How to Improve COVID-19 Mass Vaccination Experience

Infographic on COVID-19 Mass Vaccinaton Behavioural process. On the left, what it is currently: 2 month wait, routine sms, long delays, routine follow-up. On the right what could be improved: timely access, behavioural prompt, enhanced service

I present a visual ethnography of a mass vaccination site in Sydney, which took place from late-July to mid-August 2021. Ethnography is the study of people’s behaviour and organisations in their everyday setting. The aim of this analysis is to provide behavioural insights on how the mass vaccination process might be improved. Behavioural insights is the application of social and behavioural sciences to improve delivery of policy, programs, and services. I discuss some of the behavioural barriers in the mass vaccination process, especially things that could potentially contribute to people delaying coming back for their second dose. I also discuss how improved behavioural cues and messages could enhance the vaccination experience.

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Using sociology to think critically about Coronavirus COVID-19 studies

The lower two-thirds is an oil painting style photo of an older woman with grey hair. She has her back to us and is reading a piece of paper with a magnifying glass. The top third is the title to this post

I’ve been thinking a lot about the role of public sociology because of the Coronavirus (COVID-19) pandemic. What follows has been in the works for a couple of months. As previously promised, I’m now coming back to this because of the ongoing need to increase public awareness about the science of the pandemic.

Earlier in the year, I worked with some colleagues on an early literature review scoping policy responses to the pandemic, and I’ve provided feedback on evolving policy research. As an applied sociologist, my focus has been on how race, culture, disability, gender, and other socioeconomics impact how people understand and act on public health initiatives, as well as ethical considerations of COVID research “on the run.”

Since then, I’ve been keeping up with both the research and media coverage of public health responses. I’ve been providing summaries of unfolding information on my social media (primarily Facebook and Instagram stories, as well as Twitter). This started partly to address some of the misconceptions I was seeing amongst my friends and family and I’ve kept this up as it’s been the most efficient way to help people in my life better understand what the restrictions mean for them, or to correct confusing reports.

Unfortunately, there is a lot of misinformation. People are hungry for practical advice, but don’t know who to trust (they don’t know where to look for credible resources), or they feel overwhelmed with too many conflicting directions. This is known as information overload, and it leads to poor decision-making.

One of the patterns that has been especially concerning are people writing social media posts, op eds and even setting up consultancies to profiteer from COVID-19 without any health training or policy experience. This contributes to public distrust, conspiracy theories or poor discussion that is not based on evidence. People are choosing to confirm their pre-existing beliefs, rather than engaging critically with scientific information that challenges their perspective. This is known as confirmation bias. It stops people from considering new information and different points of view that might be helpful to their wellbeing.

Reading original scientific journal articles is not always possible as there is often a paywall. Plus, science papers are, by definition, published for the academic community. The language is technical, and the principles can be hard to follow for people who are not subject matter experts. This makes it more important for scientists who have access to write about science research in an accessible manner and to share findings through different communities.

While data on COVID-19 are evolving, and no one can claim to be a definitive COVID-19 expert, the best sources to trust are official sources, such as state Health Departments, epidemiologists, virologists, health practitioners who are providing front-line services (such as Aboriginal-controlled health organisations), and policy analysts who work on COVID-19 responses. Additionally, reliable news sites include the ABC News Australia live blog, Croakey and individual health researchers, such as epidemiologist Dr Zoe Hyde (University of Western Australia) on Twitter.

If you read about a study, how do you know if you can trust the conclusions? What’s the best approach if you wanted to write about a study’s findings for a broader audience, whether it’s your friends and family reading your Facebook feed, or an article in a major news site? Today’s post gives tips for how to read a study using critical thinking principles from sociology, and things to consider if you want to write about, or share, studies that you read about.

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Sociology of the Anti-Vaccination Movement

The state of Victoria in Australia is facing a measles outbreak due to parents in relatively progressive suburbs choosing not to vaccinate their children. The anti-vaccination movement has its roots in Western societies in the myth that vaccines cause autism. The science demonstrating that there is no link between autism and vaccines is peer-reviewed and well-established. The original paper that made the assertion that such a link existed was retracted by the original publisher, The Lancet, due to fraud by Andrew Wakefield and his team. Given that the myths of vaccines have been thoroughly debunked, what is behind the anti-vaxxer movement? I start by discussing the scientific evidence about the fraud that inspired the anti-vaxxer movement before providing a broad sketch of the public who don’t believe in vaccination. Sociology of the Anti-Vaccination Movement Continue reading Sociology of the Anti-Vaccination Movement

Demographic Profile of Anti-Vaccination Movement in USA

Source: Pew Research.

Yesterday I wrote about the fraud and science myths that inspired the anti-vaccination movement. Since I’ve gotten a few questions about the demographics of anti-immunisation groups, here is a broad sketch of the American public who don’t believe in vaccination. Scientific data show that anti-vaxxers come from all walks of life. There are no significant differences along gender, education, religion, race and income, though there are some differences in terms of political ideology. The strongest difference is in age.

As promised, I will later provide a more in-depth analysis of the sociology of anti-vaxxers, addressing educational and policy intervention. The main issue I highlight here is that the biggest divide is lack of trust in science amongst younger parents. Continue reading Demographic Profile of Anti-Vaccination Movement in USA

Fraud That Inspired the Anti-Vaccination Movement

 

Any time there is an article about vaccine initiatives, a segment of the public begin to shout about government conspiracies and their perception of nefarious science. What is behind the anti-vaxxer movement? I will eventually write a post on the sociology of why this movement has gained support and what can be done about it, but for now I reproduce my comments from another thread filled with these conspiracy theories. My post below presents scientific evidence about the fraud that inspired the anti-vaxxer movement.

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The Sociology of Why People Don’t Believe Science

This the story of how sociology can improve public science. I discuss the social science research explaining why some sections of the general public resist research evidence. As some of you know, I’m one of around 20 Moderators who run Science on Google+. Our Community is managed by practising scientists and our membership includes researchers as well as members of the public who are interested in science. I run the Social Science stream (along with Chris Robinson who created the Community). Our Community aims to improve the quality of science posts and public outreach, by connecting the public to real scientists. This week, we celebrated the fact that our Community has grown to 200,000 members. The Community receives numerous posts each day. We want to move discussion away from people sharing their personal opinions on “fluff” science pieces that often end up distorted in the news, and instead we’d like to focus on the relevance, validity and reliability of peer reviewed science. Invariably, we get people coming to the Community specifically looking to argue about how all science is wrong (usually with regards to social science), corrupt (often regarding life sciences), or “just a theory” (creationist arguments against the physical sciences).

These critics do not focus on the scientific content of a study. They focus on moral and cultural arguments, which to them are scientific. For example, when discussing research on gender inequality in science, there’s a variation of: “In my engineering class there’s only two women. I think that most women just aren’t interested in science. That’s not sexism to point out the truth.” (Yes, it is sexist.) When discussing research on climate change: “There’s inconclusive evidence on this!” (No, the evidence is compelling.)

Judging you

Most of these people do not use credible scientific research to back up their claims, but they evoke some general statistics (“everyone knows…” and “countless studies show”).We ask for links to peer reviewed science, which never come. Sometimes they post links to conspiracy videos that have no scholarly merit. Despite their lack of evidence, these people are thoroughly convinced that they are scientists or that they are very well informed on a topic. They cite ideas of science from popular culture (“science is about questioning everything!”). Otherwise they draw on something they heard in the news or they revert to personal anecdotes and subjective observations.

These critics are the exception, as most of our Community members are genuinely curious in science and learning. The problem is that these anti-scientist “scientists” take up a lot of time and they derail discussions. So what motives them?

One of our colleagues and a Curator for the excellent Science Sunday, wrote a fantastic post about how social psychology concepts might explain why people refuse to engage with scientific evidence. Chad invited me to comment on his post, and this has led me to crystallise thoughts that I’ve had circling my head since I started blogging seven years a go. Other than a sheer love of the social sciences, why bother with public science? Who is our audience? Does it “work” and how do we measure its success? How can we improve it?

My post will discuss the sociology of beliefs, values and attitudes to describe the cultural, institutional and historical ways in which the public has engaged with science. I present two case studies of “hot topics” that usually draw anti-science comments to our Community regarding gender inequality and genetically modified foods. I show how cultural beliefs about trust and risk influence the extent to which people accept scientific evidence. I go on to discuss how sociology can help improve public science outreach.

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