Programming

pthreads is fine and widely supported. I would probably recommend that interface for now. Maybe after 5 years or so when all of the LTS systems support the new standard that will be the better option, but all major OSes are POSIX compatible so no need for a new standard anyways.

Also if you want to take advantage of any OS-specific extensions they are probably supported by pthreads, but the new C threads API will probably lag.

As far as I know, C's threads.h implementation (or std::thread for C++) is based on POSIX threads.

If you're using CMake or a similar build system that can define macros when building from Windows, then one option you have is to simply create an interface of sorts.
Something like:

// angle brackes work for this codeblock? idk

#ifdef PLATFORM_WIN32
   // The syntax MSVC wants (which I'm not familiar with)
   #include "fuckmissingbracketsidontrememberwhatiwrotehere"
   thread_t win32_create_thread( /* ... */ ) {
      /* ... */
   }
#else
   // The syntax sensible compilers want (which I'm also unfamiliar with because I forgor U+1F480)
   #include "fuckmissingbracketsidontrememberwhatiwrotehere"
   int thrd_create( /* ... */ ) {
      /* ... */
   }
#endif

It may be a bit tedious, but I don't know if there is some widely known C equivalent to the Boost library, at least for threads.

c11 threads seem to be supported by msvc https://devblogs.microsoft.com/cppblog/c11-threads-in-visual-studio-2022-version-17-8-preview-2/

Probably gcc supports it on both mac and MS