1/ @SurgoVentures keeps doing great work on vaccine confidence and behavioral science. nytimes.com/interactive/20…
They break unvaccinated people into 4 psychobehavioral archetypes: the Watchful, the Cost-Anxious, the System Distrusters, and the Covid Skeptics.
2/ How to reach folks and encourage them to get vaccinated depends on how they think about COVID and vaccination.
3/ Here's a map of COVID Skeptics:
- Almost everyone in this group believes at least one conspiracy theory about COVID.
- Where the pink goes far outside the square, there's a lot of skepticism.
- Where the pink remains inside the square, there's a lot less skepticism.
4/ Religious leaders and doctors are the best messengers for COVID Skeptics.
- Don't try to debunk disinformation.
- Listen and share facts.
- Emphasize this a personal choice to protect family and friends.
5/ Here's a map of the Cost Anxious:
- Worry about the time & expense of getting vaccinated. (COVID vaccines are FREE!)
- Where the yellow goes far outside the square, there's a lot of cost anxiousness.
- Where the yellow remains inside the square, there's less cost anxiousness.
6/ Best strategies for Cost Anxious:
- Hold vaccination clinics in workplaces, religious/community centers, daycares, supermarkets, bars, restaurants, etc.
- Let people know COVID VACCINES ARE FREE.
- Employers should give paid time off for day of vaccination and if side effects.
7/ Here's a map of System Distrusters:
- Believe the health system treats them unfairly.
- Mostly people of color.
- Where the blue goes far outside the square, there's a lot of distrust in health system.
- Where the blue remains inside the square, there's a lot less distrust.
8/ Best strategies for System Distrusters:
- Send trusted messengers into the community to listen and answer Qs.
- Make vaccination of people they know visible.
- Emphasize transparency and equity in vaccine rollout.
9/ Here's a map of The Watchful:
- They're waiting to see how it goes for friends/neighbors.
- Late adopters
- Where the purple goes far outside the square, there's more watching & waiting.
- Where the purple remains inside the square, there's a lot less watching & waiting.
10/ Best strategies for The Watchful:
- Encourage people who are vaccinated to share selfies and nudge family/friends online and offline.
- Altruistic messages about protecting others resonate.
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1/ CDC's new mask guidance:
Fully vaxx’d do not need to mask.
EXCEPTIONS:
- Healthcare and long-term care facilities
- Travel by bus, plane, train, public transportation
- Transportation hubs
- Prisons, jails, homeless shelter
- If you have symptoms? Mask & test.
Some thoughts…
2/ The science shows that:
- VACCINATED people are PROTECTED
- UNVACCINATED people are at RISK
Cases are down by 1/3 in the last 2 weeks.
The risk of vaxx’d persons transmitting to others is very low.
HOWEVER...
1/ We need to do a better job of vaccinating the Latinx community in the U.S. A lower % of Latinx adults have been vaccinated than white / Black adults, yet more Latinx adults want to get vaccinated ASAP than white / Black adults. This is UNMET DEMAND.
2/ Latinx adults are worried about themselves / family getting sick from COVID than Black / white adults. This worry is even higher among potentially undocumented, Spanish-speaking, &/or poorer Latinx adults = more likely frontline workers & fewer protections against COVID.
3/ Risk factors for not being vaccinated despite wanting to get vaccinated ASAP: immigration status, Spanish-speaking, uninsured. Look how high vaccination rates are among permanent residents vs potentially undocumented Latinx. They understand risk, but ACCESS is a barrier.
2/ We came into the conversation thinking that many of their concerns would revolve around women's health issues (e.g. fertility, pregnancy, breastfeeding, menstruation). At least two of the women were pregnant.
3a/ But their biggest concerns were no different from many other groups:
- How could the vaccines have been developed this quickly?
- What are the long-term side-effects?
- Are the vaccines safe and effective in people who have underlying medical conditions like me?
1/ On the issue of whether you need to mask outdoors, folks are conflating population attributable risk (the % of disease due to an exposure) with individual risk of disease from an exposure.
2/ @VauseCNN's skydiving analogy is a fairly good one. Not many people die from skydiving accidents per year, but skydiving is a high-risk activity.
3/ But the analogy isn't perfect because you can't transmit skydiving disease & death. In calculating population attributable risk, we should also take into account that SARS-CoV-2 is transmissible.
Here's who's most and least enthusiastic about getting vaccinated:
2/ We've made progress with those who want to "wait & see" across multiple demographics including communities of color and conservatives, who were the least vaccine confident at the start.
The % who definitely don't want to get vaccinated has remained stable since January.