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Stanford University’s Walter H. Shorenstein Asia-Pacific Research Center (APARC) is delighted to welcome a new cohort of fellows joining us starting in summer 2026.

APARC offers multiple prestigious fellowship opportunities for Stanford doctoral students, emerging scholars of exceptional promise, and accomplished faculty and mid-career experts researching contemporary Asia topics. Supported by these fellowships, our incoming fellows will complete dissertation research, work on book manuscripts, undertake new research projects, and engage with the center's scholarly community.


Meet the Fellows

Herbert Chang

Herbert Chang

Stanford Next Asia Policy Visiting Fellow, 2026-2027

Herbert Chang is an assistant professor of quantitative social science at Dartmouth College and a Forbes 30 Under 30 honoree in Science for his work on network science and offshore finance. His research examines how emerging technologies reshape democratic behavior, including recent work on AI and misinformation in the 2024 Taiwan and U.S. presidential elections. His work has been featured in the New York Times, the Washington Post, and Scientific American, and has informed both academic and policy debates.

Chang will use his time at APARC to write a monograph on the interdependence of AI infrastructure and information ecosystems, with Taiwan and the United States as central empirical sites. He will also collaborate with SNAPL to quantify its talent-portfolio theory and empirically model how Asian Pacific nations cultivate and retain scientific expertise. 

Alicia R. Chen

Alicia Chen

APARC Predoctoral Fellow, 2026-2027

Alicia R. Chen is a doctoral candidate in the Department of Political Science at Stanford University. She studies international relations and political economy, with a focus on China. Her dissertation examines the domestic political economy of China's international aid and finance, revealing how domestic politics and institutions shape its overseas economic activities.

Her research is published in the British Journal of Political Science and has been generously supported by Stanford’s King Center on Global Development, the Freeman Spogli Institute for International Studies, the Stanford Center on China’s Economy and Institutions, and the Stanford Institute for Economic Policy Research, among others.

Before her doctoral studies, Chen was a research specialist with the Empirical Studies of Conflict project at Princeton University. She holds a master's degree in international policy from Stanford University and a bachelor's degree in political science from the University of Southern California. 

Sheikh Jamal Hossain

Sheikh Jamal Hossain

Asia Health Policy Program Postdoctoral Fellow, 2026-2027

Dr. Sheikh Jamal Hossain is a researcher and academic specializing in child development, maternal mental health, health promotion, and health economics. His professional interests center on advancing evidence-based interventions through rigorous research, teaching, and capacity strengthening, with a commitment to translating scientific evidence into policies and programs that improve the lives of women and children globally.

With over two decades of experience spanning academia, public health research, and international development, Dr. Hossain has led and contributed to large-scale randomized controlled trials, implementation research, and economic evaluations addressing early childhood development, nutrition, maternal mental health, and health system strengthening. He has successfully secured and managed research grants from international donors, including Grand Challenges Canada, UNICEF, FCDO, and Sida.

Dr. Hossain has authored more than 30 peer-reviewed scientific publications, including 13 as first author, in leading international journals such as The Lancet Regional Health, Pediatrics, Social Science & Medicine, The American Journal of Clinical Nutrition, and BMJ Global Health. He currently mentors multidisciplinary research teams and supervises early-career researchers and graduate students.

He earned his doctorate in women’s and children’s health from Uppsala University, with research focused on the effects of parenting interventions integrated with social protection programs on child development and maternal well-being in Bangladesh. He also holds master's degrees in public health and in health economics from the University of Dhaka.  

Angela Ju

Angela Ju

Taiwan Program Visiting Fellow, 2026-2027

Angela Ju is an associate professor of international affairs and political science at St. Edward's University in Austin, Texas. She uses mixed-methods approaches to study race/ethnicity, gender, international migration, social determinants of health, the nonprofit sector, and urban politics in North America, Latin America, Europe, and East Asia. Her first book, Identities Matter: The Politics of Immigration and Incorporation (Oxford University Press), was published last year. 

While at APARC, Angela will be working on her second monograph, Taiwan's Migration Diplomacy Towards Mainland Chinese Migrants and Refugees. In this book, she will examine why Taiwan has not formed consistent immigration policies for migrants from Mainland China.

Using textual analysis of Taiwanese government legislation and publications, the book's primary argument is that Taiwan uses its migration policies to manage its foreign relations with Mainland China. It also argues that one way in which Taiwan pursues international participation, despite lacking international recognition as a state, is through its migration diplomacy.

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Siyu Liang

Stanford Next Asia Policy Lab Postdoctoral Fellow, 2026-2028

Siyu Liang is a doctoral candidate in political science at the University of California, Los Angeles (UCLA). Her research lies at the intersection of political communication, public opinion, and computational social science, focusing on how media and information environments shape political attitudes in both democratic and authoritarian contexts.

Her dissertation examines the role of media in shaping perceptions of China in contemporary U.S.-China relations. In particular, she studies foreign influencer propaganda and the downstream effects of U.S.-China competition on public opinion and intergroup relations. As a computational social scientist, she develops and applies natural language processing and machine learning methods to study political communication and international politics, with particular interests in stance detection, transfer learning, and soft-label modeling.

At the Stanford Next Asia Policy Lab, she will expand this research agenda by examining how digital media and geopolitical conflict shape public opinion and social exclusion, with a particular focus on U.S.-Asia relations. She will also pursue projects on nationalism and racism in East Asia. Together, these projects seek to advance a more global understanding of how international politics shapes social inclusion and group relations across the Asia-Pacific region.

Siyu received master's degrees in statistics and political science from UCLA and holds bachelor's degrees in political science and statistics from the University of Wisconsin–Madison.

Deepika Padmanabhan

Deepika Padmanabhan

Shorenstein Postdoctoral Fellow on Contemporary Asia, 2026-2027

Deepika Padmanabhan is a political scientist whose research examines nationalism, language politics, and self-determination, with a regional focus on South Asia. 

Her book project explores how nation-building unfolds not only through grand policies and formal institutions, but also from the ground up, in everyday life. It examines how states promote national languages through routine, informal interactions with citizens, a process she terms the Everyday Imposition of language.

More broadly, her research explores how everyday practices shape political identities and collective belonging. In related projects, she examines the politics of language, food, film, and symbolic rituals as sites through which nationalism is cultivated, contested, and reproduced in daily life.

At APARC, Deepika will revise her book manuscript and develop additional projects on nationalism and political behavior. 

She received her doctorate in political science from Yale University in 2025. She holds a bachelor's degree in political science from St. Xavier’s College, Mumbai, and master’s degrees from the School of Advanced International Studies at Johns Hopkins University and the Department of Politics at New York University.

Grace Zeng

Grace Zeng

Shorenstein Postdoctoral Fellow on Contemporary Asia, 2026-2027

Grace Zeng is a political scientist specializing in international political economy, with a focus on China's use of trade and investment to influence global regulatory governance. Her research examines how states leverage economic tools to shape international rules and institutions. Her work on China's trade practices shows how China uses seemingly technical health and safety regulations to exert pressure on other nations, systematically increasing import restrictions in response to political tensions.

At APARC, she will pursue projects that extend this research agenda by examining China's growing influence in global governance. One project investigates whether China strategically uses infrastructure investment and foreign subsidiaries to shape international environmental standards. Another examines China’s information control system through the lens of its WTO commitments and the global governance of cyberspace.

Before joining Stanford, Grace was a lecturer in the Department of Political Science at the University of California, Berkeley. She received her doctorate in politics from Princeton University. She also holds a master's degree in the social sciences (MAPSS) from the University of Chicago and a bachelor's degree in mathematics from the University of Hong Kong.

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How Cities Are Rewriting Global Climate Governance

Political scientist Gaea Morales, APARC’s 2025-26 Shorenstein postdoctoral fellow on contemporary Asia, studies questions at the nexus of global policy and local action and how Southeast Asian megacities build climate resilience by drawing on local knowledge and global networks to drive change from the ground up, even in the absence of central government support.
How Cities Are Rewriting Global Climate Governance
Portrait photo of Teren Sevea.
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Insights from the Rich Worlds of Southeast Asian Islam

Teren Sevea, APARC’s Lee Kong Chian NUS-Stanford Fellow on Southeast Asia, reveals how overlooked histories and everyday ethics in Southeast Asia can reshape our understanding of the past and our responsibility for the future.
Insights from the Rich Worlds of Southeast Asian Islam
Women participate in a rally to celebrate International Women's Day in Seoul, South Korea.
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How Gender Inequality Drives Talent Abroad and Keeps Women Away

Minyoung An, a postdoctoral fellow with the Korea Program and the Stanford Next Asia Policy Lab at APARC, studies how gender inequality shapes migration pathways and return decisions among South Korean highly skilled women, highlighting risks to Korea's long-term future and revealing that gender is a powerful yet often overlooked driver of global talent flows.
How Gender Inequality Drives Talent Abroad and Keeps Women Away
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Seven scholars researching diverse topics across contemporary Asian studies will join the APARC community starting this summer.

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  • Total DALYs increased across all five Asian societies between 2000 and 2019.
  • Population aging was identified as the primary driver of total DALY increases.
  • However, substantial decreases in DALYs per disease case were observed.
  • These trends were especially pronounced for non-communicable diseases.

 

Background

Rapid population aging in Asia has significantly increased the disease burden. However, there is limited research on the drivers of such changes in disability-adjusted life years (DALYs).

 

Objective

To examine the factors contributing to changes in DALYs in China, Japan, Singapore, South Korea, and Taiwan in 2000 and 2019.

 

Methods

We conducted a cross-sectional analysis using data from the Global Burden of Disease Study 2021. Changes in DALYs between 2010 and 2019 were decomposed into four factors: population size, age-sex structure, disease cases per person, and DALYs per disease case.

 

Results

From 2000 to 2019, total DALYs increased across all locations. While DALYs from injuries, communicable, maternal and neonatal conditions, and nutritional deficiencies decreased, DALYs from non-communicable diseases increased. Decomposition analysis identified population aging (changes in age-sex structure) as the primary driver of increases in total DALYs, contributing an average of 33.6%. Population growth accounted for 15.3% on average. However, these increases were partially offset by decreases in DALYs per disease case, which fell by an average of -29.4%. Contributions from disease cases per person were relatively modest, averaging -3.4%. Notably, the decline in DALYs per disease case was more pronounced for non-communicable diseases, despite an overall increase in disease cases per person.

 

Conclusions

The increase in DALYs across these Asian societies was primarily driven by population aging and growth. However, DALYs per disease case decreased, suggesting improvements in disease management. Given the growing burden of non-communicable diseases in these societies, maintaining a focus on effective interventions remains crucial.

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Income-Based Inequalities in Health System Performance in the US and South Korea

Income-Based Inequalities in Health System Performance in the US and South Korea
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Dementia Care in a Rapidly Aging Society

Dementia Care in a Rapidly Aging Society
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The Evolution of Age-Friendly Jobs in a Rapidly Ageing Economy

The Evolution of Age-Friendly Jobs in a Rapidly Ageing Economy
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Cynthia Chen
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COVID-19 temperature testing in China.

The COVID-19 crisis was a profound stress test for health, economic, and governance systems worldwide, and its lessons remain urgent. The pandemic revealed that unpreparedness carries cascading consequences, including the collapse of health services, the reversal of development gains, and the destabilization of economies. The magnitude of global losses, measured in trillions of dollars and millions of lives, demonstrated that preparedness is not a discretionary expense but a foundation of macroeconomic stability. Countries that invested early in surveillance, resilient systems, and inclusive access managed to contain shocks and recover faster, proving that health security and economic security are inseparable.

For the Asia-Pacific, the path forward lies in transforming vulnerability into long-term resilience. Building pandemic readiness requires embedding preparedness within fiscal and development planning, not as an emergency measure but as a permanent policy function. The region’s diverse economies can draw on collective strengths in manufacturing capacity, technological innovation, and strong regional cooperation to institutionalize the four pillars— globally networked surveillance and research, a resilient national system, an equitable supply of medical countermeasures and tools, and global governance and financing—thereby maximizing pandemic prevention, preparedness, and response. Achieving this will depend on sustained political will and predictable financing, supported by the catalytic role of multilateral development banks and international financial institutions that can align public investment with global standards and private capital.

The coming decade presents a narrow but decisive window to consolidate these gains. Climate change, urbanization, and ecological disruption are intensifying the probability of new zoonotic spillovers. Meeting this challenge demands a shift from episodic response to continuous readiness, from isolated health interventions to integrated systems that link health, the environment, and the economy. Strengthening regional solidarity, transparency, and mutual accountability will be vital in ensuring that no country is left exposed when the next threat emerges.

A pandemic-ready Asia-Pacific is not an aspiration but an imperative. The lessons of COVID-19 call for institutionalized preparedness that transcends political cycles and emergency budgets. By treating health resilience as a global public good, the region can turn its experience of crisis into a model of sustained, inclusive security for the world.

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Building a Pandemic-Ready Asia-Pacific

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Argument and Contribution


At the national level, the United States struggled to effectively respond to the COVID-19 pandemic: federal policy was delayed and inconsistent, supply shortages were widespread, and political pressure undermined accurate public health guidance. At the state and local levels, however, there was a great deal of variation in terms of the capacity to respond to COVID. While indicators of state capacity often focus on “formal” indicators like institutional resources, staffing, and finances, translating formal capacities into effectively implemented policies is neither a simple nor an automatic process. 

In “Building the Plane While Flying,” Didi Kuo and Andrew S. Kelly draw our attention to the importance of informal indicators of public health capacity. These include strong relationships within and across government agencies, the embeddedness of health officers in local communities, and prior experience with responding to disasters, among other factors. The authors argue that local governments with strong informal capacity were better able to communicate with and learn from one another, as well as to gain the trust of community members, during the pandemic. Conversely, localities with otherwise strong formal capacities often failed to respond to the challenges at hand. This is because they were unable to effectively leverage their relationships and organizational networks.
 


The authors argue that local governments with strong informal capacity were better able to communicate with and learn from one another, as well as to gain the trust of community members, during the pandemic.


Kuo and Kelly’s paper is informed by qualitative analysis of California’s public health institutions as well as in-depth interviews with health officers across seventeen Northern, Central, and Southern California counties. The interviews illuminate the concrete processes by which local governments responded (or struggled to respond) to the COVID-19 pandemic. One of the paper’s key contributions is to push us to conceptualize state capacity more broadly and to focus on the factors that drive not just policy development, but policy implementation. 

The Importance of Informal Capacity


The bulk of the paper disaggregates informal capacity into its various mechanisms and processes. Each of these proves to be crucial in explaining different pandemic outcomes at the local level. One such mechanism is coordination within local governments. To illustrate this, consider public health officers, who enjoy broad legal powers to protect public health as well as financial resources and personnel at their disposal. By law, officers possess significant capacities to mitigate health crises. Yet across the interviews, health officers reported that effectively implementing COVID-19 policy required their cooperation and communication with a host of actors, including the County Counsel (the county’s top lawyer), Chief Administrative Officer, and Board of Supervisors, which is charged with appointing health officers.
 


Closely related to intra-governmental coordination is the importance of autonomy, particularly in the face of political pressure.


Closely related to intra-governmental coordination is the importance of autonomy, particularly in the face of political pressure. For example, boards of supervisors sometimes undermined the public guidance provided by health officers. (This guidance could range from the need to close schools to officers simply communicating truthfully with localities about COVID-19 risks.) Overcoming efforts by board members to ignore or muzzle officers required coordination between those actors who were more insulated from political pressure.

Another key component of informal capacity was prior experience responding to emergencies and California’s myriad of natural disasters, such as fires, floods, or mudslides. Health officers from more experienced counties noted their ability to draw upon established emergency procedures and partnerships. For example, some counties had previously cooperated with each other, as well as with independent agencies like the Red Cross, to provide aid and shelter to those affected by wildfires. These experiences — for which no amount of financial resources or personnel can substitute — served as templates to help coordinate COVID-19 policy responses.

Informal capacity also depended upon health departments effectively communicating with the public. Many departments initially lacked the infrastructure to do this, and therefore relied on cooperation with other actors like school superintendents, sheriffs, and community leaders. Some counties created toolkits to improve their community’s understanding of personal protective equipment (PPE) or even produced local TV shows. Still others scheduled conference calls with local hospitals, faith leaders, and nursing homes. Given that many of these communication efforts were improvised, public health officers stressed the importance of formalizing coordination between state and nonstate actors so as to improve emergency preparedness in the future.
 


In addition to coordination within local governments, effective policy-making and communication required coordination across governments.


In addition to coordination within local governments, effective policy-making and communication required coordination across governments. One such institution was the Association of Bay Area Health Officers (ABAHO), founded in the 1980s during the HIV/AIDS epidemic. ABAHO members had also coordinated policy responses to the H1N1 outbreak. These cross-county partnerships enabled early, rapid, and unified responses to the COVID-19 pandemic. By contrast, the authors find that regions without such networks faced greater challenges in developing and implementing public policy.

A final aspect of informal capacity is the social embeddedness of health officials in their communities. This includes partnerships with leaders of businesses and faith groups, teachers, and restaurant owners. Not only did these partnerships increase the scope of outreach, but they also often established relationships that had not existed beforehand. Gaining a foothold in local communities thus increased the likelihood that community members would support policies and enabled local governments to access hard-to-reach populations.
 


For federal, decentralized countries like the US, informal capacities and relationships are essential not only for delivering services but for generating legitimacy and trust among those receiving services.


Kuo and Kelly’s analysis of informal capacity should give us pause when considering existing indices of public health preparedness; some of these have ranked the United States quite high despite its often ineffective responses to the COVID-19 pandemic. That this mismatch occurs is arguably a function of observers prioritizing formal capacities. For federal, decentralized countries like the US, informal capacities and relationships are essential not only for delivering services but for generating legitimacy and trust among those receiving services.

*Research-in-Brief prepared by Adam Fefer.

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Introduction

Health care spending in South Korea is associated with improvements in health. However, it remains unclear whether the value of this spending is equally distributed across income groups.

 

Methods

We analyzed lifetime health care spending and quality-adjusted life expectancy (QALE) by income quintile among South Korean adults from 2010 to 2018. We then calculated the ratio of changes in health care spending to changes in QALE to estimate the value of health care spending across income groups. Additionally, we investigated mechanisms underlying income-related differences in the value of health care.

 

Results

Assuming 80% of QALE gains are attributable to health care, adults in the lowest income quintile received the least value, incurring $78,209 per QALE gained. However, middle- and higher-income quintiles achieved greater value ($47,831, $46,905, $31,757, and $53,889 from the second to highest quintile), although the highest value did not occur in the highest-income quintile. The higher spending per QALE gained in the lowest income quintile reflects smaller improvements in QALE, likely driven by poorer baseline health and greater unmet needs.

 

Conclusion

These findings highlight structural inequities in the South Korea health system and emphasize the need for targeted policies to promote equitable health care value.

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Public health infrastructure varies widely at the local, state, and national levels, and the COVID-19 response revealed just how critical local health authority can be. Public health officials created COVID policies, enforced behavioral and non-pharmaceutical interventions, and communicated with the public. This article explores the determinants of public health capacity, distinguishing between formal institutional capacity (i.e., budget, staff) and informal embedded capacity (i.e., community ties, insulation from political pressures). Using qualitative data and interviews with county health officers in California, this article shows that informal embedded capacity—while difficult to measure—is essential to public health capacity. It concludes by relating public health capacity to broader issues of state capacity and democracy.

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Shorenstein APARC's annual report for the academic year 2023-24 is now available.

Learn about the research, publications, and events produced by the Center and its programs over the last academic year. Read the feature sections, which look at the historic meeting at Stanford between the leaders of Korea and Japan and the launch of the Center's new Taiwan Program; learn about the research our faculty and postdoctoral fellows engaged in, including a study on China's integration of urban-rural health insurance and the policy work done by the Stanford Next Asia Policy Lab (SNAPL); and catch up on the Center's policy work, education initiatives, publications, and policy outreach. Download your copy or read it online below.

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Asia Health Policy Postdoctoral Fellow, 2024-2025
Mai Nguyen.JPG Ph.D.

Mai Nguyen joined the Walter H. Shorenstein Asia-Pacific Research Center (APARC) as Asia Health Policy Postdoctoral Fellow for the 2024-2025 academic year. She holds a PhD in health services and health policy from Queensland University of Technology (QUT), Australia, and a Master of Science from Heller School for Social Policy and Management, Brandeis University.

Her doctoral research focused on how the expanding private healthcare sector can be managed more effectively to better supplement public health services to achieve universal health coverage in Vietnam. The study analyzed large and complex national health datasets from two consecutive Household Living Standard Surveys, clinical hospital data at national levels and in-depth interviews with key stakeholders of Vietnam's health system to investigate consumers' choice for private and public health care services in Vietnam. Her research findings have implications for policy change in terms of harnessing and regulating private health services in Vietnam and other Asia-Pacific countries, especially low and middle-income countries.

Dr. Nguyen has worked as a senior health specialist at Vietnam Ministry of Health. Her research interest stems from her professional experience in health policy and program management, including health policy and management, health services, private healthcare and health equity. Her works have been published in many Q1-international journals such as BMC Public Health, BMC Health Services Research, Human Resources for Health and International Journal of Health Policy and Management.

At APARC, Dr. Nguyen extended her research on the roles of private healthcare to supplement the public health sector to address the growing burden of chronic diseases and conditions in Vietnam.

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The 2020 murder of George Floyd in Minneapolis highlighted the harms of racially discriminatory policing and inspired global protests against police brutality. For many, Floyd’s death and the live courtroom trial of the officer charged with his murder was their first real exposure to police killings.

Not for J’Mag Karbeah, PhD, a health services researcher at the University of Minnesota School of Public Health. She had already begun to ask herself how these police killings of Black men were affecting the mental and physical health of Black people — particularly among mothers and adolescents. 

“As a maternal and child health researcher, after each event, I found myself asking: `How do these traumatic events impact the health of the community, especially mothers and people who can get pregnant? How do you steel yourself to bring children into this world knowing what potential harms might happen to them?’”

Police Brutality Not New

Police brutality has been part of the American fabric since its beginnings, from the slave patrols of the early 1700s to the advent of television bringing racialized police attacks on Blacks into American homes during the civil rights movement. In the last decade, bodycams and social media have put a spotlight on police killings, with Eric Garner’s death by police chokehold in 2014 going viral due to his friend catching the homicide on his smartphone.

J'Mag Karbeah speaks at Stanford Health Policy

 

According to the Washington Post’s police shootings database, as of March 7 there have been 8,283 people killed by the police in the United States since Garner’s death. Last year alone, 1,098 Americans were killed by officers — the deadliest year for civilian killings by police. 

As the Washington Post database notes, half the people shot and killed by police are white, but Black people are shot at a disproportionate rate. They account for less than 14% of the U.S. population — but are twice as likely to be gunned down and killed than whites.

Yet there is little research or discussion about the public health implications of police contact, whether it’s homicide, violence, racial profiling, or harassment.

Karbeah is working to change that. She recently gave the Health Equity Lecture at Stanford Health Policy, outlining the ways in which police contact is impacting the health and well-being of communities, from pregnant women to adolescents.

How do you steel yourself to bring children into this world knowing what potential harms might happen to them?
J'Mag Karbeah, PhD
Assistant Professor at the University of Minnesota School of Public Health

 

The Fourth Encounter

“In addition to fatal encounters, researchers often discuss police brutality associated with physical, emotional, or sexual abuse perpetrated by officers,” Karbeah said. “But there is a fourth type of police encounter that is much more common and sometimes overlooked: routine contacts such as stops, frisking and searches that don’t result in detainment.”

In a study published in JAMA Open Network in December 2021, Karbeah and coauthors found that greater police presence in Black vs. white neighborhoods appears to contribute to the persistent Black-white preterm birth disparity in Minneapolis. Their research found that of 1,059 Minneapolis residents who gave birth in 2016, the odds of preterm births for those living in a neighborhood with a high police presence were 10% greater compared to their racial counterparts in low-presence neighborhoods.

The paper notes that pregnant Black women nationwide experience preterm birth at rate approximately double that of whites and Black women are also twice as likely to experience the death of an infant younger than 1 year. SHP’s Maya Rossin-Slater also bore this out in a recent study that showed that wealthy Black mothers and infants fare worse than the poorest white mothers and infants in the United States.

“Black pregnant people who live in areas with high levels of racial segregation are more likely to give birth prematurely,” Karbeah writes in the study. “Residential segregation relegates Black people to neighborhoods disproportionately affected by poverty, violence, and crime. In lieu of policy solutions to address these issues, greater police presence has been the answer in many communities.”

Karbeah points to research showing that high police presence in neighborhoods is associated with adverse psychological outcomes for Black residents. Karbeah and colleagues suggest that pregnant people may experience these same psychological effects in ways that lead to increased stress — which in turn can lead to an increase in preterm births.

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J'Mag Karbeah speaks at Stanford Health Policy

Adolescent Health and Policing

Karbeah told the SHP lecture audience that adolescent health is another key area of her research as young people carry police encounters with them into adulthood. Their brains are still developing, and decisions made during this period can shape the rest of their lives. They are coming into their own, deciding where they fit in and who they can trust.

“An important aspect of policing that often gets lost when we start to think about police contact as a determinant of health is why people might come into to contact with the police,” Karbeah said. “Instinctively you might think, well, you usually do something bad and that is why you encounter law enforcement.”

But a cultural shift in policing, she notes, has gone from police focused on responding to crimes to a proactive model in which policing is attempting to prevent crime, leading to more officers in communities, turning more civilians into potential suspects and leading to more encounters.

“Research shows that stops are associated with stigma and shame,” Karbeah said, pointing to a study published in the Journal of Adolescent Health which shows that adolescents frequently stopped by police were more likely to report heightened emotional stress and PTSD symptoms.

“These stops are seen as unsettling or traumatic for young people and can alter a youth’s self-perception and their overall well-being,” she said. “The impact of these interactions accrues over time and becomes internalized.”

A young person may be stopped by police on the way home from school, for example, and might be left with feelings of shame, prompting them to turn away from family and friends. This can have life-course implications, she said, such as substance abuse, anxiety and depression, job loss and socioeconomic shifts.

“We were honored to host Dr. Karbeah at Stanford Health Policy for the Health Equity Lecture Series,” said Sherri Rose, a professor of health policy who leads the lecture series. “Her research on police encounters and health equity tackles challenging questions that have far-reaching implications across health policy.” 

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Alyce Adams, Stanford Health Policy
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Toward Equal Footing

In this Q&A, Stanford Health Policy's Alyce Adams talks about the devastating impact that chronic conditions like diabetes had on her own family members.
Toward Equal Footing
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Striking Inequalities in Infant and Maternal Health Point to Structural Racism and Access Issues

Research by Petra Persson and Maya Rossin-Slater on health inequality finds wealthy Black mothers and infants fare worse than the poorest white mothers and infants.
Striking Inequalities in Infant and Maternal Health Point to Structural Racism and Access Issues
Dr. Utibe Essien
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Pursuing Equity in Pharmacology for Black Patients

Our recent Health Equity Lecture was given Dr. Utibe Essien, who is on a mission to ensure patients — regardless of race, ethnicity or socioeconomic status — have access to the highest-quality medications on the market.
Pursuing Equity in Pharmacology for Black Patients
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J'Mag Karbeah, an assistant professor at the University of Minnesota School of Public Health, gives Stanford Health Policy's latest health equity lecture, Her focus was on the public health implications for Black people who are exposed to police contact.

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