Since the 1970s, twin birth rates have increased sharply in developed countries. In Africa, where the rate is the highest globally, its evolution and variation are poorly understood. This article aims to estimate the twinning rate in sub-Saharan African (SSA) countries throughout 1986–2016 and analyze its spatial, temporal, and ethnic variations. It also seeks to identify social and demographic factors associated with a high probability of twin births and outline a forecast of the twinning rate. We used data from 174 Demographic and Health Surveys from 42 countries. We supplemented them with the UN World Population Prospects (WPP). The twinning rate was calculated by reporting the number of twin births per thousand total births. We used logistic regression to analyze the factors associated with twin births. We projected the twinning rate based on WPP. The overall SSA twinning rate is 17.4 per 1000, but it has changed very little over time, and we expect it will grow a little between 2015 and 2050, increasing at most from 17.4 per 1000 to 18.4 per 1000. We also show significant differences in the twinning rate in SSA according to mother ethnicity. Most ethnic groups with high twinning rates belong to the large Bantu ethnic family. SSA remains the ‘land of twins’, with the twinning rate changing slowly. However, specific health policies must target twin births in SSA to address the public health challenges they present.

This article examines the role of forced labour within the context of Ezo/Hokkaidō's colonization. I draw attention to how in this process, different groups of subaltern people – the indigenous Ainu, political convicts, indentured labourers and Korean workers – contributed to the making of imperial Japan's first colony and the building of the modern Japanese nation state. Yet, even with their shared conditions of working under a Japanese ruling class, these subaltern labourers were not united. My article highlights how their experiences were instead, largely shaped along ethnic, gendered and generational lines.

There has been limited consideration of the training and support needs of therapists from minoritised ethnic backgrounds. This study quantitatively evaluates a novel application of self-practice/self-reflection (SP/SR) to CBT therapists from minoritised ethnic backgrounds. The study aimed to explore the impact of the SP/SR programme on (1) therapists’ skills in working with ethnicity in their clinical practice; (2) their ethnic identity development; and (3) their perceived levels of personal and professional wellbeing, during the intervention and at follow-up. A multiple baseline single case experimental design was adopted. Measures were developed and adapted for this evaluation and weekly outcomes relating to therapist skill development, ethnic identity development, and personal and professional wellbeing were collected. The outcomes of six participants were analysed using visual and statistical analysis. The results indicated that the SP/SR programme significantly improved therapist skills in identifying and addressing similarities and differences in ethnicity within therapy during the intervention. Improvements were also seen across other skills, ethnic identity developmental and wellbeing outcomes between the baseline and SP/SR phases, with some participants showing significant improvements. Outcomes from the follow-up phase presented a more mixed picture. Therefore, the findings give some support for the SP/SR programme in developing therapist skills in working with ethnicity, as well as highlighting differential outcomes for participants related to their levels of experience and engagement. The findings may have possible implications for the personal and professional development of ethnically minoritised therapists, as well as future quantitative SP/SR research.

Key learning aims

1. (1) To provide an overview of self-practice/self-reflection (SP/SR) and its theoretical underpinnings.

2. (2) To summarise the current issues around the development of cultural competence, particularly for therapists from minoritised ethnic backgrounds.

3. (3) To introduce and describe a novel SP/SR programme for CBT therapists from minoritised ethnic backgrounds.

4. (4) To highlight the importance of considering ethnicity within clinical practice, both in terms of the provision of culturally competent therapy as well as to support the personal and professional development of therapists from minoritised ethnic backgrounds.

Since 2019, Ethiopia has embarked on a new “national project of peace and unity”. The government’s official discourse has been characterised by an uptake in the use of Pan-African and Pan-Ethiopian rhetoric. Strategically invoking visions of a united Africa and shared continental prosperity, the Abiy administration seeks to enhance its international reputation and rally African support for its domestic agenda. To overcome the pervasive ethnofractionalist tendencies in Ethiopia’s political landscape and consolidate the Ethiopian state within its present boundaries, the current government is selectively borrowing political strategies from previous administrations. This has produced a unique, new form of Pan-Ethiopian governance ideals. So far, the repercussions of this government discourse on political tensions in Ethiopia and the Ethiopian diaspora has received no scholarly attention. This academic article analyses the implications of the current Ethiopian government’s deployment of Pan-Africanist and Pan-Ethiopianist rhetoric on Ethiopia’s current political crises. This article argues that these Pan-Africanist and Pan-Ethiopianist rhetoric and ideals are paradoxically perpetuating divisive identity politics in Ethiopia’s domestic and diasporic political realm. This, in turn, exacerbates the most serious threat to Ethiopia’s national unity.

The Alcohol Use Disorders Identification Test (AUDIT) is a ten-item standardised questionnaire to assess an individual's vulnerability to alcohol use disorders. Three of these ten questions are related to alcohol consumption. Nepal has a distinct alcohol culture, where alcohol use is socially and religiously acceptable in some caste/ethnic groups and is prohibited in others, thereby influencing the scores of AUDIT questions related to all three conceptual domains. Identifying and endorsing subsets of AUDIT questions relevant to different ethnic groups could be the way forward for effective screening of alcohol use disorders in Nepal.

We studied severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and vaccination status among six ethnic groups in Amsterdam, the Netherlands. We analysed participants of the Healthy Life in an Urban Setting cohort who were tested for SARS-CoV-2 spike protein antibodies between 17 May and 21 November 2022. We categorized participants with antibodies as only infected, only vaccinated (≥1 dose), or both infected and vaccinated, based on self-reported prior infection and vaccination status and previous seroprevalence data. We compared infection and vaccination status between ethnic groups using multivariable, multinomial logistic regression. Of the 1,482 included participants, 98.5% had SARS-CoV-2 antibodies (P between ethnic groups = 0.899). Being previously infected and vaccinated ranged from 41.5% (95% confidence interval (CI) = 35.0–47.9%) in the African Surinamese to 67.1% (95% CI = 59.1–75.0%) in the Turkish group. Compared to participants of Dutch origin, participants of South-Asian Surinamese (adjusted odds ratio (aOR) = 3.31, 95% CI = 1.50–7.31)), African Surinamese (aOR = 10.41, 95% CI = 5.17–20.94), Turkish (aOR = 3.74, 95% CI = 1.52–9.20), or Moroccan (aOR = 15.24, 95% CI = 6.70–34.65) origin were more likely to be only infected than infected and vaccinated, after adjusting for age, sex, household size, trust in the government’s response to the pandemic, and month of study visit. SARS-CoV-2 infection and vaccination status varied across ethnic groups, particularly regarding non-vaccination. As hybrid immunity is most protective against coronavirus disease 2019, future vaccination campaigns should encourage vaccination uptake in specific demographic groups with only infection.

This article seeks to explain how Mau Mau combatants selected and killed their civilian targets. The central argument is that Mau Mau members shared a moral logic that informed whom they killed, how, and why they did it. This moral logic was partly based on traditional Kikuyu ethics of violence, which were widely held and traceable to the late nineteenth century. Yet it was also a logic born out of novel, albeit contested, ethical convictions that developed in the context of an asymmetrical anticolonial war in 1950s-Kenya. Using captured guerrilla documents and oral history interviews with Mau Mau veterans, the article analyzes the perceived offenses that civilians committed against Mau Mau, the motives of Mau Mau assailants, and the internal conflicts that arose regarding the killings of some civilians. Ultimately, this article demonstrates that the moral logic of Mau Mau killings was firmly rooted in a dialectical tension between longstanding Kikuyu ethics of violence and the harsh realities of waging an asymmetrical anticolonial war. It also shows that Mau Mau debates over who to kill formed part of a larger process of sacralization, whereby members of the movement reimagined what they deemed sacred, moral, and just measures for conducting the war.

Besides being unjustly incarcerated, Sabrina Butler, Kristine Bunch, Ru-el Sailor and Larry DeLisle endured various forms of police mistreatment, as detailed in a collection of transcripts from the Wrongful Conviction Podcast (WCP). Understandably enough, their criminalization had a profound impact on their perception of external and internal realities. Given their unique socio-demographic backgrounds, variations in the discursive patterns of their communicative interactions are anticipated. As extensively analyzed in sociolinguistics, both gender and ethnicity influence how individuals construct discourse; particularly, these traits appear to account for how the subjects under study express their emotions and opinions. This is because they are silenced and unable to directly confront their trauma; often, they are incapable of discussing their feelings or identifying those responsible for these traumatic events. Drawing on Appraisal Theory, this paper investigates the language of evaluation used in these texts taken from the WCP. To this end, our analysis of the data is performed using UAM CorpusTool.