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The group is defined as local Malaysians of ethnic Chinese Han Chinese ancestry. Today, they form the second largest ethnic group after the Malay majority. Most are descendants of Southern Chinese immigrants who arrived in Malaysia between the early 19th century and the midth century. Malaysian Chinese also form the second largest community of Overseas Chinese in the world, after Thai Chinese. Malaysian Chinese are traditionally dominant in the business sector of the Malaysian economy. Culturally, most Malaysian Chinese have maintained their Chinese heritage, including their various dialects, although the descendants of the earliest Chinese migrants who arrived from the 13th to 17th centuries have assimilated aspects of the Malay or indigenous cultures, where they form a distinct sub-ethnic group known as the Peranakans in Kelantan and Terengganu , Baba-Nyonya in Malacca and Penang as well the Sino-Natives in Sabah. Even with absolute population numbers increasing with each censuses, the proportion of ethnic Chinese among the country's total population has been consistently declining, partially due to a lower birth rate as well as a high level of emigration in recent decades.
Chin KY recruited the participants, implemented the research, conducted the assays and wrote the manuscript. Soelaiman IN planned the research and provided a critical review and final approval of the manuscript. Mohamed IN provided a critical statistical review of the manuscript. Ngah WZ contributed to the research design, obtained ethical approval and financial support and supervised the project.