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1 | 1 | --- |
2 | 2 | title: "Vaccine Hesitancy and the J&J Vaccine Suspension" |
3 | 3 | author: Alex Reinhart |
4 | | -date: 2021-04-22 |
| 4 | +date: 2021-04-23 |
5 | 5 | tags: |
6 | 6 | - COVIDcast |
7 | 7 | - symptom surveys |
@@ -219,7 +219,7 @@ pre_post_table <- function(data, title, subtitle, n = 6, include_unvaccinated = |
219 | 219 | tab_footnote(paste0("April 2 – April 8, n = ", prettyNum(n_pre, big.mark = ","), |
220 | 220 | ", margin ±", moe_pre, " points"), |
221 | 221 | cells_column_labels("frequency.pre")) %>% |
222 | | - tab_footnote(paste0("April 13 – April 20, n = ", prettyNum(n_post, big.mark = ","), |
| 222 | + tab_footnote(paste0("April 13 – April 21, n = ", prettyNum(n_post, big.mark = ","), |
223 | 223 | ", margin ±", moe_post, " points"), |
224 | 224 | cells_column_labels("frequency.post")) %>% |
225 | 225 | cols_label(reason = "Reason", |
@@ -292,17 +292,20 @@ The red lines mark April 9th, when some of the first reports of adverse effects |
292 | 292 | made it onto the news, and April 13th, when the CDC and FDA issued their |
293 | 293 | recommendation to suspend the vaccine. The resulting dip in acceptance lasted a |
294 | 294 | few days before rates returned to their previous levels. But note the *Y* axis |
295 | | -scale: we're looking at a change of **less than 1 percentage point**, which is |
296 | | -only noticeable because of the size of our survey. |
297 | | - |
298 | | -It's more useful to look at the reasons. When respondents say they probably or |
299 | | -definitely would not choose to get vaccinated, we also ask them to select from a |
300 | | -list of possible reasons. We might expect an increase in the number of |
301 | | -respondents indicating concern about side effects as a reason, and we might also |
302 | | -expect a larger increase among women -- since the early blood clots all affected |
303 | | -women. But among all respondents (counting those already vaccinated as not |
304 | | -having side effect-related hesitancy), the percentage who are unwilling to get |
305 | | -vaccinated and indicate side effects as a cause shows only a small bump: |
| 295 | +scale: we're looking at a change of **around 1 percentage point**, which is only |
| 296 | +noticeable because of the size of our survey. While it is not yet clear if |
| 297 | +acceptance will resume its upward trend or if we've reached a ceiling, it is |
| 298 | +reassuring that it has not dramatically fallen. |
| 299 | + |
| 300 | +But these numbers don't tell the whole story. It's more useful to look at the |
| 301 | +reasons for hesitancy. When respondents say they probably or definitely would |
| 302 | +not choose to get vaccinated, we also ask them to select from a list of possible |
| 303 | +reasons. We might expect an increase in the number of respondents indicating |
| 304 | +concern about side effects as a reason, and we might also expect a larger |
| 305 | +increase among women -- since the early blood clots all affected women. But |
| 306 | +among all respondents (counting those already vaccinated as not having side |
| 307 | +effect-related hesitancy), the percentage who are unwilling to get vaccinated |
| 308 | +and indicate side effects as a cause shows only a small bump: |
306 | 309 |
|
307 | 310 | ```{r side-effect-hesitancy, fig.height=4, message=FALSE} |
308 | 311 | d %>% |
@@ -370,7 +373,7 @@ d %>% |
370 | 373 | as.covidcast_signal(signal = "side-effects", geo_type = "state") %>% |
371 | 374 | plot(plot_type = "choro", range = c(10, 45)) + |
372 | 375 | labs(title = "Hesitancy related to concerns about side effects", |
373 | | - subtitle = "Among unvaccinated respondents, April 14-20", |
| 376 | + subtitle = "Among unvaccinated respondents, April 14-21", |
374 | 377 | caption = "Data from Delphi COVIDcast, delphi.cmu.edu") |
375 | 378 | ``` |
376 | 379 |
|
@@ -473,16 +476,14 @@ Here are a few important things to keep in mind: |
473 | 476 | * **We're surveying Facebook users.** While we [weight survey |
474 | 477 | responses](https://arxiv.org/abs/2009.14675) to ensure their age and gender |
475 | 478 | distribution matches the United States population, our respondents do tend to |
476 | | - be more educated than the national average, and the weights cannot correct for |
477 | | - everything. |
| 479 | + be more educated than the national average, which the weights do not correct |
| 480 | + for. |
478 | 481 | * **The survey is voluntary.** Facebook draws a random sample of active users |
479 | | - every day and invites them to take the survey via a blurb in their News Feed. |
480 | | - But many people don't respond to the invitation, and so our respondents won't |
481 | | - be representative of the Facebook user base. Our survey weights also attempt |
482 | | - to account for this using Facebook's models for predicting the probability |
483 | | - each user will respond -- but it's hard to account for every possible |
484 | | - difference between responding and non-responding users, so there may be biases |
485 | | - remaining. |
| 482 | + every day and invites them to take the survey via a promotion in their News |
| 483 | + Feed. Many people don't respond to the invitation, and while the |
| 484 | + Facebook-provided survey weights attempt to account for this by using models |
| 485 | + to predict the probability each user will respond, there may still be |
| 486 | + unobserved biases remaining. |
486 | 487 | * **Survey responses are simplifications.** Our respondents can select reasons |
487 | 488 | for hesitancy from a list, but ticking boxes can't fully represent the |
488 | 489 | complexity of their beliefs and the reasons for their lack of trust in COVID |
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