Changes in familial discussions among East Asian American families during the COVID-19 pandemic

Objective: We examined the degrees of change in familial discussions about racial issues (i.e., race, ethnicity, racism, and discrimination) due to the surge of anti-Asian discrimination during the COVID-19 pandemic.Background: Asian American family racial-ethnic socialization that teaches the values, information, and perspectives about racial-ethnic group membership and race relations carry great implications for youth development. However, little is known about how anti-Asian sentiments may have contributed to the degrees of change in racial issues.Method: The participants included 143 second-generation East Asian American youth (e.g., Chinese, Korean, Japanese, and Taiwanese) ages 11-18 years (M = 14.96, SD = 1.98). Youth were attending middle (38%) or high (62%) schools in the United States.Results: Latent profile analysis identified four profiles of degrees of change in familial discussions: (a) moderate change in racial discussions about other ethnicities, (b) much change in racial discussions, (c) moderate change in racial discussions about own ethnicities, and (d) little change in racial discussions.Conclusion: Our findings provide a snapshot of the ways East Asian American families' racial discussions are changing, which in turn shape youth's experiences in navigating their social contexts.Implications: The findings provide valuable directions for research and interventions to promote important racial discussion among East Asian American families.

Changing the narrative: Exploring how music therapy can assist adolescents dealing with race-based traumatic stress

The impact of racism on teens of color can be life-altering. Young people of color are still susceptible to the effects of racial discrimination so long as racism exists. Today's boundless access to social media has created a platform for exposing racist acts. Racism today presents itself in such forms as microaggressions, racial biases, and systemic oppression by means of policing, healthcare, housing, and education. This chapter explores those options through the framework of race-related trauma. Throughout adolescence, the formation of identity can predict either a successful sense of identity or a fall into a role of confusion. The healthy development of racial identity for an adolescent of color is essential and is not separate from identity formation. The COVID-19 pandemic has revealed the extent of racism in healthcare, economic, and living disparities. Advancements in digital technology present opportunities for autonomy in the music creation process for adolescents. This makes therapeutic songwriting a powerful intervention, as it addresses these ideals. Music therapy provides the opportunity to practice an uncommon form of cultural humility and rapport. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The Right to Property Taking Economic, Social, and Cultural Rights Seriously

The right to property is part of International Human Rights Law (IHRL). However, the right is conspicuously missing from some fundamental treaties, and there are important inconsistencies in its interpretation by regional and global human rights bodies. In light of the indeterminacy and polysemy of IHRL in relation to property, this paper articulates a proposal to rethink this right taking Economic, Social, and Cultural Rights (ESCR) seriously. The proposal contains four propositions. Firstly, property is a human right. Secondly, it includes private property as one of its forms, but this is not the only one. Thirdly, property has a social function. And fourthly, as a matter of proportionality, fulfilling ESCR is one of the most important objectives that may justify the limitation of private property.

Social support as a moderator between resilience and psychological distress among korean americans perceiving racial discrimination during COVID-19: An exploratory application of a moderated mediation model

This study examined how resilience is connected to psychological distress among Korean Americans (both U.S. born and foreign-born). Specifically, we explored the mediating role of perceived racial discrimination and the association between resilience and perceived racial discrimination moderated by different levels of social support. A structural equation model (a moderated mediation model) was employed with a sample of 781 participants. The data were obtained through online surveys for variables of interest. We employed this structural equation model to examine the association between variables using the bootstrapping method. We found that the indirect association of resilience with psychological distress through perceived racial discrimination was statistically significant. We also found that the mediating association of perceived racial discrimination was moderated by the extent of social support, especially when the level of social support was low and moderate. We discovered the roles of social support and perceived racial discrimination during the COVID-19 pandemic and the link between resilience and psychological distress for Korean Americans. The findings suggested that social services and culturally sensitive/responsive resilience-focused treatments (including a mindfulness program) alleviate heightened psychological distress among Asian Americans who experienced racial discrimination during the pandemic. Policy implications are also discussed.

COVID-19 Vaccine Hesitancy and Experiences of Discrimination Among Black Adults.

Early in the COVID-19 vaccine rollout, Black adults consistently reported more hesitancy than White adults, but few studies have examined variation in hesitancy among Black adults or its associations with racial discrimination. Data were collected from Black Arkansas residents age 18 and older (n = 350) between July 12th and July 30th, 2021, as part of a larger survey of Arkansans (N = 1500). Participants were recruited through random digit dialing of both landline and cell phones, with oversampling of Black and Hispanic residents. Respondents reported COVID-19 vaccine hesitancy, sociodemographic information, influenza vaccination history, pandemic-related experiences, and experiences of racial discrimination. Almost half (48.9%) of Black adults in Arkansas were not hesitant towards COVID-19 vaccines, while the remainder reported some level of hesitancy. Nearly a quarter were very hesitant (22.4%), while fewer reported being somewhat (14.0%) and a little (14.7%) hesitant. Using an ordered logistic regression with partial proportional odds, we find odds of COVID-19 vaccine hesitancy decreased as age and influenza vaccination increased. Odds of COVID-19 vaccine hesitancy were 1.70 times greater for Black adults who experienced the death of a close friend/family member due to COVID-19 and 2.61 times greater for individuals reporting discrimination with police or in the courts. Within-group analysis revealed nearly half of Black adults did not report any COVID-19 vaccine hesitancy and heterogeneity among those who were hesitant. Findings suggest there may be an important link between racial discrimination in the criminal justice system and COVID-19 vaccine hesitancy among Black adults.

The Burden of Hate: How Nonwork Discrimination Experienced During the COVID-19 Pandemic Impacts Asian American Employees.

The COVID-19 pandemic has been accompanied by a sharp increase in prejudice and discrimination targeting Asian Americans in the USA. Thus, in addition to the public health risks associated with the virus, exposure to discrimination poses a unique threat to the health and well-being of Asian Americans. Indeed, empirical evidence has documented the linkage between experiencing anti-Asian discrimination during the pandemic and health decrements among Asian Americans. The goal of this study was to expand that research to also consider the ways experiencing discrimination in a nonwork context may spill over to affect the general and job-related well-being of Asian American employees as well as the potential mitigating role of coworker compassion. Results from a sample of 311 Asian American employees demonstrated that experiencing nonwork discrimination was associated with decrements in physical health and increased depression and job-related exhaustion. Further, there were significant interactions between nonwork discrimination and coworker compassion for engagement, emotional exhaustion, and depressive symptoms such that nonwork discrimination was more strongly related to each outcome when coworker compassion was low. The findings from the current study suggest that experiences of racial derogation, even those that occur outside the workplace environment, are detrimental to the well-being of employees and that coworker compassion is a positive resource that may foster healthier and more inclusive work environments. Supplementary Information: The online version contains supplementary material available at 10.1007/s10869-022-09848-6.

Racial Disparities and Common Respiratory Infectious Diseases in Children of the United States: A Systematic Review and Meta-Analysis.

Due to the lack of sufficient data on the relationship between racial disparities and the occurrence of infectious respiratory diseases in children, the aim of this systematic review and meta-analysis is to evaluate the presence of racial gaps in the occurrence of respiratory infectious diseases in children. This study follows the PRISMA flow guidelines for systematic reviews and the standards of meta-analysis for 20 quantitative studies conducted from 2016 to 2022 including 2,184,407 participants. As evidenced from the review, in the U.S., racial disparities are present among children, with Hispanic and Black children carrying the burden of infectious respiratory disease occurrence. Several factors are contributory to these outcomes among Hispanic and Black children, including higher rates of poverty; higher rates of chronic conditions, such as asthma and obesity; and seeking care outside of the home. However, vaccinations can be used to reduce the risk of infection among Black and Hispanic children. Whether a child is very young or a teen, racial disparities are present in occurrence rates of infectious respiratory diseases, with the burden resting among minorities. Therefore, it is important for parents to be aware of the risk of infectious diseases and to be aware of resources, such as vaccines.

Healthcare Access and Experiences of Racial Discrimination as Predictors of General Vaccine Hesitancy.

The literature regarding vaccine hesitancy is limited to specific vaccines rather than general vaccine hesitancy. No studies have examined the relationship of general vaccine hesitancy to healthcare access and experiences of racial discrimination. This study fills gaps by examining: (1) socio-demographic factors; (2) associations between healthcare access; and (3) experiences with racial discrimination and general vaccine hesitancy. Survey data were obtained from 2022 US adults from 7 September to 3 October 2021. Racial and ethnic minority populations were oversampled. Age, gender, race, and education were predictors of vaccine hesitancy. Asian respondents had less than two-thirds the odds of being vaccine hesitant. Healthcare access was associated with vaccine hesitancy. Not having health insurance coverage, not having a primary care provider, and not seeing a provider for a routine check-up in the past two years were associated with higher vaccine hesitancy. For every one-point increase in racial discrimination score (0-45), the odds of being more vaccine hesitant increased by a factor of 1.03. The findings demonstrate that policy, systems, and environmental factors are critical to addressing vaccine hesitancy. Given the associations between vaccine hesitancy and racial discrimination and healthcare access, more attention should be given to inequities in the healthcare systems in order to address vaccine hesitancy.

Perceived racial discrimination and polysubstance use among racial/ethnic minority adolescents in the United States.

OBJECTIVE: Polysubstance use among adolescents is a significant public health concern, yet most studies on adolescent substance use focus on a singular substance. This study is one of the first to investigate the association between perceived racial discrimination (PRD) in school and polysubstance use among racial/ethnic minority adolescents using a nationally representative sample. METHODS: Data was from the 2021 Adolescent Behaviors and Experiences Survey. The sample included 4145 racial/ethnic minority adolescents (52.8% female). Hierarchical binary logistic regression was used to examine the association between PRD in school and polysubstance use among racial/ethnic minority adolescents. RESULTS: About 12% of racial/ethnic minority adolescents engaged in polysubstance use and 23.4% reported experiencing PRD in school sometimes/most of the time/always. Controlling for other factors, experiencing PRD in school sometimes/most of the time/always was associated with 1.52 times higher odds of polysubstance use when compared to adolescents who never experienced PRD in school (OR=1.52, p=.044, 95% CI=1.01-2.30). Cyberbullying victimization, symptoms of depression, and being emotionally abused by a parent during COVID-19 were also associated with polysubstance use. CONCLUSION: Controlling for demographic characteristics and psychosocial stressors, PRD in school was significantly associated with higher odds of polysubstance use among racial/ethnic minority adolescents. The findings of this study could inform clinicians and policymakers of the association between PRD in school and polysubstance use, which could contribute to early identification of polysubstance use among racial/ethnic minority adolescents.

Global Inequality and the Fracture of (Proactive) Solidarity

In this paper, I wish to examine what is meant by this new concept of "international solidarity”. The study will be presented in a number of sections, beginning with a general introduction that sets out the problem and emphasizes the importance of the document produced by the United Nations Committee on the Elimination of Racial Discrimination. I will then detail certain general characteristics of the normative concept of solidarity and clarify a number of methodological assumptions and historical data. Thirdly, I will forward an in-depth discussion on the analysis of and debate around the concept of solidarity in its bioethical context, both prior to and during the pandemic. Finally, I will attempt to analyze what I call the ‘rhetoric of solidarity', as set forth by international organizations and political leaders of the Global North during the pandemic, understanding it as aid in the face of the morally objectionable global inequality and injustice caused by a number of factors, the principal one being the current system of patents imposed by the WTO and the conversion of vaccines into commodities and even ‘positional goods'.

A Holistic Approach for Healing in a Multicultural Society: A Qualitative Study

The COVID-19 pandemic has spread awareness and helped people realise the importance of mental health such that psychiatrists have had a 60% - 70% surge in the consultations. It has also been noticed that cultural diversity is playing an increasingly important role in the treatment and its impact on mental health. Along with the rising rates, various practices as per different cultures are increasing, especially in India being a multicultural society which show different ways of handling mental health issues. Considering the rising rates of mental health consultations, the objectives of this study were to understand the perspective of mental health professionals on multicultural practices and to explore their experiences working with holistic practices. For the present research study, an interpretative phenomenological analysis approach which is qualitative in nature was employed. In-depth semistructured interviews were conducted with mental health professionals to collect the data. Different superordinate themes (changes in attitudes towards consultation post pandemic, psychosocial & cultural factors, acceptance, effective skills for multicultural counselling, tuning cultural factors into mental health practice, & existing limitations in mental health practice) and subordinate themes emerged in the findings of this study. The implications of this study is to address the stigma against mental health related concerns as well as tap different local psychosocial and cultural factors which will help to understand mental health issues more effectively. This study will also help to develop treatment plans and diagnostic plans to treat mental ailments using holistic approach.

#MeToo, Covid-19 and the new workplace: re-examining institutional discrimination's impact on workplace harassment of expatriates following two exogenous shocks

Purpose: Replication is essential to science for the purpose of (1) updating previously accepted knowledge and (2) testing the boundary conditions of this knowledge. Although Bader et al.'s (2018) impactful paper on gender harassment experienced by expatriates was only published five years ago, there have been two relevant exogenous shocks to the environment since they collected their data, making this study an excellent target for replication. Design/methodology/approach: Three-hundred ninety-one expatriates who were currently working in 79 different countries completed an electronic survey that included scales for gender harassment, ethnicity harassment, general stress, frustration and job satisfaction. Data were analyzed using partial least-squares structural equation modeling (PLS-SEM) in Stata17. Findings: Consistent with prior research, gender had a significant relationship with workplace gender harassment (ß = 0.228, p < 0.001) such that males experienced lower levels of harassment than other expatriates. The relationship between race/ethnicity and experiences of ethnicity harassment was dependent upon model specification. Workplace harassment had a negative relationship with job satisfaction (gender harassment, ß = −0.114, p = 0.030;ethnicity harassment;ß = −0.146, p = 0.002) and a positive relationship with frustration (gender harassment, ß = 0.231, p < 0.001;ethnicity harassment, ß = 0.213, p < 0.001). Originality/value: Using a larger, more diverse sample than that used in prior research, the authors were able to test the generalizability of accepted knowledge. While the authors replicated many findings identified in prior research, they failed to replicate the effects pertaining to the relationship between macro-level variables and experiences of harassment. Given that macro-level variables play a key role in status construction theory (SCT), this research raises important questions for future work. © 2023, Emerald Publishing Limited.

Vaccine mistrust among Black individuals in Canada: The major role of health literacy, conspiracy theories, and racial discrimination in the healthcare system.

The COVID-19 pandemic disproportionately affected Black communities in Canada in terms of infection and mortality rates compared to the general population. Despite these facts, Black communities are among those with the highest level of COVID-19 vaccine mistrust (COVID-19 VM). We collected novel data to analyze the sociodemographic characteristics and factors associated with COVID-19 VM among Black communities in Canada. A survey was conducted among a representative sample of 2002 Black individuals (51.66% women) aged 14-94 years (M = 29.34; SD = 10.13) across Canada. Vaccine mistrust was assessed as the dependent variable and conspiracy theories, health literacy, major racial discrimination in healthcare settings, and sociodemographic characteristics of participants were assessed as independent variables. Those with a history of COVID-19 infection had higher COVID-19 VM score (M = 11.92, SD = 3.88) compared to those with no history of infection (M = 11.25, SD = 3.83), t (1999) = -3.85, p < 0.001. Participants who reported having experienced major racial discrimination in healthcare settings were more likely to report COVID-19 VM (M = 11.92, SD = 4.03) than those who were not (M = 11.36, SD = 3.77), t (1999) = -3.05, p = 0.002. Results also showed significant differences for age, education level, income, marital status, provinces, language, employment status, and religion. The final hierarchical linear regression showed that conspiracy beliefs (B = 0.69, p < 0.001) were positively associated with COVID-19 VM, while health literacy (B = -0.05, p = 0.002) was negatively associated with it. The mediated moderation model showed that conspiracy theories completely mediated the association between racial discrimination and vaccine mistrust (B = 1.71, p < 0.001). This association was also completely moderated by the interaction between racial discrimination and health literacy (B = 0.42, p = 0.008), indicating that despite having a high level of health literacy, those who experienced major racial discrimination in health services developed vaccine mistrust. This first study on COVID-19 VM exclusively among Black individuals in Canada provides data that can significantly impact the development of tools, trainings, strategies, and programs to make the health systems free of racism and increase their confidence in vaccination for COVID-19 and other infectious diseases.

Emotional Response and Behavioral Coping Associated with Experienced and Media Discrimination Among Asians and Asian Americans in the United States.

This paper examined how sources (experienced and media) and forms (overt and subtle) of discrimination were associated with emotional response and behavioral coping among Asians and Asian Americans during the COVID-19 pandemic. Data were collected in June 2020 from 249 Asian and Asian American adults living in 20 U.S. states. We used hierarchical regression for data analysis, controlling for age, gender, and the length of residence in the U.S. Results showed that experienced discrimination, especially in the overt form, was associated with both emotional responses (i.e., emotional distress and vigilance) and behavioral coping (i.e., using avoidant behavior to protect oneself). Media discrimination was associated only with emotional response. The relationship between experienced discrimination and emotional response was less pronounced among those who frequently observed discrimination in the media. Notably, subtle discrimination through personal experience or media exposure was positively associated with behavioral coping. The results suggest the need to address the rising anti-Asian acts with more initiatives in policy and practice, with special attention paid to the parallel influences from personal experience and media exposure to violence.

International human rights law and the intangible face of ageism

PurposeThe purpose of this paper is to show the potential of international human rights law to raise awareness of the international community about ageism and its three aspects – old age discrimination, stereotyping and prejudices against older persons. The author evaluates the ability of international human rights law to encourage states to take action against these phenomena and looks for new solutions. The author also intends to examine if there are international law instruments compelling states to reject stereotypes and prejudices on older persons if there is no treaty devoted to them.Design/methodology/approachThe author applies methods relevant to legal science. The core human rights treaties, soft law documents and activities of human rights bodies are selected, analysed and interpreted.FindingsThe core human rights treaties require going beyond their literal interpretation to observe older persons' rights. States should interpret them in good faith, relying on the ageing mainstreaming approach. Instruction to states on how to do so lies in the soft law and output of the international human rights bodies. However, there is also room for improvement. Therefore, the author proposes adopting a targeted resolution on counteracting ageism and its components, updating positions by international treaty bodies, and involving various human rights procedures and specialised agencies in the fight against intangible dimensions of ageism.Originality/valueIt is the first study analysing awareness about stereotyping and prejudices against older persons from international human rights law. The author indicates untapped possibilities of the fight against ageism and its intangible dimensions under international law.

Stand against anti-Asian racial discrimination during COVID-19: A call for action

Racial discrimination against people of Chinese and other Asian ethnicities has risen sharply in number and severity globally amid the COVID-19 pandemic. This rise has been especially rapid and severe in the United States, fueled by xenophobic political rhetoric and racist language on social media. It has endangered the lives of many Asian Americans and is likely to have long-term negative impacts on the economic, social, physical, and psychological well-being of Asian Americans. This essay reviews the prevalence and consequences of anti-Asian racial discrimination during COVID-19 and calls for actions in practice, policy, and research to stand against it. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Labor Market Returns to MBAs From Less‐Selective Universities: Evidence From a Field Experiment During COVID‐19

Master's degree enrollment and debt have increased substantially in recent years, raising important questions about the labor market value of these credentials. Using a field experiment featuring 9,480 job applications submitted during the early months of the COVID‐19 pandemic, I examine employers' responses to job candidates with a Master of Business Administration (MBA), which represents one‐quarter of all master's degrees in the United States. I focus on MBAs from three types of less‐selective institutions that collectively enroll the vast majority of master's students: for‐profit, online, and regional universities. Despite the substantial time and expense required for these degrees, job candidates with MBAs from all three types of institutions received positive responses from employers at the same rate as candidates who only had a bachelor's degree—even for positions that listed a preference for a master's degree. Additionally, applicants with names suggesting they were Black men received 30 percent fewer positive responses than otherwise equivalent applicants whose names suggested they were White men or women, providing further evidence of racial discrimination in hiring practices.

The History of Ethnic Minority Psychological Associations in the United States

The American Psychological Association (APA, 2021) issued an apology to people of color for their role in "promoting, perpetuating and failing to challenge racism, racial discrimination, and human hierarchy (p.1)." This may be related to the criticisms that American psychology is ahistorical, ignores social realities, (Crenshaw, 1995;Martin-Baro, 1996) and has a Eurocentric bias (Bhatia, 2020). This paper briefly describes historical examples of the oppression of Black, Indigenous and People of Color (BIPOC) in the United States in the health and social sciences fields. It details the context of the historical emergence of ethnic minority psychological associations led by the departure of Black psychologists from APA in the late 1960's. Several other BIPOC groups followed their lead. APA governance then met with the ethnic minority association leaders at the Dulles Conference in 1978. The recommendations of this conference took longer to achieve than what was originally expected yet these demonstrate the diversity, equity and inclusion efforts initiated by ethnic minority psychologists and later supported by funding agencies.

The Role of Financial Insecurity, Racial Discrimination, and Comorbid Health Conditions on Mental Health in Canada and the United States During the COVID-19 Pandemic

Le Canada et les États-Unis ont une longue histoire de racisme qui se retrouve dans toutes les institutions et structures de nos sociétés. Bien que les mouvements antiracistes aient gagné en force ces dernieres années, nous savons tres peu de choses sur les taux actuels de discrimination dans les deux pays ou sur l'impact sur les communautés pendant la pandémie de COVID-19. S'inspirant de la théorie féministe du racisme critique, cet article examine les niveaux de discrimination subis par les participants du Canada and des États-Unis pendant la pandémie de COVID-19, â l'aide d'une enquete transversale menée en Octobre 2021. Nous avons ensuite évalué l'impact plus large de l'expérience de la discrimination sur les symptômes dépressifs en utilisant une analyse de regression logistique. Au Canada comme aux États-Unis, la regression logistique multivariée a confirmé que le fait d'avoir été victime de discrimination entraînait une probabilité plus élevée de signaler des symptômes dépressifs modérés ou graves. Les autres facteurs importants étaient l'âge, l'insécurité financiere et la comorbidité. Les résultats globaux suggerent que les communautés indigenes, noires et autres communautés racialisées ayant été victimes de discrimination présentent des taux plus élevés de symptômes dépressifs, malgré la prise en compte d'autres facteurs. D'un point de vue comparatif, les taux de discrimination étaient similaires au Canada et aux ÉtatsUnis, et présentaient des proportions similaires dans tous les groupes raciaux/ethniques. Les taux de discrimination ne varient pas de maniere significative en fonction du sexe, et le sexe n'est pas un facteur de risque statistiquement significatif pour les symptômes dépressifs. D'autres recherches, notamment des études qualitatives, pourraient permettre d'évaluer pleinement l'impact du sexe sur les expériences de racisme et les symptômes dépressifs pendant la pandémie. L'article se termine par des suggestions de politiques et d'éducation du public pour lutter contre la discrimination raciale et souligne la nécessité d'une action gouvernementale supplémentaire en période de crise.Alternate abstract:Canada and the United States have long histories of racism that permeate every institution and structure in our societies. While anti-racism movements have gained strength in recent years, we know very little about current rates of discrimination in the two countries or the impact on communities during the COVID-19 pandemic. Informed by critical race feminist theory, this paper examines levels of discrimination experienced by survey participants from Canada and the United States during the COVID-19 pandemic with a cross-sectional survey conducted during October 2021. We then assessed the broader impact of experiencing discrimination on depressive symptoms using logistic regression analysis. In both Canada and the US, multivariate logistic regression maintained that experiencing discrimination resulted in higher probabilities of reporting moderate to severe depressive symptoms. Other important factors included age, financial insecurity, and comorbid health conditions. Overall findings suggest that Indigenous, Black, and other racialized communities who experienced discrimination reported higher rates of depressive symptoms despite controlling for other factors. From a comparative perspective, discrimination rates were similar in Canada and the US, and had similar proportions across racial/ethnic groups. Discrimination rates did not vary significantly by gender, nor was gender a statistically significant risk factor for depressive symptoms. Further research, including qualitative studies, could fully assess the impact of gender on experiences of racism and depressive symptoms during the pandemic. The paper concludes with policy and public education suggestions to combat racial discrimination and highlights the need for added government action during times of crises.

Special Issue: Settler colonialism, structural racism, and the palestinian right to health. (Special Issue: Settler colonialism, structural racism, and the palestinian right to health.)

This special issue contains 6 articles that explore the impact of settler colonialism, structural racism, and occupation on the health and well-being of Palestinians. The issue investigates various aspects of the Palestinian right to health, including the racialised strategies of elimination as determinants of health in Palestine, emergency care in the occupied Palestinian territory, COVID-19 vaccination in Palestine/Israel, the experiences of Palestinian amputees in Gaza, outdoor play in a militarised zone, and a call for social justice and a human rights approach to mental health in the occupied Palestinian territories.