J. Offir, Ph.D. Profile picture
Oct 30 12 tweets 2 min read Twitter logo Read on Twitter
A new psych 🧵 on covid beliefs & messaging:

Tonight's 60 Minutes segment included a pretty big pitch to workplace facilities: upgrade your IAQ to encourage bldg rental; wkrs want to spend wk hrs breathing cleaner air & will be at work + if you improve IAQ to keep them healthy.
2/ This was an appeal to capitalist agendas: for employers to get wkrs back to the office to benefit nearby retail; for bldg owners to rent properties, etc. That the show put so much emphasis on work settings suggests things aren't as "back to normal" as policy makers would have
3/ us believe.

But it also hints at something interesting about how people think. Looking around at unmasked holiday revelers, you might assume that almost everyone believes pandemic threats have completely passed.
4/ And in fact, when they're unmasked and holiday reveling, most people *do* think that. But the hints of ongoing avoidance of employment settings suggest that folks may not think it *all the time.*
5/ The fact is, people's attitudes and beliefs can be (and often are) situationally and socially "activated." Our beliefs, just like our behavior, can therefore be very inconsistent, depending on what a given situation prompts us to think about and value in the moment.
6/ One thing the 60 Minutes workplace emphasis may suggest is that, although people believe the pandemic is over when they're thinking about their OWN possible transmission of virus to others (& so, about their responsibility to mask) -
7/ especially for activities they want to do, like socializing -

they may not view transmission risks as quite so passé when thinking about how others are putting *them* at risk - especially when an activity is something they might feel pretty meh about
8/ (like going to the office vs. working from home).

In the former situation (say, deciding to mask at a party), there are negative social consequences to believing covid risks still exist. In the latter situation (choosing to go to work vs. working from home, for those who
9/ can choose), there are some nice fringe benefits to believing covid risks persist (like, justifying working in your pjs & with your cat). Those general costs and benefits can influence what people think about health threats & risk behavior, in one situation vs. another.
10/ That 60 Minutes spent so much time discussing work environments (versus, say, school or health care settings) makes me suspect that people still believe covid presents risks to them *when the perceived benefits of believing that outweighs the costs of doing so*,
11/ & that these intermittent risk beliefs (about work spaces, specifically) are still exacting an economic toll.

& if activists can activate these situationally dependent beliefs and attitudes,
12/ we can leverage them to persuade people that airborne virus mitigation should remain a societal priority, & that mitigation is needed in non-work environments that share features with workplaces (like public transport, schools, and hospitals), where others could infect them.

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More from @dontwantadothis

Sep 7
1/ Yesterday provided me with a new opportunity (so to speak) to practice suggestions from my recent "how to access health care more safely" piece, in an ER setting. Want to know how it went? Read on. 🧵 Image
2/ My cardiolog. had rec'd I go to the ER after a night of chest & back pain sim. to that of my heart attack, after 2 weeks of increased symptoms, inc. sharp pain followed by dizziness, nausea, diarrhea, fatigue dyspnea & minor (but frequent) arrhythmias caught by my ecg device.
3/ Normally I'd go to a lg cardiac hosp., but it means waiting outside for hrs to avoid the plaguey waiting rm. Yesterday was too hot, so I chose a small hosp. where I could park near the doors to wait, if they couldn't take me directly back. If my troponin was ⬆️, I'd transfer.
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Sep 1
This wasn't just Fauci mouthing off. (There's good reason Larry Kramer called him a "murderer" in 1988, though he later learned to work w/ Fauci.) This was likely a planned statement designed to normalize & encourage the view of vulnerable folks as acceptable collateral damage./1
We've been seeing statements like this all along, as when former CDC head Walensky said it was "really encouraging” Omicron was mostly killing ppp with health issues.

If these views were accidental missteps, they'd have stopped after the first time, /2
rollingstone.com/politics/polit…
b/c messengers would have been put on guard against making the same goofs. But they aren't goofs; they're the message our PH leaders want the public to hear & absorb. And it has been absorbed.

See, for ex., this piece noting growing structural issues: /3 theguardian.com/society/2023/a…
Read 12 tweets
Aug 25
1/ "It’s too soon to know whether the updated booster formula expected to come out next month that targets a different subvariant would be effective against this highly mutated one."

washingtonpost.com/health/2023/08…
2/ BA.2.86 "has raised concerns" about insufficient genomics. "Genetic sequencing is necessary to track variants but these efforts have been pared back globally. GISAID...has seen specimens collected for genetic sequencing plunge from 425,000 in August 2022 to 38,000 last month."
3/ “'This is a radical change of the virus like what happened with omicron, which caught a lot of people defenseless,' said Eric Topol," Scripps RTI director.

In the US, "the CDC no longer offers variant estimates for most regions...because of declines in surveillance."
Read 5 tweets
Jul 29
1/ Today, after driving 90 min (ea. way) for my mammo. & breast u/s appointment, I had to leave WITHOUT completing this crucial screening process b/c the u/s tech refused to wear an N95, even though I provided multiple, indiv. wrapped options. Why it matters & what I plan to do:
2/ Safe access to these tests is necessary for me b/c:

I am at high risk of invasive breast cancer, due to sig. family history of invasive BC & my own history of lobular carcinoma in situ (& atypical ductal hyperplasia), which required a sizable lumpectomy, a few years back.
3/ I'm also legally disabled. Safe access means HCWs must accommodate my disability-related heightened risk by wearing an N95/better when near (eg for breast screenings, when techs' faces are oft <6" from mine) b/c I'm at high risk of both infection & severe infection outcomes.
Read 19 tweets
Jul 12
Another way pandemic fallout is leading to institutional inequity (& the powers-that-be are trying to sell it to folks under the heading of "for your own good"):

/1
Connecticut schools, which are hurting for teachers, have raised the kindergarten cutoff age. About 12,000 CT kids will lose kindy access in 2024.

/2

google.com/amp/s/www.wtnh…
A shortage of k-12 teachers in CT (& in the US as a whole) isn't new. But the pandemic has exacerbated a system already in crisis. As this Nov. 2022 article notes, "the shortage has built for years but worsened recently due to stressful and sometimes dangerous pandemic-era...

/3
Read 13 tweets
Jun 11
1/ I've finally put together a pinned thread of where to find all my covid-related essays. Find them all via the links below (from most to least recent, unless I add something new later):
2/ Here's the essay on my thoughts re: where the mitigation movement should go, with reflections on early years of HIV activism:

3/ Here's part 1 of the 3 part "dealing with people" series. This essay was about what social psych tells us about persuasive messaging in interpersonal communication:

Read 11 tweets

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