Chinese setting. A total of 15 men who have sex with men were recruited by purposive s ling. Face-to-face in-depth interviews were conducted to explore participants' views about their sexual experiences and practices. The Chinese traditional moral code, family values and gender roles that form the crucial components of Confucianism were reflected in the participants' efforts to maintain familial and social harmony through a compromised form of sexual partnership. Most study participants demonstrated a mixed experience of social stigma, sexual naiveté and ignorance of HIV and sexually transmitted infections (STIs). Under cultural and family pressure, men who have sex with men entered heterosexual marriages with the intention of maintaining a balance between their collectivist (familial) obligations and their in idualistic (same-sex sexual) desires. However, the opaque nature of their concurrent sexual relationships may endanger their personal health and accelerate HIV and STI transmission. Reducing the stigma and social prejudice associated with male same-sex sexual relations is essential for any culturally sensitive HIV-prevention programme to succeed in rural China.
Publisher: Copernicus GmbH
Date: 21-03-2023
DOI: 10.5194/NHESS-2023-4
Abstract: Abstract. The impact of drought on environmental flow (EF) in 27 catchments of the Indus basin is studied from 1980–2018 using the Indicators of Hydrologic Alterations (IHA). The standardized Precipitation Evapotranspiration Index (SPEI) was systematically propagated from one catchment to another using principal component analysis (PCA). Threshold regression is used to determine the severity of drought (scenario-1) and month (scenario-2) that trigger low flows in the Indus Basin. The impact of drought on low EFs is quantified using the Range of variability analysis (RVA). The hydrological alteration factor (HAF) is calculated for each catchment in the Indus basin. The results show that most of the catchments are vulnerable to drought during the periods 1984–1986, 1991/1992, 1997 to 2003, 2007 to 2008, 2012 to 2013, and 2017 to 2018. On a higher time scale (SPEI-12), drought is more severe in Lower Indus Basin (LIB) than in the Upper Indus Basin (UIB). IHA pointed out that drought significantly impacts the distribution of environmental flow components, particularly extreme low flow (ELF) and low flow (LF). The magnitude and frequency of the ELF and LF events increase as drought severity increases. The threshold regression provided useful insights indicating that moderate drought can trigger ELF and LF at shorter time scales (SPEI-1 and SPEI-6) in the UIB and Middle Indus Basin (MIB). Conversely, severe and extreme drought triggers ELF and LF at higher time scales (SPEI-12) in LIB. The threshold regression also ided the entire study period (1980–2018) into different time zones (scenario-2), which is useful in quantifying the impact of drought on low EFs using the SPEI coefficient. Higher SPEI coefficients are observed in LIB, indicating high alterations in EF due to drought. HAF showed high alterations in EF in most of the catchments throughout the year except in August and September. The alterations are subject to several factors, including climate change, seasonality of the river flow, land use changes, topography, and anthropogenic activities. Overall, this study provided useful insights for analyzing the effects of drought on EF, especially during low flows.
Publisher: Informa UK Limited
Date: 07-2013
DOI: 10.1080/03630242.2013.806386
Abstract: In this qualitative study, researchers examined cultural and attitudinal factors that might be related to sun-exposure behaviors among East Asian women living in Australia. Researchers asked Chinese (n = 20) and Korean (n = 16) immigrant women who participated in a larger cross-sectional quantitative study of vitamin D blood levels to volunteer to participate in an in-depth interview in 2010. These women reported a number of cultural factors related to their attitudes and behaviors with regard to sun exposure. They expressed preference for fair skin, a tradition of covering skin when outdoors, and no sunbathing culture. They believed that fair skin was more beautiful than tanned skin. They reported that beauty was the reason for active avoidance of sunlight exposure. Although they reported knowledge of the need for sun avoidance due to skin cancer risk, few reported knowledge about the benefits of sun exposure for adequate vitamin D levels. These findings may provide some reasons for vitamin D deficiency previously reported in these populations. Thus, researchers recommend that these attitudes of excessive sun protection and limiting sun exposure be further investigated as they may have implications for planning and delivery of health promotion programs to this growing population of immigrants in Australia.
Publisher: Centers for Disease Control and Prevention (CDC)
Date: 12-2011
DOI: 10.5888/PCD9.100293
Publisher: Elsevier BV
Date: 2015
Publisher: IGI Global
Date: 2014
DOI: 10.4018/978-1-4666-4979-8.CH052
Abstract: The pace and intensity of social change in modern society is increasing, particularly through advances in modern technology and the remarkable innovations in information and communications technology (ICT), as well as through social movements, especially globalisation (Synott, 2004). This chapter will discuss the concept of globalisation and its impact on the economies, cultures, and international business in developing countries and, in particular, Vietnam. The chapter provides an insight into how national culture and technology affects business operations, including current issues in technological readiness for e-business adoption in Vietnam. By applying theories of globalisation to explain changes and progress in Vietnamese economic development, the chapter also provides a better understanding of the complex mix of culture, technology, and business operations in Vietnam. Recommendations are also made for the development of an appropriate environment for e-business in small to medium enterprises that will further strengthen the country’s international business operations.
Publisher: Elsevier BV
Date: 08-2016
Publisher: Oxford University Press (OUP)
Date: 24-10-2017
Abstract: Background Acculturation is associated with increased prevalence of cardiovascular disease (CVD) risk-factors among immigrants in Western countries. Little is known about acculturation effects on CVD risks among Chinese immigrants, one of the fastest growing populations in Western countries. In this study, we aim to examine the association between acculturation and CVD risk-factors among Chinese immigrants, Australia's third-largest foreign-born group. Methods We accessed a subs le of Chinese immigrants ( n = 3220) within the 45-and-Up Study (2006-2009). Poisson regression model with a robust error variance examined the association between acculturation and CVD risk-factors, and prevalence ratios were reported, adjusted for socio-demographic characteristics. Indicators of acculturation included age at migration, length of Australian residence and language spoken at home. The outcomes were self-reported CVD diagnosis and six risk-factors (hypertension, diabetes, high cholesterol, smoking, overweight/obesity, physical inactivity). Results Mean age of Chinese participants was 58.9-years (SD = 10.7) and 55.5% were women. Chinese migrating to Australia aged <18 years were significantly more likely to report diabetes (prevalence ratio = 1.71 p < 0.01), overweight/obesity (prevalence ratio = 1.49 p < 0.001) and ≥ 3 CVD risk-factors (prevalence ratio = 1.47 p < 0.05) compared with those who migrated after 18-years-old. Chinese immigrants who lived in Australia for ≥ 30 years were significantly more likely to have diabetes (prevalence ratio = 1.84 p < 0.01) and ≥ 3 CVD risk-factors (prevalence ratio = 1.84 p < 0.01). There were no significant differences by language spoken at home. The association between indicators of acculturation and CVD risk-factors appeared to differ by sex. Conclusion Greater acculturation was associated with adverse CVD risk-factors among Chinese immigrants in Australia.
Publisher: SAGE Publications
Date: 03-07-2020
Abstract: Introduction: Health disparities among immigrants exist across socioecological domains. While Chinese immigrants face increased risk for coronary heart disease (CHD) after migration, the reasons are not well understood. Method: This descriptive qualitative study collected 18 semistructured interviews with Chinese immigrants with CHD and family carers from two Australian hospitals. Analysis was guided by the social–ecological model. Results: Poor knowledge and limited English proficiency increased CHD risk and difficulty navigating health care systems/resources. Interpersonal and family factors positively influenced health-seeking behaviors, acceptance of cardiac procedures, adoption of secondary preventive behaviors and information acquisition through social networks. A lack of culturally specific health information and programs in Chinese languages was described. Ethnic concordance between Chinese doctors and patients improved health literacy and engendered trust. Discussion: Culturally specific interventions could include health promotion materials in Chinese, inclusion of family in educational programs, and Chinese-focused public health c aigns about warning signs of heart attack.
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 12-2015
Abstract: Chinese form a large proportion of the immigrant population in Western countries. There is evidence that Chinese immigrants experience an increased risk of coronary heart disease ( CHD ) after immigration in part due to cultural habits and acculturation. This is the first systematic review and meta‐analysis that aims to examine the risk of CHD in people of Chinese ethnicity living in Western countries, in comparison with whites and another major immigrant group, South Asians. Literature on the incidence, mortality, and prognosis of CHD among Chinese living in Western countries was searched systematically in any language using 6 electronic databases up to December 2014. Based on the meta‐analysis, Chinese had lower incidence of CHD compared with whites (odds ratio 0.29 95% CI : 0.24–0.34) and South Asians (odds ratio 0.37 95% CI : 0.24–0.57) but higher short‐term mortality after first hospitalization for acute myocardial infarction compared with whites (odds ratio 1.34 95% CI , 1.04–1.73) and South Asians (odds ratio 1.82 95% 1.33–2.50). There was no significant difference between Chinese immigrants and whites in long‐term outcomes (mortality and recurrent events) after acute myocardial infarction. These findings provide an important focus for resource planning to enhance early secondary prevention of CHD to improve short‐term survival outcomes among Western‐dwelling Chinese immigrants.
No related grants have been discovered for Fung Kuen (Tebbin) Koo.