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Background: Poor mental health affects caregivers' parenting practices and threatens the early development of children under 2 years old. This study examined the correlations between caregivers' mental health and parenting practices among 5- to 24-month-old children in rural China.

Methods: Data were collected in two cohorts (October 2022 and March 2023) from 948 households randomly sampled from 120 villages. Dependent variable: parenting practices measured by the Family Care Indicators (FCI). Independent variables: caregiver mental health (DASS-21), perceived social support (MSPSS) and socioeconomic status (SES; household asset index, caregiver education). Models adjusted for child age, child sex, caregiver age and household size, with standard errors clustered at the village level.

Results: Although caregivers provided more play materials for their children compared to previous research, the variety of play materials did not improve. Depressive symptoms among caregivers were associated with inadequate parenting practices, particularly with providing a lower variety of play materials. Both lower SES and more severe caregiver depressive symptoms were linked to less stimulating parenting, whereas higher perceived social support was associated with more stimulating practices and partially attenuated these SES- and mental health–related disparities.

Conclusion: Although rural Chinese caregivers now supply more play materials, limited diversity and widespread caregiver mental health risks persist. Strengthening caregiver mental health and social support could enrich home stimulation and improve early childhood development.

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Child: care, health and development
Authors
Hanwen Zhang
Scott Rozelle
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China’s urbanization has created growing peri-urban communities, where children face challenges to early childhood development (ECD) despite proximity to developed urban areas. Little is known about how the environmental factors of ECD differ between rural migrants and new urban residents. To address this, we sampled 77 peri-urban households with 18–24-month-old Han Chinese children to examine the associations between early cognitive and language development, parental self-efficacy, stimulating parenting practices, and the home language environment measured with Language Environment Analysis (LENA). We find that rural migrants and new urban residents exhibited no significant difference in any child or household characteristic except parental residency. There was no significant difference in the family environment factors or early cognitive or language development, either. However, parental self-efficacy and stimulating parenting practices both predicted better cognitive and language development in rural migrant households, whereas only conversation turn counts predicted better language development in new urban resident households.

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Applied Developmental Science
Authors
Hanwen Zhang
Scott Rozelle
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Background
Under-resourced communities in rural China have long faced limitations in accessing and utilising caregiver and child healthcare (CCH). The COVID-19 pandemic exacerbated health inequities globally, while its precise impacts on CCH remain understudied. We report differences in parental migration, maternal mental health, household and nutrition expenditures, child feeding practices, and prenatal, postnatal, and childbirth care following pandemic lockdowns in rural China.

Methods
We compared two groups of families with children who grew to the age of six months either before or during lockdowns. We enrolled eligible households from 80 rural townships, randomly selected from four poverty-designated counties in Sichuan Province, China. We interviewed the control group of primary caregivers in November and December of 2019 (pre-COVID-19), and the case group in May of 2020 (approximately five months into the pandemic). Statistical analyses included t tests and linear regressions with adjustments. P-values <0.05 were considered statistically significant.

Results
Compared to the control group, the case group presented significantly lower paternal migration and more favourable maternal mental health. Caregiving behaviours (including household and nutrition expenditures) and child feeding practices did not differ, except for higher spending on infant micronutrient supplements. Prenatal health services utilisation, including home visits, was slightly higher, while postnatal services utilisation was lower.

Conclusions
Our findings suggest that many aspects of CCH in rural China were similar or improved during the early pandemic lockdowns. These data highlight the importance of promoting targeted public health interventions, such as mental health support initiatives, accessible perinatal care options, and family-centred education campaigns, in under-resourced communities and during future healthcare crises.

Journal Publisher
Journal of Global Health
Authors
Gary Darmstadt
Yunwei Chen
Scott Rozelle
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The Economist included SCCEI Co-Director Hongbin Li's new book in their lineup of the best books of 2025. Here's what they had to say:

"The Highest Exam: How the Gaokao Shapes China. By Ruixue Jia and Hongbin Li with Claire Cousineau. 

The gaokao—China’s university entrance exam—shapes much of the country’s society, from pay to politics. Read this thoughtful book to learn how the test is the first of many tournaments in which the Chinese have to compete over the course of their lives."

See the full list: https://www.economist.com/culture/2025/11/20/the-best-books-of-2025 

Read More

A girl in China sits at a classroom desk taking a test.
News

Hongbin Li Contributes to the WSJ and Previews New Book "The Highest Exam"

Co-authors Hongbin Li and Ruixue Jia write for the WSJ, "The Test That Rules Chinese Society: The gaokao is China’s college entrance exam, but it shapes the country and its people far beyond the classroom."
Hongbin Li Contributes to the WSJ and Previews New Book "The Highest Exam"
Yiqing Xu and Hongbin Li sit on a stage during a SCCEI event.
News

China's Test-based Education System is a Mirror of Society

Hongbin Li and Ruixue Jia joined Yiqing Xu for a fireside chat on their newly published book, "The Highest Exam: How the Gaokao Shapes China." Watch the recording and see event highlights.
China's Test-based Education System is a Mirror of Society
Hundreds of students sit at desks in rows taking an exam.
Q&As

Understanding China’s Gaokao Exam

Authors Hongbin Li and Ruixue Jia break down their new book, "The Highest Exam: How the Gaokao Shapes China", in an interview with Harvard University Press.
Understanding China’s Gaokao Exam
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Illustration of a woman reading on a couch with a Christmas tree behind her.
Illustration: Tatyana Alanis
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On November 20, 2025 The Economist published their list of the best books of 2025 and included Hongbin Li's new book, "The Highest Exam: How the Gaokao Shapes China" in the line-up.

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Background
The quality of parenting can affect the developmental outcomes of young children. This study aims to investigate the associations between parenting quality and the early childhood development of children under age 3 across four major rural subpopulations in China.

Methods
Using a stratified cluster sampling method, 760 children aged 6–36 months and their primary caregivers in four rural subpopulations from four provinces and a metropolis in China were surveyed. Child development was assessed by the Third Edition of the Bayley Scales of Infant and Toddler Development. Parenting quality was measured using the Family Care Indicators. Data were analyzed using descriptive statistics, t-tests, multivariable regression analysis, and linear regression analysis.

Results
Across the four subpopulations, prevalences of delays of the sample children in four domains — cognition, language, social-emotional, and motor development are 52%, 45%, 52%, and 19%, respectively. The proportion of children with any type of delay is 82%, while over half (53%) have delays in at least two areas, and 27% have delays in three or more areas. Child’s mother as the primary caregiver, maternal education levels, and family asset values are all positively associated with the quality of parenting. Notably, low levels of parenting quality in rural China are linked to high rates of developmental delays.

Conclusions
This study demonstrates that the level of parenting quality is significantly associated with early childhood developmental outcomes. Results highlight the need for raising investments in family care to improve early childhood development in different rural subpopulations in China.

Journal Publisher
BMC Psychology
Authors
Scott Rozelle
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After several years of rapid growth, the 2024–25 academic year has marked a new chapter for the Stanford Center on China’s Economy and Institutions (SCCEI) as we emerge as one of the world’s leading empirically grounded research centers on contemporary China. Today, SCCEI encompasses four vibrant research programs—China Labor, Income, and Population; Political Economy and Governance; the Rural Education Action Program; and Sustainability and Energy Transition.

But SCCEI has grown to be much more than a home for rigorous research. It has become a community of learning, teaching, sharing, and support—among Stanford students and faculty, our visiting scholars, and a global audience that engages with our work far beyond campus.

Read our annual report for the 2024-25 academic year to learn about the research, programming, and impact we've made this year. 

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Annual Reports
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The SCCEI 2024-25 Annual Report is now available. Learn about the research, programming, and impact we've made this year. 

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SCCEI Seminar Series (Winter 2026)


Friday, March 6, 2026 | 12:00 pm -1:20 pm Pacific Time
Goldman Room E409, Encina Hall, 616 Jane Stanford Way


Enlightenment Under Autocracy: The Origins of Liberalism in China


This paper studies how ideas emphasizing individual moral agency diffuse and shape political behavior under autocracy by tracing the spread of Wang Yangming’s School of Mind in late imperial China. Using a new dataset of over 24,000 historical texts from 1000 to 1900, we measure regional exposure with two indicators: the frequency of core concepts and the count of associated authors. We also introduce a semantic-similarity measure that compares local texts to Yangming’s writings. A difference-in-differences design shows a sharp post-1500 rise in exposure, concentrated in places with stronger lecture influence. Prefectures with higher exposure were more likely to produce reformist leaders in the Donglin Movement (1604–1627). Using contemporary survey data from 2010 and a matched-sample approach, we further document long-run persistence. Residents in historically exposed prefectures express stronger support for the right to discuss public affairs and for limiting government involvement in private affairs. Together, the results link the diffusion of Yangming learning to reformist mobilization among elites and to durable attitudes toward political voice and the appropriate scope of government.



About the Speaker 
 

Melanie Meng Xue profile.

Professor Melanie Meng Xue is Assistant Professor of Economic History at the London School of Economics and Political Science and a Research Affiliate at the Centre for Economic Policy Research. Her research lies at the intersection of political economy, gender, culture, and economic history, with a regional focus on early modern and modern China. Her work explores the rise of women, the persistence of authoritarian regimes, and the long-term impact of affirmative action and cultural values on economic and political inequality.

Her articles examine topics such as folklore and proverbs as sources of cultural transmission, and she is currently working on a book project analyzing cultural values across ethnic groups and regions in China. Professor Xue has published widely, and her research has influenced both academic and public discourse on the role of historical narratives and norms in shaping institutional development. She received her Ph.D. in Economics and has mentored research assistants who have gone on to top Ph.D. and pre-doctoral programs. During the 2025–26 academic year, she will be on sabbatical, spending the fall semester at Yale University.



Questions? Contact Xinmin Zhao at xinminzhao@stanford.edu
 


Goldman Room E409, Encina Hall

Melanie Meng Xue, Assistant Professor of Economic History, London School of Economics
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This event has been cancelled.

We hope to see you at another SCCEI event soon!



SCCEI Seminar Series (Winter 2026)


Friday, February 20, 2026 | 12:00 pm -1:20 pm Pacific Time
Goldman Room E409, Encina Hall, 616 Jane Stanford Way


Competitive Human Capital Investment: Evidence from Housing Prices and Educational Expenditures


The hypothesis of competitive human capital investment posits that one important motivation for parents to invest in their children’s education is to help them to develop an advantage in their future dating and marriage market. If ownership of certain housing conveys a right to access to high-quality educational resources, a “good-school” premium is embedded in the prices of such home ownership. The size of the premium may reflect the degree of local marriage market competition. We investigate such an effect using housing prices and the location of top schools in 33 Chinese cities. We find robust evidence that the local sex ratio of the youth cohort is a strong predictor for the size of the local “good school” premium. We also find that the households from cities with a higher sex ratio are more willing to spend on children’s education, especially for sons.

Please register for the event to receive email reminders and add it to your calendar. Lunch will be provided.



About the Speaker 
 

Shang-Jin Wei headshot

Professor Shang-Jin Wei is the N.T. Wang Professor of Chinese Business and Economy at Columbia University, with joint appointments in the Graduate School of Business and the School of International and Public Affairs. A leading expert on international finance, trade, and macroeconomics, his research focuses on globalization and the Chinese economy. His work has been published in top journals, including the American Economic Review, the Journal of Political Economy, and the Journal of Finance.

From 2014 to 2016, Professor Wei served as Chief Economist of the Asian Development Bank, where he led economic research and policy support for regional cooperation initiatives. He previously held positions at the International Monetary Fund, Harvard University, the Brookings Institution, and the World Bank. He is the recipient of several prestigious awards, including the Sun Yefang Prize, the Zhang Peifang Prize, and the Gregory Chow Award. He received his Ph.D. in Economics and M.S. in Finance from the University of California, Berkeley.
 



Questions? Contact Xinmin Zhao at xinminzhao@stanford.edu
 


Goldman Room E409, Encina Hall

Shang-Jin Wei, Professor of Chinese Business and Economy, Columbia University
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SCCEI Seminar Series (Winter 2026)


Friday, January 30, 2026 | 12:00 pm -1:20 pm Pacific Time
Goldman Room E409, Encina Hall, 616 Jane Stanford Way


Energy Management and Systems Change in Factories and Supply Chains in China


In China, manufacturing energy use and industrial processes are economically important but are also responsible for approximately 60% of the country's greenhouse gas emissions and cause local environmental harm. This paper develops a framework for studying the multifaceted impacts of production systems and possible interventions to reduce them, then examines the empirical evidence of effectiveness. We apply this framework to iron and steel production, downstream metal components manufacturing, and automotive assembly, relying whenever possible on observations of decision-making in factories. The talk will conclude by discussing how existing incentives interact to influence the pace and direction of progress in addressing sustainability impacts across the supply chain. 

Please register for the event to receive email reminders and add it to your calendar. Lunch will be provided.



About the Speaker 
 

Valerie Karplus headshot

Valerie Karplus is a professor in the Department of Engineering and Public Policy and associate director at the Wilton E. Scott Institute for Energy Innovation at Carnegie Mellon University.

Karplus studies resource and environmental management in organizations operating in diverse national and industry contexts, with a focus on the role of institutions and management practices in explaining performance. Areas of expertise include innovation in global corporate and industrial supply chains, regional approaches to workforce and economic revitalization, and the integrated design and evaluation of public policies. Karplus has taught courses on public policy analysis, global business strategy and organization, entrepreneurship, and the political economy of energy transitions. At CMU, she runs the Laboratory for Energy and OrganizationsOpens in new window. Karplus is also a faculty affiliate of the MIT Energy InitiativeOpens in new window, the MIT Center for Energy and Environmental Policy ResearchOpens in new window, and the MIT Center for Sustainability Science and Strategy.

She has previously worked in the development policy section of the German Federal Foreign Office in Berlin, Germany, as a Robert Bosch Foundation Fellow, and in the biotechnology industry in Beijing, China, as a Luce Scholar. From 2011 to 2016, she co-founded and directed the MIT-Tsinghua China Energy and Climate Project a five-year research effort focused on analyzing the design of energy and climate change policy in China, and its domestic and global impacts. Karplus previously served on the faculty at the MIT Sloan School of Management.

Karplus holds a BS in biochemistry and political science from Yale University and a Ph.D. in engineering systems from MIT.



Questions? Contact Xinmin Zhao at xinminzhao@stanford.edu
 


Goldman Room E409, Encina Hall

Valerie Karplus, Professor, Carnegie Mellon University
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Encina Hall East, 5th Floor

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Visiting Student Researcher, Rural Education Action Program
wang_qin_wipe_bg.jpg

Qin Wang is a Visiting Student Researcher at the Stanford Center on China’s Economy and Institutions (2025–26). He is pursuing his Ph.D. at the Northeast Normal University. His research focuses on rural teachers’ professional development and rural education policy. In his recent work, he has paid particular attention to the optimization of teacher resource allocation in regions experiencing a decline in school-age populations. By integrating demographic forecasting, institutional design, and technological support, his studies aim to address the challenges of uneven teacher distribution caused by demographic shifts.
 

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