2/ Re: p-hacking: I was really lucky to learn about dangers of p-hacking/selective reporting/publication bias early when I took Charlie Poole’s meta-analysis class in my MSPH at @UNCSPHResearch
Seeing the funnel plot assymetry in study estimates was powerful!
3/ We even published this study 👇🏾 years later.
If I’d known how much work it was going to be, I may not have done it! But I was young & energetic & totally in love with Epi Methods 😍…
5/ Ok, so we have very different references to Team of Rivals. @haileybanack and @ProfMattFox thought Camp Color Wars …or weird cartoon battles 🤷 …. or West Side Story gang dance-offs…
6/ Meanwhile I’m seeing Abraham Lincoln’s weathered face!
🧵2/n To my knowledge, my kids haven’t been infected with #SARSCoV2 - but I’ve accepted that they probably will at some point because of where we live (US)
🧵3/n So then my decision is whether I’d like that first infection to be in a naive immune system or in one already primed by vaccination for a quicker immune response
1/ This article does a good job presenting several foundational public health tenets that I’ve felt frustration at not communicating earlier and better:
A disease that hurts a small % of a huge population can hurt a LOT of people
Small increases in risk for a person can seem relatively inconsequential but still have big, longterm effects on a large group of people
3/ It’s a mind-bending way of thinking that I see people grappling w in real time re: COVID
That self-learning is cool to watch from a teaching & learning perspective but scary when critical decision-making depends on understanding the implications of this seeming contradiction
🧵2/10 This quote from @oni_blackstock (starts with “In our community…”) especially hit powerfully. I’ve rarely felt my experience of the pandemic articulated with such precision. bit.ly/3DikPP3
🧵3/10 Scholars like @JessicaCalarco have done beautiful work describing the key role that US women play as “family health managers” and how the pressure of that role has often translated into vaccine skepticism, etc, especially among White politically conservative women in US
These scientific-sounding lies lowered rates of vaccine uptake & NPI. After all, prominent people said everyone already had protection from infection & cross-reactivity w other viruses
🧵 3/ In India & the rest of South Asia now, we see that words matter, that scientific-sounding distortions of reality matter
I remain enraged & heart-broken bc that scale of outbreak absolutely didn’t have to happen in a vaccine-exporting & scientifically rich country in 2021
1/ Good overview of challenges of doing “big data” health care research in US. For instance, nice description of basic pros and cons of insurance claims vs #EHR health care records
2/ But the article has a prematurely triumphant tone at the beginning (and in the default Twitter tagline). N3C is great but limited, as the article does make clear
3/ And it’s not totally novel. But the novelty to me is that it’s
a non-“federated”* model
*not* run by for-profit companies,
so the data are accessible to the public for analysis
1/ For those wondering what the heck is happening in North Carolina, it’s a foreseeable train wreck that left the station in December 2016
(I could go back further to 2010, but let’s stay focused on state boards for now) npr.org/sections/thetw…
2/ In 2016, Republicans won NC’s electoral votes for US presidency and kept control of the gerrymandered state legislature (“surgical precision”, the Appeals court said).
But Dem Roy Cooper won the governorship…
3/ So fine, it would be split-party control (which lots of people prefer as an affirmative good)…