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.
American Journal of Ophthalmology,
November 25, 2015
Purpose To study the effect of free glasses combined with teacher incentives on in-school glasses wear among Chinese urban migrant children.
Design Cluster-randomized controlled trial.
Methods Children with visual acuity (VA) ≤6/12 in either eye owing to refractive error in 94 randomly chosen primary schools underwent randomization by school to receive free glasses, education on their use, and a teacher incentive (Intervention), or glasses prescriptions only (Control). Intervention group teachers received a tablet computer if ≥80% of children given glasses wore them during unannounced visits 6 weeks and 6 months (main outcome) after intervention.
Results Among 4376 children, 728 (16.7%, mean age 10.9 years, 51.0% boys) met enrollment criteria and were randomly allocated, 358 (49.2%, 47 schools) to Intervention and 370 (50.8%, 47 schools) to Control. Among these, 693 children (95.2%) completed the study and underwent analysis. Spectacle wear was significantly higher at 6 months among Intervention children (Observed [main outcome]: 68.3% vs 23.9%, adjusted odds ratio [OR] = 11.5, 95% confidence interval [CI] 5.91–22.5, P < .001; Self-reported: 90.6% vs 32.1%, OR = 43.7, 95% CI = 21.7–88.5, P < .001). Other predictors of observed wear at 6 months included baseline spectacle wear (P < .001), uncorrected VA <6/18 (P = .01), and parental spectacle wear (P = .02). The 6-month observed wear rate was only 41% among similar-aged children provided free glasses in our previous trial without teacher incentives.
Conclusions Free spectacles and teacher incentives maintain classroom wear in the large majority of children needing glasses over a school year. Low wear among Control children demonstrates the need for interventions.
