Noel Brewer
@noelTbrewer
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I study health behavior—vaccination, tobacco use. Distinguished Professor @UNCpublichealth . ACIP voting member. 🏳️🌈 he
U of North Carolina
Joined January 2016
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My mother died from cervical cancer. Today I visited her grave at Arlington National Cemetery. So I could share a picture of her grandson who she never met. Were HPV vaccine around when she was a girl, she’d be alive today. Prevent HPV cancers by getting your kids the vaccine.
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“It costs me three months of rent to apply to your program,” an applicant from a middle-income country told me recently. This is one way that universities have built and enforce inequity. I think about this applicants’ comment every day.
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Brazilian microbiologist Natalia Pasternak says: "We have a great immunisation programme, one of the best in the world. If we have enough doses, we know what to do, we have the expertise and the structure. We just need vaccines."
@TaschnerNatalia
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The idea that self plagiarism is some horrible act is nonsense. Why should we write the same methods section in 5 different ways? Don’t publish the same results or conceptual analysis multiple times. But the horror at reusing all prev work is prissy and not well thought through.
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HPV vaccine cut the risk of invasive cervical cancer in half. Study of 1.6 million people in Sweden. The world has waited for these data for 14 years. Incredibly powerful findings.
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UNC just gave me an endowed professorship. I’m very grateful for this honor of being the inaugural Gillings Distinguished Professor in Public Health.
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“in the previous five years police officers pulling over cars had killed more than 400 motorists who were neither wielding a gun or knife nor under pursuit for a violent crime”
@NYTimes
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Vaccination prevents *all* HPV cancers in a large study. 19,867 Finnish people in several trials were followed for 11 y in the national cancer registry. Control arms had 17 invasive cancers (14 cervical), but the HPV vaccinated arm had none.
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God give me the confidence of an economist who discovers health behavior research. And please God fill their hearts with a burning desire to use PubMed.
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My husband and I ate out with our two young kids tonight. The lovely waitstaff gave us the Mother’s Day discount and when asked what it was airily said “It’s for the holiday.” Very deftly done people of Pho Happiness. It indeed made me very happy. Food was bomb too.
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In a mtg today, my male MD colleague got introduced as Dr. and my female MD colleague colleague got the first name intro. I about fell off my chair. So I sent a firm “that’s not okay” DM which solved the problem for the rest of the mtg. But I’m still really annoyed by this.
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@thoughtsofaphd
My department forbids doctoral students from bringing food and beverages to proposals and defenses. We train scientists, not caterers. Also, I pay for trainees’ meals when we go out at conferences. And take them for a celebratory meal after the defense. Students should not pay.
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@lamarrichards_
@BedBathBeyond
This is so hard to read. It’s a joyous pic and a joyous moment. Two guys ecstatic about building a home together. And that employee tried to drag you into their racist hell. It’s good that you put daylight on this. And I hope you’ll be able reclaim that joy. You earned it.
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UNC has some wild Covid guidelines. Rolled them out a few days *after* classes started. Buckle up, it's a ride. I have heard lots of swearing about these.
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These are the images that make it possible for young gay people to see a future open to them. Such a beautiful family.
Chasten and I are beyond thankful for all the kind wishes since first sharing the news that we’re becoming parents. We are delighted to welcome Penelope Rose and Joseph August Buttigieg to our family.
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Wait what? Our *students* are buying themselves KN95s. WTF is wrong with UNC?
That and our student body prez is a badass.
@UNC
Student Government has secured 10,000 KN95 and N95 masks from our partners
@NCEmergency
and
@NCdotGov
. Distribution will be this upcoming Thursday and Friday. Undergrads follow
@unc_execbranch
and Grad. & Prof. students follow
@GPSGatUNC
for more info on distribution.
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Am on parent leave for a new baby (yay!) through January 6. But people keep demanding I do things and do them now. Why are they all men, and it's usually white men? Fine, sure, welcome to the party, I guess.
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Med Deli in Chapel Hill has had a bad roof fire. The staff all got out safely, but the building may be a total loss. The owner Jamil has long been a generous supporter of community groups. It’ll soon be time for our community to return the favor.
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Arriana Marie Planey just received the 2023 Gillings Faculty Award for Excellence in Health Equity Research. Of course she did. She’s amazing!
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@vlamers
@shaheenkhazali
Vanessa, you just wouldn’t understand because you’re not a man. And endometriosis is a *Man Thing* ©.
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“We’ve moved a few things around. Travel books are in the Fantasy section. Politics is in Sci-Fi and Epidemiology is in Self-Help. Good luck.”
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@tressiemcphd
I keep meaning to tell you about the combo of sub clinical narcissism, sub clinical psychopathy, and machiavelianism. It’s a thing. And you are some sort of magnet for these people.
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We just got an $11.7 million grant to find ways to improve HPV vaccine communication at clinics in large health systems. Go team! Melissa Gilkey
@JustinTrogdon
@StephWheelerUNC
Sachi Ozawa
@NishaGottfredso
@WilliamACalo
Jennifer Sheldon
#Adolescent
#Health
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"Will faculty be informed if a student in their class has tested positive for COVID? No."
This one is my favorite. Seriously?
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Our pediatrician has an outdoor Covid-19 vaccine clinic this Friday for kids ages 6 mos to 5 yrs. I’m super impressed.
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Every single student in my class wore a mask today.
And I am so grateful.
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UNC just got $20 a million grant from FDA. The TCORS center will examine warnings and communication about tobacco products. Center PI is
@KurtRibisl
. I will co-lead a project on menthol cigarette ban and communication w/Marissa Hall. We are so excited!
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@Wizdomisms
How is she so calm? I’m flooded with adrenaline just watching her. I had to watch it a few times to learn what she did. Props. And shame on that guy for the mad disrespect.
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In a meeting with national leaders yesterday, I learned that the pandemic has caused the US to administer 2.3 million fewer doses of HPV vaccinations. And the gap is worsening by the day. This is an urgent. We can't abandon a generation of young people to HPV cancers.
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You thought a needle is the worst image for promoting vaccination? I offer this gem.
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The Covid relief bill has a billion dollars earmarked for vaccine confidence. Not a typo.
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This. House. Is. On. Fire. 🔥 🔥 🔥
BREAKING NEWS:
@UNC
just released COVID numbers. Its positivity rate last week was 31.3% in Chapel Hill. That's more than double last week's numbers
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After starting HPV vaccination programs, countries saw cervical pre-cancers decrease by 51% among girls age 15–19 and by 31% among women age 20–24. This is many thousands of lives saved. And would be even more if HPV vaccine coverage were higher.
HPV vaccination programmes have substantial impact in reducing human papillomavirus infections and precancerous cervical lesions: finding from meta-analysis following 60 million individuals in high-income countries for 8-9 years post girls-only vaccination
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“Almost 700 children have died from COVID-19, placing SARS-CoV-2 infection among the top 10 causes of death in US children. No children have died from vaccination.”
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So this guy only flies first class. But he makes his wife and adolescent kids fly economy. Can someone tell me how procreation ever happens? Heterosexuality is so confusing to me.
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UNC must stop all in person instruction and send all students home from its dorms immediately. It needs immediate action to protect the people in its communities from the large parties going on.
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Jo Anne Earp passed away last night. A fierce advocate for students, staff and faculty, she was a warm mentor to several generations of public health scholars and practitioners. It’s such sad news.
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Vaccine hesitancy is a top 10 threat to global health, says WHO. The most effective way to increase vaccination is to use nudges, not persuasion. See our authoritative review of the scientific research.
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When asked how to increase vaccine uptake, I always bring up the hesitancy among BIPOC and link it to current medical mistreatment. Then there’s a pause, and people ask what to do. I finally said the silent part out loud today: make your vaccination facility less racist.
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Bullshit. New dads can hold and soothe the baby. Change diapers. Give the baby a bath. Do laundry. Clean the house. Go shopping. And yes, even bottle feed. Especially in the middle of the night.
Paternity leave is important for the whole family, equitable, and manly.
The thing about paternity leave is there isn't much for dad to do when the baby is a newborn, especially if mom is breastfeeding. His main role is to take care of mom as she recovers but of course that doesn't apply to Buttigieg so I'm not sure why he needs paternity leave at all
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HPV vaccine cuts cervical cancer risk by 90% when given before age 17. New study of 1.6 million people. My mom would be alive today if HPV vaccine were available when she was young. And her grandson would have known her instead of a gravestone.
My mother died from cervical cancer. Today I visited her grave at Arlington National Cemetery. So I could share a picture of her grandson who she never met. Were HPV vaccine around when she was a girl, she’d be alive today. Prevent HPV cancers by getting your kids the vaccine.
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@lastpositivist
Our department will not allow some to stand up unless the committee is willing to pass the student. In your situation, I would have a list of specific concerns that are addressable and work with the student on a plan and timeline to address them. I’d also make them cookies.
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Facebook will ban anti-vaccine ads. It only took two pandemics. But let’s still call that a win.
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Suggestions for online job talks, a thread.
1. Expect that even people who care may not give full attention. It’s not disrespect—it’s just a new reality.
2. Slow down. It’s easy for us to miss a word. And get lost.
3. Put the main meaning of each slide in text at the top.
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The journal Vaccines published a bogus article. And now some of their 369 (?!) editorial board members are resigning. The publisher MDPI has a history of questionable practices. Note this is not the journal Vaccine, which remains the best in the field.
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The extent of the coming vaccine crisis takes shape, and it’s bad. “...administration of measles, mumps and rubella shots dropped by 50%; diphtheria and whooping cough shots by 42 percent; and HPV vaccines by 73%.”
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I was just named a fellow of the American Psychological Society
@psychscience
. Many thanks to
@GretchenChapman
, Neil Weinstein, and Valerie Reyna for the support and mentoring over the years.
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Are any of you having a "vaccinated only" Thanksgiving? And by this, I mean that you have unvaccinated people in your family who won't be able to attend. If so, a colleague would like to ask you a couple questions.
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Owning a bookstore and then grad school stole my love of reading. Books became a chore. This book of essays, Thick, by
@tressiemcphd
is helping with that. It reads like fiction and has a compelling clarity. It’s the first book I’ve read in a decade. Well worth the wait.
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HPV vaccine cut cervical cancer by 87% in this large observational study.
NEW—Cervical cancer rates 87% lower in women offered vaccination against human papillomavirus (
#HPV
) between ages 12-13 than in previous generations, English study confirms.
First direct evidence of cervical cancer prevention using bivalent vaccine:
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FDA has published a draft rule requiring pictorial warnings on cigarette packs. It is exciting to see 9 of our papers cited. It's gratifying when research travels from the lab into policy making.
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The unfounded HPV vaccine safety scare in Japan drove uptake from 70% to below 1%. This will cause 5000 deaths from cervical cancer. "Many of these deaths could still be prevented if vaccination coverage with extended catch-up can be rapidly restored."
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“Two major airline CEOs question the need for masks on planes.”
This is a good reason to stop flying on American Airlines. Fly Delta instead. They’ve been great all the way through.
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@tressiemcphd
1. Protection (from “but why didn’t you tell me”)
2. Anxiety. Hiding info is work and takes energy
3. Cruelty. They might not like you
4. Officiousness. They appointed themselves as mayor
5. Strategy. Action is needed to protect common interests
6. Kindness
1-5 are selfish.
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The scientific response to
#Omicron
is great. Multiple nations spotted it very early. Outstanding scientists in a middle-income country decoded the variant. The information got out quickly. The policy and “opinion” responses have been a debacle—ill-informed, alarmist, reactionary
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@tressiemcphd
It took me 8 years to get our faculty meting renamed from DPAC to "faculty meeting" and that is one of my greatest contributions to science.
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"Can faculty tell others (faculty or students) that a student tested positive? No."
But if class goes online bc of a case, say:
“Hello students. I was notified by Campus Health that an individual who attended X class [on X days] tested positive for COVID-19 on X date."
Hmmm.
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@tressiemcphd
People see it but they don’t believe it. Change the email address. Info
@tressiemc
says it goes to a dead letter box. But drmcmillancottom
@tressiemc
says that you sit patiently at your desk waiting for people to email you so you can feel whole.
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Hey
@nytimes
. This headline is incorrect. The majority of kids get the vaccine. At least one fact in the article is also garbled—HPV vaccine intentions have been steadily rising, not dropping.
The HPV Vaccine Prevents Cancer, but Most Kids Don’t Receive It
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I’m really feeling these bandaids to represent vaccination. They replace the dumb needle imagery. They show protection visually. More please.
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I want to return to this on-the-money tweet. In the weeks since, our school of public health announced dean candidates: 3 of the 4 are MDs, the search was co-lead by 2 MDs. I’d guess that our faculty is no more than 10% docs. If I’m complete honest, it’s jarring.
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So excited to work with a stellar team of the world’s leading vaccination behavior scientists.
The Lancet has announced their Commission on
#Vaccine
Refusal, Acceptance, and Demand in the USA — and we're proud that Dr.
@noelTbrewer
is one of the commissioners.
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"Replication delusion": misunderstanding p values makes replication seem unneeded. New review by Gigerenzer. Replication delusion existed among 20% of psych stats faculty, 39% of professors and lecturers,
66% of students. Similar to argument by
@hardsci
.
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A recent review on HPV vaccine safety found 109 studies of 2.5 million people in 6 countries. The vaccine is very safe, one of the most studied medications. It prevents 6 cancers. HPV vaccination will save thousands of lives every year. .
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This is next level risk communication.
“Wash your hands like you’ve been chopping jalapeños and need to change a contact lens” says BC Public Health Officer Dr. Bonnie Henry re. ways to protect against
#coronavirus
#Covid_19
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@EpiEllie
A bit of a tangent. But my slides now include a pic for the lead scientist on all papers I use in class. It forced me to see that 90% of my examples were by white men. And to fix that. It also imbued a deep warmth into the slides.
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WHO has called experts together to understand *possible* side effects of the many COVID-19 vaccine candidates, led by
@SaadOmer3
. I’m on the risk communication planning team led by
@DubeEve
with
@CorneliaBetsch
@lmenning
and others. I’m so impressed by the expertise here.
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Covid may disrupt your sexy time—get vaccinated.
Erectile disfunction is much more common among men who’ve had Covid-19 than among those who haven’t (28% vs. 9%). It’s a case control study (1:3) of 100 Italian adult men.
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The first comprehensive study of sexual orientation, trans identity, and
#Covid19
vaccination shows some very large disparities. National sample of 143,000 US adults. This is one of the studies that I’m proudest of, done as part of a CDC team. 🧵
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@tressiemcphd
If you want to read more, and I know you read way more than I do, the first work starts her:
Delroy L. Paulhus & Kevin M. Williams, 2002.
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Men are introduced as Dr. and women are introduced by first name. My timeline is full of women who experience this every day. Come on guys—we gotta do better.
Speaker Introductions at an International Oncology Conference - PUBLISHED!
Women were more likely to be introduced by their first name and less likely to be introduced by their professional title at ASCO 2017/2018.
@OncoAlert
@MKnoll_MD
@DrSGraff
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I just heard that the kids aren’t being told about the UNC shooter and so they aren’t scared. They’re still locked down and no one is going in or out. We need to make a plan to get our son home from kindergarten.
This is my son’s first day of kindergarten. I can’t believe it but he’s in lockdown too. I hope they’re not telling the kids what’s going on. He’s 5.
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Academic metrics lose meaning: "number of publications has ceased to be a good metric as a result of longer author lists, shorter papers, and surging publication numbers. Citation-based metrics, such citation number and h-index, are likewise affected"
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@GregoryRSL
@mwkraus
Chapel Hill is just down the road too. You’d be very welcome here in the area. Nicer winters too.
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Do you think Black people’s reluctance to get a Covid-19 vaccine is because of events from 50 or a hundred or more years ago? That’s part of it but misses a central fact. The reluctance comes from lived experiences through their lives *including today*.
Let’s be honest.
Many Black person will refuse to take this COVID vaccine bc most of us don’t trust that white people or the government mean us any good.
And when that happens, know that the hesitance is not some baseless paranoia. It is completely rational.
Let me explain.
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This is insane. An MD had to shame a company on Twitter to get pain meds for his cancer patient.
Dear
@OptumRx
Telling me on Friday afternoon that a cancer patient in a pain crisis needs to wait 5 BUSINESS DAYS to have their analgesic Rx authorized is completely unacceptable.
I will cc: you on the ER notes for pain management this weekend.
This is an outrage.
#medtwitter
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Today I was on a Zoom call with a senior pediatrician. She was breast feeding quietly with the baby just out of the frame. No one made a big deal, no one had a fit. It was just fine. This new humanizing of meetings is one of my favorite things.
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A psychological theory of humor says it has to be both benign and a violation. The guys are good at the violating part but not at the benign part. Prestige also increases funniness, but these guys aren’t getting an assist there.
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“Confronting the evolution and expansion of anti-vaccine activism in the USA in the COVID-19 era” Our new Lancet commentary.
Free download for the next few weeks.
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@SusanMichie
Consider using more selfish reasons and listing them first. Research shows they are more potent.
-Not miss work/play time if you get sick
-Safely see family
-Party with friends
-Travel at all (be ready for requirements for vax)
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We have blastoff for WHO's Childhood Immunization Survey on the behavioral and social drivers of vaccination. After a year of planning, Francine Ganter Restrepo conducted the first cognitive interview at the Chapel Hill Library in NC. Thanks to all on the BeSD working group.
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@tressiemcphd
It’s called the dark triad (named by two white guys, go figure). The current idea is that there’s some underlining trait called D (this is genuinely funny) also called a master trait (sigh, it’s really not a coincidence).
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A vaccine promotion ad. I promise you’ll cry. It’s so beautiful and kind.
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@UNCBlackCaucus
Racism at the highest level makes Black faculty want to leave the Univeristy — and people are surprised? WTF. Fixing this is the job of the white university leaders who created this specific issue and all white faculty who maintain the deeper rails this rides on.
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Our new review in BMJ:
HPV vaccination reduces cervical cancer risk but is underused, especially in lower income countries. Strategies to boost coverage include delivery in schools, improving provider recommendations & correcting misinformation.
Free pdf:
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@dsquintana
I’ll add a couple:
-Be as courteous to journal reviewers as you would be to your dentist. No sane person pisses off their dentist.
-Be collegial even if — especially if — the reviewer is rude or angry or contemptuous.
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"Can faculty continue to teach in person if they have COVID symptoms? No."
Do we mean one symptom? Five symptoms? Not known.
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@tressiemcphd
So these folks do anything to get what they want, purposefully undermine others’ goals and hurt them, and hold twisted beliefs that justify all this. I’d label it M for malevolent personality type but that’s just me.
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Incentives for
#Covid19
vaccine have been used globally, but their impact is unclear. As countries plan new incentives, our new Lancet commission commentary can help these programs have the best chance at increasing uptake.
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Just named to the top .1% of most cited researchers again. Such a bright spot in the day.
#HighlyCited2021
@ClarivateAG
. See the full list
#HighlyCited2021
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Our son’s 4th birthday has unlocked levels of Betty Crocker that I didn’t know existed in my husband’s soul. I thought cupcakes came from a box but these all came from, I don’t, know bags of flour and shit. Now he’s going to make frosting?!
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Lottery failed to increase Covid-19 vaccine uptake in Ohio. No surprise there. Now let’s knock it off.
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When to spend $620,000 on a nationally representative sample? And when will a cheap convenience sample do just fine? Teaser: For results of experiments, convenience and probability samples were identical. Our new paper led by Michelle Jeong.
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UNC’s Health Behavior Dept is hiring beh scientists in the areas of cancer prevention, mental health, behavioral aspects of climate change, Latinx health, and health communication, including digital health. It’s a great dept in a great town.
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Most times when I post about inequity and reducing harms to Black people, I lose a few followers. It’s an eye opener for sure about how we create and reinforce our social spaces. If anyone’s still not sure where we are at,
#BlackLivesMatter
#BLACKLIVESMATTER
. Thank you.
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