A new survey shows a widespread lack of confidence in U.S. leadership from residents around the world, with only 31 percent approving of the job performance of American leadership, which drops it below global perceptions for both Germany and China.

The , released Thursday, shows that during President Donald’s Trump second year in office, views of American leadership remained roughly the same after dropping 18 points during Trump’s first year.

Global Survey Finds Widespread Lack of Confidence in US Leadership

The report said the U.S. numbers for 2018 “suggest that the doubts sowed in Trump’s first year about U.S. commitments abroad have taken root — and the unpredictability of the U.S. president in now somewhat expected.”

Global Survey Finds Widespread Lack of Confidence in US Leadership

Both China and Russia gained considerable ground in the survey, which is based on responses from people in 133 countries. China’s median approval rating rose to 34 percent and Russia’s rating reached 30 percent, nearly equaling the U.S. number.

Global Survey Finds Widespread Lack of Confidence in US Leadership

​Those gains in Russia and China’s approval numbers were thanks in part to large increases, by 10 percent or more, in more than a dozen countries. Many of those gains were in nations where the United States lost ground, including Mexico and Turkey.

According to the survey, Germany’s leadership received the highest median approval number, at 39 percent. However, this was Germany’s first score below 40 percent in a decade.

The research, which Gallup has been carrying out since 2007, showed that respondents disapproved of U.S. leadership more than any other world power asked about in the poll. The U.S. disapproval rate was 40 percent, considerably higher than the disapproval numbers for Germany (22 percent), China (28 percent) or Russia (31 percent).

Gallop’s Global Managing Partner, Jon Clifton, said in the report that Trump’s “America First” foreign policy wasn’t designed to win friends around the globe and noted that Trump has taken many unpopular global measures since he took office, including pulling out of the Trans-Pacific Partnership trade agreement, the Paris climate accord and the Iran nuclear deal, as well as engaging in trade wars with Europe and China.

Clifton says that while Trump’s actions were not intended to make America popular, their effect could cost the United States in terms of foreign policy leverage. He cited research from Dartmouth College and the University of Sydney that found public opinion around the world about U.S. foreign policy does affect countries’ policies toward the United States.

In November, a survey released by the Pew Research Center found similar global views about the United States. Data from 25 countries showed that respondents had little confidence that President Trump would do the right thing in global affairs and rated him lower than German Chancellor Angela Merkel, French President Emmanuel Macron, Russian President Vladimir Putin and Chinese President Xi Jinping.

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Europe is the region in which the image of U.S. leadership fared worst, according to the Gallup survey. The approval rating of American leadership on the continent was 24 percent, down 1 point from the previous year. The disapproval rating was 59 percent, up three points from 2017.

The European country that had the most positive rating of U.S. leadership was Kosovo, at 80 percent, which also led the world in approval of U.S. leadership. Only one other European country had a majority of its population report a favorable view of American leadership in 2018: Albania, at 69 percent.

The European country with the least favorable view of U.S. leadership was Russia, at 11 percent. However, Russia’s view has increased 9 percentage points since Trump took office, and Russia no longer gives the lowest approval rating of American leadership in the world, which was the case during the Obama administration. Other European nations that gave the United States an ultra-low approval rating were Norway (12 percent) and Sweden (13 percent).

While Europeans’ approval of American leadership was low overall, their view of Russian leadership was even lower, at 21 percent. They equally frowned on the leadership of Russia and the United States, with nearly 6 in 10 Europeans disapproving of the leadership of the two countries.

Europeans had the highest view of Germany’s leadership, with 56 percent approving. That number was similar to the previous year, at 54 percent.

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The perception of U.S. leadership increased last year among its closest neighbors, rising in the Americas from 24 percent to 31 percent. Increases were made in every country in the region except three: Canada, Chile and El Salvador. The countries that had the biggest positive increases were the Dominican Republic, Nicaragua and Haiti.