Public health
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Post-traumatic stress disorder symptoms (PTSS) and depressive symptoms are the most common adolescent psychological effects from earthquakes, with negative life events significantly influencing PTSS prolongation. However, the underlying mediating and moderating mechanisms that connect negative life events with PTSS remain unclear. The purpose of this study was to investigate (i) the mediating role of depressive symptoms on negative life events and PTSS and (ii) the moderating role of only-child status in the direct and indirect relationship between negative life events and PTSS, 3 years after the 2013 Ya'an earthquake in China. ⋯ The findings supported and clarified the interrelations and associations between negative life events, depressive symptoms and PTSS. The conditional process analyses found that only-child status moderated not only the direct associations but also the relationship between negative life events and depressive symptoms. Our findings highlight the need for intervention programmes targeting adolescents, especially for children with siblings.
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The health of Māori, the Indigenous peoples of Aotearoa, New Zealand, like that of almost all Indigenous peoples worldwide, is characterised by systematic inequities in health outcomes, differential exposure to the determinants of health, inequitable access to and through health and social systems, disproportionate marginalisation and inadequate representation in the health workforce. As health providers, we are often taught that 'taking a history' is a critical component of a patient consultation to ensure that the underlying conditions are treated rather than the often superficial presenting symptoms. In the same way, attempts to make sense of the health and well-being of Indigenous peoples is inadequate unless health providers engage critically with the history of their respective nations and any subsequent patterns of privilege or disadvantage. ⋯ Despite the 'science' of this racial hierarchy being discredited, it retains a false validity in our societies. As long as oppressive systems that continue to re-inscribe racism and white privilege remain in communities, including our academic communities, coloniality continues its discrimination. Indigenous voices on migration, ethnicity, racisma and health will always demand the elimination of inequities in health but to do so will require a parallel commitment to critically interrogating all of our histories and our disciplines, as well as examining how our practice, including research, disrupts or maintains global systems of racism and coloniality.