🧵1/ I find #COVIDvaccine focus groups like this fascinating. I was struck by the broad distrust of physicians in this group of reproductive-aged women...
🧵2/ I study this kind of population a lot in my #gynhealth work through #EHR medical systems data. As a social epidemiologist, it’s a cool population to study in EHR data bc so many have frequent contacts with the medical system through routine gyn and pregnancy care...
🧵 3/ So you really get a peek into a broad cross-section of the population, unlike other kinds of EHR research.
🧵 4/ But maybe those frequent interactions with the healthcare system are a double-edged sword when it comes to trust...
🧵 5/ I’ve received beautiful loving responsive obgyn care from NPs, midwives, doctors, and nurses - but I’ve also received insulting, presumptuous, and painful care as well
🧵6/ I can think of three separate occurrences - one as a teen, one in my 20s, and one during a high-risk pregnancy - when I was treated callously or poorly by an MD who was supposed to be caring for me.
🧵7/ I’m lucky. What I experienced wasn’t *that* bad. And, especially as an adult, I quickly realized that I didn’t deserve to be treated that way, and I had other options for health care. But it sticks with me.
🧵8/ (And I’m not even getting into medical billing and how traumatic it can be to receive huge bills and threats for payment for medical care. Doesn’t inspire a lot of trust.)
🧵 9/ Anyway I don’t think about it much. And I know people have much worse stories, including trans and other gender queer folks. But listening to this focus group brought it back up for me. And it made me wonder about their health care stories.
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“To be able to get high volumes like that in a one-day setting, you need to have proper outreach...We rely heavily on our community partners to flyer the apartment buildings and, you know, contact local groups or agencies to make sure that they’re aware of the pop up as well.”
🧵2/ I’ve still been processing the response to CDC’s change in guidance about *outdoor* masking! Remember that?! npr.org/sections/healt…
🧵3/ In that case, I thought guidance was pretty sound bc that’s basically how I’d been living even before I was vaccinated. Outdoor transmission risk so low. My family wore masks outdoors when close to people (playgrounds etc) or long face-to-face talking or just as a courtesy
1/ New #COVID19#K12 paper in @ScienceMagazine: the part that most excites me is zooming in on the safety measures that best predict low #COVID19 risks...
2/ Parents & school staff & community members really want to know: What is most important? What measures should be prioritized at my school? This paper models that in detail: results reinforce findings from previous work
3/ importance of extracurriculars consistent with a lot of what’s seen in contact tracing of #K12 outbreaks - it’s usually not the classroom contact; it’s the less regulated extracurricular time.
🧵3/ “...attendees lamented..lack of researchers interested... menopause is not an attractive topic for young researchers, or at least not as attractive as maternal health...often..only studied by researchers later on in life. This leads to a lack of continuity into the field.”
🧵1/ How one epidemiologist decided to keep sending her children to in-person group childcare during a pandemic, and what happened
🧵2/ The most consequential and difficult decision I made in March 2020, near the beginning of the US #COVID19 outbreak, was whether to keep sending my then 5-yo and 1-yo to in-person group childcare
🧵3/ I’m reflecting on this here because 1) Personal stories help me make better decisions & maybe it'll help others; 2) I think I can bring context, nuance, and compassion to a conversation that gravitates towards extremes, absolutes, and vilification