American Journal of Epidemiology Advance Access originally published online on March 3, 2008
American Journal of Epidemiology 2008 167(6):755-756; doi:10.1093/aje/kwn002
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American Journal of Epidemiology © The Author 2008. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.
LETTERS TO THE EDITOR |
THE FIRST AUTHOR REPLIES
Royal Alexandra Hospital for Children, Westmead, New South Wales 2145, Australia
(e-mail: lawrencl@chw.edu.au)
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I am thankful for the interest and comments by Li and Zhang (1) on our article (2). Li and Zhang have raised a few interesting points in their letter that I would like to discuss further.
The observation regarding the stress experienced by high school students in China, particularly relating to the highly selective education system, is vivid. This phenomenon is common in some countries with similarly highly competitive education systems,