Browse FSI scholarship on geopolitics, global health, energy, cybersecurity and more.
Featured Publications
Autocrats vs. Democrats: China, Russia, America, and the New Global Disorder
A clear-eyed look from Michael McFaul at how the rise of autocratic China and Russia are compelling some to think that we have entered a new Cold War—and why we must reject that thinking in order to prevail.
Gi-Wook Shin explores how Japan, Australia, China, and India achieved economic power and sustained momentum by responding to risks and challenges such as demographic crises, brain drain, and geopolitical tensions.
In this NBER working paper, SHP courtesy faculty member Marcella Alsan, MD, PhD, shows that beneath the polarization over gun violence, owners and non-owners share a common objective: safety. But they disagree sharply about whether lethal firearms achieve it.
"Financial toxicity" describes the financial burden experienced by cancer patients and their families, impacting around half of cancer survivors. High treatment costs and associated expenses contribute to cancer being the leading cause of medical-induced bankruptcy among patients and caregivers. This policy brief concentrates on the implementation and impact of Medical Financial Assistance (MFA) programs as a key intervention to reduce financial toxicity for patients and their caregivers.
Objective Psychological factors shaping maternal diet remain underexplored, particularly in rural contexts. This study examined the associations of psychological symptoms with maternal dietary diversity in rural Western China.
Methods This cross-sectional study included 2430 women (847 pregnant, 1583 postpartum) selected through multi-stage random cluster sampling. Dietary diversity was assessed using the Woman's Dietary Diversity Score, which was categorized into tertiles. Depression, anxiety, and stress symptoms were measured and integrated into a standardized composite psychological index. Multinomial logistic regression examined associations between psychological symptoms and dietary diversity adjusting for relevant covariates.
Results In the full sample, using the lowest dietary diversity score tertile as the reference group, depression symptom was associated with lower odds of being in the high dietary diversity group (relative risk ratio [RRR] = 0.71, 95% confidence interval [CI] 0.53–0.95). Anxiety and stress symptoms were associated with lower odds of being in both medium (anxiety: RRR = 0.74, 95% CI 0.58–0.95; stress: RRR = 0.64, 95% CI 0.46–0.89) and high (anxiety: RRR = 0.78, 95% CI 0.61–0.99; stress: RRR = 0.56, 95% CI 0.39–0.79) dietary diversity group. Higher composite index scores were consistently associated with lower odds of being in the medium (RRR = 0.86, 95% CI 0.78–0.95) and high (RRR = 0.83, 95% CI 0.75–0.93) dietary diversity group. Interaction analyses showed significant effects for depression, stress, and the composite psychological index (P for interaction <0.01), but not for anxiety (P for interaction = 0.954).
Conclusion Psychological symptoms were inversely associated with maternal dietary diversity. Moreover, these associations varied by pregnancy status for depression, stress, and overall psychological distress. Findings support integrating psychological care into maternal nutrition programs in rural settings.
Annals of the New York Academy of Sciences,
March 13, 2026
Mental health symptoms are common among caregivers of young children in low-resource settings, yet access to psychological care remains limited due to shortages of specialists, low awareness, and stigma. This qualitative study explored the acceptability and appropriateness of delivering a postnatal mental health intervention for mothers through community and township health centers (CTHCs) in Shanghai, China. We conducted in-depth interviews with 50 mothers of children under 3 years of age, recruited from nine CTHCs and one parenting center, including both those with and without depressive symptoms. Data were analyzed using a rapid analysis approach to identify themes related to perceived values, burdens, motivations, and barriers to participation. Mothers valued interventions that aligned with their personal needs, addressed both parenting knowledge and mental health, offered emotional and social support, and involved family members. Key barriers included time constraints, childcare responsibilities, stigma toward mental health, and accessibility of the location of the intervention. Flexible delivery formats and modes, integration with routine child health services, and nonstigmatizing framing were identified as potential strategies to enhance engagement.
Marcella Alsan, an SHP courtesy faculty members, writes in this STAT opinion piece that mental illness and addiction can be curbed with proper funding.
There is an urgent need for stronger congressional leadership in cyber policy, especially when it comes to countering China’s persistent, aggressive intrusions.
Private equity (PE) firms have increasingly influenced U.S. health care, posing risks to health equity—the idea that everyone should have a fair opportunity for optimal health. While PE investors claim to improve efficiency, raise capital, and leverage economies of scale, evidence indicates that their involvement often leads to reduced access to affordable high-quality care, particularly for rural populations, older adults, low-income communities, and marginalized racial and ethnic groups. Without strong regulation and enforcement, PE practices are likely to continue transforming health care in ways that could harm patients and burden clinicians.
