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content/blog/_2021-04-20-jj-vaccine.Rmd

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---
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title: "Vaccine Hesitancy and the J&J Vaccine Suspension"
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author: Alex Reinhart
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date: 2021-04-22
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date: 2021-04-23
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tags:
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- COVIDcast
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- symptom surveys
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tab_footnote(paste0("April 2 – April 8, n = ", prettyNum(n_pre, big.mark = ","),
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", margin ±", moe_pre, " points"),
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cells_column_labels("frequency.pre")) %>%
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tab_footnote(paste0("April 13 – April 20, n = ", prettyNum(n_post, big.mark = ","),
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tab_footnote(paste0("April 13 – April 21, n = ", prettyNum(n_post, big.mark = ","),
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", margin ±", moe_post, " points"),
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cells_column_labels("frequency.post")) %>%
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cols_label(reason = "Reason",
@@ -292,17 +292,20 @@ The red lines mark April 9th, when some of the first reports of adverse effects
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made it onto the news, and April 13th, when the CDC and FDA issued their
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recommendation to suspend the vaccine. The resulting dip in acceptance lasted a
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few days before rates returned to their previous levels. But note the *Y* axis
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scale: we're looking at a change of **less than 1 percentage point**, which is
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only noticeable because of the size of our survey.
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It's more useful to look at the reasons. When respondents say they probably or
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definitely would not choose to get vaccinated, we also ask them to select from a
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list of possible reasons. We might expect an increase in the number of
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respondents indicating concern about side effects as a reason, and we might also
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expect a larger increase among women -- since the early blood clots all affected
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women. But among all respondents (counting those already vaccinated as not
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having side effect-related hesitancy), the percentage who are unwilling to get
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vaccinated and indicate side effects as a cause shows only a small bump:
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scale: we're looking at a change of **around 1 percentage point**, which is only
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noticeable because of the size of our survey. While it is not yet clear if
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acceptance will resume its upward trend or if we've reached a ceiling, it is
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reassuring that it has not dramatically fallen.
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But these numbers don't tell the whole story. It's more useful to look at the
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reasons for hesitancy. When respondents say they probably or definitely would
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not choose to get vaccinated, we also ask them to select from a list of possible
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reasons. We might expect an increase in the number of respondents indicating
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concern about side effects as a reason, and we might also expect a larger
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increase among women -- since the early blood clots all affected women. But
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among all respondents (counting those already vaccinated as not having side
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effect-related hesitancy), the percentage who are unwilling to get vaccinated
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and indicate side effects as a cause shows only a small bump:
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```{r side-effect-hesitancy, fig.height=4, message=FALSE}
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d %>%
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as.covidcast_signal(signal = "side-effects", geo_type = "state") %>%
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plot(plot_type = "choro", range = c(10, 45)) +
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labs(title = "Hesitancy related to concerns about side effects",
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subtitle = "Among unvaccinated respondents, April 14-20",
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subtitle = "Among unvaccinated respondents, April 14-21",
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caption = "Data from Delphi COVIDcast, delphi.cmu.edu")
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```
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* **We're surveying Facebook users.** While we [weight survey
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responses](https://arxiv.org/abs/2009.14675) to ensure their age and gender
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distribution matches the United States population, our respondents do tend to
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be more educated than the national average, and the weights cannot correct for
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everything.
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be more educated than the national average, which the weights do not correct
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for.
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* **The survey is voluntary.** Facebook draws a random sample of active users
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every day and invites them to take the survey via a blurb in their News Feed.
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But many people don't respond to the invitation, and so our respondents won't
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be representative of the Facebook user base. Our survey weights also attempt
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to account for this using Facebook's models for predicting the probability
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each user will respond -- but it's hard to account for every possible
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difference between responding and non-responding users, so there may be biases
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remaining.
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every day and invites them to take the survey via a promotion in their News
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Feed. Many people don't respond to the invitation, and while the
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Facebook-provided survey weights attempt to account for this by using models
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to predict the probability each user will respond, there may still be
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unobserved biases remaining.
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* **Survey responses are simplifications.** Our respondents can select reasons
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for hesitancy from a list, but ticking boxes can't fully represent the
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complexity of their beliefs and the reasons for their lack of trust in COVID

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