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eral points can be noted in relation to existing
literature:
1. In relation to back pain: The Gateway clinic in London is the only NHS-funded TCM clinic
in the UK. An audit of the clinic showed the most common complaint to be muscular/skeletalrelated8.
2. There is an emphasis on women using TCM. There is ample research which shows that
impoverished Chinese women in this country suffer from chronic ill health, underutilise
mainstream NHS services and seek out Chinese medicine as a preferred "familiar" form of
health care9, 10, 11. In the main this literature has focused on the health needs of impoverished
groups, those groups whereby the inability to communicate in English, suggests health
inequalities in terms of access. It must also be noted that generally, across all cultures and
all healthcare systems, women appear to experience more chronic ill health or morbidity
factors than men throughout their life. This is related to patterns of employment, social
support, child bearing and rearing etc and this is associated with greater contact time with
health and social services.
3. Chinese medicine may also provide a ‘substitute’ for Western medicine in mental health
care, given the earlier findings of this study that showed a disinclination to seek help from
GPs for mental health problems12. There is also evidence that even among those able to
speak English, Chinese migrant women in England draw upon both Western and Chinese
health care systems13.
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5.12. Students in boarding colleges
According to the 2001 Census, there were 443 Chinese people aged 0-19 in Shropshire
County. However, only 116 were classified as dependent children in households (aged 0-18).
Given that there are no universities in the County, the remaining 327 young people aged 0-
19 (44.4% of the total Chinese population) were likely to be residing in boarding colleges,
accounting for the 45.3% of the Chinese population who were residing in non-medical and
care communal establishments. If this assumption is true, the majority of students would
have been older children aged 16-19 (Table 6). Both Concord College, Shrewsbury and
Ellesmere College, North Shropshire were noted for their high intake of Chinese students.
Table 6. Estimated number of Chinese children in boarding colleges based on the difference
between the total number of Chinese people aged 0-19 and the number of dependent
children in households aged 0-18
All Chinese people Dependent children in
households
Age Number Age Number
Discrepancy (number of
children in boarding
colleges)
0-4 30 0-4 29 1
5-7 22 5-7 22 0
8-9 9 8-9 9 0
10-14 65 10-14 33 32
15 37 15 8 29
16-19 280 16-18 15 265
443 116 327
5.12.1. Concord College
The College does not record ethnicity of its students but estimates that there are about 200
students of Chinese origin. By nationality, 52 students are from China and 32 are from Hong
Kong. Many from Malaysia, Singapore and Indonesia are ethnically Chinese. The majority of
students are aged 16-19 and most have come to the College to gain GCSE and ‘A’ level
qualifications with the aim of attending British universities. A high proportion is successful at
gaining entry. Demand from these countries, especially mainland China, for places at the
College continues to grow.
There were two main health concerns regarding Chinese students.
1. Diet an