The Paradoxes of Paramountcy: Regional Rivalries and the Dynamics of American Hegemony in East Asia

It has become increasingly commonplace to describe the United States as hegemonic. And yet, despite America's dominant position at a number of levels strategic, political-economic and ideational, there are plainly limits to US hegemony. These limits and the enduring strengths of American hegemony are revealed quite clearly in East Asia. This paper critically assesses a number of theories of hegemony, and argues that the concept continues to provide a useful way of conceptualising America's evolving relationship with East Asia. Theories of hegemony can, with appropriate caveats, also help us to understand the limits to Chinese and Japanese power in the region; two countries that are routinely cited as potential hegemonic rivals

Family average income and body mass index above the healthy weight range among urban and rural residents in regional Mainland China

Objective: To explore the relationship between family average income (FAI; an index of socio-economic status) and body mass index (BMI; a widely used, inexpensive indicator of weight status) above the healthy weight range in a region of Mainland China. Design: Population-based cross-sectional study, conducted between October 1999 and March 2000 on a sample of regular local residents aged 35 years or older who were selected by random cluster sampling. Setting: Forty-five administrative villages selected from three urban districts and two rural counties of Nanjing municipality, Mainland China, with a regional population of 5.6 million. Subjects: In total, 29 340 subjects participated; 67.7% from urban and 32.3% from rural areas; 49.8% male and 50.2% female. The response rate among eligible participants was 90.1%. Results: The proportion of participants classified as overweight was 30.5%, while 7.8% were identified as obese. After adjusting for possible confounding variables (age, gender, area of residence, educational level, occupational and leisure-time physical activity, daily vegetable consumption and frequency of red meat intake), urban participants were more likely to be overweight or obese relative to their rural counterparts, more women than men were obese, and participants in the lowest FAI tertile were the least likely to be above the healthy weight range. Conclusions: The proportion of adults with BMI above the healthy weight range was positively related to having a higher socio-economic status (indexed by FAI) in a regional Chinese population.