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Ageism is a global challenge and a public health concern that the recent COVID-19 pandemic has further exacerbated. Existing research has mainly focused on individual factors, overlooking the association between the neighborhood-built environment and ageism. This study examined this association and whether its effect varied among areas possessing different socioeconomic characteristics. We conducted a cross-sectional survey of 1278 older people in Hong Kong and merged this with the built environment factors derived from geographical information system data. We used multivariable linear regression to examine the association. Findings revealed that more parks were significantly associated with a lower level of ageism, an impact that remained significant in low-income or low-education areas. Conversely, more libraries in high-income areas were associated with a lower level of ageism. Our findings provide urban planners and policymakers insight into planning for the built environment that reduces ageism enabling older people to achieve a better life.

Background and Objectives The construction of an Age-Friendly City (AFC) requires active contribution from relevant interest groups including older adults, nonprofit organizations, and policy-makers. However, given that relevant interest groups may have limited resources, knowledge, and skills, as well as unique contextual factors, they often require help from intermediary organizations—actors that aim to build interest groups’ capabilities. Our objectives were to examine the functions of universities, as an example of intermediary organizations, in facilitating the construction of an AFC, and identify critical factors that enable intermediary organizations to perform their functions. Research Design and Methods We conducted three focus groups and one individual interview with multiple interest groups including older adults and social workers from nonprofit organizations and local government involved in a 6-year citywide AFC project in Hong Kong. Participants were asked to share their views on the role of universities in relation to their own experiences and roles in the project. Data generated from the interviews were analyzed using thematic analysis. Results Four themes pertinent to the functions of universities in facilitating development were identified: facilitating cross-sector collaborations, knowledge diffusion, interest-group building, and mediating divergent interests. We also found that neutrality and reputability are key characteristics for intermediary organizations to wield sufficient legitimacy to perform their functions efficiently. Discussion and Implications Findings underscore the important yet overlooked role of intermediary organizations in bridging and mediating different interest groups to facilitate AFC development. We advance gerontological scholarship by providing insights into the theoretical mechanisms and practice implications for intermediary organizations in fostering an AFC.

Background and Objectives Exploring the roles of older adults as volunteers in social care settings has attracted wide attention to facilitate healthy aging and tackle care workforce constraints. However, there is little knowledge of the mechanism of engaging older adults as volunteers in the social care sector. Research Design and Methods The study applies a case study to describe the features of an innovative timebank project, Good Hands, and explore the underlying mechanism of engaging older adults as volunteers in the social care sector. Three focus groups were conducted with 12 older adult volunteers and 6 advisory group members. Thematic analysis was applied to code and analyze the content of the focus group interviews. Results Three emergent themes were identified as critical components: strong cross-sector collaboration, meaningfulness in voluntary work comprising 4 subthemes (including capacity optimization, care capacity enhancement, cultivating belonging, and value recognition), and a coproducing environment. Discussion and Implications Volunteer engagement of older adults in the provision of welfare for community-based care for frail peers is discussed, and practice implications are presented.

An empirically driven consolidated framework is needed to help navigate the development of social inclusion of South Asian and Southeast Asian ethnic minorities in Hong Kong. A qualitative pilot st...

Policymakers have increasingly embraced social enterprises as a vehicle to create job opportunities for the disadvantaged. However, there is limited research on social enterprises in the context of disability in relation to labour market integration. Drawing on the perspectives of representatives of work integration social enterprises and people with disabilities employed in these enterprises (n=21), this study examines whether and how work integration social enterprises promote inclusion for people with disabilities, and also explores the role of WISEs in enabling people with disabilities to transition into open employment. Thematic analysis revealed three key emergent themes: Cocooned inclusion but not transition; Reinforced normative demarcation; and WISEs as a deflection from institutionalizing proactive disability policy measures. This article argues that, although WISEs were able to provide job opportunities for people with disabilities, their purported function in enabling disabled people to transition into open employment remains constrained by factors beyond their control including prevailing norms and the absence of proactive disability employment measures. This article cautions against the over-romanticisation of WISEs as the primary means to ensure the rights of people with disabilities to participate in the labour market. Implications on disability employment policies in relation to social enterprises are discussed.

This study investigates preference for ageing-in-place (AIP) among local older adults in a Chinese county with a large concentration of internal migrants. The current study was a secondary analysis...

This article illustrates how the term “social innovation” is used in the public policy domain in Hong Kong in relation to the new public management (NPM) reform of the social service sector, which originated in the early 2000s. Through document reviews and interviews, the role that social innovation policy has played in instigating changes in the contemporary social service field in the post-NPM era is identified. This includes facilitating emergence of “new” forms of social entrepreneurial activities to fill unmet social needs, empowering new actors in entering the social service sector, and reinforcing the government’s position in the NPM reform. Adopting historical institutionalism as the analytical framework, multiple path-dependent characteristics arising from the historical legacies of the incumbent social service environment – such as the longstanding partnership between the state and non-profits – are highlighted. These historical factors have weakened the efficacy of the policy efforts aimed at enacting institutional change. Overall, this article demonstrates how historical context matters in the emergence and framing of social innovation policy. It contributes to the theorisation of the role of social innovation in social service sector development in East Asia.

Evidence about the association between volunteering and the mental health of older adults during COVID-19 remains underexplored. This study investigated (1) patterns of volunteering among older adults in Hong Kong during COVID-19; (2) associations between volunteering and mental health of older adults during COVID-19; and (3) associations between key psychological resources (e.g., self-efficacy and self-esteem) and volunteering among older adults during COVID-19. This study applied a cross-sectional design with data collected from 128 older adults in June 2020, who were trained as volunteers in a volunteer program that began before COVID-19. The study found that older adults continued to actively contribute to their communities by engaging in volunteering during COVID-19. The specific type of volunteering activities was linked to few depressive and anxiety symptoms. Older adults with increased self-esteem prior to COVID-19 were more likely to participate in volunteering activities related to COVID-19. Our study suggested that encouraging older adults to volunteer during the pandemic is a key pathway to maintain mental health. Social workers are encouraged to engage older adults in volunteerism regularly to offset the risk of depression and anxiety symptoms in times of crisis.

Objectives Neighborhood built environments (BEs) are increasingly recognized as being associated with late-life depression. However, their pathways are still understudied. This study investigates the mediating effects of physical and social activities (PA and SA) and functional ability (FA) in the relationships between BEs and late-life depression. Methods We conducted a cross-sectional analysis with data from 2,081 community-dwellers aged 65 years and older in Hong Kong in 2014. Two road-network-based service area buffers (200- and 500-m buffers) adjusted by terrain and slope from participants’ residences were created to define the scope of neighborhoods. BEs comprised population density in District Council Constituency Areas, urban greenness, land-use diversity, and neighborhood facilities within 200- and 500-m buffers. Multilevel path analysis models were used. Results More urban greenness within both buffers and more commercial facilities within a 500-m buffer were directly associated with fewer depressive symptoms. SA mediated the relationship between the number of community facilities and depressive symptoms within a 200-m buffer. Neighborhood urban greenness and the number of commercial facilities had indirect associations on depressive symptoms within a 500-m buffer, which were mediated by FA. Discussion Our findings have implications for the ecological model of aging. The mediating effects of SA and FA underscore the importance of promoting active social lifestyles and maintaining FA for older adults’ mental health in high-density cities. Policy implications on how to build age-friendly communities are discussed.

Older adults are more dependent on their surrounding environment. Extensive research has demonstrated beneficial effects of both nature and built environment on mental health of older people. However, most previous research used cross-sectional designs failed to test the intraindividual variability between environment, behavior, and mental wellness in daily life. We used ecological momentary assessment (EMA), activity sensors, and GPS tracking to examine the association between real-time environment, mobility and activity, and momentary affect among older adults in Hong Kong. Data collection and data processing was conducted from December 2021 to May 2022. 168 older adults aged 65 to 84 received seven EMA prompts per day during a fifteen-day period, and completed a total of 17,345 momentary assessments of affective states, mobility, and activities. A set of GPS-derived indicators were used to measure the real-time environment. To disaggregate the between- and within-person effects, we used multilevel models to estimate three dimensions of affect, i.e., valence, calmness, and energetic arousal, in EMA observations, nested within individual participants. Preliminary results indicate significant concurrent associations between environmental attributes and momentary affect at the within-person level, while the between-person differences appear to be either null or modest. Being out of home is associated with higher valence ratings (b=0.04, p=0.0427), while exposure to green is associated with a lower level of energetic arousal (b=-0.03, p=0.0163). Greater walkability is consistently associated with higher momentary affect ratings in three dimensions, but these associations are not statistically significant. Implications of these findings for promoting healthy aging will be discussed.

This study aimed to examine depressive symptoms of community-dwelling older people amidst COVID-19 and explore how naturally occurring coping strategies were associated with depression. A mixed-method cross-sectional telephone survey was conducted with 375 older people aged 60 years and above between March and May 2020 in Hong Kong. Trained social workers interviewed participants and assessed depressive symptoms with the Patient Health Questionnaire-9 (PHQ-9). Attribute coding and thematic analysis were adopted for qualitative data analyses. Generalized linear models (GLM) were used to examine the effects of demographics, self-reported risk factors and coping strategies on PHQ-9 scores. Participants' average PHQ-9 score was 1.9 (

Background: Although knowledge is a crucial component in contact theory delineating how prejudice changes toward out-groups with stigmatized conditions, little is known about the mediating role of knowledge on contact, stigmatizing attitudes, and behaviors toward mental illness. Aim: This study aimed to examine the mechanism underlie contact and stigma change by knowledge. Methods: A total of 366 participants including family members (FM), mental health providers (MHP), and community residents (CR) recruited across communities in Hong Kong and completed measures of contact level, contact quantity, contact quality, mental health related knowledge, prejudice, and discriminatory behaviors. Structural equation modeling was adopted to test the association among the key variables. Results: Higher level of contact was significantly correlated with better knowledge, less prejudice, and less discriminatory behaviors. Knowledge was directly and negatively correlated with prejudicial attitudes but was not significantly related to discriminatory behaviors. Furthermore, lower levels of prejudice were associated with less discriminatory behaviors. Conclusion: Enhancement of contact may increase understanding toward people with mental illness (PMI) and diminish stigmatizing attitudes and behaviors. Although prejudicial attitudes may be reduced by broadening mental health knowledge, increasing knowledge only might not ameliorate discriminatory behaviors. Future research should test mediators on contact and stigma by using longitudinal data.

This study examined the effectiveness of an experiential learning-based integrated policy advocacy education model in Hong Kong, a partially democratic and non-Western society. The model incorporat...

Public health crises disproportionately affect vulnerable population groups. Interventions aimed at curtailing the spread of diseases or improving the overall health of the population must aim to r...

Formal ties between China and several African states have intensified in recent years. Alongside growing economic and trade cooperation, the international mobility of people between China and African states is increasing. Recent studies have shown that African migrants face institutional barriers to integration in Chinese society, however, and the personal and social consequences of these barriers remain under-researched, especially the dynamics of intimate family life. Drawing upon concepts of precarity and 'low-end globalisation', this study examines how African-Chinese families navigate everyday life, including work, family and children's education. It is based on ethnographic fieldwork comprising observations and in-depth interviews with African-Chinese families and one community leader (n = 19). These reveal how families confront the pervasiveness of legal, economic and social precarization in multiple overlapping domains. These social forces have intergenerational repercussions, with adverse impacts on family life, interpersonal relationships and sense of belonging to the local community. Yet precarity offers conditions for practices of empowerment. We conclude with implications for migration studies.

This article explores and identifies the social processes underlying a 12-month youth street dance performing arts program, MINDJAM, in promoting positive psychosocial outcomes among young people i...

Although cognitive-behavioural therapy has demonstrated effectiveness in improving mental health outcomes for sexual minority young people (SMYP), existing interventions are primarily designed and evaluated in Western contexts, and their acceptability and responsiveness to culturally relevant issues in the Chinese contexts is uncertain. This study aimed to address this gap by exploring how a manualised community-based cognitive-behavioural intervention (AFFIRM) could be culturally reconsidered for SMYP in Taiwan and Hong Kong and suggest recommendations for future adaptation. Following an empirical, community-based participatory approach, qualitative data were collected between August and September 2018 through five focus groups with 15 SMYP and 18 frontline practitioners in Taiwan and Hong Kong. Thematic analysis revealed that at the surface structural level, translation and examples, and promotion strategies can be fine-tuned to better fit the Chinese context. On the deep structural level, self-differentiation and a pragmatic plan to come out to parents were identified as two concerns of cultural importance for Chinese SMYP. This study exemplifies an empirical, collaborative approach to identifying areas of cultural adaptation for mental health intervention for SMYP in the Chinese cultural milieu. The rationale and strategy for adapting existing intervention protocols to accommodate divergent cultural values are described.

How and why friends respond to control intimate partner violence has seldom been studied in survey data, in cross-cultural comparisons, or outside the United States. Moreover, the study of such responses has been siloed in two different research streams. The concept of bystander intervention has been mainly studied in psychology, whereas informal social control has been used in sociology. We use comparative data from two East Asian cultures (China and South Korea) to hypothesize and test for relationships among totalitarian-style partner control, Confucian gender role norms, secrecy regarding intimate partner violence (IPV), and two types of bystander intervention. The data consist of random probability samples of married/partnered women from Beijing (n = 301) and Seoul (n = 459). Multilevel models with the combined data indicate that protective intervention is negatively associated with Confucian gender role norms. Punitive intervention is associated with IPV secrecy and totalitarian-style partner control. There were important differences between Beijing and Seoul. Although not significant in the combined Seoul and Beijing data, totalitarian-style partner control and neighborhood informal social control were associated with more protective intervention in the Beijing model, but not in the Seoul model. Totalitarian-style partner control and IPV secrecy were associated with punitive intervention in Seoul, but not in Beijing. Interestingly, punitive intervention was positively associated with neighborhood socioeconomic status. Lower social cohesion in Beijing may explain differences in perceived bystander intervention between the two cities. Interventions for IPV must be thoroughly grounded in a deep understanding of sociocultural factors influencing bystander intervention.

To enhance the academic achievements of Yi ethnic minority youths in rural school settings, the authors examined the effect of classmate support and the meditating role of ethnic identity in promot...

China is home to approximately 245 million rural-to-urban migrant workers. The influx of migrants into urban areas has posed various challenges for local social service systems. Recently, increasin...

COVID-19 has created unprecedented challenges and uncertainty for the nonprofit sector. Drawing from a case study of a community-based service delivery nonprofit organization in Hong Kong, this research note examines the impact of COVID-19 on this organization's daily operations, identifies its organizational coping strategies in response to the challenges it faced, and outlines key organizational learning resulting from its experience of dealing with the pandemic. With reference to the narrative development process framework, this study found that the customary social service delivery model was inadequate in meeting the emergent needs identified in the community. This realization served as a catalyst for the organization to employ socially innovative coping strategies to continue safeguarding the well-being of vulnerable population groups. As a result, a new paradigm of service delivery leveraging on neighborhood support networks and cross-sector collaborations was developed. Factors that would enable nonprofits to enhance their adaptive capacity in the face of future public health crises are discussed, with particular attention drawn to the usefulness of adopting a narrative development process in guiding organizations' collective actions.

Background: Knowledge of how intrinsic capacity (IC) and neighbourhood physical environment shape functional ability (FA) trajectories in later life remains understudied. We investigated four-year trajectories of IC and their impact on FA trajectories and the association between neighbourhood physical environment and FA trajectories among community-dwelling older adults in Hong Kong, China. Methods: We conducted a four-wave longitudinal study from 2014 to 2017 in Hong Kong with 2,081 adults aged 65 and above. FA was assessed by The Chinese Lawton Instrumental Activities of Daily Living Scale. We used cognition, affect, locomotion, sensory capacity, and vitality to capture the multiple domains of IC. Neighbourhood physical environment attributes included green space, land use diversity, and availability of facilities, assessed within 200- and 500-meter buffers of respondents’ homes. We used the parallel process of latent growth curve model. Findings: IC (Unstandardized coefficient, β = −0.02, p

Sense of community may be shaped by the quality of the physical environment and has potential health implications. Based on a survey of 2,247 community-dwelling middle-aged and older adults living in Hong Kong, we tested the mediation effect of sense of community on the relationship between the quality of the built environment and physical and mental health using path analysis. The quality of the built environment was indicated by the age-friendliness of outdoor spaces and buildings. No direct association was found between the built environment and health outcomes, although age-friendly outdoor spaces were associated with better mental health. Sense of community mediated 14% of the total effect between outdoor spaces and mental health and 44.8% of the total effect between buildings and physical health, underscoring the importance of accommodating the social needs of middle-aged and older people in urban development in high-density cities.

Little is known about the accumulative impacts of neighbourhood physical environments on older adults’ depressive symptoms over time. Based on a cohort study of 2081 older adults in Hong Kong, this study examined longitudinal relationships between neighbourhood physical environments and depressive symptoms among older adults, with a particular focus on the moderating effects of terrain slope and individual functional ability using latent growth curve modelling. Results indicated that the availability of community centres and passive leisure facilities reduced depressive symptoms over time. The protective effects of residential surrounding greenness on depressive symptoms among older adults differed by the terrain slope types. Longitudinal associations between neighbourhood physical environments and depressive symptoms varied between older adults with and without functional limitations. This study has implications for the Ecological Theory of Ageing by identifying the dynamic interplay of environment demands and individual functional ability. Planning policies for building age-friendly neighbourhoods are discussed.

Background: Knowledge on how intrinsic capacity (IC) and neighbourhood physical environment shape functional ability (FA) trajectories in later life remains understudied. We investigated the 4-year trajectories of IC and their impact on FA trajectories, and the associations between neighbourhood physical environments and FA trajectories over time among older adults. Methods: We conducted a four-wave longitudinal study from 2014-2017 in Hong Kong with 2,081 adults aged 65 and above. FA was assessed by The Chinese Lawton Instrumental Activities of Daily Living. We used cognition, affect, locomotion, sensory capacity, and vitality to capture multi-domains of IC . Neighbourhood physical environment attributes included green space, land use diversity, and facilities availability, assessed within 200- and 500-meter buffers of respondents' homes. The parallel process of latent growth curve modelling was used. Findings: IC (β = -0·022, p

Various countries across the East Asian region have witnessed the rapid proliferation of social enterprises, especially work integration social enterprises (WISEs) in the recent decade. Drawing fro...

As the Chinese government has purposefully built economic, social and political links with several African states in recent decades, new patterns of international migration have emerged. Notably, mixed‐race families are increasingly visible in southern China, particularly Guangzhou, where there is a concentration of African traders. The few existing studies on this population have failed to pay attention to how, in the absence of state provision of or support for key public resources including health care and education, African‐Chinese families are raising their children. We examined factors contributing to NGO successes and failures in facilitating these families’ wellbeing and integration into mainstream society, drawing on the theory of voluntary sector failure. Mixed‐raced families are relatively isolated from mainstream society as well as formal/informal civil society organisations. We found select features of philanthropic paternalism, philanthropic amateurism, and what we term philanthropic mistrust, with implications for understanding voluntary sector growth in the Chinese context.

Social work research concerns itself with vulnerable populations. Methodological challenges including accessing vulnerable populations are especially acute in developing countries where systematized data is often lacking. This article presents a pilot study using respondent-driven sampling to estimate the prevalence of children engaged in commercial sexual exploitation. The results are used to illustrate the feasibility of developing multi-sectoral collaborations to address issues among vulnerable populations. This study demonstrates that respondent-driven sampling is a strong design capable of producing prevalence estimates. Implications for international social workers in facilitating professional capacity building for effective planning, monitoring and reporting of social development projects are discussed.

This study aims to examine the relationship between the duration of untreated psychosis (DUP) and 14-year outcomes of schizophrenia in a Chinese rural area. Participants with schizophrenia (n = 510) were identified in an epidemiological investigation of 123 572 people aged 15 years and older in 1994 and followed up in 2008 in Xinjin, Chengdu, China. Longer DUP (>6 months) was common in participants (27.3%). In 1994, participants with DUP ≤ 6 months were more likely to have a significantly lower rate of suicide attempts, shorter duration of illness and higher rate of full remission compared with those with DUP > 6 months. No significant differences were found regarding the rates of survival, suicide, death due to other causes and homelessness between individuals with shorter and longer DUP in 2008. Nevertheless, longer DUP (>6 months) of participants in 2008 was significantly associated with higher mean of PANSS total negative and general mental scores, longer duration of illness and higher rate of live alone in the logistic regression model. Earlier identification, treatment and rehabilitation, and family intervention should be addressed when developing mental health policies and delivering community mental health services.

This article examined advocacy strategies and barriers of nongovernmental organizations (NGOs) in the child welfare sector in Hong Kong. Drawing on seven case studies, the dynamics between social workers’ role as advocates on one hand, and the need for their organizations to fulfill contractual obligations with the government on the other are revealed. We found that the ambivalent political environment and the subvention system defining existing relationships between the government and NGOs appear to restrict the social work profession’s mandates toward advocacy. Legal reforms that define what is permissible advocacy work by NGOs while protecting their right to do so are urgently needed.

Many nonprofits are turning to commercial strategies to enhance their income. While previous research identified challenges social enterprises face in balancing commercial and social missions, litt...

Since the inception of the Law on Protection of Minors in 1991, the Chinese government has increasingly emphasised child protection development by promulgating domestic legislation on children’s pr...

Literature has established that migration processes have significant effects on the mental and psychological health of migrant children and adolescents. Yet, little is known of the effects of family dynamics and individual characteristics on rural-to-urban migrant adolescents’ psychological adjustment in the context of China. Using a cross-sectional questionnaire-based research design, this article examines the relationship between perceived parental emotional warmth, identity integration and hope among a group of Chinese migrant adolescents. Of a sample of 1,345 Chinese migrant adolescents, between 11 and 19 years old, we found that perceived parental emotional warmth was significantly associated with identity integration, and that hope partially mediated the relationship between parental emotional warmth and identity integration. The implications of the findings for migrant adolescents’ psychological adjustment in receiving communities are discussed.

Social and civic participation are important tenets for both the age-friendly city and active aging frameworks promoted by the World Health Organization. Yet older adults are often under-represented in civic affairs. This study examines the effects of using photo-voice as a method in facilitating older adults’ civic participation. Specifically, an empowerment-based participatory photo-voice training model was implemented among older adults with limited formal education in Hong Kong. We conducted three focus groups comprising 12 older adults and one in-depth interview with a social worker. Findings revealed that photo-voice is an effective tool in capturing older adults’ views that would have otherwise been difficult to articulate in words or in writing, and in enhancing older adults’ ability and willingness to participate in community and civic affairs. These findings underscore the importance of using novel techniques to build a more inclusive society that incorporates the views of older adults.

Studies have indicated that a sense of community may be shaped by the built environment and has potential mental wellbeing implications. However, few studies have explored this pathway empirically. Moreover, research has rarely differentiated the role of objective and perceived built environment. Based on a survey of 1,553 older adults undertaken between 2015 and 2017 in Hong Kong, we explored the distal mediation pathway from objective built environment to both mental health and subjective wellbeing through perceived built environment and sense of community, using multilevel structural equation modeling. The results showed that perceived built environment and sense of community can fully explain the residential density and subjective wellbeing relationship. The inverted U-shape relationship between street connectivity and mental health was identified. Park-based green space had a protective role for both mental health and subjective wellbeing and was explained by two mediators, but vegetation-based green space was negatively associated with subjective wellbeing. Land use mix had positive total effects on both mental health and subjective wellbeing and was partially mediated by perceived built environment and sense of community. Recreational services showed a protective effect on both mental health and subjective wellbeing, and both were partially mediated by two mediators. The negative direct effect of health services on subjective wellbeing offsets the positive indirect effect through two mediators. The study findings have implications for landscape and urban planning policy and can provide an empirical contribution to the theoretical foundation of aging in place.

This article examines the role of international non-governmental organizations (INGOs) in social welfare provision in addressing the developmental and material needs of orphans in rural China. Data from qualitative interviews with INGO representatives and state officials were combined with documentary analysis to investigate the ways in which the state and civil society respond to orphans’ needs. It was found that while INGOs are actively contributing to the social provision of orphans, in part reflecting the pluralization of welfare, there is an urgent need for the Chinese government to play a more proactive role in safeguarding the care and protection of one of China’s most vulnerable population groups.

This paper focuses on the dynamics of frontline organisational practice and examines how non-governmental organisations (NGOs) act as an intermediary between people and the state. It explores how workers in NGOs in the Pearl River Delta are responding to the needs of local migrant populations including rural-to-urban migrants and foreigners within mainland China, cross-border ‘new arrival’ Chinese and ethnic minorities in Hong Kong. We examine how government policy imperatives that relate to (im)migrants within the wider region are operationalised in strategic and direct practice, drawing on the theory of street-level bureaucracy to guide the analysis of primary data collected in two cities (Hong Kong and Guangzhou) during 2014. Key findings provide evidence of discretionary agency in both locations although the broader scope for an agency is evident in Hong Kong than Guangzhou. Implications for future practice are discussed within the context of increasingly restrictive political and social envir...

Background Migrant children refer to rural children who accompany one or both parents to urban area. Empirical evidence showed that compared with their urban counterparts, migrant children had poorer developmental, emotional and psychological health. Method A sample of 1306 migrant children were recruited to examine the characteristics of migrant children and investigate the effects of identity integration, support and socioeconomic factors (e.g. age, gender, type of school, family socioeconomic status, city type) on their subjective wellbeing. Results Children with higher levels of identity integration, social support, family socioeconomic status, who attended public school and who lived in the third-tiered city of Weihai demonstrated better subjective wellbeing. Social support remained a strong predictor for subjective wellbeing, despite a significant mediating effect of identity integration. Conclusions These results highlight the need for policymakers and practitioners alike to address individual factors pertaining to psychological adjustments, as well as social determinants of subjective wellbeing in the context of migration.

There is little understanding about how rapid urban development has affected the extent to which communities are able to optimize health and participation opportunities for older adults in Hong Kong. Our objective was to examine what older residents perceive to be the shortcomings of their communities in meeting their psychosocial and physical needs as they age.In reference to the WHO Age-Friendly Cities Project Methodology: Vancouver Protocol, we conducted nine focus groups comprising 65 participants for an Age-Friendly City baseline assessment in two districts in Hong Kong, China. Participants were asked to share their views on their respective district of residence, and identify aspects of the city they found unfriendly. Data generated from interviews were analyzed using thematic analysis.Five of the following key themes were identified: the failure of public transportation to cater to the needs of older adults; a lack of public space for recreation and socializing; diminishing human interactions in welfare services; physical and financial challenges relating to housing; and workplace discrimination against older adults.These findings underscore the importance of prioritizing the social welfare of older adults in building a more inclusive and age-friendly city. They also highlight the difficulties in fostering an inclusive environment while ensuring efficiency and profit maximization.

BACKGROUND AND OBJECTIVES There is little understanding about how rapid urban development has affected the extent to which communities are able to optimize health and participation opportunities for older adults in Hong Kong. Our objective was to examine what older residents perceive to be the shortcomings of their communities in meeting their psychosocial and physical needs as they age. RESEARCH DESIGN AND METHODS In reference to the WHO Age-Friendly Cities Project Methodology: Vancouver Protocol, we conducted nine focus groups comprising 65 participants for an Age-Friendly City baseline assessment in two districts in Hong Kong, China. Participants were asked to share their views on their respective district of residence, and identify aspects of the city they found unfriendly. Data generated from interviews were analyzed using thematic analysis. RESULTS Five of the following key themes were identified: the failure of public transportation to cater to the needs of older adults; a lack of public space for recreation and socializing; diminishing human interactions in welfare services; physical and financial challenges relating to housing; and workplace discrimination against older adults. DISCUSSION AND IMPLICATIONS These findings underscore the importance of prioritizing the social welfare of older adults in building a more inclusive and age-friendly city. They also highlight the difficulties in fostering an inclusive environment while ensuring efficiency and profit maximization.

It is unclear about the change and risk factors of depression among adolescent survivors after earthquake.This study aimed to explore the change of depression, and identify the predictive factors of depression among adolescent survivors after the 2008 Wenchuan earthquake in China.The depression among high school students at 6, 12 and 18 months after the Wenchuan earthquake were investigated. The Beck Depression Inventory (BDI) was used in this study to assess the severity of depression.Subjects included 548 student survivors in an affected high school. The rates of depression among the adolescent survivors at 6-, 12- and 18-month after the earthquake were 27.3%, 42.9% and 33.3%, respectively, for males, and 42.9%, 61.9% and 53.4%, respectively, for females. Depression symptoms, trauma-related self-injury, suicidal ideation and PTSD symptoms at the 6-month follow-up were significant predictive factors for depression at the 18-month time interval following the earthquake.This study highlights the need for considering disaster-related psychological sequela and risk factors of depression symptoms in the planning and implementation of mental health services. Long-term mental and psychological supports for victims of natural disasters are imperative.