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Lithium is a first-line maintenance treatment for bipolar disorder yet delays in diagnosis and lithium initiation remain common. This retrospective cohort study examined whether time to bipolar disorder diagnosis and lithium initiation differ by ethnicity, gender or age among 88 patients at South London and Maudsley National Health Service Foundation Trust. Delay outcomes were non-normally distributed and log-transformed before analysis. No demographic characteristic was significantly associated with time to lithium initiation. Ethnicity was significantly associated with diagnostic delay, with individuals from minority ethnic groups experiencing longer delays than White individuals (median 556 v. 50.5 days; IQR [89.8, 1342] v. [6.25, 222]), which persisted after adjustment for age, gender, substance use and illness severity, and remained robust to outlier removal. Although social deprivation was not accounted for, these findings suggest possible systematic diagnostic inequities in bipolar disorder, calling for culturally informed diagnostic practices and further investigation in larger, multi-site samples.
COVID-19 was the most recent pandemic to highlight profound ethnic inequities. However, most mathematical epidemiological models do not adequately represent these inequities, limiting the potential for such models to inform equitable public health responses and interventions. This systematic review identifies mathematical models of infectious respiratory disease transmission that report results by ethnic group and surveys the different mathematical modelling approaches used to attempt to capture ethnicity-related outcomes. Only 28 studies met the inclusion criteria, which is rare relative to the volume of infectious disease modelling literature. The most common model frameworks were compartmental models (11 studies), individual-based models (12 studies), and metapopulation models (5 studies). Across these studies, ethnic heterogeneities were represented directly by incorporating some combination of ethnic group population demographics, ethnicity-specific interaction patterns, and ethnicity-specific disease parameters, or indirectly through spatial differences in interaction patterns or disease transmission. Consideration of ethnicity in mathematical models of disease transmission is in its infancy, with only three of the studies published before 2020, but it has the potential to provide improved evidence for public health action that reduces the epidemic burden and inequities across ethnic groups.
In this retrospective cohort study, we assessed the prevalence of post-COVID-19 condition (PCC) and its determinants among six ethnic groups in Amsterdam, the Netherlands. We analysed data from participants of the HELIUS cohort with SARS-CoV-2 infection who answered questions on the presence and duration of COVID-19-related symptoms between May and November 2022. We estimated the prevalence of PCC, defined as having ≥1 of 15 pre-determined COVID-19-related symptoms remaining for at least 3 months after infection, by ethnicity at several timepoints since infection adjusted for age and sex, and assessed determinants of PCC overall using logistic regression. Of 932 infected participants, 31% [95% confidence interval (95%CI): 27%–37%] developed PCC. At 3 months after infection the adjusted prevalence of PCC varied from 17% (95%CI: 13%–24%) in the Dutch-origin group to 41% (95%CI: 34%–48%) in the South-Asian Surinamese group, and was significantly higher among participants of South-Asian Surinamese, Turkish and Moroccan origin compared to those of Dutch origin (all P < 0.001). Participants who were of South-Asian Surinamese origin, older, female, without a vocational education or university degree, or obese were more likely to have PCC. Those of Ghanaian origin or infected during the period of Omicron predominance were less likely to have PCC. There were clear between-ethnic differences in the prevalence of PCC, which was more common in individuals of South-Asian Surinamese, Turkish, and Moroccan origin compared to those of Dutch origin. These differences mirror ethnic differences in SARS-CoV-2 infection and disease severity. Certain factors of PCC emerged, while consistent across ethnic groups.
Theories of metaphor must account not only for embodied universals but also for systematic sociocultural variation. Although recent scholarship has highlighted the role of context in metaphor production, the extent to which intersecting macro-social variables shape metaphorical source-domain choice remains underexplored. This study therefore tests the hypothesis that metaphorical source-domain selection is systematically associated with group-level social identity by examining how NATIONHOOD is conceptualised in Nigerian presidential discourse and whether these choices correlate with ethnicity, region, and religion. Using CORNIPS, a 65-year diachronic corpus of Nigerian presidential speeches, and hierarchical log-linear analysis, the study finds that ethnicity emerges as the primary predictor of metaphorical choice. Specifically, leaders from the historically dominant Hausa-Fulani group show a marked preference for metaphors of personification and conflict (NATION AS PERSON, NATION AS WAR), while a minority-group leader favours metaphors of inclusion (NATION AS FAMILY). This suggests that these speakers draw on distinct cognitive models, notably NATION-AS-PERSON/ORGANISM-UNDER-THREAT and NATION-AS-KINSHIP to conceptually structure the nation. Although the findings are situated within specific historical and individual contexts, the study nevertheless shows that metaphorical cognition is meaningfully shaped not only by embodied experience but also by social identity, political history and cultural context.
Being financially prepared for later life can make the difference between living in poverty and not. Existing research in the UK has evidenced gaps in pension protection between working-age individuals from different minority ethnic communities; however, research that examines how ethnicity interacts, specifically with gender and other demographic, health and socio-economic characteristics to affect pension membership, is lacking. Using data from the UK Household Longitudinal Study between 2009 and 2023, this paper first examines patterns of continuity and change in pension membership among working-age individuals from minority ethnic groups. Focusing on the most recent wave, the analysis then assesses the importance of ethnicity and gender, alongside other demographic, health, socio-economic and subjective wellbeing factors in explaining individuals’ private pension participation and non-pension savings/investments. The findings show persistent ethnic and gender gaps, with Bangladeshi and Pakistani individuals faring worse than other ethnic groups, and women within such groups faring the worst. Factors indicating better socio-economic and subjective financial situation are associated with a greater likelihood of having a personal pension or expecting to use savings/investments in retirement. The paper critically discusses how current policies address the ethnic gaps in pension membership, and how such gaps can be addressed more effectively in the future.
A brand new chapter to this Edition of the Course Manual. Ethnicity and social background adversely affect maternal and perinatal outcomes. This chapter focuses primarily on the inequalities experienced by those of black, Asian and mixed ethnicity as well as those experiencing social deprivation. We explore the impacts of inequity and inequality, as well as strategic action and central support for local improvement. Key learning points: There is an immediate need to act and address inequalities and inequity within maternity services. Non-white ethnicity and social deprivation adversely affect maternal and perinatal outcomes. It is important for individuals and wider society, that women are healthy, educated, and feel safe in their environment. Equality and equity are not the same, both need to be provided for fair and inclusive maternity care. Unacceptable differences in perinatal mortality related to levels of deprivation and ethnicity have increased. Microaggressions and stereotypical assumptions are examples of inequalities that have been reported to contribute to substandard care for women. Research inequalities, and staff representation associated with non-white ethnicity and deprivation, impact clinical care. There are national recommendations to increase research in this area, provide education for staff and women, as well as a call for action to ensure that the quality of maternity care is improved for all.
Racial minority political influence may be jeopardized when constituent subgroups disagree on policy priorities and on the political parties that best represent their interests. In this study, we examine the prevalence of political fracturing—the formation of pluralistic subgroups that coalesce around political ideology, identity, trust, engagement, and issue opinions within broader racial groups—within the Asian American electorate, an increasingly influential minority group. We capitalize on granular data from the 2016 Collaborative Multiracial Post-Election Survey to assess the prevalence and characterizing features of political fracturing, and we test several possible explanations of political fracturing among Asian Americans, especially those that relate to ethnic variation within the Asian American electorate. Latent class analysis uncovers three distinct classes of roughly equal sizes that broadly align with liberal, conservative, and politically ambivalent groups. Logistic regressions reveal that class membership is predicted by respondent ethnicity, and that age, education, income, and religious identification partly explain effects from ethnicity. These findings uncover evidence of political fracturing among Asian Americans that is not captured by isolated analyses of issue opinion and political participation and suggest that a focus on broad racial categories in minority group politics research may mask considerable political subgroup heterogeneity within minority racial groups.
Chapter 5 considers Iran’s many ethnic, ethnolinguistic, and ethnoreligious communities. Ethnicity is the most amorphous and abstract of the five categories. Scholars have yet to produce a comprehensive account of its expressions in Iran. Ethnicity for Iran’s dominating sector is elusive, perhaps because of the potential vulnerability of those who currently control the country’s power and wealth. Iranians express contradictions and complexities in their societies and cultures by way of symbolic polarities, which they deploy in daily life and popular culture. Iran’s regions demonstrate how diverse peoples relate to one another, especially in peripheral, border, and marginalized territories. Large concentrations of minority peoples reside in most of Iran’s thirty-one provinces. Cohesive villages and urban neighborhoods offer benefits to minority and other residents as they organize their lives and create meaning at the local level. Changing social and socioeconomic cleavages in Iran relate to transformations brought about by the monarchy’s end and the theocracy’s emergence.
This essay proposes the Anthropocene as the register to analyze questions of identity in contemporary Irish poetry. It departs from traditional interpretive models for approaching questions surrounding subjectivity, agency, gender, race, and the wider questions of cultural and social belonging. The Anthropocene demands that the connective tissues between these frameworks be made evident and their disjunctions celebrated. Beyond Irish Studies, ecology has entered the realm of not only literary and cultural but also political, historical, and economic study. By re-thinking identity in the context of the climate crisis and the Anthropocene, I ask: how can we highlight a potentially combustion-free vision of a sense of belonging in contemporary Irish poetics? In other words, how might we decarbonize Irish identity?
During the twentieth century, significant legal, social and cultural changes occurred in Britain and Ireland which provided opportunities for an increasingly diverse pool of symphonic composers. Changing attitudes and laws regarding women and the LGBTQ+ community, the path the UK has charted regarding ethnicity, and shifting definitions of class have had a significant impact on who had access to a musical education and to the networks necessary to forge a career as a composer. This chapter examines the broader socio-cultural history of Britain and Ireland since 1900 to investigate the important milestones and small gestures that have led to the present. It explores the various demographic frames of reference for the composers discussed in the book, including gender, ethnicity, social class and sexual orientation, establishing a context for the discussions that follow.
This chapter explores the processes and form of the imagined national community in Rwanda in light of global discourses of difference, focusing on the space of identity that the state narrative of unity allows for Twa to navigate their subjectivisation as Rwandans. Our data shows that many Twa buy into the government’s narratives of national unity and ‘Rwandan-ness’. They choose to identify themselves as Rwandan and appear willing to forgo Twa identity for the promise of belonging and progress that they understand national narratives of unity to offer. To understand this as forced assimilation – whether through the violence of law or economic circumstances – is too simple a reading: Twa individuals are actively using the ‘Ndi Umunyarwanda’ programme messaging to create spaces of inclusion for themselves within Rwandan society.
Since the implementation of cultural safety in Aotearoa New Zealand’s schools of nursing, midwifery, medicine and allied health, students have been introduced to concepts that were not as evident in most programs prior to the early 1990s. Topics such as culture and the dynamics of power are now commonplace within these programs. Similarly, with the movement towards doing with as opposed to doing for the client or patient, students are required to possess an awareness of their values, beliefs, biases and prejudices. The first step towards to cultural safety is for a person to have sufficient awareness of their own culture.
An Introduction to Japanese Society provides an engaging introduction to Japanese society by internationally renowned scholar Yoshio Sugimoto. The text examines the diverse nature of contemporary Japanese society with chapters covering class, work, education, gender, ethnicity, religion, popular culture, and the establishment. This edition discusses the shifting landscape of the 'Cool Japan' project; the impact of the COVID–19 pandemic; the significance of Okinawa as the land of ethnic identity; the escalation of foreign workers and residents; the casualization of the labor force; intersectionality in Japanese class culture; the continuous aging of Japanese society; geopolitical shifts in East Asia; and the outcomes of recent national elections. Each chapter contains case examples, providing contemporary perspectives on each topic, as well as research questions, further readings, and online resources to consolidate student understanding and guide further exploration. Lively and highly readable, this text is essential reading for all students of Japanese society.
This article reconsiders the International Criminal Tribunal for Rwanda (ICTR) “Media Trial” that followed in the wake of the 1994 Rwandan genocide. While both the original trial (2000–03) and its appeal (2007) have been widely analyzed, most observers have approached it as a case against three media bosses. This article suggests that the Media Trial was not only invested in the line between press freedom and criminal hate speech and, in relation to Ferdinand Nahimana, not solely concerned with his role at “hate radio” station Radio Télévision Libre des Mille Collines (RTLM). Drawing on trial transcripts, other court records, and press coverage of the trial, I show how the tribunal actively interrogated Nahimana’s status as a historian and his research and scholarship as part of its judicial process. As such, I argue that the Media Trial helped codify the notion that Rwandan history had become “deadly” before the genocide and that the Rwandan historical field would need to be fundamentally transformed.
This Special Issue (SI) explores the enduring relationship between race and migration, arguing that race remains a central—yet often underexamined—analytical category in migration studies. Although overtly racialized migration policies have declined since the mid-20th century, racial dynamics continue to shape mobility regimes, access to rights, and perceptions of migrants across global contexts. This SI highlights how contemporary migration is structured by a “global mobility divide,” where racial hierarchies influence who can move, how they move, and how they are received. With interdisciplinary contributions, the SI examines several migration experiences, including forced displacement and labor migration across diverse geographical contexts; and methodologies, from participatory research to media analysis, uncovering how racialization operates at interpersonal, institutional, and structural levels. Collectively, the contributions challenge fragmented approaches within migration studies and call for a more integrated framework that centers race, advancing scholarship by demonstrating how racial politics shape migrants’ lived experiences.
The meanings of race and ethnicity vary across cultures and states. The differences are a result of different histories of colonization, migration, and, in consequence, racialization. The concept of race is a more encompassing category in Western European societies and the USA, where it is also a political commodity that structures social and political relations and views. The same concept in the Western Balkan states, organized along ethnic lines, still draws on the disputed biological notion of race. The same conceptual differences structure the views of racist as opposed to ethnic humor. The Western European idea of race as a cultural construct that lumps different social groups through the process of racialization and the interpretation of racism as an ideology that discriminates against any social group, informs the Western reading of both racist and ethnic humor. On the other hand, Balkan societies and their ethnic based structuration and distinct understanding of race and ethnicity inform different views of the concepts of racist and ethnic humor. In this respect, this study tends to empirically evidence the cross-cultural variations between European societies and the USA, and Balkan societies regarding the understanding of the differences between racist and ethnic humor.
Using data from Afrobarometer surveys conducted across 39 countries (n ≈ 53,000), this study examines the relationship between ethnic identification and public attitudes toward interethnic marriage in Africa. Descriptive analyses indicate that most Africans are either supportive of or indifferent toward such unions. However, multivariate regression results show that individuals who identify more strongly with their ethnicity than their nationality are significantly less likely to support interethnic marriage. This negative association is particularly strong among rural residents. These findings suggest that strong ethnic identification can act as a barrier to social integration in multiethnic societies. They also highlight the importance of policies that foster inclusive national identities and encourage intergroup engagement through education and civic initiatives.
Edited by
Rosa Andújar, Barnard College, Columbia University,Elena Giusti, University of Cambridge,Jackie Murray, State University of New York, Buffalo
This chapter considers different metaphors for racial encounters in American Classics departments, and how they interact globally. Beginning with the APA ‘Minority Scholarship’ in the early 2000s, the chapter traces different approaches to diversifying the demographics of traditional Classics departments in the United States, and how the field has developed in new regions. How might the proliferation of Classics programs in Southeast Asia be read as diaspora, or be distinguished from a form of neo-colonialism? How do Classics programs in Asia or the Global South interact with local histories of race and colonisation? Combining historical and contemporary case studies, this chapter reflects on different potential models of ‘diversifying’ Classics in a variety of global contexts.
Edited by
Rosa Andújar, Barnard College, Columbia University,Elena Giusti, University of Cambridge,Jackie Murray, State University of New York, Buffalo
This chapter provides an overview of the entangled history between the discipline of Classics and the biological concept of race. Section I.1 outlines the emergence of problematic claims about the alleged White nature of Graeco-Roman antiquity from the modern era to the present day that have helped substantiate biological conceptions of race. Section I.2 examines scholarly work in critical race theory and early modern studies that offer more nuanced definitions of race beyond the biological. Section I.3 summarises work on the study of race in Classics, and Section I.4 discusses the contents of this Companion.
This chapter explores how considerations of private international law affected marriage and gender relations during the Mongol occupation of China, in the Yuan dynasty (1260–1368). I first address matters of jurisdiction and choice of law that arose in Yuan China and border areas when lawsuits involved non-Chinese. It demonstrates the willingness of Mongol Yuan officials to consider non-Chinese law in adjudication and how this process could be complicated by facts on the ground. The section reveals under Mongol rule a form of ‘transnational everyday life’, as other scholars have termed it, and the disadvantages that often accrued to women in these circumstances. Then I demonstrate how the Chinese encounter with Mongol rule and the resulting ‘foreign’ elements introduced into legal practice brought about changes in traditional, codified, Chinese marriage law. Finally, I address the Mongol use of strategic marriages in their interpolity relations both during the united world empire and in the Yuan dynasty. These interpolity marriage relations were crucial to Mongol successes during their conquests and in their efforts to maintain sovereignty over conquered peoples.