Publications

Yian Guo

Sub-Saharan Africa

Europe

Eastern Europe

Middle East and North Africa

Western Europe

Asia-Pacific

The Americas

Caribbean

Antigua & Barbuda

Bahamas

Barbados

Central America

Belize

Costa Rica

Cuba

Dominica

Dominican Republic

El Salvador

Grenada

Guatemala

Haiti

Honduras

Jamaica

Nicaragua

Panama

St. Kitts & Nevis

Northeast Asia

Japan

St. Lucia

St. Vincent & the Grenadines

Trinidad & Tobago

Oceania

Australia

Southeast Asia

Brunei

Cambodia

China

Fiji

Indonesia

Kiribati

Laos

Malaysia

Marshall Islands

Micronesia

Mongolia

Burma

Nauru

New Zealand

North Korea

Palau

Papua New Guinea

Philippines

Samoa

Singapore

Solomon Islands

South Korea

Taiwan

Thailand

East Timor

Tonga

Tuvalu

Vanuatu

Vietnam

Albania

Iberian Peninsula

Andorra

Central Europe

Austria

Russia and Eurasia

Belarus

Belgium

Bosnia & Herzegovina

Bulgaria

Croatia

Cyprus

Czech Republic

Scandinavia and Baltic Rim

Denmark

Estonia

Finland

France

Germany

Greece

Hungary

Iceland

Ireland

Italy

Latvia

Lithuania

Luxembourg

Liechtenstein

Macedonia

Malta

Monaco

Montenegro

Netherlands

Norway

Poland

Portugal

Romania

San Marino

Serbia

Slovakia

Slovenia

Spain

Sweden

Switzerland

Turkey

United Kingdom

Algeria

Bahrain

Egypt

Iran

Iraq

Israel

Jordan

Kuwait

Lebanon

Libya

Morocco

Oman

Qatar

Saudi Arabia

Syria

Tunisia

United Arab Emirates

Yemen

North America

Canada

Mexico

United States

Armenia

Azerbaijan

Georgia

Kazakhstan

Kyrgyzstan

Moldova

Russia

Tajikistan

Turkmenistan

Ukraine

Uzbekistan

South America

Argentina

Bolivia

Brazil

Chile

Colombia

Ecuador

Guyana

Paraguay

Peru

Suriname

Uruguay

Venezuela

South Asia

Afghanistan

Bangladesh

Bhutan

India

Maldives

Nepal

Pakistan

Sri Lanka

Angola

Benin

Botswana

Burkina Faso

Burundi

Cameroon

Cape Verde

Central African Republic

Chad

Comoros

Congo

Côte d'Ivoire

D.R. Congo

Equatorial Guinea

Eritrea

Ethiopia

Gabon

Gambia

Ghana

Guinea

Guinea-Bissau

Kenya

Lesotho

Liberia

Madagascar

Malawi

Mali

Mauritania

Mauritius

Mozambique

Namibia

Niger

Nigeria

Rwanda

Säo Tomé & Príncipe

Senegal

Seychelles

Sierra Leone

Somalia

South Africa

Sudan

Swaziland

Tanzania

Togo

Uganda

Zambia

Zimbabwe

Kosovo

Djibouti

South Sudan

Vatican City

International Relations

Energy

Security

Institutions and Organizations

Foreign Policy

International Law

International Development

Science and Technology

Business

Governance

Health and Medicine

Food Security

Elections

Homeland Security

Environment

Biosecurity

Democracy

Diplomacy

Disaster response

Cybersecurity

Entrepreneurship

Innovation

Investment

Democracy promotion

Policy Analysis

State-building

Coal

Cleantech

Natural gas

Nuclear Energy

Sustainable development

Migration and Citizenship

Protectionism

Trade

World Bank

World Trade Organization

Climate change

Kyoto Protocol

Human Rights

Comparative effectiveness research

Health Care

Health care institutions

Health policy

HIV/AIDS

Nutrition

Population health

Society

History

Torture convention

Globalization

Islam

NATO

Information Technology

Biofuels

Agricultural trade

Deforestation

Fisheries

Water

Agriculture policy

Ethnicity

Discrimination

Bioterrorism

Obesity

Aquaculture

Children's health

Diabetes

Electricity

Natural Resources

Disease

Kidnapping

Corruption

Arms Smuggling

Climate

Conflict

Economic Affairs

Education

Energy and Climate Policy

Energy Infrastructure

Energy Services

Foreign Aid

Fossil Fuels

Gender

Global Health

Health Outcomes

Religion

Renewable Resources

Crime

Culture

Nuclear Risk

Public Health

European Union

Health Care Reform

Media

Military

Negotiation

Peacekeeping

Rule of Law

Borders

Health and the Environment

Smoking

Food Markets

Hunger

Poverty

Arms Control

Civil Wars

Drug trafficking

Missiles

Nuclear Safety

Terrorism

Violence

Cap and Trade

Nuclear policy

Agriculture

Natural gas

Oil

Demographics

Migration and Citizenship

Hypertension

Aging

Intelligence

Palm Oil

Health

Vision Care

Early Childhood Development

Technology

In the Classroom

Migration

Inequality

Race

Inclusion and Exclusion

SAI

Staff

Publication Series

Shorenstein APARC Studies with Stanford University Press

APARC In-House Series

AHPP Working Paper Series

CDDRL 20th Anniversary

Courtesy Faculty

Israel Fellows

Takedown

Social Media Lab

2024 MIP Class

Masters in International Policy

Capstone

Meet the Class

Graduation

Profile

Admissions

Alumni

Internship Blog

Conference Blog

Class of 2024

Class of 2025

Infrastructure

Walter H. Shorenstein Asia-Pacific Research Center

Center for Health Policy / Department of Health Policy

Center for International Security and Cooperation

Center on Democracy, Development, and the Rule of Law

Freeman Spogli Institute for International Studies

The Europe Center

Center on Food Security and the Environment

Stanford Center at Peking University

Bechtel Conference Center At Encina Hall

Internal Center (Content Staging)

Cyber Center

Center on China’s Economy and Institutions

Program on Energy and Sustainable Development

Korea Program

Southeast Asia Program

Stanford Program on Regions of Innovation and Entrepreneurship

China Program

Stanford Program on International and Cross-Cultural Education

Global Affiliates Program

Asia Health Policy Program

Program on Human Rights

Rural Education Action Program

Arab Reform and Democracy Program

Draper Hills Summer Fellows Program

Program on Poverty and Governance

Japan Program

Stanford International Crime and Violence Lab

Austrian and Central European Program

European Governance

Europe and the Global Economy

Migration

France and the Francophone World

Iberian Studies Program

Industrial Affiliates Program

Program on American Democracy in Comparative Perspective

Taiwan Democracy Project

GDPI

Student Programs

Global Populisms

Ford Dorsey Master's Program in International Policy

Leadership Academy for Development

Public Problem Solving Program

Internet Observatory Program

Cyber GTG

Mappingmilitants cisac

European Security Initiative

Russian Power and Purpose in the 21st Century

Stanford Impact Labs

Program on Turkey Website

Stanford Existential Risks Initiative

Sipr

REDI

World House

Leadership Network for Change Program

Cyber Test

Governance of Emerging Technologies

Stanford U.S.-Russia Forum

Abstracts

Blogs

Books

Book Chapters

Case Studies

Conference Memos

Commentary

Dissertations

Journal Articles

News

Policy Briefs

Q&As

Testimonies

White Papers

Reports

Working Papers

Annual Reports

Brochures

Newsletters

Journal Articles

Effect of the mHealth-Supported Healthy Future Programme Delivered by Community Health Workers on Maternal and Child Health in Rural China: Study Protocol for a Cluster Randomised Controlled Trial

BMJ Open, 2023

Introduction Millions of young rural children in China still suffer from poor health and malnutrition, partly due to a lack of knowledge about optimal perinatal and child care among rural mothers and caregivers. Meanwhile, there is an urgent need to improve maternal mental health in rural communities. Comprehensive home visiting programmes delivered by community health workers (CHWs) can bridge the caregiver knowledge gap and improve child health and maternal well-being in low-resource settings, but the effectiveness of this approach is unknown in rural China. Additionally, grandmothers play important roles in child care and family decision-making in rural China, suggesting the importance of engaging multiple caregivers in interventions. The Healthy Future programme seeks to improve child health and maternal well-being by developing a staged-based curriculum that CHWs deliver to mothers and caregivers of young children through home visits with the assistance of a tablet-based mHealth system. This protocol describes the design and evaluation plan for this programme.

Methods and analysis We designed a cluster-randomised controlled trial among 119 rural townships in four nationally designated poverty counties in Southwestern China. We will compare the outcomes between three arms: one standard arm with only primary caregivers participating in the intervention, one encouragement arm engaging primary and secondary caregivers and one control arm with no intervention. Families with pregnant women or infants under 6 months of age are invited to enrol in the 12-month study. Primary outcomes include children’s haemoglobin levels, exclusive breastfeeding rates and dietary diversity in complementary feeding. Secondary outcomes include a combination of health, behavioural and intermediate outcomes.

Postnatal Mental Health, Breastfeeding Beliefs, and Breastfeeding Practices in Rural China

International Breastfeeding Journal, 2022

Background: The importance of breastfeeding in low- and middle- income countries is well recognized, yet the importance of postnatal mental health on breastfeeding practices and beliefs in these settings has been understudied. This study investigates the associations between maternal mental health problems, breastfeeding beliefs and breastfeeding practices in rural China.

Methods: Cross-sectional data were collected in November and December 2019 from 742 mothers of infants under 6 months old in rural Sichuan Province, China. Maternal mental health (depression, anxiety, and stress symptoms) was assessed using the Depression, Anxiety, and Stress Scale (short form). Breastfeeding beliefs were assessed using the Iowa Infant Feeding Attitude Scale and Breastfeeding Self-Efficacy Scale (short form). Breastfeeding practices were assessed through a 24-h dietary recall questionnaire. Ordinary least squares regression, multiple logistic regression and heterogeneous effects analyses were used to identify associations between symptoms of mental health problems and breastfeeding outcomes.

Results: The average age of sample infants was 2.7 months. Among mothers, 13% showed symptoms of depression, 16% anxiety, and 9% stress. The prevalence of exclusive breastfeeding in the previous 24 h was 38.0%. Depression symptoms were significantly associated with breastfeeding attitude and breastfeeding self-efficacy. Anxiety and stress symptoms were significantly associated with breastfeeding self-efficacy. There were no significant associations between symptoms of mental health problems and exclusive breastfeeding. The heterogeneous effects analyses revealed that less educated mothers with symptoms of stress had lower odds of exclusive breastfeeding than educated mothers without symptoms of stress. Mothers of younger infants had higher odds of exclusive breastfeeding than the mother of older infants, regardless of depression, anxiety, or stress symptoms.

Conclusion: Symptoms of maternal mental health problems are significantly associated with breastfeeding attitude and self-efficacy; however, these symptoms are not associated with breastfeeding practices. Maternal educational level and infant age may play a role in mothers’ breastfeeding practices. To improve breastfeeding practices, interventions should employ a multi-dimensional approach that focuses on improving maternal mental well-being and considers demographic characteristics.

Journal Articles

Publications

Effect of the mHealth-Supported Healthy Future Programme Delivered by Community Health Workers on Maternal and Child Health in Rural China: Study Protocol for a Cluster Randomised Controlled Trial

Postnatal Mental Health, Breastfeeding Beliefs, and Breastfeeding Practices in Rural China

Postnatal Mental Health, Hand Washing Practices, and Infant Illness in Rural China

Health, Economic, and Social Implications of COVID-19 for China's Rural Population

Variations in the Home Language Environment and Early Language Development in Rural China