In addition to the most pressing issues of the day, scholars at the Freeman Spogli Institute for International Studies focus their research on many regions of the world, from Beijing to Brazil.
Research Spotlight
South Korea's Democratic Decay
South Korea is following global trends as it slides toward a “democratic depression.” Both the spirit of democracy and actual liberal-democratic standards are under attack.
The Deer and the Dragon: Southeast Asia and China in the 21st Century
Southeast Asian and Chinese perceptions of each other are examined using survey research and by asking whether China views the region as its “strategic backyard.”
Author Vincent Barletta explores rhythm as a primordial and physical binding force that establishes order and form in the ancient world, as the anatomy of lived experience in early modern Europe, and as a subject of aesthetic and ethical questioning in the twentieth century.
The disruptive power of the pandemic has rippled across the social determinants of child health. Just several months after the first cases were detected in the United States, the unemployment rate reached levels not seen since the depths of the Great Depression, with the majority of lost jobs concentrated in low-wage industries. Two-thirds of child care centers closed by April 2020, one-third remaining closed by April 2021. Recent reports estimate that more than one-third of households with children were experiencing either housing hardships or inadequate food, privations that fell disproportionately on racial and ethnic minority families. School closures have been widespread with wildly uneven capacities to respond by district. This has resulted in disparities potentially affecting children’s long-term learning and patterns of mortality over the life course.
During COVID-19, the public health toll of vaccine misinformation has risen from bothersome to titanic. As many as 12 million persons may have forgone COVID-19 vaccination in the US because of misinformation, resulting in an estimated 1200 excess hospitalizations and 300 deaths per day. If 5 fully loaded 747s crashed each week due to wrong information, regulators would be apoplectic.
Repression research examines the causes and consequences of actions or policies that are meant to, or actually do, raise the costs of activism, protest, and/or social movement activity. The rise of digital and social media has brought substantial increases in attention to the repression of digital activists and movements and/or to the use of digital tools in repression, which is spread across many disciplines and areas of study. We organize and review this growing welter of research under the concept of digital repression by expanding a typology that distinguishes actions based on actor type, whether actions are overt or covert, and whether behaviors are shaped by coercion or channeling. This delineation between broadly different forms of digital repression allows researchers to develop expectations about digital repression, better understand what is “new” about digital repression in terms of explanatory factors, and better understand the consequences of digital repression.
This study documents the COVID-19 disease-control measures enacted in rural China and examines the economic and social impacts of these measures. We conducted two rounds of surveys with 726 randomly selected village informants across seven provinces. Strict disease-control measures have been universally enforced and appear to have been successful in limiting disease transmission in rural communities. The infection rate in our sample was 0.001 per cent, a rate that is near the national average outside of Hubei province. None of the villages reported any COVID-19-related deaths. For a full month during the quarantine, the rate of employment of rural workers was essentially zero. Even after the quarantine measures were lifted, nearly 70 per cent of the villagers still were unable to work owing to workplace closures. Although action has been taken to mitigate the potential negative effects, these disease-control measures might have accelerated the inequality between rural and urban households in China.
A disinformation researcher shares what she and her team watch for when analyzing social media posts and other online reports related to the Russian invasion of Ukraine (originally appeared in Stanford News)
In Strategy in the Contemporary World, edited by John Baylis, James J. Wirtz, and Jeannie L. Johnson, Oriana Skylar Mastro examines the evolution of Chinese grand strategy from Mao Zedong to Xi Jinping, its drivers, and its implications.
The cost-effectiveness of policies providing subsidized health goods is often compromised by limited use of the goods provided. Through a randomized trial involving 251 primary schools in western China, we tested two approaches to improve the cost-effectiveness of a program distributing free eyeglasses to myopic children. Relative to delivery of free eyeglasses to schools, we find that providing vouchers redeemable in local optical shops modestly improved the targeting of eyeglasses to those who would use them without reducing effective coverage. Information provided through a health education campaign increased eyeglass use when eyeglasses were delivered to schools, but had no effect when requiring voucher redemption or when families were only given a prescription for eyeglasses to be purchased on the market. Though most expensive, free delivery to schools with a health education campaign was the most socially cost-effective approach tested and increased effective coverage of eyeglasses by 18.5 percentage points after seven months.
Key policy takeaways from Didi Kuo on U.S. electoral reforms; Keith Humphreys on the opioid epidemic; Oriana Skylar Mastro on China-North Korea relations; and Michael McFaul and Francis Fukuyama on the Ukraine-Russia crisis.
Pascaline Dupas and co-authors Agness, Baseler, Chassang, and Snowberg leverage individual choice data they generate on farmers in western Kenya to solve a general problem: do behavioral phenomena drive individual choices when trading off cash for time, or cash and time for goods?
In a new Lawfare piece Jim Dempsey of the Program on Geopolitics, Technology and Governance, makes a case for breaking out a critical (and often unused) tool in the cybersecurity toolbox: the leveraging of authority by federal agencies to improve the cybersecurity of private actors.
Journal of Historical Political Economy,
February 21, 2022
In a new paper for the Journal of Historical Political Economy, Alberto Diaz-Cayeros and Saumitra Jha examine the conditions under which indigenous communities in Mexico were able to overcome the onslaught of disease and violence that they faced.
International Journal for Equity in Health,
February 19, 2022
Background
Despite rising incomes and rapid economic growth, there remains a significant gender gap in health outcomes among rural children in China. This study examines whether the gender gap in child health is related to the behavior of caregivers when seeking healthcare, and whether healthcare subsidies help to bridge the gender gap in rural health outcomes.
Methods
Focusing on vision care specifically, we draw on data from a randomized controlled trial of 13,100 children in Gansu and Shaanxi provinces in China that provided subsidized eyeglasses to myopic children in one set of schools (henceforth, referred to as the treatment schools) and provided prescription information but not subsidized eyeglasses to myopic children in another set of schools (control schools).
Results
The baseline results reveal that while female students generally have worse vision than male students, they are significantly less likely than male students to be taken by their caregivers to a vision exam. The experimental results indicate, however, that caregivers respond positively to both health information and subsidized healthcare, regardless of the gender of their children. When prescription information is paired with a subsidy voucher for healthcare (a free pair of eyeglasses), the uptake rate rises dramatically.
Conclusions
The gender gap in healthcare can be minimized by implementing subsidized healthcare policies.
On February 16, 2022, FSI Director Michael McFaul testified before the House Comittee on Oversight and Reform Subcommittee on National Security examining Russia’s destabilizing activity in Eastern Europe, including its recent buildup of approximately 130,000 troops along Ukraine’s borders.
Poor knowledge, scarce resources, and lack of or misaligned incentives have been widely documented as drivers of the irrational use of medicine (IUM), which significantly challenges the efficiency of health systems across the globe. However, there is limited understanding of the influence of each factor on IUM. We used detailed data on provider treatment of presumptive asthma cases in rural China to assess the contributions of provider knowledge, resource constraints, and provider behavior on IUM. This study enrolled 370 village providers from southwest China. All providers responded to a clinical vignette to test their knowledge of how to treat presumptive asthma. Resource constraints (“capacity”) were defined as the availability of the prescribed medicines in vignette. To measure provider behavior (“performance”), a subset of providers (104 of 370) were randomly selected to receive unannounced visits by standardized patients (SPs) who performed of presumptive asthma symptoms described in the vignette. We found that, 54% (201/370) of providers provided the vignette-based patients with prescriptions. Moreover, 67% (70/104) provided prescriptions for the SPs. For the vignette, only 10% of the providers prescribed the correct medicines; 38% prescribed only unnecessary medicines (and did not provide correct medicine); 65% prescribed antibiotics (although antibiotics were not required); and 55% prescribed polypharmacy prescriptions (that is, they prescribed five or more different types of drugs). For the SP visits, the numbers were 12%, 51%, 63%, and 0%, respectively. The lower number of medicines in the SP visits was due, in part, to the injections’ not being allowed based on ethical considerations (in response to the vignette, however, 65% of providers prescribed injections). The difference between provider knowledge and capacity is insignificant, while a significant large gap exists between provider performance and knowledge/capacity (for 11 of 17 indicators). Our analysis indicated that capacity constraints play a minor role in driving IUM compared to provider performance in the treatment of asthma cases in rural China. If similar findings hold for other disease cases, this suggests that policies to reduce the IUM in rural China have largely been unsuccessful, and alternatives for improving aligning provider incentives with appropriate drug use should be explored.
