This paper examines choice of kindergarten by mothers of different socio-economic status (SES) for children aged 3 while using vouchers in Hong Kong. It identifies potential market failure to meet needs and preferences and ensure access to preferred options for all, and thus challenges the global prevalence of the market approach to early childhood services. It questions gendered responsibility and policy that prevents mothers from fulfilling care responsibilities for young children. This paper presents data from a mixed-method study including an analysis of mothers' options in terms of convenience and their views on the impact of the Pre-primary Education Voucher Scheme (thereafter voucher scheme) and local provision. Data were collected from two questionnaires, seven focus groups, and government documents. The quantitative data covered two-parent households using vouchers, with 1572 and 1360 mothers responding to the initial and follow-up questionnaires, respectively. The qualitative data from 33 mothers were coded and analyzed to capture recurring themes and nuances. Official figures were tabulated to investigate market adjustments relating to changes in demand and supply. The results reveal mothers' strong emphasis on convenience when making choices of kindergarten, the significance of SES in their choice and views, and issues of access linked to market situations and failure. They are discussed in terms of the nature, allocation, and fulfillment of care responsibilities in markets. The results lend support to the international call for active government involvement to achieve the dual goals of early childhood services (meeting children's educational needs and parents' employment needs) and show how markets may neglect the specific nature of care responsibilities, which in turn can exacerbate historical injustices in society.
[Copyright © 2014 Elsevier Ltd.]

OBJECTIVE. Medical professionalism has been widely discussed in western scholarly literature. However, since Hong Kong has a mixed Chinese-western culture, it remains uncertain whether Hong Kong health care professionals, medical students, and patients see medical professionalism in exactly the same way as westerners. The objective of the present study was to explore perceptions of medical professionalism in Hong Kong.
DESIGN. Individual semi-structured interviews.
SETTING. Medical faculty preceptors, residents, interns, nurses, and students from the Li Ka Shing Faculty of Medicine of the University of Hong Kong. Subjects were recruited at an out-patient clinic of Queen Mary Hospital.
PARTICIPANTS. We interviewed 39 subjects, including six medical faculty preceptors, six hospital residents, four medical interns, eight nurses, eight out-patients, and seven medical students. The interviews were transcribed and coded. Grounded theory was employed for framing and analysing the interviews.
RESULTS. A total of 30 primary themes were identified and grouped under three secondary themes, ie 'Expectations of a professional doctor', 'Work values', and 'Patient care'. In general, the primary themes were consistent with recognised professional attributes in western bioethics, such as knowledge and skills, holistic care, and communication skills. A closer analysis suggested that traditional Chinese thought also played an important role in shaping the medical professionalism of Hong Kong. Challenges to be faced by Hong Kong doctors due to recent social changes were also identified.
CONCLUSIONS. Medical professionalism in Hong Kong is shaped by both western medical ethics and traditional Chinese thought. The values treasured by Hong Kong health care professionals as well as technological advance, and the city's proximity to Mainland China makes Hong Kong health care unique. It is important to maintain the present work attitudes and at the same time adapt to

Objective. To examine the independent, competing, and interactive effects of perceived availability of specific types of media in the home and neighborhood sport facilities on adolescents' leisure-time physical activity (PA).
Methods. Survey data from 34 369 students in 42 Hong Kong secondary schools were collected (2006-07). Respondents reported moderate-to-vigorous leisure-time PA, presence of sport facilities in the neighborhood and of media equipment in the home. Being sufficiently physically active was defined as engaging in at least 30 minutes of non-school leisure-time PA on a daily basis. Logistic regression and post-estimation linear combinations of regression coefficients were used to examine the independent and competing effects of sport facilities and media equipment on leisure-time PA.
Results. Perceived availability of sport facilities was positively (ORboys = 1.17; ORgirls = 1.26), and that of computer/Internet negatively (ORboys = 0.48; ORgirls = 0.41), associated with being sufficiently active. A significant positive association between video game console and being sufficiently active was found in girls (ORgirls = 1.19) but not in boys. Compared with adolescents without sport facilities and media equipment, those who reported sport facilities only were more likely to be physically active (ORboys = 1.26; ORgirls = 1.34), while those who additionally reported computer/Internet were less likely to be physically active (OR boys = 0.60; ORgirls = 0.54).
Conclusions. Perceived availability of sport facilities in the neighborhood may positively impact on adolescents' level of physical activity. However, having computer/Internet may cancel out the effects of active opportunities in the neighborhood. This suggests that physical activity programs for adolescents need to consider limiting the access to computer-mediated communication as an important intervention component.
[Copyright of International Journal of Pediatric Obesity is the