ORCID Profile
0000-0002-0116-9970
Current Organisations
Flinders University
,
City University of Hong Kong
,
Western Sydney University
,
The Hong Kong Polytechnic University
,
The University of Hong Kong
,
James Cook University
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Publications
The Unintended Invisible Hand: A Conceptual Framework for the Analysis of the Sexual Lives of People with Intellectual Disabilities
Publisher: Springer Science and Business Media LLC
Date: 2019
Voices from parents on the sexuality of their child with intellectual disabilities: A socioemotional perspective in a Chinese context
Publisher: Wiley
Date: 08-02-2023
DOI: 10.1111/BLD.12448
Abstract: This qualitative study explored the attitudes and experiences of Hong Kong Chinese parents/carers relating to the sexual needs of their child with intellectual disabilities. Semi‐structured interviews were conducted in Hong Kong with seven parents/carers applying Interpretative Phenomenological Analysis to explore their experiences of and attitudes towards the sexual needs of their adult child with intellectual disabilities. Data revealed three salient variations in participants' attitudes towards the child's sexual needs: concern, reluctance and prohibition. Participants' anxiety about discussing sexuality was evident. Most participants further displayed a layer of feeling that combined ‘love’ and ‘grief’. Based on Goffman's dramaturgical perspective, participants exhibited front stage and back stage behaviours that are believed to be strongly influenced by stigmatisation and collectivist culture. Various levels of intervention to reduce stigma are identified and discussed. This study also highlighted the role of caring professionals in generating awareness of the cultural impact on the family and the need to carefully address the subtle feelings experienced by family members with intellectual disabilities.
Gender differences in mental health literacy among Chinese-speaking Australians in Melbourne, Australia
Publisher: SAGE Publications
Date: 09-02-2011
Abstract: Objective: This study attempted to understand gender differences in knowledge of mental illness, preference for professional help, and medications and treatment methods among Australians of Chinese-speaking background. Methods: This study adopted a cluster convenience s ling method in which subjects were taken from the four major areas in cosmopolitan Melbourne where most Chinese people are living. A total of 200 Chinese-speaking Australians participated in the study. They were presented with two vignettes describing an in idual with acute depression or acute schizophrenia and then questions were asked to assess their understanding of the conditions, preference for professional help, medications and treatment methods. Results: More female than male respondents could correctly identify the conditions in the two vignettes. Female participants also perceived medications to be relatively more harmful than their male counterparts. In contrast, there were significantly more males than females who adhered to traditional views on the causation of mental illness had significantly higher percentages of endorsement of ‘deal with it alone’ believed ‘traditional Chinese medical doctor’ and ‘Chinese herbal medicines’ to be helpful to the person in the schizophrenia vignette and significantly endorsed ‘psychiatric ward’, ‘electro-convulsive treatment’, ‘changing fungshui’ and ‘traditional Chinese worship’ to be helpful for the persons in both vignettes. A combination of factors, which included age, duration of migration and traditional Chinese cultural values, were put forward to explain the above differences. Conclusions: C aigns to improve the mental health literacy of Chinese-speaking Australians must take into account the gender differences between male and female Chinese-speaking Australians so that culturally relevant and gender-specific education programmes can be developed.
People with Intellectual Disabilities Struggle to have a Sexual Encounter: A Chinese Cultural Context Investigation
Publisher: Springer Science and Business Media LLC
Date: 05-04-2022
Translation and validation study of the Chinese version Iconographical Falls Efficacy Scale-Short Version (Icon-FES)
Publisher: Elsevier BV
Date: 07-2018
DOI: 10.1016/J.ARCHGER.2018.03.008
Abstract: The 30-item Iconographical Falls Efficacy Scale (Icon-FES) is the first instrument developed to assess older people's concern about falling using pictures. The short version of Icon-FES (10-item Icon-FES) was translated and adapted to a local Chinese version, and its psychometric properties was evaluated in Chinese older people. A forward-backward translation procedure was used, followed by an expert panel review to finalize the 10-item Chinese Icon-FES. One hundred and sixteen Hong Kong Chinese older people (65-95 years) were assessed using the 10-item Chinese Icon-FES in conjunction with the Chinese version 7-item Falls Efficacy Scale-International (FES-I (Ch)). Five of the 10 items in the Icon-FES were modified to achieve the conceptual and cultural relevance in local context. The final Chinese Icon-FES had excellent internal consistency (Cronbach's alpha = 0.91) and test-retest reliability (intra-class correlation coefficient ICC = 0.93). High correlation was found between the Chinese Icon-FES and FES-I (Ch) (r = .75, p < .001). Construct validity was supported by its ability to discriminate between groups related to demographic and fall risk factors. The Chinese Icon-FES is a valid, efficient and easy-to-use instrument for understanding of local Chinese older people's concerns about falling in Hong Kong.
Depression literacy among Chinese in Shanghai, China: a comparison with Chinese-speaking Australians in Melbourne and Chinese in Hong Kong
Publisher: Springer Science and Business Media LLC
Date: 08-09-2011
DOI: 10.1007/S00127-011-0430-4
Abstract: The study reported in this paper was aimed at developing understanding of depression-related knowledge and preferences surrounding professional help, medication, and treatment methods among Chinese living in Shanghai, China. A multi-stage cluster s ling method in which participants were taken from 6 of the 20 districts in Shanghai was adopted for this study. The 522 Shanghai Chinese participants were presented with a vignette describing an in idual with depression before being asked questions designed to assess both their understanding of depression and their preferences surrounding professional help, medication, and treatment methods. A comparative approach was adopted to identify similarities and differences between our findings and those of two previous studies on the mental health literacy of Chinese living in Melbourne, Australia, and Hong Kong, respectively. A similarly low percentage of Chinese people in each of Shanghai, Hong Kong, and Australia recognized depression. Fewer Shanghai Chinese than Chinese living in Hong Kong and Australia ascribed the 'anxiety/stress' label to the depression vignette and endorsed professionals and informal network members as helpful. Although a far lower percentage of Shanghai Chinese endorsed the use of counseling professionals, a much higher percentage of the same group endorsed Chinese medical doctors and herbal medication. A lower percentage of Shanghai Chinese endorsed 'lifestyle changes' as a strategy for combating depression than did Chinese subjects living in Australia and Hong Kong. On the other hand, a higher percentage of Shanghai residents endorsed psychiatric treatment and the traditional Chinese practices of 'eating nutritious food/taking supplements' and 'qigong' than among the other two groups of Chinese. This study underlines the need for c aigns aimed at improving the mental health literacy of Chinese in Shanghai. Such c aigns must take into consideration the socially and culturally driven beliefs to facilitate the development of specific education programs.
Public Opinion on the Sexuality of People with Intellectual Disabilities: A Review of the Literature
Publisher: Springer Science and Business Media LLC
Date: 11-01-2021
Knowledge and preferences regarding schizophrenia among Chinese-speaking Australians in Melbourne, Australia
Publisher: Springer Science and Business Media LLC
Date: 21-08-2009
DOI: 10.1007/S00127-009-0122-5
Abstract: The aim of this study was to better understand the knowledge of schizophrenia, preferences regarding professional help, medication and treatment methods among Australians of a Chinese-speaking background. A cluster convenience s ling method was adopted in which subjects were taken from the four main areas in cosmopolitan Melbourne where most Chinese people live. A total of 200 Chinese-speaking Australians participated in the study. They were presented with a vignette describing an in idual with schizophrenia and were then asked questions to assess their understanding of schizophrenia and their preferences regarding professional help, medication and treatment methods. A comparative approach was used to compare our findings with those of a previous study on the mental health literacy of Australian and Japanese adults. Compared with the Australian and Japanese s les, a much lower percentage of Chinese-speaking Australians (15.5%) was able to identify the vignette as a case of schizophrenia sychosis. A higher percentage of the Chinese-speaking Australians believed that professionals, and particularly counselling professionals, could be helpful for the person in the vignette. A higher percentage of the Chinese-speaking Australian and Japanese s les believed that close family members could be helpful, and expressed more uncertainty about the usefulness or harmfulness of certain medications than the Australian s le. A higher percentage of the Chinese-speaking Australians than the Australian and Japanese s les endorsed inpatient treatment for the person in the vignette. About 22, 17, 19 and 28% of the Chinese-speaking Australian participants, respectively, rated 'traditional Chinese medical doctors', 'Chinese herbal medications', 'taking Chinese nutritional foods/supplements' and 'qiqong' as helpful. Many perceived 'changing fungshui' and 'traditional Chinese prayer' to be harmful. C aigns to increase the schizophrenia literacy of Chinese-speaking Australians are needed and must take into consideration the aforementioned socially and culturally driven beliefs so that culturally relevant education programmes can be developed.
Quality of life of caregivers with relatives suffering from mental illness in Hong Kong: roles of caregiver characteristics, caregiving burdens, and satisfaction with psychiatric services
Publisher: Springer Science and Business Media LLC
Date: 2012
Mental health first aid training for the Chinese community in Melbourne, Australia: effects on knowledge about and attitudes toward people with mental illness
Publisher: Springer Science and Business Media LLC
Date: 2010
Depression literacy among Australians of Chinese-speaking background in Melbourne, Australia
Publisher: Springer Science and Business Media LLC
Date: 19-01-2010
Challenges in the delivery of sex education for people with intellectual disabilities: A Chinese cultural‐contextual analysis
Publisher: Wiley
Date: 02-08-2022
DOI: 10.1111/JAR.13025
Abstract: Staff members' views can have a significant impact on sexuality issues of people with intellectual disabilities. Research on the impact of sociocultural factors in this area in the Chinese context is sparse. Semi‐structured interviews were conducted with seven professionals (social worker, nurse, life skills trainer and manager) to explore their experiences of and attitudes towards the sexual needs of people with intellectual disabilities by applying interpretative phenomenological analysis. The study identified two major themes, each with two sub‐themes: 1. Professional handling of the sexual needs of people with intellectual disabilities (sex education and intervention) 2. Barriers (incompatible approaches and parental resistance). Participants also experienced feelings of resignation facing the barriers they encountered. Collectivism and cultural view about sex are potentially the influencing factors. This study highlights the need to adopt an evidence‐based sex education programme whose content and delivery should take account of cultural factors.
Related Organisations
Related Funding Activities
No related grants have been discovered for Yuk-kit Angus Lam.