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Background: To explore the associations between anxiety and depression symptoms and academic burnout among children and adolescents in China, and to examine the role of resilience and self-efficacy in addressing academic burnout.

Methods: A total of 2,070 students in grades 4–8 were recruited from two primary and three middle schools in Shanghai, completed the Elementary School Student Burnout Scale (ESSBS), the Multidimensional Anxiety Scale for Children-Chinese (MASC-C), the Center for Epidemiological Studies Depression Scale (CES-D), the Connor-Davidson Resilience Scale (CD-RISC), and the General Self-Efficacy Scale (GSES), with 95.04% effective response rate. Multivariable regression analyses examining the associations between anxiety / depression symptoms and academic burnout (as well as the associations between resilience / self-efficacy and academic burnout) were performed using STATA 16.0 and SmartPLS 3.0.

Results: Anxiety symptoms (β = 0.124, p < 0.01) and depression symptoms (β = 0.477, p < 0.01) were positively correlated with academic burnout. Resilience partially mediated the association between depression symptoms and academic burnout (β = 0.059, p < 0.01), with a mediation rate of 12.37%. Self-efficacy partially mediated the associations between anxiety symptoms and academic burnout (β = 0.022, p < 0.01) and between depression symptoms and academic burnout (β = 0.017, p < 0.01), with mediation rates of 17.74% and 3.56%, respectively. Resilience and self-efficacy together (β = 0.041, p < 0.01) formed a mediating chain between depression symptoms and academic burnout, with a mediation rate of 8.6%.

Conclusions: Anxiety and depression symptoms were positively associated with academic burnout. Resilience and self-efficacy were found to mediate the associations partially.

Journal Publisher
BMC Psychology
Authors
Huan Wang
Scott Rozelle
Xinshu She
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Background: Maternal empowerment - the capacity to make decisions within households - is linked to better child feeding and nutritional outcomes, but few studies have considered the mediating role of caregiver knowledge. Further, existing literature centres primarily on the husband-wife dyad while overlooking grandmothers as important childcare decision-makers.

Methods: We collected primary data through household surveys in 2019 and 2021 from 1190 households with infants zero to six months living in rural western China. We identified the primary and secondary caregivers for each infant and assessed their feeding knowledge and practices, as well as infant nutritional status. We constructed a maternal empowerment index using a seven-item decision-making questionnaire and examined the relationship between maternal empowerment in childcare and household decisions, caregivers' feeding knowledge, and infant feeding practices and nutritional outcomes.

Results: Mothers had significantly higher levels of feeding knowledge than secondary caregivers (most were grandmothers, 72.7%), with average knowledge scores of 5.4 vs. 4.1, respectively, out of 9. Mothers and secondary caregivers with higher levels of feeding knowledge had significantly higher exclusive breastfeeding rates by 13-15 percentage points (P < 0.01) and 11-13 percentage points (P < 0.01), respectively. The knowledge of secondary caregivers was even more strongly associated with not feeding formula (15 percentage points, P < 0.01). Mothers empowered to make childcare decisions were more likely to exclusively breastfeed (12-13 percentage points, P < 0.01), less likely to formula feed (9-10 percentage points, P < 0.05), and more likely to have children with higher Z-scores for length-for-age (0.32-0.33, P < 0.01) and weight-for-age (0.24-0.25, P < 0.05). Effects remained after controlling for maternal feeding knowledge.

Conclusions: While mothers' and grandmothers' feeding knowledge was both important for optimal infant feeding, grandmothers' knowledge was particularly critical for practicing exclusive breastfeeding. Given the disparity in feeding knowledge between the two caregivers, our study further shows that mothers empowered in childcare decision-making were more likely to exclusively breastfeed their infants. This implies that some mothers with adequate knowledge may not practice optimal feeding because of lower decision-making power. Overall, our study highlights the role of secondary caregivers (grandmothers) in infant care and suggests that future child nutritional interventions may benefit from involving secondary caregivers (grandmothers).

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Journal of Global Health
Authors
Yunwei Chen
Alexis Medina
Gary Darmstadt
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Improved survival of preterm low birthweight (LBW) infants due to advances in neonatal care has brought issues such as postnatal development trajectories to the foreground. This study pools evidence from three cluster-randomized experiments evaluating community-based psychosocial stimulation programs conducted from 2014 to 2017 that included 3571 rural Chinese children aged 6–24 months (51.1% male, 96.2% Han Chinese). The risk of severe cognitive delay was found to be 26.5 percentage points higher for preterm LBW children than for their peers at age 2.5, with a prevalence rate of 48.3%. Results show that psychosocial stimulation interventions can improve child cognitive development at scale, with beneficial impacts on child cognition disproportionately larger for preterm LBW children, helping them to catch up developmentally.

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Child Development
Authors
Yun Shen
Scott Rozelle
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To better understand the impacts of parenting interventions (e.g., parental training of psychosocial stimulating activities) on child developmental outcomes and design effective policies to benefit young children, it is essential to identify the mechanisms through which the interventions work. To this end, this paper presents the results of two randomized controlled trials that offered home visitation, parenting trainings to 435 households (with 527 households as the control group) in 174 villages across three provinces in China. The findings from the randomized controlled trials showed that the interventions significantly improved child cognitive development and had a positive effect on the primary caregivers’ parenting practices and their parenting beliefs. The analysis suggests three possible mechanisms through which the parenting interventions affected child cognitive development: changing the parenting beliefs of the primary caregivers, shifting the parenting practices of the primary caregivers, and improving the primary caregivers’ parenting beliefs, thus fostering better parenting practices.

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World Development
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Scott Rozelle
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According to Communist Party discourse, China’s ‘New Era’ began when Xi Jinping was anointed Party boss in 2012. The shape of this New Era became eminently clear in 2023 when Xi commenced his third five-year term as General Secretary of the Party, a fortification of one-man authoritarian rule unprecedented in post-Mao China. Under Xi, the Party has expanded its influence over government, the economy and society. The Party-State is now more Party than State. The year 2023 saw other ‘new eras’ for China as well. Despite initial optimism sparked by the end of COVID-19 restrictions in late 2022, the Chinese economy in 2023 was buffeted by continuing property sector woes, record unemployment, and an unfolding local government debt crisis. Globally, China adopted a series of new and ambitious diplomatic initiatives to woo the Global South and amplify its voice on the world stage. The China Story Yearbook 2023: China’s New Era provides informed perspectives on these and other important stories that will resonate for years to come.

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Scott Rozelle
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Australian National University Press
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Heather Rahimi
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Globe focused on China with text overlay of the report title, "Bay Area Council Conversations: Finding Opportunity in U.S.-China Economic Relations"

 

Huan Wang, SCCEI Research Scholar, and Matthew Boswell, Associate Director of External Affairs, participated in an event jointly sponsored by SCCEI, the Bay Area Council Economic Institute, and the Shenzhen-based China Development Institute focused on finding opportunities in U.S.-China economic relations. In December 2023, 15 experts and three moderators joined in conversation to discuss areas of possible cooperation such as trade and investment, climate, agtech, health, automotive, and more. 

Mid-way through the symposium, experts pivoted to discuss university and scientific research cooperation between the U.S and China. Dr. Huan Wang shared challenges her research team at Stanford faces both conducting research on the ground in China and working on China-related research from the U.S. She stated that, "These arbitrary barriers by the U.S. are causing collaboration between the U.S. and China to disappear. The incentive system within the Chinese academic world has changed, transitioning from working with U.S. universities as an asset to a liability for Chinese scholars. This has decreased the interest in and incentive for collaboration with U.S. research groups, leading to a polite refusal of collaborations. This situation is a loss not only for the U.S., in understanding China issues, but also for improving the quality of life and human capital in China, and for advancing human knowledge globally." Mathew Boswell and Dr. Wang continued in dialogue about how stakeholders can better facilitate collaborations between the two nations. 

Read the conversation transcript and download the event report. 

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Panel session during the SCCEI China Conference.
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Craig Allen speaks at SCCEI 2024 conference
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Silicon Showdown: Craig Allen Unpacks the Competition for Technology Leadership between the U.S. and China

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SCCEI team members Huan Wang, Research Scholar, and Matthew Boswell, Associate Director of External Affairs, joined in conversation with 15+ experts on where, despite obstacles, opportunities can still be found to build business and economic ties between the U.S. and China.

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Kelly Reiling is a project manager at the Rural Education Action Program (REAP) at Stanford Center on China’s Economy and Institutions (SCCEI). Kelly graduated from Colgate University in 2022 with a B.A. in International Relations and Chinese Language. Following graduation, she lived in Taitung, Taiwan on a Fulbright Fellowship, where she taught English and coached soccer to elementary school students. Her experiences at Colgate and in Taiwan instilled in her a deep interest in cross-cultural collaboration, early education, and Chinese language, which led her to join REAP in the summer of 2024. Kelly works on a variety of subjects at SCCEI, including early childhood development research and health, education, and public policy projects.

Project Manager, Rural Education Action Program
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James Irvin Miller Professor of Finance, Stanford Graduate School of Business
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Professor Zhiguo He is the James Irvin Miller Professor of Finance at the Graduate School of Business, Stanford University. He is a financial economist whose expertise covers financial markets, financial institutions, and macroeconomics broadly. He is also conducting academic research on Chinese financial markets, and writing academic articles on new progress in the area of cryptocurrency and blockchains. Before joining Stanford GSB, he was on the faculty of Chicago Booth from 2008 to 2023, where he received tenure in 2015 and led Becker Friedman Institute China from 2020 to 2023.

His research has been published in leading academic journals in finance and economics. After serving as associate editors for several leading academic journals, He served as the guest editor of the Review of Finance “Special Issue on China” and currently serves as the editor of the Review of Asset Pricing Studies.

Professor He received his bachelor and master degrees from the School of Economics and Management at Tsinghua University before receiving his PhD from the Kellogg School of Management at Northwestern University in 2008. He has been named a 2014 Alfred P. Sloan Research Fellow, and has won numerous awards for his outstanding scholastic record, including the Lehman Brothers Fellowship for Research Excellence in Finance, the Swiss Finance Institute Outstanding Paper Award, the Smith-Breeden First Prize, and the Brattle Group First Prize. Before his academic career at Chicago Booth, he worked as a stock analyst at the China International Capital Corporation in Beijing in 2001 and visited the Bendheim Center for Finance at Princeton University as a post-doctoral fellow in 2008.

In Autumn 2015 Professor He was the Dean’s distinguished visiting scholar at Stanford University, Graduate School of Business, and in winter 2020 he was a visiting professor of finance at Yale University, School of Management. In January 2020, he testified at U.S.-China Economic and Security Review Commission (USCC) Hearing on “China’s Quest for Capital: Motivations, Methods, and Implications.”

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Where is China’s economy headed and what are the implications for the rest of the world? More than 20 expert panelists weighed in over two days of discussions during the inaugural Stanford China Conference, hosted by the Stanford Center on China’s Economy and Institutions.

The invite-only event aimed to bring empirical scholarship on China from the quantitative social sciences to the forefront of debates about China and U.S.-China relations. Over the course of the conference, panelists engaged in a lively, off-the-record exchange with an audience of scholars and students from across campus as well as experts and business leaders from Silicon Valley. 

Panel session during the SCCEI China Conference.
The conference convened over 100 people from within academia, business, and policy making. Panelists shared data-driven research to help decode the nuanced impacts of policy changes, technological advancements, demographic trends, and more.

Economic Growth is No Longer China’s Top Priority

A panel of economists from the U.S. and China agreed that China's economy is at a structural turning point where economic growth is no longer the primary objective of the government. Instead, the new focus appears to be on building a modern industrial system that prioritizes state-owned enterprises (SOEs) and state entities over the private sector whose dynamism has fueled past decades of growth.

Panelists agreed that in this new context, policymaking will be more important than ever. But the evidence suggests China’s government is abandoning its former tolerance for policy experimentation at the local level and embracing centrally formulated “moonshot” objectives driven by the state. Meanwhile, policies seeking to drive domestic consumption appear to be taking a back seat, as cautious households protect their savings and wrestle with losses in the troubled property sector.

Further complicating the picture are cash-strapped local governments. Provinces and municipalities that once financed themselves with land sales face severe fiscal strain in the wake of China’s property bust, with debts near 100% of GDP. One panelist shared analysis showing some cities face debts exceeding 800% of their annual budgets, underfunded pension systems, and reductions in civil servant benefits of up to 30%.

Genuine GDP growth on the order of 5% per year could help China grow out of its problems but no panelist was able to say with confidence what sectors could replace the property sector in driving that level of growth. While the panelists agreed we may not be at “peak China,” the country’s leadership is taking a major gamble by empowering the state sector and doubling down on manufacturing, while doing little to reassure private business and households. 

The Evolving View from Europe

China’s apparent aim to export its way out of trouble has caused a fundamental shift in Europe’s approach to the country, according to panelists from Germany and France. In response to a flood of commodity and green tech imports, the panelists point out that Europe has steadily developed and deployed policy tools like tariffs to combat the challenges posed by China’s industrial policy.

At the same time, they were careful to emphasize that Europe must also learn from China in sectors where it has surged ahead of European counterparts. One panelist deemed China “a fitness center” for foreign firms that not only draws on high levels of state support but also on a world-class pool of high-end engineers and businesses honed by the demanding Chinese consumer. Foreign firms can learn from Chinese competitors to be faster in production and take more risks. German car companies, for example, are in China not for the market, but instead to unlearn how to build traditional cars and learn how to build “mobile phones on wheels” – the electric vehicles that China’s firms lead the world in producing. 

Tech Competition with the U.S. Heats Up, Fueling Unintended Consequences

Panelists from Silicon Valley and U.S. business groups highlighted the U.S. government’s multiplying efforts to hem in China’s tech ambitions through use of export controls on advanced semiconductors, onshoring with the CHIPS act, and impending controls on outbound investments, artificial intelligence, cloud services, data flows, and biotech.

They asserted that though these measures have hurt China’s tech ecosystem and exacerbated a flow of entrepreneurial talent out of China, they have also spurred a series of unintended consequences. For example, many Chinese venture capitalists have decamped to Japan and Singapore, where they comprise a new generation adept at reading China’s policies and identifying niches to found startups where American funds are barred from playing. U.S. tech controls have also induced consolidation around China’s “national champion” firms like Huawei, which has seen profits jump, while market share for American tech firms active in China like Apple have only declined.

As for generative AI, panelists asserted that China will remain persistently behind the U.S. by two to four years, partly due to lack of access to best-in-class chips and other hardware, but also because the unpredictable nature of generative AI is unpalatable to China’s leaders seeking control over politics, society, and culture. Nevertheless, China may still jump ahead in other applications of AI, like self-driving tech, advanced manufacturing, and robotics. A case in point: China’s tremendous manufacturing capacity offers abundant use cases to train AI in advanced manufacturing.

No Easy Solutions for Demographic, Labor Market Trends

A panel of economists and sociologists highlighted troubling, longer-term trends in China’s labor force. A panelist from China presented new research showing that the rapid advancement of AI is threatening China’s white-collar jobs and causing dramatic changes in the manufacturing sector, including declining skill requirements for blue-collar workers and a steady rise in unstable, short-term employment for unskilled workers. She pointed out that the proportion of China’s college graduates taking jobs in the formal sector (i.e., salaried positions with benefits) has been declining since 2013, with more women entering these roles and consequently delaying childbearing. This trend contributes to China’s precipitously declining birth rate (from 18 million children born in 2017 to just 11 million in 2021), saddling the country with an aging society for the foreseeable future. Other panelists emphasized the hundreds of millions of underemployed rural Chinese and uneven progress in China’s universal education as posing significant obstacles to sustainable growth with few easy solutions.

Grim Outlook for U.S.-China Relations

Two panels of political scientists and historians pointed out that China’s apparent shift away from the market is a feature, not a bug, of current leader Xi Jinping’s administration. They asserted that China’s economic liberalization of the 1980s, 1990s, and 2000s was never a goal in itself, but rather a means to generate the material basis required to keep the ruling regime in power. Now, decades of growth have made it possible for China’s leaders to reembrace central planning to harness “new productive forces” in the industries of the future, harden supply chains, and extend social controls. In doing so, the leadership is purposefully choosing not to empower China’s consumers and households, and instead preparing for prolonged confrontation with the U.S., no matter the long-term cost to the economy. In this era of competition, cooperation, even when desirable by either the U.S. or China, remains difficult because both sides fear openness to cooperation will be exploited as a vulnerability by the other.

Letting Data Take the Lead

The throughline of the conference was that empirical research is essential for understanding the complex dynamics of China’s economy and politics. Data-driven research helps decode the nuanced impacts of policy changes, technological advancements, demographic trends, and more. By providing a platform for interdisciplinary exchange, SCCEI aims to put empirical research at center stage to enhance understanding of China’s current trajectory and inform more robust and adaptive policy to navigate future challenges.


 
Stanford Affiliated Panelists

Paul Gregory is a Research Fellow at the Hoover Institution. He is the Cullen Professor Emeritus in the Department of Economics at the University of Houston, a Research Fellow at the German Institute for Economic Research in Berlin, and Emeritus Chair of the International Advisory Board of the Kiev School of Economics.

Zhiguo He is the James Irvin Miller Professor of Finance at the Graduate School of Business at Stanford University.

Hongbin Li is the Co-director of Stanford Center on China's Economy and Institutions, and a Senior Fellow of Stanford Institute for Economic Policy Research and the Freeman Spogli Institute for International Studies at Stanford Unviersity.

Jennifer Pan is the Sir Robert Ho Tung Professor of Chinese Studies, Professor of Communication and (by courtesy) Political Science, and a Senior Fellow at the Freeman Spogli Institute at Stanford University.

Scott Rozelle is the Co-director of Stanford Center on China's Economy and Institutions and the Helen F. Farnsworth Senior Fellow at the Freeman Spogli Institute for International Studies and Stanford Institute for Economic Policy Research at Stanford University.

Joseph Torigian is a Research Fellow at the Hoover Institution. He is an Assistant Professor at American University in Washington, a Global Fellow at the Wilson Center, and a Center Associate of the Lieberthal-Rogel Center for Chinese Studies at the University of Michigan.

Guoguang Wu is a Senior Research Scholar at the Stanford Center on China’s Economy and Institutions at Stanford University.

Chenggang Xu is a Senior Research Scholar at the Stanford Center on China's Economic and Institutions and a Visiting Fellow at the Hoover Institution at Stanford University. He is also a Visiting Professor in the Department of Finance at Imperial College London.

Yiqing Xu is an Assistant Professor of Political Science at Stanford University.

Xueguang Zhou is the Kwoh-Ting Li Professor in Economic Development, a Professor of Sociology, and a Senior Fellow at the Freeman Spogli Institute for International Studies at Stanford University.



Discover more from the inaugural SCCEI China Conference which brought together over 20 expert panelists from around the world and from across Stanford’s schools and disciplines, as well as experts and business leaders from Silicon Valley and the Bay Area to share insights on China's economic prospects. 
 


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Silicon Showdown: Craig Allen Unpacks the Competition for Technology Leadership between the U.S. and China

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Where is China’s economy headed and what are the implications for the rest of the world? Over 20 expert panelists weighed in over two days of discussions during the inaugural SCCEI China Conference.

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Heather Rahimi
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The evolving dynamics of technological leadership and the increasing strain on U.S.-China relations pose significant challenges for global innovation and economic stability, Craig Allen, President of the U.S.-China Business Council, told an audience at Stanford University on May 3, 2024. His speech delved into China's ambitious technological goals, the impact of U.S. export controls, and the future landscape of global innovation amidst rising geopolitical tensions.

Allen began with an anecdote about a conversation with the governor of one of China's poorest agricultural provinces. When asked about his economic priorities, the governor cited advanced technologies such as semiconductors and biotechnology, mirroring the sectors highlighted in the Made in China 2025 plan. This response underscored China's government's relentless focus on technological advancement across all levels of government, which Allen described as a "techno-utopian quest."

Allen traced the roots of China's techno-utopianism back over a century ago to the May 4th Movement, which called for a new culture based on science and democracy. He argued that this vision aligns perfectly with Marxist ideology and the Communist Party's current policies. "China’s leaders have long believed in the transformative power of technology," Allen noted, "a belief that is deeply embedded in their political and ideological fabric."

China’s leaders have long believed in the transformative power of technology, a belief that is deeply embedded in their political and ideological fabric.

Allen emphasized that China is not just an "innovation sponge" but has also become a leader in its own right. "China’s definition of innovation is tailored to its needs," he said, "differing significantly from the Silicon Valley model." He outlined five key points about the new productive forces that may distinguish Shenzhen from Silicon Valley:

  1. China recognizes that it is facing an acute labor shortage and is thus focusing on factory automation and efficient production in mature industries.
  2. China wants to spur innovation and create new industries at almost any cost.
  3. There is an overwhelming mandate for self-reliance and import substitution. 
  4. There is plenty of government money.  
  5. China plans to turn “data” into the “fifth factor of production”, behind – land, capital, labor, and entrepreneurship. 
     

China’s innovation is evident in its ambitious industrial policies, which are supported by substantial government funding and a strategic focus on self-reliance and import substitution.

Allen continued to discuss the implications of the U.S. export controls aimed at decoupling from China, highlighting the unintended consequences for American companies. He pointed out that unilateral export controls often harm U.S. firms more than their intended targets by reducing their customer base and long-term competitiveness. "We must recognize that these controls can backfire, hurting our own industries while China accelerates its push for technological independence," Allen warned.

We must recognize that these [export] controls can backfire, hurting our own industries while China accelerates its push for technological independence.

Another critical issue raised by Allen was the regulation of data flows. China's Cyber Administration has introduced stringent controls over cross-border data transfers. "The regulatory environment is becoming increasingly complex," Allen explained, "making it challenging for companies to maintain operational connectivity and compliance across borders."

From a corporate perspective, Allen urged companies to recognize the political realities and prepare for potential conflicts that could disrupt international trade. Many American firms are already scenario planning for severe sanctions, similar to those imposed on Russia, to ensure business continuity. "Strategic foresight is essential," he advised, "as geopolitical tensions between the U.S. and China show no signs of abating."

Craig Allen's remarks were a reminder of the far-reaching implications of the competition for technology leadership between the U.S. and China. His insights underscored the need for a nuanced understanding of China's ambitions and the strategic adjustments required for American businesses to navigate this complex landscape. As the world witnesses unprecedented techno-economic competition, the stakes for both nations and the global economy could not be higher.

All views Craig Allen shared are his own and do not reflect the positions of the US-China Business Council.
 



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Discover more from the inaugural SCCEI China Conference which brought together over 20 expert panelists from around the world and from across Stanford’s schools and disciplines, as well as experts and business leaders from Silicon Valley and the Bay Area to share insights on China's economic prospects. 
 


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Craig Allen, the President of the U.S.-China Business Council, spoke on the evolving dynamics of technological leadership between the U.S. and China and their implications for the rest of the world.

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