Browse FSI scholarship on geopolitics, global health, energy, cybersecurity and more.
Featured Publications
Security Through Cooperation: Space, Nuclear Weapons, and U.S.-Russia Relations after the Cold War
Rose Gottemoeller uses lessons learned from U.S.-Russia relations during the George H. W. Bush and Clinton administrations to offer insights into how Russia today may be convinced to end its war against Ukraine and resume cooperation for the sake of global security.
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.
The National College Entrance Examination shapes the future of millions of students in China each year, but Hongbin Li and Ruixue Jia illuminate how this test of all tests is also shaping education, labor markets, political legitimacy, and social values beyond the PRC.
Introduction: Longitudinal trends in breastfeeding (BF) are often overlooked in favor of binary or time-to-cessation measures. Characterizing these trends can inform promotion of sustained BF practices. We identified distinct BF profiles among participants of a maternal and child health program.
Methods: The Healthy Future program consisted of community health workers delivering a BF curriculum to mothers through monthly home visits. The program was evaluated in rural Sichuan, China with a cluster-randomized controlled trial (assigned to program versus not). We clustered 6-month postpartum trends (n = 949) of maternal-reported infant feeding using dynamic time warping. For each month, participants were categorized as either exclusive breastfeeding (EBF), mixed feeding (MF, feeding breastmilk plus other foods or liquids), or not breastfeeding (NBF). After identifying clusters, we regressed BF profiles on intervention assignment using adjusted multinomial logistic regression.
Results: Cluster analysis revealed seven profiles: always EBF, always MF, never breastfed, EBF until the 5th month, MF until the 5th month, mostly EBF, and NBF from the 3rd month. The intervention was associated with improved odds of always EBF (ROR = 2.61, 95% CI 1.25, 5.42), MF until the 5th month (ROR = 2.52, 95% CI 1.18, 5.39), and NBF from the 3rd month (ROR = 2.82, 95% CI 1.16, 6.87) compared to being never breastfed. Mothers in the never breastfed cluster had the lowest age, education, BF knowledge and attitudes, and decision-making power.
Discussion: Cluster analyses found the intervention significantly improved EBF, particularly in mothers characterized by higher baseline educational attainment and BF knowledge. Targeted efforts are needed to help mothers initiate EBF from birth and continue EBF through month 6.
Background Mental health problems among young children have become a common public health issue worldwide. As the family plays a crucial role in creating a favorable environment for children’s mental health, the parenting style of caregivers is a key factor related to children’s mental health issues. This study aims to examine the associations between parenting styles of primary caregivers and the mental health of their primary school child in rural China and identifies the factors that may influence the adoption of different parenting styles.
Methods Data were collected from 1,298 primary school children (aged 9–11) and their primary caregivers in northwestern China. The primary caregivers completed the Parenting Styles and Dimensions Questionnaire, the Strengths and Difficulties Questionnaire, and a socio-demographic questionnaire. The cognitive development of children was measured using the Wechsler Preschool and Primary Scale of Intelligence-Fourth Edition, and the non-cognitive development of children was evaluated using the Ages and Stages Questionnaire: Social-Emotional. We performed descriptive statistics, linear regression analysis, and multivariable regression analysis.
Results Our data showed that 17% of the sampled children exhibited total difficulty problems. The results indicated that authoritative parenting style was negatively associated with child mental health problems. In contrast, authoritarian parenting style was positively associated with child mental health problems. Analysis of combined parenting styles revealed that the combinations that included relatively more intensive authoritative parenting styles was associated with reduced incidence of child mental health problems. In contrast, the combinations that were found to have relatively more authoritarian parenting styles were associated with higher rates of mental health issues among children. Demographic characteristics, such as child gender, child developmental outcomes, child attending preschools, identity of primary caregiver, and family economic status, that were associated with the adoption of different parenting styles.
Conclusions The study indicates that an authoritative parenting style is positively associated child mental health outcomes. Likewise, when authoritative strategies are more prominent within combined parenting styles, the likelihood that a child will experience mental health problems decreases. In contrast, the more dominant authoritarian behaviors are, the greater the risk of child mental health problems. Therefore, primary caregivers should be encouraged to adopt more positive parenting styles, which can help promote better outcomes of child mental health.
Companion Report to “Willing Accomplices: Gazprom and Rosneft’s Role in the Transport and Indoctrination of Ukraine’s Children” The Yale Humanitarian Research Lab
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.
