Reconciling custom, citizenship and colonial legacies: Ni-Vanuatu tertiary student attitudes to national identity

Nation-building remains a key challenge in Vanuatu. From the origins of this new nation in 1980, it was clear that creating a unifying sense of national identity and political community from multiple languages and diverse traditional cultures would be difficult. This paper presents new survey and focus group data on attitudes to national identity among tertiary students in Vanuatu. The survey identifies areas of common attitudes towards nationalism and national identity, shared by both Anglophone and Francophone Ni-Vanuatu. However, despite the weakening ties between language of education and political affiliation over recent years, the findings suggest that there remain some key areas of strong association between socio-linguistic background, and attitudes to the nation, and national identity. These findings cast new light on the attitudes of likely future elites towards regional, ethnic, intergenerational and linguistic fault lines in Vanuatu and the challenges of building a cohesive sense of political community and national identity.

Severe obesity and diabetes self-care attitudes, behaviours and burden: implications for weight management from a matched case-controlled study.

Aims
To investigate whether diabetes self-care attitudes, behaviours and perceived burden, particularly related to weight management, diet and physical activity, differ between adults with Type 2 diabetes who are severely obese and matched non-severely obese control subjects.

Methods
The 1795 respondents to the Diabetes MILES—Australia national survey had Type 2 diabetes and reported height and weight data, enabling BMI calculation: 530 (30%) were severely obese (BMI ≥ 35 kg/m2; median BMI = 41.6 kg/m2) and these were matched with 530 control subjects (BMI < 35 kg/m2; median BMI = 28.2 kg/m2). Diabetes self-care behaviours, attitudes and burden were measured with the Diabetes Self-Care Inventory—Revised. Within-group and between-group trends were examined.

Results
The group with BMI ≥ 35 kg/m2 was less likely to achieve healthy diet and exercise targets, placed less importance on diet and exercise recommendations, and found the burden of diet and exercise recommendations to be greater than the group with BMI < 35 kg/m2. The group with BMI ≥ 35 kg/m2 was more likely to be actively trying to lose weight, but found weight control a greater burden. These issues accentuated with increasing obesity and were greatest in those with BMI > 45 kg/m2. There were no between-group differences in other aspects of diabetes self-care: self-monitoring of blood glucose, use of medications and smoking. Moderate-to-severe symptoms of depression were independently associated with reduced likelihood of healthy diet and physical activity, and with greater burden associated with diet, physical activity and weight management.

Conclusions
Severely obese people with diabetes demonstrated self-care attitudes, behaviours and burdens that infer barriers to weight loss. However, other important diabetes self-care behaviours are supported equally by severely obese and non-severely obese individuals.

Have attitudes to Asia changed in 60 years? Not as much as you'd think

In 2013,the BBC World Service, Pew Global Research and the Lowy Institute released public opinion polls that revealed declining views of Asia. The polls elicited negative views of China, India and Japan that were reminiscent of public opinion polls undertaken by UNESCO in the 1950s. Why, this article asks, is there lingering mistrust of Asia at a time of unprecedented global interaction?

The relationship between perceived interparental conflict and Malaysian young adults' attitudes toward divorce

In the context of an upward trend in divorce rates in Malaysia, this article explores the relationship between Malaysian young adults' perceptions of interparental conflict and their own attitudes toward divorce. Two questionnaires were administered to 160 young adults between 18 and 30 years old: the Attitude Towards Divorce Scale and the Perceptions of Interparental Conflict−Intensity/Frequency Scale. A positive relationship was found between perceived intensity and frequency of interparent conflict and attitudes toward divorce in males and females, respectively; however, the associations were weak. Future investigations of divorce need to take into consideration both the cultural factors that are influential within a society and how they shape gender norms within that population to gain a greater understanding of this relationship. Such investigations will increase the understanding of non-Western culture's unique interaction between attitudes and divorce, thus potentially aiding future efforts to strengthen marriages and families.

The impact of knowledge and attitudes on access to eye-care services in Cambodia

Purpose: To investigate how knowledge and attitudes influence the access to eye-care services in Takeo Province, Cambodia.

Design: A cross-sectional survey (n=600).

Methods: 30 villages were randomly selected. Groups included: >50 years, 30–49 years, and parents with children <5 years. A newly developed Knowledge, Attitude and Practice in Eye Health (KAP-EH) questionnaire about knowledge and treatment of eye diseases, practices and attitudes to accessing services was used to interview respondents. Descriptive analysis, including Chi square and logistic regression tested for associations with sub-groups of gender, age group, education and self-reported type of disability.

Results: The proportion of respondents who reported having knowledge of specific eye conditions ranged from 97% for eye injury, to 8% for diabetic eye disease. While 509 (85%) people reported knowledge of cataract, 47% did not know how cataract was treated and only 19% listed surgery. The older group (66.5%) were least informed about cataract (p= 0.001) compared to other groups, and were least likely to believe that some blindness could be prevented (p < 0.001). Women (55%) were more likely than men (46%) (p=0 .003) to report that a child with blindness could attend school, as did people without a disability compared to those with a disability (58% vs 34%) (p < 0.001).

Conclusions: The knowledge about cataract and refractive error and what to do to resolve the problems was low among this population and this study suggests that poor knowledge of eye diseases might contribute to the occurrence of un-operated cataract and uncorrected refractive error.