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"Intercountry adoption China."
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Daughters of the bamboo grove : China's stolen children and a story of separated twins
This volume tells the moving story of the reunification of two identical twins, the cultural divide between them as a result of the forced adoption of one twin by Chinese authorities, and the effects of the separation on both girls and on their families. Along the way, Barbara delves into China's recent historical and political situation, telling the story of its brutal one-child policy, which came into effect in 1979, and the corruption and trafficking of children that emerged as a result.
BOOK
Meeting Sophie
The baby is screaming again. My baby. I hoist her off the narrow hotel bed--again--and try to cradle her as I rock my torso back and forth in an uncomfortable straight-backed chair.
This baby does not cradle. She doesn't know how to cuddle, to be soothed in anyone's arms. She howls and arches away, squirms and flops, a sixteen-pound fish out of water. I'm not used to holding babies, and she's not used to be being held, but when I try to put her down, she wails. My arms feel chafed, raw, and my wrists ache from the hours of straining to hang on to her.
Huge tears pool in her eyes. These tears could break my heart. These screams could break my eardrums.
After years as a temporary college instructor with no real home—her family and longtime friends scattered—Nancy McCabe yearned to settle down, establish a place she could call home, and rear a child there. A tough academic job market led her to accept a position at a church-connected college in the deep South, a move that felt like an uneasy return to the conservative environment of her childhood that she thought she had left behind. McCabe had many reservations about rearing a child alone in this climate, but the desire to become a mother would not go away.
Meeting Sophie tells the story of McCabe adopting a Chinese daughter and the many obstacles she faced during the adoption and adjustment process as she renegotiated her role within her family and fought difficulties in her job. Especially poignant is her struggle to bond with a sick, grieving baby while in a foreign country during political unrest—followed, upon her return to the U.S., by a devastating loss and a career crisis.
eBook
Infants' responsiveness, attachment, and indiscriminate friendliness after international adoption from institutions or foster care in China: Application of Emotional Availability Scales to adoptive families
In a short-term longitudinal design we investigated maternal sensitivity, child responsiveness, attachment, and indiscriminate friendliness in families with children internationally adopted from institutions or foster care in China. Ninety-two families with 50 postinstitutionalized and 42 formerly fostered girls, aged 11–16 months on arrival, were studied 2 and 6 months after adoption. Maternal sensitivity and child responsiveness were observed with the Emotional Availability Scales, attachment was assessed with the Strange Situation procedure, and mothers reported on children's indiscriminate friendliness. The postinstitutionalized children showed less secure attachment, whereas the former foster children did not differ from the normative distribution of attachment security. However, at both assessments the two groups of adopted children showed more disorganized attachments compared to normative data. Adoptive mothers of postinstitutionalized and former foster children were equally sensitive and their sensitivity did not change over time. Postinstitutionalized and former foster children did not differ on indiscriminate friendliness, but children with more sensitive adoptive mothers showed less indiscriminate friendliness. The former foster children showed a larger increase in responsiveness over time than the postinstitutionalized children, suggesting that children's responsiveness is more sensitive to change than attachment, and that preadoption foster care is more beneficial for the development of children's responsiveness after adoptive placement than preadoption institutional care.
Journal Article
Awareness and management of sepsis among emergency medicine practitioners in China: a national cross-sectional study
Background
Despite the efforts of the Surviving Sepsis Campaign over two decades, sepsis remains a leading cause of mortality worldwide, with 19–48.9 million cases and 11 million deaths annually. At present, research on sepsis is predominantly focused within the intensive care unit domain; however, the initial diagnosis of sepsis predominantly occurs in the emergency department. Thus, a national cross-sectional study is needed to assess emergency department healthcare workers’ awareness and treatment of sepsis in China and to evaluate the geographic distributions of sepsis prevalence, in-hospital mortality, and economic burden.
Methods
We conducted a national cross-sectional study to evaluate the cognitive and therapeutic landscape of sepsis among emergency department healthcare workers in China. The study used purposeful sampling in tertiary hospitals across different regions of mainland China. A questionnaire was developed via the Questionnaire Star platform and administered electronically via WeChat and email to physicians across multiple Chinese medical institutions between September 27 and October 31, 2024; multicenter data on sepsis diagnosis patterns, therapeutic interventions, mortality outcomes, and associated economic burdens were collected.
Results
A total of 163 hospital datasets were collected, and after exclusions, 113 eligible hospital datasets were included in the analysis. Regarding the adoption of sepsis diagnostic criteria in emergency departments, the results indicate that northern regions have a significantly greater adoption of Sepsis-3.0 than southern regions do (
P
= 0.048). There is significant regional variation in the prevalence and in-hospital mortality rates of sepsis across mainland China, with the eastern coastal regions generally having lower sepsis in-hospital mortality rates than the western regions do. The number of patients in the emergency intensive care unit with expenses exceeding 80,000 RMB is nearly double that of the entire hospital. The expenditure range of 21,000–40,000 RMBs has emerged as the predominant cost bracket for hospitalized patients and has been consistently observed across both the emergency intensive care unit and hospital-wide settings.
Conclusion
In mainland China, several emergency departments have adopted internationally recognized diagnostic criteria (Sepsis-3.0) for sepsis. However, there is still significant variation in the diagnosis and treatment outcomes of sepsis across different regions, highlighting the urgent need for standardized and homogeneous sepsis management practices.
Clinical trial number
Not applicable.
Journal Article
Red butterfly
In China, a foundling girl with a deformed hand raised in secret by an American woman must navigate China's strict adoption system when she is torn away from the only family she has ever known.
BOOK
A Norwegian Soul in a Chinese Body? Ethnic Identity and Chinese Adoptees in Norway
The ethnic identity of international adoptees has been a transdisciplinary field of inquiry over the past decades. Taking China-born adopted Norwegian citizens as research subjects, this study uses a mixed-method approach to explore how they perceive their ethnic identity and origin in the host society of Norway. We find that Chinese adoptees mainly identify as racially Chinese but culturally Norwegian, and their Chineseness lies primarily in their appearance. They generally feel secure about their ethnic background despite the challenges and paradoxes caused by their Chinese looks. Most adoptees have no attachment to their birth country, and their interests in China and Chinese culture are usually instrumental and individual-based. Three main socio-cultural factors shape the ethnic identity of China-born adopted children: (1) the negligible impact of their pre-adoptive history upon them, (2) a supportive family environment acknowledging their differences, and (3) an inclusive socio-cultural environment that respects ethnic diversities. No clear tendency towards constructing or enacting double identities among the adoptees was found. Finally, our respondents reported fewer racist experiences than suggested by recent literature on migrants and international adoptees in current literature. This aspect needs further research, also in reference to other cohorts of adoptees.
Journal Article
The Global Decline of Intercountry Adoption: What Lies Ahead?
This article examines the latest trends in intercountry adoption worldwide, based on data from twenty-three receiving countries. Trends in the number of children sent by states of origin are based on their returns to the Hague Special Commission or on estimates derived from country data provided by the receiving states. The analysis concentrates on the period from 2004 to 2010 when estimated annual global numbers declined from 45,000 to 29,000, fewer than those recorded in 1998. The article will also look at changes in the age – and other characteristics – of children sent. Discussion centres on changes in sending countries, exploring the declines in China, Russia and Guatemala, the rise in adoptions from Haiti after the earthquake of 2010 and the emergence of Africa – and in particular Ethiopia – as a significant source of children for adoption. The article concludes with a consideration of the implications of a continuing high demand from childless couples in developed countries on the intercountry adoption ‘market’; and the prediction of David Smolin that, unless truly reformed, intercountry adoption will eventually be abolished and labeled as a ‘neo-colonial mistake’.
Journal Article