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Screening for hepatitis A virus (HAV) infection is not currently routinely recommended in internationally adopted children. International adoptees seen at the University of Minnesota International Adoption Clinic from 2006 to 2010 were assessed for acute HAV infection (positive HAV immunoglobulin M). Thirty of the 656 children screened (4.6%) were acutely HAV infected. HAV-infected children emigrated from Ethiopia (16), Guatemala (4), China (2), Colombia (2), Haiti (2), Philippines (2), Liberia (1), and Nepal (1). Infection was most frequent among children younger than 2 years (6.7%). No symptoms distinguished children with acute HAV infection from uninfected children. HAV infection caused significant social disruption, including separation of children from their ill adoptive parents during the initial weeks postarrival, a period important for postadoption adjustment and attachment. All international adoptees arriving from countries with high or intermediate HAV endemicity should be screened for HAV infection on arrival to the United States. [ABSTRACT FROM PUBLISHER]

This study aims to contribute to the body of knowledge about post-adoption functioning of international adoptees by examining patterns of anxiety among young children adopted from China by Australian families. The study had two objectives: to examine anxiety in children adopted from China comparing this sample to available normative data and to examine the associations among child anxiety and child (e.g., age at adoption) and parent (e.g., age, education level) factors. Parents of 59 children adopted from China completed online a number of measures of child anxiety, temperament, and parent psychological well-being. Results indicated a high prevalence of anxiety symptoms among the adopted children when compared with available data from normative samples, particularly related to separation contexts. A number of factors, including inhibited temperament and younger age of parents, were associated with child anxiety. Clinical and research implications are discussed. [ABSTRACT FROM PUBLISHER]

Qualitative research investigated expatriate families living in China with adopted Chinese children and the manner in which living in China influenced the adoptees' acquisition of their culture of origin. The values and cultural practices of these expatriate parents are also examined. [ABSTRACT FROM AUTHOR]

Considers the international adoptions of Chinese girls and the unique kind of diaspora these adoptions have created. Factors influencing international adoptions as a global phenomenon; Reasons for the uniqueness of child adoptions in the People's Republic of China; Implications of the framing of adoptions as a gift.