Special Administrative Region Research Articles

Satisfaction with Government Recommended Pre-Procedural Mouth Rinses in the Mitigation of Covid-19 in Hong Kong SAR: A Triple Blind Randomized Controlled Clinical Trial.

To evaluate satisfaction and acceptability with three pre-procedural mouthrinses recommended by the Government of Hong Kong Special Administrative Region (HKSAR) during the COVID-19 pandemic. A triple-blind parallel-arm randomised controlled clinical trial was conducted. Following eligibility assessment, participants were block-randomised to the three intervention pre-procedural mouthrinses groups: Povidone-iodine, Hydrogen Peroxide and Chlorhexidine Digluconate. Participants rinsed with one of the mouthrinses assigned prior to any dental treatment. Participants, operators and assessors were blind to the assigned mouthrinses (triple blind). Satisfaction ratings were assessed on a 10cm visual analogue scale (VAS) and acceptability of the mouthrinses were determined. Following clinical screening, 228 participants were involved in the trial. The mean overall VAS satisfaction was 7.35 (SD 1.68). There was no significant difference in VAS satisfaction ratings among the three groups (p>0.05) nor in between groups. Acceptability of the mouthrinses was high with the vast majority (89.5%, 204) willing to use the mouthrinses again if pre-procedural mouthrinsing is required. There was no significant difference in acceptability ratings (p>0.05). There were some aspects such as taste and smell that participants commented on (on average, 24.6%, 56), although no significant difference in prevalence of reports among groups (p>0.05). There were high rates of satisfaction and acceptability of the HKSAR Government recommended pre-procedural mouthrinses for the mitigation of COVID-19 transmission in the dental setting. There was no significant difference in satisfaction and acceptability rates among the three recommended pre-procedural mouthrinses. The high satisfaction and acceptability rates of the HKSAR Government recommended pre-procedural mouthrinses in the mitigation of COVID-19 in this clinical trial lends support for the HKSAR's policy on pre-procedural mouthrinses in the dental setting and this has implications for practice and policy during pandemics.

Multi-Scenario analysis of rooftop greening regulation on runoff effects based on adaptive Evaluation: A case study of Macau, China

The reduction in internal ecological spaces within urban environments and the expansion of impervious surfaces have been identified as factors significantly increasing the susceptibility of cities to flood disasters. Rooftop greening, an essential component of urban stormwater management strategies, offers a versatile solution for augmenting permeable surfaces and delivering ecological services while seamlessly integrating with existing urban infrastructure. This approach has been proven effective in enhancing urban resilience against rainfall-induced flooding events. Hence, the precise identification of suitable building rooftops for green infrastructure within urbanized regions, combined with the simulation of runoff regulation effects brought about by these rooftop greening interventions, holds substantial practical significance. This study innovatively constructs a technical method for measuring the runoff control performance of urban-scale green roofs from identification, evaluation to simulation. Taking the Macao Special Administrative Region as an example, a green roof suitability evaluation index system that is consistent with urban characteristics has been constructed, integrating machine learning, comprehensive evaluation, SWMM simulation methods to evaluate the suitability of roof greening in urban areas and simulate the impact of multi-senarios green roof construction types on runoff regulation. Finally, a comprehensive strategy for rooftop greening construction in Macau is proposed, with the aim of amplifying the runoff regulation capabilities of such initiatives. The main findings of the research include the following: (1) The research area exhibits a notably high aggregate potential for rooftop greening, with suitable rooftop areas comprising approximately 34% of the total rooftop expanse. Notably, construction vintage and roof elevation are identified as the most substantive constraints on rooftop greening. (2) Discernible differences in rooftop greening construction scale exert a significant influence on runoff regulation capacity, with the magnitude of greening positively correlated with its runoff regulation efficacy. Distinct greening typologies elicit varying impacts on runoff regulation, with semi-intensive rooftop greening surpassing extensive approaches in runoff regulation performance. Disparate distribution patterns of rooftop greening engender dissimilar runoff regulation effects, with rooftop greening layouts situated distant from drainage outlets facilitating runoff mitigation, while those in close proximity to drainage outlets enhance peak flow reduction effects.

Are Consumers Equally Willing to Pay More for Brands That Aim for Sustainability, Positive Societal Contribution, and Inclusivity as for Brands That Are Perceived as Exclusive? Generational, Gender, and Country Differences

This study explores consumer preferences for brands that emphasize sustainability and inclusivity, and for brands perceived as exclusive and trendy. Consumer data obtained via a large-scale survey involving 24,798 participants across 20 countries and one special administrative region (SAR) are used to understand how willingness to pay (WTP) for these brand types varies globally, accounting for demographic factors like generation, gender, and country. A substantial body of literature highlights growing consumer interest in brands that stand for sustainability and inclusivity, challenging traditional notions that luxury and exclusivity primarily drive brand value. Despite persistent skepticism among some business executives about consumers’ actual versus claimed willingness to spend more for sustainable and inclusive brands, academics and commercial researchers increasingly signal a shift in purchasing behavior that is influenced by socio-ecological factors. This research aims to provide empirical data on consumer WTP across different demographics and countries/regions, thereby contributing to academic discussions and offering insights for managerial decision making. The study frames its investigation around four research questions, to explore how consumers’ WTP for exclusive and inclusive brands varies across generations, genders, and countries/regions. It employs a robust methodological approach, using confirmatory factor analysis (CFA) and structural equation modeling (SEM) to analyze the data. This ensures that the constructs of brand inclusiveness and exclusivity are comparable across diverse cultural contexts. Significant gender, generational, and country/region differences are observed. When comparing generations, the findings indicate that GenZ consumers have a higher WTP for sustainable/inclusive brands (compared to older, GenX, and Baby Boomer generations). Similar patterns are found when considering WTP for exclusive, on-trend brands. In terms of gender, women are observed to have a higher WTP for sustainable/inclusive brands, but a lower WTP for exclusive, on-trend brands compared to men. Finally, compared to consumers originating from certain European countries, we find that consumers living in certain Asian countries/regions have a significantly higher WTP for inclusive and sustainable brands, as well as for exclusive/on-trend brands. The study underscores the complexities of consumer behavior in the global market, highlighting the coexistence of traditional preferences for exclusive, trendy brands and preferences for brands that embrace sustainability and inclusivity.

Association of nirmatrelvir–ritonavir with post-acute sequelae and mortality in patients admitted to hospital with COVID-19: a retrospective cohort study

Studies have established the short-term efficacy of nirmatrelvir-ritonavir in managing COVID-19, yet its effect on post-COVID-19 condition, especially in patients admitted to hospital, remains understudied. This study aimed to examine the effect of nirmatrelvir-ritonavir on post-COVID-19 condition among patients admitted to hospital in Hong Kong. This retrospective cohort study used real-world, territory-wide inpatient records, vaccination records, and confirmed COVID-19 case data from the Hong Kong Hospital Authority and Department of Health, The Government of the Hong Kong Special Administrative Region. Patients aged 18 years and older who tested positive for SARS-CoV-2 between March 11, 2022, and Oct 10, 2023, and who were admitted to hospital with COVID-19 were included. The treatment group included patients prescribed nirmatrelvir-ritonavir within 5 days of symptom onset, excluding those prescribed molnupiravir within 21 days, and the control group had no exposure to either nirmatrelvir-ritonavir or molnupiravir. The outcomes were post-acute inpatient death and 13 sequelae (congestive heart failure, atrial fibrillation, coronary artery disease, deep vein thrombosis, chronic pulmonary disease, acute respiratory distress syndrome, interstitial lung disease, seizure, anxiety, post-traumatic stress disorder, end-stage renal disease, acute kidney injury, and pancreatitis). These outcomes were evaluated starting at 21 days after the positive RT-PCR date in each respective cohort constructed for the outcome. Standardised mortality ratio weights were applied to balance covariates, and Cox proportional hazards regression was used to investigate the relationship between nirmatrelvir-ritonavir and outcomes. 136 973 patients were screened for inclusion, among whom 50 055 were eligible and included in the analysis (24 873 [49·7%] were female and 25 182 [50·3%] were male). 15 242 patients were prescribed nirmatrelvir-ritonavir during acute COVID-19 and 23 756 patients were included in the control group; 11 057 patients did not meet our definition for the exposed and unexposed groups. Patients were followed up for a median of 393 days (IQR 317-489). In the nirmatrelvir-ritonavir group compared with the control group, there was a significantly lower hazard of post-acute inpatient death (hazard ratio 0·62 [95% CI 0·57-0·68]; p<0·0001), congestive heart failure (0·70 [0·58-0·85]; p=0·0002), atrial fibrillation (0·63 [0·52-0·76]; p<0·0001), coronary artery disease (0·71 [0·59-0·85]; p=0·0002), chronic pulmonary disease (0·68 [0·54-0·86]; p=0·0011), acute respiratory distress syndrome (0·71 [0·58-0·86]; p=0·0007), interstitial lung disease (0·17 [0·04-0·75]; p=0·020), and end-stage renal disease (0·37 [0·18-0·74]; p=0·0049). There was no evidence indicating difference between the groups in deep vein thrombosis, seizure, anxiety, post-traumatic stress disorder, acute kidney injury, and pancreatitis. This study showed extended benefits of nirmatrelvir-ritonavir for reducing the risk of post-acute inpatient death as well as cardiovascular and respiratory complications among patients admitted to hospital with COVID-19. Further research is essential to uncover the underlying mechanisms responsible for these observed negative associations and to devise effective strategies for preventing the onset of post-acute sequelae. Health and Medical Research Fund, Research Grants Council theme-based research schemes, and Research Grants Council Collaborative Research Fund.

Changes in Economic Network Patterns and Influencing Factors in the Urban Agglomeration of Guangdong–Hong Kong–Macao Greater Bay Area: A Comprehensive Study

The aim of this study is to comprehensively evaluate the economic network patterns and their influencing factors of the Guangdong–Hong Kong–Macao Greater Bay Area (GHMGBA) in China, considering population scale, economic development level, and land-resource endowment. By employing a modified gravity model and a social-network method, we quantitatively analyzed urban agglomeration integrity indices, such as network density, edge–core structure, cohesive-subgroup index, and urban individual index (e.g., centrality degree) of this region, encompassing nine cities in Guangdong Province and two special administrative regions. The results revealed significant changes in the economic network patterns within the GHMGBA over time. Furthermore, the quadratic assignment procedure correlation analysis index was used to identify the various factors affecting the strength of the economic interaction. The findings demonstrated an annual increase in the strength of economic interaction between cities and regions within the GHMGBA over the past 20 years, along with the emergence of a polycentric economic development pattern. The results also suggest that the spatial location and level of economic development are key determinants influencing the strength of economic linkages in this area. This study supports the conclusion that deepening exchanges and cooperation among core cities, bolstering economic development in sub-core cities, and facilitating the construction of an integrated regional transportation network will expedite the process of economic integration.

“This is part of the body” – Student nurses' de-sexualisation of intimate care for patients

BackgroundEffective intimate care can significantly impact the clinical outcomes of patients. However, conducting intimate care, which involves exposing and touching sexually sensitive areas of the body, presents challenges and anxieties for student nurses, particularly when providing care for patients of the opposite sex. ObjectivesThis study aims to identify the challenges and struggles encountered by student nurses when providing intimate care for patients of the opposite sex, as well as to explore the coping strategies employed by the students. DesignA constructivist grounded theory research approach. SettingsThe study was conducted in Macau, a Special Administrative Region of China. ParticipantsTwenty-six student nurses across various stages of their education, and three clinical mentors. MethodsPurposive and theoretical sampling techniques were utilized to recruit participants. Semi-structured interviews were conducted. The data analysis was in line with the principles of constructivist grounded theory research. ResultsA two-stage adaptation model was established, demonstrating a dynamic pathway of student nurses toward intimate care. The first stage ‘gendered confinement in intimate care’ was characterized by student nurses' negative feelings and lack of nurse-patient interactions; the second stage ‘emancipation to gendered confinement’ was characterized by the development of constructive therapeutic nurse-patient relationships. The successful transfer was achieved through students' reconstructing the meaning of intimate care and nursing profession in three interplayed types: objectification of patients' body, moral authority of nursing care, and legitimisation of nursing profession. While the transfer process involved the students' intentional efforts to de-sexualize intimate care, clinical mentors facilitated the process. ConclusionStudent nurses' adaption to intimate care is a dynamic process which enhances the construction of the nursing professional identity. Support from nursing educators can facilitate student nurses' coping with intimate care-related challenges.

“Cultivating a Sense of Duty and Responsibility to Society”: the Specificity of the “Service-Learning” Approach in China

Civic education and youth nurturing continue to be the focus of academic discussions. Over the past decade, in Russian higher education there has been an increasing interest in intensification of youth policy, as well as the introduction of new ideological, philosophic disciplines and modules. In this regard, the experience of those foreign countries that, like Russia, are faced with the tasks of forming national identity, citizenship, solidarity, and preserving traditional values, is worth exploring. The People’s Republic of China is one of the most telling examples among such countries. However, the development of civic education in China has not received sufficient attention in academic publications. This is especially noticeable in the service-learning pedagogical approach.As a result of the study, the influence of the cultural and historical context on civic education in China was revealed. Additionally, the differences in the implementation of service-learning in various regions of the country were identified. Firstly, China faces the challenges of countering the globalization, formation of the national identity, and preserving the traditional culture. Secondly, the country needs to unite mainland China and special administrative regions (SARs). The study found that civic education in general and service learning in particular are highly dependent on cultural and historical context. The political development of the country, the evolution of its education system, and the socio-economic differentiation between regions of China have a significant impact on the service-learning initiatives.

Diversity pattern of insects from Macao based on an updated species checklist after 25 years.

Insects represent one of the most diverse groups in the organism world with extremely rich species and morphological diversity, playing important roles in natural and city ecosystems. Regional compilation of insect species lists helps to clarify the richness of insect species in a region, enhances our understanding the structure and function of a local ecosystem and promotes the protection and development of insect resources. Moreover, it also serves as a valuable reference for cities with small area, large population and high urbanisation like Macao. Macao (Macau) Special Administrative Region (SAR) is situated at the Pearl River Delta on the southeast coast of mainland China. With urban development accelerating at great rate in a quite restricted area, Macao still has rich fauna, within which the insect diversity is surprisingly high. In this study, we systematically sorted out major references items of manuals or handbooks, monographs, articles, dissertations, official websites and other publicly available information sources about the insects recorded in Macao and, thus, generated a checklist of 15 orders, 166 families, 868 genera, 1,339 species and 118 subspecies. During this process, the preliminarily summarised list was re-examined to eliminate synonyms and invalid species, based on many more extensive literature reviews. Besides, spelling errors of scientific names, authors and years were corrected. Meanwhile, the catalogue revealed a different composition pattern of species diversity between orders from those of the world and China. Even based on the most conservative estimates, the number of insect species in Macao should not be lower than 3,340 species, which hints at the necessity of deeper investigations with adequate collecting in the future to achieve more comprehensive recognition and understanding of Macao's insect biodiversity.

An Approximation to the Invariant Measure of the Limiting Diffusion of G/Ph/n + GI Queues in the Halfin–Whitt Regime and Related Asymptotics

In this paper, we develop a stochastic algorithm based on the Euler–Maruyama scheme to approximate the invariant measure of the limiting multidimensional diffusion of [Formula: see text] queues in the Halfin–Whitt regime. Specifically, we prove a nonasymptotic error bound between the invariant measures of the approximate model from the algorithm and the limiting diffusion. To establish the error bound, we employ the recently developed Stein’s method for multidimensional diffusions, in which the regularity of Stein’s equation obtained by the partial differential equation (PDE) theory plays a crucial role. We further prove the central limit theorem (CLT) and the moderate deviation principle (MDP) for the occupation measures of the limiting diffusion of [Formula: see text] queues and its Euler–Maruyama scheme. In particular, the variances in the CLT and MDP associated with the limiting diffusion are determined by Stein’s equation and Malliavin calculus, in which properties of a mollified diffusion and an associated weighted occupation time play a crucial role. Funding: X. Jin is supported in part by the Fundamental Research Funds for the Central Universities [Grants JZ2022HGQA0148 and JZ2023HGTA0170]. G. Pang is supported in part by the U.S. National Science Foundation [Grants DMS-1715875 and DMS-2216765]. L. Xu is supported in part by the National Nature Science Foundation of China [Grant 12071499], Macao Special Administrative Region [Grant FDCT 0090/2019/A2], and the University of Macau [Grant MYRG2018-00133-FST]. This work was supported by U.S. National Science Foundation [Grant DMS-2108683].

Analysis of the Reasons for the Rejection of Parole Applications in Macao with 10 Criminal Judgments as Examples

The criminal law of the Macao Special Administrative Region has been influenced by European criminal law, and its provisions on parole are also very distinctive. This paper analyzes the current judicial situation of the application of the parole system in the Macao Special Administrative Region and carries out the necessary theoretical research and analysis by taking the relevant past judgments as the object of study. Based on the analysis and summarization of the cases, it can be concluded that the parole system of the Macao Special Administrative Region is characterized by the importance of the completeness of the formal and substantive elements, the impact of parole on society, and the individual’s right to consent to parole. Both the protection of the right to request parole and the provision of appeal against parole decisions are the application of the right to parole doctrine.

Chinese Religious Practice as Protest

Abstract This essay explores how and why protestors from the 2019 anti-ELAB (Extradition Law Amendment Bill) movement turned to popular Chinese religious practice for political dissent, and simultaneously tracks the negotiation of emerging sociocultural identities of Hong Kongers in the face of political upheaval. Attempting to pressure the Hong Kong Special Administrative Region government into meeting their demands, protestors adopted a wide range of tactics that brought protest activities to previously unaffected residential districts. Although no less hectic than other months during the movement, August 2019 also produced indelible moments of nonviolent innovation that attracted international media coverage. One of the protest events from this fertile period, the Hong Kong–wide Night Assemblies for Freeing Spirits, Almsgiving, Prayers for Merit, and Removal of Evil 全港超幽佈施祈褔除惡晚會, was held on August 9, 2019, in the districts of Wong Tai Sin and Shatin and specifically centered religious practice as a creative and potent source of political expression. To better understand this intersection of religion, politics, and identity in Hong Kong, this article analyzes protestors’ ritual utterances and interview responses from the protest event's proceedings.

Perceptions and opinions of pet caregivers in mainland and Hong Kong China about surgery, pain management, and anesthesia in dogs and cats

Small animal caregivers’ perceptions and previous life experiences play a pivotal role in patient care, making effective communication fundamental within the veterinary business. Despite the large and growing scale of the pet industry, data on small animal client-centered information about veterinary services in Mainland China (MC) and the Hong Kong Special Administrative Region (HKSAR) China are lacking. The objective of this study was to investigate the perceptions and opinions of small animal caregivers about surgery, pain management, and anesthesia in dogs and cats in these geographical regions through a validated online survey using content validity index. A total of 2080 valid answers were collected by convenience sampling over 45 days. Descriptive statistics were used to summarize data; the chi-square test and generalized linear models were used to test the associations between demographics and responses. Overall, caregivers appeared favorable toward the use of analgesia in their pets, with concerns over the potential adverse effects produced by analgesic drugs. Joint pain and ear infections were generally rated as conditions that would be less prone to require analgesia. Significant associations were observed for demographic factors such as gender, age, and geographical area, whether participants were healthcare providers, and whether their pets had undergone surgery before. Although many respondents expressed uncertainty in recognizing pain in their pets and administering analgesics, they also expressed a desire to learn and to be informed. This study highlights areas and factors that may determine the perceptions and opinions of small animal caregivers that form a unique human-animal bond in China. Client communication should be addressed on a case-by-case basis and adapted to the geographical area, as the individual background and demographics may have an ultimate impact on treatment goals and patient care.

China-made national security law applied in Hong Kong’s common law courts: choice of interpretative approaches

ABSTRACT The Chinese legislature enacted the Law on Safeguarding National Security in the Hong Kong Special Administrative Region (NSL) on 30 June 2020 to be applied in Hong Kong. This article compares the texts between the NSL and relevant Chinese Mainland law and identifies four ways in which the Chinese legislative provisions and legal elements have been incorporated into the NSL. The widespread presence of Chinese legal elements in the NSL suggests that completely disregarding Chinese laws in Hong Kong judicial proceedings may not be feasible and advisable in some cases for interpreting and applying this specific made-in-China law. This article contends that the courts should distinguish the admissibility and weight of Chinese laws in the NSL cases. The Chinese laws are essential materials for Hong Kong courts to construct the NSL, and broader admissibility of Chinese laws is appropriate for the NSL construction. At the same time, this article argues that the weight to be given to Chinese laws is a matter for the court to decide in the circumstances of the case, and the set of rules regarding the NSL construction Hong Kong courts have been developing could guide the weighing of different kinds of interpretative materials.

Internationalization of higher education research in the Greater Bay Area of China: Building capacities, alleviating asymmetries

AbstractInternationalization is known to enhance university capacities in cross‐border learning and encourage institutional transformations for improved quality of scholarship and education. Studies on internationalization of research and teaching are, however, under‐problematized with regard to asymmetries that pervade different collaborating systems and cultures. This paper addresses this gap by elucidating asymmetries in the Greater Bay Area of China (GBA), which is dealing with differences in legacies and experiences of internationalization in university research and teaching. At a time when the governments in the three constituent jurisdictions of GBA—Guangdong Province, Hong Kong Special Administrative Region (SAR), and Macao SAR—encourage universities to collaborate across jurisdictional borders, this study applies a bibliographic analysis to shed light on asymmetries and mitigation strategies in internationalization of research and teaching.

Pancultural nostalgia in action: Prevalence, triggers, and psychological functions of nostalgia across cultures.

Nostalgia is a social, self-relevant, and bittersweet (although mostly positive) emotion that arises when reflecting on fond past memories and serves key psychological functions. The majority of evidence concerning the prevalence, triggers, and functions of nostalgia has been amassed in samples from a handful of largely Western cultures. If nostalgia is a fundamental psychological resource, it should perform similar functions across cultures, although its operational dynamics may be shaped by culture. This study (N = 2,606) examined dispositional nostalgia, self-reported triggers of nostalgia, and functions of experimentally induced nostalgia in young adults across 28 countries and a special administrative region of China (i.e., Hong Kong). Results indicated that nostalgia is frequently experienced across cultures, albeit better valued in more-developed countries (i.e., higher national wealth and life-expectancy). Nostalgia is triggered by psychological threats (especially in warmer countries), sensory stimuli (especially in more-developed countries), and social gatherings (especially in less-developed countries). The positive or negative affect prompted by experimentally induced nostalgia varied by country, but was mild overall. More importantly, recalling a nostalgic (vs. ordinary) memory increased social connectedness, self-continuity, and meaning in life across cultures. In less-developed countries, recalling an ordinary memory also conferred some of these functions, reducing the effect size of nostalgia. Finally, recalling a nostalgic (vs. ordinary) memory augmented state satisfaction with life in countries with lower quality of living (i.e., lower life-expectancy and life-satisfaction). Overall, findings confirm the relevance of nostalgia across a wide range of cultures and indicate cultural nuances in its functioning. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Polynomial Voting Rules

We propose and study a new class of polynomial voting rules for a general decentralized decision/consensus system, and more specifically for the proof-of-stake protocol. The main idea, inspired by the Penrose square-root law and the more recent quadratic voting rule, is to differentiate a voter’s voting power and the voter’s share (fraction of the total in the system). We show that, whereas voter shares form a martingale process that converges to a Dirichlet distribution, their voting powers follow a supermartingale process that decays to zero over time. This prevents any voter from controlling the voting process and, thus, enhances security. For both limiting results, we also provide explicit rates of convergence. When the initial total volume of votes (or stakes) is large, we show a phase transition in share stability (or the lack thereof), corresponding to the voter’s initial share relative to the total. We also study the scenario in which trading (of votes/stakes) among the voters is allowed and quantify the level of risk sensitivity (or risk aversion) in three categories, corresponding to the voter’s utility being a supermartingale, a submartingale, and a martingale. For each category, we identify the voter’s best strategy in terms of participation and trading. Funding: W. Tang gratefully acknowledges financial support through the National Science Foundation [Grants DMS-2113779 and DMS-2206038] and through a start-up grant at Columbia University. D. D. Yao’s work is part of a Columbia–City University/Hong Kong collaborative project that is supported by InnoHK Initiative, the Government of Hong Kong Special Administrative Region, and the Laboratory for AI-Powered Financial Technologies.

Changing landscape of diabetes in Asia - What are the unmet needs?

The incidence rates of type 2 diabetes among adults in Asia have been stable, but the rates in youth and young adults have increased. In territory-wide surveillance in Hong Kong, Special Administrative Region of People's Republic of China, all-cause mortality rates among people with diabetes have exhibited a declining trend in the past 15 years, with a narrowing in the mortality gap between people with and without diabetes. At the same time, the improvement in survival resulted in a changing age structure and disease profile of people with diabetes, towards an increasing proportion of older people with long diabetes duration and multi-morbidities. Reductions in event rates were not observed in the youngest age group who also had the least gains in risk factor control and uptake in organ protective drugs over time. A young age at diabetes diagnosis, associated with exposure to high glycemic burden from an early age, predicted higher risks of complications and premature mortality compared with later-onset of diabetes. People presenting with type 2 diabetes below 40 years of age were 5-fold more likely to die and their life expectancy was shortened by 8 years than age-matched counterparts without diabetes. Analysis of population-based data in Hong Kong Chinese identified hypertension followed by chronic kidney disease as the leading contributor to mortality in young people, indicating that efforts to optimize non-glycemic risk factors and organ protection are as important in young individuals as it is in the older population.

Negotiating Leisure Constraints in the Pandemic: The Case of Migrant Domestic Workers in Hong Kong

AbstractHow did migrant domestic workers accomplish serious leisure during the pandemic (Stebbins RA (1982) Serious leisure: A conceptual statement. Pac Sociol Rev 25(2):251–272, 1982)? In this paper, I look at the uneven effects of the disruptions in leisure activities as governments introduced lockdowns and physical distancing measures to curb the spread of the coronavirus. While the restrictions were applied broadly across societies, it is necessary to examine how these played out for ‘temporary’ migrant communities subjected to different conditions of stay in their host countries. I address this question by looking at the experience of One Filipino Migrants – a network of Filipino domestic worker organizations in Hong Kong engaged in advocacy work for migrant workers’ welfare even prior to the pandemic. In the Special Administrative Region, the prescribed living-in arrangements and the absence of spatial separation between home and work life steer these mostly female workers to spend their leisure time outside their domicile. But with the spread of COVID-19, their leisure activities are now met with stringent physical distancing measures. Through interviews and participant observation, I narrate how their pre-pandemic activities were scaled down through government and employer regulation of their use of leisure spaces and mandated time off. But I also show their capacity to negotiate with constraints through behavioral changes while challenging notions that portray them as virus carriers. This paper shows how leisure constraints could grow in disaster situations. But it also highlights how leisure agents can come up with negotiation tactics to maintain participation.

Hong Kong’s new normal: Remaking authorized discourses of “special administration,” 2017–2022

The paper presents a critical discourse analysis of the five annual policy addresses of Hong Kong’s chief executive, Carrie Lam Cheng Yuet-Ngor, whose term of office (2017–2022) spanned the most tumultuous episode in the modern history of the territory, one bisected by an extended season of street protests and the subsequent imposition of a national security law. Read as an authorized, real-time transcript of governmental rationalizations and responses, delivered in the first-person voice of Hong Kong’s most senior politician, the annual policy addresses narrate a crisis-mediated shift from a postcolonial redoubt of liberal capitalism to an outpost of China’s national-security state. Although the “one country, two systems” formula enshrined in Hong Kong’s Basic Law retains its official status, a distinct transformation is evident, from the evocation of “two systems” as a wedge against one-country assimilation, to an apparently new normal based on the principles of securitized, “one-country” integration. In the process, the chief executive increasingly embraced the received discourses and sanctioned priorities of the Chinese Communist Party in her depictions of a “New Paradigm” for the governance of Hong Kong, founded on the “steer of the Central Government” with the “cooperation” of the government of the Special Administrative Region.

Assessing the disease burden of air pollution on children and adolescents in China from 1990 to 2019

&lt;p&gt;Air pollution is a pressing concern in China, particularly its adverse effects on vulnerable populations such as children and adolescents. This study aimed to elucidate the disease burden in children and adolescents attributable to air pollution in geographical areas across China from 1990 to 2019. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 methodology to estimate disease burden attributable to air pollution in 33 areas of China, including provinces, autonomous regions, municipalities, and special administrative regions. In 2019, approximately 10,511 childhood deaths and 932,095 disability-adjusted life-years (DALYs) were attributable to air pollution in China. The DALYs was higher for boys and infants &lt;1 year than it was for girls. Lower respiratory infections, neonatal preterm birth, and neonatal encephalopathy caused by birth asphyxia and trauma were the main air pollution-related diseases. The disease burden attributable to air pollution in children and adolescents decreased significantly from 1990 to 2019; with the average annual percent change (AAPC) of ?9.11% ([95%CI, ?9.61% to ?8.60%], P&lt;0.001) for death rate, and ?9.09% ([?9.59% to ?8.58%], P&lt;0.001) for DALYs rate. Disease burden attributable to air pollution in children and adolescents varied across provinces, with DALYs rate per 100,000 population ranged from 16.88 in Hong Kong to 2,152.54 in Tibet, peaking in the health area five. These findings highlight the necessity for province-specific research into the impacts of air pollution on childhood health in China, as well as improved air pollution control measures.&lt;/p&gt;