The Philippines and Singapore are the only two Asian nations where the US maintains more influence than China as Beijing surges ahead in the region.
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A new Asia power snapshot shows China's economic relationships in Asia have pushed further ahead of the US but Washington still maintains stronger defence ties in southeast Asia.
China's influence is strongest in Laos, Cambodia and Myanmar.
The US lost ground in all four of the five categories used by the Lowy Institute report to rank its power index: economic relationships, defence networks, diplomatic influence and cultural influence.
The report gathered data over five years across the 10 ASEAN nations.
Co-author Susannah Patton says the report highlights the increasing strategic competition in the region.
"In the countries where China is strongest, geographic proximity and relatively weak US engagement have enabled Beijing to outstrip Washington's influence by large margins," she said.
"Washington's defence relationships continue to far outstrip those of Beijing, but its economic relationships in 2022 were weaker than those of China in every country of southeast Asia."
Australian Associated Press
