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The role of Ulama (Islamic religious leaders) in countering anti-vaccination rhetoric in Indonesia
Abstract
Indonesia has been facing a serious threat from fake news and hate speech which is wildly disseminated through social media. As the largest Muslim-majority country in the world, health issues and their link to religion are one of the most discussed topics on social media in this country. The aim of this study is to introduce a strategy to counterbalance fake news on vaccine issues. This research employed a mixed-method approach that used content of analysis data obtained from social media monitoring. In addition, semi-structured interviews were conducted with 15 participants from various sectors related to vaccine issues. Monitoring of six female Facebook users in anti-vaccine groups revealed that the top five topics discussed in Indonesia were halal certification, conspiracy, adverse effects, adjuvants, and vaccine substitution. This research recommends a communication strategy to counterbalance fake news on the vaccine, employing both medical professionals and trusted, influential members of the religious community to educate the public. They should have a strong background in medical issues and understand Islamic perspectives. The involvement of Ulama (Islamic religious leaders) is important and needed to explain that vaccines do not violate religious law.
... Therefore, even though Indonesia is not a religious state, Islamic law is widely adopted as national law (Witro, 2020), and even thanks to the ulama/kyai, the deadlock in social communication between the government and the community can be resolved properly, for example, the rejection of family planning programs, BPJS, PSBB. and the national vaccination program in the prevention of Covid-19 (Arief & Karlinah, 2022;Pabbajah et al., 2020) can be resolved. However, the role of ulama/kyai as heirs of the Prophets who are also protectors of the community should not be misused politically as during the 2019 presidential election, where the role of Islamic clerics/kyai was used and exploited for political purposes only, resulting in friction in the community and the world of Islamic boarding schools (Suradi & Surahman, 2020). ...
Every struggle of the ulama/kyai must have obstacles, obstacles and challenges, although relatively different but in principle the same, namely amar ma'rûf nahy munkar. KH. Munawar bin Kyai Badriyah bin Kyai Sarbian the originator and initiator of Islamic syi'ar broadcasters in the past Grinting era (1965s) known as Grinting is a black of culture, the village was left behind after being made aware of the importance of education, especially religious education in the 20s years later now different, advanced, high achievers and religious. It even became the village with the best educational participation rate. Through a qualitative approach with a narrative model and historical, descriptive, and literature methods. Success in spreading the mission of Islamic boarding school with its three teaching materials, namely reading the Qur'an, understanding tajwid and having good morals contributed to the millennial era, including in initiating Jam'iyah, and madrasa education.
Misinformation is a complex and urgent sociotechnical problem that requires meaningful governance, in addition to technical efforts aimed at detection or classification and intervention or literacy efforts aimed at promoting awareness and identification. This review draws on interdisciplinary literature—spanning information science, computer science, management, law, political science, public policy, journalism, communications, psychology, and sociology—to deliver an adaptable, descriptive governance model synthesized from past scholarship on the governance of misinformation. Crossing disciplines and contexts of study and cases, we characterize: the complexity and impact of misinformation as a governance challenge, what has been managed and governed relative to misinformation, the institutional structure of different governance parameters, and empirically identified sources of success and failure in different governance models. Our approach to support this review is based on systematic, structured literature review methods to synthesize and compare insights drawn from conceptual, qualitative, and quantitative empirical works published in or translated into English from 1991 to the present. This review contributes a model for misinformation governance research, an agenda for future research, and recommendations for contextually‐responsive and holistic governance.
Context: This study aims to examine the extent to which political partisanship— measured as support for the incumbent candidate for Indonesia’s president, Joko Widodo (popularly known as Jokowi) or its former challenger, Prabowo— affects the risk perception of COVID-19 and COVID-19 vaccine hesitancy and refusal as well as beliefs about the safety and efficacy of the COVID-19 vaccine.
Methods: Multinomial logistic and OLS regression analyses on a nationally representative sample of the National Survey on public trust in the COVID-19 vaccines and vaccinations held in December 2020.
Findings: Individuals who voted for Prabowo–Sandi in the 2019 Presidential Election are more likely to have a lower level of willingness and a higher level of hesitancy to get the COVID-19 vaccine than those who cast their ballot for Jokowi–Amin as the Indonesian President.
Conclusions: Political partisanship does matter in shaping individuals’ hesitancy or refusal toward the COVID-19 vaccine in Indonesia. The effect of partisanship is also significant in shaping individuals’ trust in the efficacy and safety of the COVID-19 vaccine, but it is not significantly associated with individuals’ risk perception.
Purpose
The purpose of this research was to use develop a sentiment model using machine learning algorithms for discerning public response about the misinformation correction practices of Muslim clerics on YouTube.
Method
This study employed three machine learning algorithms, Naïve Bayes, SVM, and a Balanced Random Forest to build a sentiment model that can detect Muslim sentiment about Muslim clerics’ anti-misinformation campaign on YouTube. Overall, 9701 comments were collected. An LDA-based topic model was also employed to understand the most expressed topics in the YouTube comments.
Results
The confusion matrix and accuracy score assessment revealed that the balanced random forest-based model demonstrated the best performance. Overall, the sentiment analysis discovered that 74 percent of the comments were negative, and 26 percent were positive. An LDA-based topic model also revealed the eight most discussed topics associated with ten keywords in those YouTube comments.
Practical implications
The sentiment and topic model from this study will particularly help public health professionals and researchers to better understand the nature of vaccine misinformation and hesitancy in the Muslim communities.
Social implications
This study offers the joint task force of Muslim clerics and medical professionals, and the future misinformation campaigns a sentiment detection model to understand public attitude to such practices on social media.
Originality
While the impact of misinformation on public sentiment and opinion on social media has been researched extensively, Muslim perspectives on combating misinformation have received less attention. This research is the first to evaluate responses towards Muslim clerics correcting religious vaccine misinformation using machine learning models.
If English is the lingua franca for business, science, and technology, Arabic is the undisputed lingua franca for Muslims. For Muslims, it is the language of the Quran, Prophet Muhammad, prayer, and paradise. Non-Arabic speaking Muslims must use Arabic to perform daily rituals, even if they do not fully understand the literal meaning of most of the Arabic recitations involved. Those who do understand Arabic scripture are looked at in awe by many non-Arabic speakers, particularly if Arabic is their second language. Indeed, as Watt and Fairfield (2008) succinctly put it, “authenticity tolls loudest when rung out by ancient syllables” (pp. 359–360). This faith-based motivation to learn a language other than English (or LOTE; Dörnyei & Al-Hoorie, 2017) is part and parcel of the different world religions, applying to varying degrees for example to Greek and Latin to Christianity, Hebrew in Judaism, Sanskrit in Hinduism, and Pali in Buddhism.
Lone actor targeted violence is often the result of pathological fixations driven by extreme overvalued beliefs. An extreme overvalued belief is shared by others in a person’s cultural, religious, or subcultural group. The belief is often relished, amplified, and defended by the possessor of the belief and should be differentiated from a delusion or obsession. Over time, the belief grows more dominant, more refined, and more resistant to challenge. The individual has an intense emotional commitment to the belief and may carry out violent behavior in its service. The belief becomes increasingly binary, simplistic, and absolute. We discuss the phenomenology, historical origins and application of extreme overvalued belief which was derived from the seminal work of the 19th century German neuropsychiatrist, Carl Wernicke. We discuss how delusions are different from extreme overvalued belief. Targeted violence motivated by political, religious, racial, sexual or other shared ideologies, and often fueled through online interaction are discussed and applied to well known cases, including Anders Breivik, the Unabomber, assassins such as John Wilkes Booth, Osama bin Laden, Incels, anti-LGBTQ, Sovereign Citizens, violent jihadists, and neo-Nazis. The DSM-5 models on cultural formulation and alternative personality disorder are presented here as important contributions to clearly understanding cases involving extreme overvalued beliefs.
Thailand has one of the world’s highest prevalence of cervical cancer, mainly caused by the human papillomavirus (HPV). HPV infections can successfully be prevented by vaccination, which is available at a cost but not yet implemented in the national vaccination program. Parents play a critical role in deciding whether to vaccinate their child against HPV. Thus, the aim was to examine the association between parents’ knowledge, beliefs, and acceptance of the HPV vaccination for their daughters, considering their socio-demographics and religious beliefs. A cross-sectional design was used among three schools in Thailand: Nakorn Phatom province (suburban) and Bangkok (urban). Parents of 9–12-year-old daughters completed the questionnaires, guided by the Health Belief Model. In total, 359 parents completed the questionnaires; of those, 301 were included in the final analyses. The ordinary least squares (OLS) regression analysis showed that background knowledge of HPV and the HPV vaccine was positively related to knowledge of HPV and cervical cancer. For beliefs, knowledge was positively associated with susceptibility (i.e., parents’ perceived risk of an HPV infection/ related disease), severity, and benefit. However, knowledge was not significantly related to barriers. For acceptance, higher susceptibility and benefit were related to higher acceptance, and greater knowledge was associated with higher acceptance. Thus, we found associations between parents’ knowledge, beliefs, and acceptance of the HPV vaccination for their daughters, considering their socio-demographics and religious beliefs. Parents, who reported religion as important, as opposed to those who did not, were more favorable toward the HPV vaccination. Four out of ten mothers had never undergone a cervical cancer screening, but most had accepted previous childhood vaccinations for their daughters. The overall acceptance of the vaccine was high, and we believe our results are promising for future implementation of the HPV vaccination in the national childhood vaccination program in Thailand.
Extreme overvalued beliefs (EOB) are rigidly held, non-deusional beliefs that are the motive behind most acts of terrorism and mass shootings. EOBs are differentiated from delusions and obsessions. The concept of an overvalued idea was first described by Wernicke and later applied to terrorism by McHugh. Our group of forensic psychiatrists (Rahman, Resnick, Harry) refined the definition as an aid in the differential diagnosis seen in acts of violence. The form and content of EOBs is discussed as well as group effects, conformity, and obedience to authority. Religious cults such as The People's Temple, Heaven's Gate, Aum Shinrikyo, and Islamic State (ISIS) and conspiracy beliefs such as assassinations, moon-hoax, and vaccine-induced autism beliefs are discussed using this construct. Finally, some concluding thoughts on countering violent extremism, including its online presence is discussed utilizing information learned from online eating disorders and consumer experience.
Over the past decade, anti-vaccination rhetoric has become part of the mainstream discourse regarding the public health practice of childhood vaccination. These utilise social media to foster online spaces that strengthen and popularise anti-vaccination discourses. In this paper, we examine the characteristics of and the discourses present within six popular anti-vaccination Facebook pages. We examine these large-scale datasets using a range of methods, including social network analysis, gender prediction using historical census data, and generative statistical models for topic analysis (Latent Dirichlet allocation). We find that present-day discourses centre around moral outrage and structural oppression by institutional government and the media, suggesting a strong logic of ‘conspiracy-style’ beliefs and thinking. Furthermore, anti-vaccination pages on Facebook reflect a highly ‘feminised’ movement ‒ the vast majority of participants are women. Although anti-vaccination networks on Facebook are large and global in scope, the comment activity sub-networks appear to be ‘small world’. This suggests that social media may have a role in spreading anti-vaccination ideas and making the movement durable on a global scale.
Although the actual effect of fake news online on voters’ decisions is still unknown, concerns over the perceived effect of fake news online have prevailed in the US and other countries. Based on an analysis of survey responses from national samples (n = 1299) in the US, we found a strong tendency of the third-person perception. That is, individuals believed that fake news would have greater effects on out-group members than themselves or in-group members. Additionally, we proposed a theoretical path model, identifying the antecedents and consequences of the third-person perception. The results showed that partisan identity, social undesirability of content, and external political efficacy were positive predictors of the third-person perception. Interestingly, our findings revealed that third-person perception led to different ways of combating fake news online. Those with a greater level of third-person perception were more likely to support the media literacy approach but less likely to support the media regulation approach.
Biomedical engineering research trend can be healthcare models with unobtrusive smart systems for monitoring vital signs and physical activity. Detecting infant facial cry because of inability to communicate pain, recognizing facial emotion to understand dysfunction mechanisms through micro expression or transform captured human expression with motion device into three-dimensional objects are some of the applied systems. Nowadays, collaborated with biomedical research, mining and analyzing social network can improve public and private health care sectors as well such as research health news shared on social media about pharmaceutical drugs, pandemics, or viral outbreaks. Due to the vast amount of shared news, there is an urgency to select and filter information to prevent the spread of hoax or fake news. We explored in depth some steps to classify hoaxes written as news articles. This discussion also encourages on how technologies of social network analysis could be used to make new kinds improvement in health care sectors. Then close with a description of limitless future possibilities of biomedical engineering research in social media.
Despite increasing warnings about inaccurate information online, little is known about how social media contribute to the widespread diffusion of unverified health information. This study addresses this issue by examining the vaccine-autism controversy. By looking into a large dataset of Twitter, Reddit posts, and online news over 20 months in the US, Canada, and the UK, our time-series analysis shows that Twitter drives news agendas, and Reddit follows news agendas regarding the vaccine-autism debate. Additionally, the results show that both Twitter and Reddit are more likely to discuss the vaccine-autism link compared to online news content.
For the news industry, information is used to tell stories, which have traditionally been organized around “facts”. A growing problem, however, is that fact-based evidence is not relevant to a growing segment of the populace. Journalists need facts to tell stories, but they need data to understand how to engage audiences with this accurate information. The implementation of data is part of the solution to countering the erosion of trust and the decay of social discourse across networked spaces. Rather than following “trends”, news organizations should establish the groundwork to make facts “matter” by shaping the narrative instead of following deceptive statements.
The Communicable Disease Control Medical Network (CDCMN), established in 2003 after the SARS outbreak in Taiwan, has undergone several phases of modification in structure and activation. The main organizing principles of the CDCMN are centralized isolation of patients with severe highly infectious diseases and centralization of medical resources, as well as a network of designated regional hospitals like those in other countries. The CDCMN is made up of a command system, responding hospitals, and supporting hospitals. It was tested and activated in response to the H1N1 influenza pandemic in 2009-10 and the Ebola outbreak in West Africa in 2014-2016, and it demonstrated high-level functioning and robust capacity. In this article, the history, structure, and operation of the CDCMN is introduced globally for the first time, and the advantages and challenges of this system are discussed. The Taiwanese experience shows an example of a collaboration between the public health system and the medical system that may help other public health authorities plan management and hospital preparedness for highly infectious diseases.
Social media have emerged as increasingly important sources through which the public seeks information concerning crises or risks. Despite this increased dependence, little is known about the psychological processes associated with perceptions of source credibility or the desire to seek additional information related to the risk. The current study investigates the role of speed of updates in credibility perceptions and information seeking using Twitter. The results do not provide evidence of a direct relationship between update speed and the outcomes under consideration. They do, however, consistently support a mediation model in which cognitive elaboration mediates the relationship between update speed and perceptions of sender competence, goodwill, trustworthiness, and reader (follower/audience/rater/target) desire for additional information. These findings are discussed in terms of their implications and applied use.
When faced with vaccine hesitancy, public health authorities are looking for effective strategies to address this issue. In this paper, the findings of 15 published literature reviews or meta-analysis that have examined the effectiveness of different interventions to reduce vaccine hesitancy and/or to enhance vaccine acceptance are presented and discussed. From the literature, there is no strong evidence to recommend any specific intervention to address vaccine hesitancy/refusal. The reviewed studies included interventions with diverse content and approaches that were implemented in different settings and targeted various populations. Few interventions were directly targeted to vaccine hesitant individuals. Given the paucity of information on effective strategies to address vaccine hesitancy, when interventions are implemented, planning a rigorous evaluation of their impact on vaccine hesitancy/vaccine acceptance will be essential.
Copyright © 2015. Published by Elsevier Ltd.
Full text free on http://ojcmt.net/articles/41/415.pdf
Social media influencers (SMIs) represent a new type of independent third party endorser who shape audience attitudes through blogs, tweets, and the use of other social media. A mature public relations literature has identified the characteristics of effective spokespersons, but relatively little is known about audience perceptions of the SMI. A q-sort technique identified core perceived attributes of four sample SMIs. A better understanding of the perceived personality of SMIs provides tools for optimizing an organization's SMI capital.
Background
Although childhood vaccination programs have been very successful, vaccination coverage in minority groups may be considerably lower than in the general population. In order to increase vaccination coverage in such minority groups involvement of faith-based organizations and religious leaders has been advocated. We assessed the role of religious leaders in promoting acceptance or refusal of vaccination within an orthodox Protestant minority group with low vaccination coverage in The Netherlands.
Methods
Semi-structured interviews were conducted with orthodox Protestant religious leaders from various denominations, who were selected via purposeful sampling. Transcripts of the interviews were thematically analyzed, and emerging concepts were assessed for consistency using the constant comparative method from grounded theory.
Results
Data saturation was reached after 12 interviews. Three subgroups of religious leaders stood out: those who fully accepted vaccination and did not address the subject, those who had religious objections to vaccination but focused on a deliberate choice, and those who had religious objections to vaccination and preached against vaccination. The various approaches of the religious leaders seemed to be determined by the acceptance of vaccination in their congregation as well as by their personal point of view. All religious leaders emphasized the importance of voluntary vaccination programs and religious exemptions from vaccination requirements. In case of an epidemic of a vaccine preventable disease, they would appreciate a dialogue with the authorities. However, they were not willing to promote vaccination on behalf of authorities.
Conclusion
Religious leaders’ attitudes towards vaccination vary from full acceptance to clear refusal. According to orthodox Protestant church order, local congregation members appoint their religious leaders themselves. Obviously they choose leaders whose views are compatible with the views of the congregation members. Moreover, the positions of orthodox Protestant religious leaders on vaccination will not change easily, as their objections to vaccination are rooted in religious doctrine and they owe their authority to their interpretation and application of this doctrine. Although the dialogue with religious leaders that is pursued by the Dutch government may be helpful in controlling epidemics by other means than vaccination, it is unlikely to increase vaccination coverage.
For millennia, humans have sought and found purpose, solace, values, understanding, and fellowship in religious practices. Buddhist nuns performed variolation against smallpox over 1000 years ago. Since Jenner developed vaccination against smallpox in 1796, some people have objected to and declined vaccination, citing various religious reasons. This paper reviews the scriptural, canonical basis for such interpretations, as well as passages that support immunization. Populous faith traditions are considered, including Hinduism, Buddhism, Jainism, Judaism, Christianity, and Islam. Subjects of concern such as blood components, pharmaceutical excipients of porcine or bovine origin, rubella strain RA 27/3, and cell-culture media with remote fetal origins are evaluated against the religious concerns identified.
In recent years healthcare professionals have faced increasing concerns about the value of childhood vaccination and many find it difficult to deal with parents who object to vaccination. In general, healthcare professionals are advised to listen respectfully to the objections of parents, provide honest information, and attempt to correct any misperceptions regarding vaccination. Religious objections are one of the possible reasons for refusing vaccination. Although religious objections have a long history, little is known about the way healthcare professionals deal with these specific objections. The aim of this study is to gain insight into the responding of healthcare professionals to parents with religious objections to the vaccination of their children.
A qualitative interview study was conducted with health care professionals (HCPs) in the Netherlands who had ample experience with religious objections to vaccination. Purposeful sampling was applied in order to include HCPs with different professional and religious backgrounds. Data saturation was reached after 22 interviews, with 7 child health clinic doctors, 5 child health clinic nurses and 10 general practitioners. The interviews were thematically analyzed. Two analysts coded, reviewed, discussed, and refined the coding of the transcripts until consensus was reached. Emerging concepts were assessed using the constant comparative method from grounded theory.
Three manners of responding to religious objections to vaccination were identified: providing medical information, discussion of the decision-making process, and adoption of an authoritarian stance. All of the HCPs provided the parents with medical information. In addition, some HCPs discussed the decision-making process. They verified how the decision was made and if possible consequences were realized. Sometimes they also discussed religious considerations. Whether the decision-making process was discussed depended on the willingness of the parents to engage in such a discussion and on the religious background, attitudes, and communication skills of the HCPs. Only in cases of tetanus post-exposure-prophylaxis, general practitioners reported adoption of an authoritarian stance.
Given that the provision of medical information is generally not decisive for parents with religious objections to vaccination, we recommend HCPs to discuss the vaccination decision-making process, rather than to provide them with extra medical information.
A 3D porous metal-organic framework generating 1D channels, [Mn(NDC)(DEF)]n (1), has been prepared from the solvothermal reaction of Mn(II) and 2,6-naphthalenedicarboxylic acid (H2NDC) in diethylformamide (DEF). When DEF molecules coordinating Mn(II), which occupy the channels, are removed from 1 by heating the crystal of 1 at 250 degrees C under vacuum for 18 h, structural change occurs as evidenced by X-ray powder diffraction patterns. Desolvated solid [Mn(NDC)]n (2), which contains coordinatively unsaturated Mn(II) sites, reveals remarkable sorption capabilities for N2, H2, CO2, and CH4 gases and exhibits type I sorption behavior indicative of permanent microporosity.
Introduction:
Human papillomavirus (HPV) is the most common viral infection of the reproductive tract. Three prophylactic HPV vaccines are available for the prevention of HPV-related disease. Despite clinical success, immunisation rates remain sub-optimal. The purpose of this systematic review is to synthesise qualitative literature to achieve an understanding of the drivers and barriers to HPV vaccine acceptability and to determine targets for an intervention to improve vaccine uptake.
Methods:
The seven-step model of meta-ethnography described by Noblit and Hare was used. The quality of the studies was assessed using the CASP (Critical Appraisal Skills Programme) for qualitative research. The ENTREQ (Enhancing transparency in reporting the synthesis of qualitative research) statement was used to guide reporting of results.
Results:
Thirty-three studies were included in the final analysis, compiling the opinions of 1280 parents/guardians from 14 countries. Five key concepts that reflected the principal findings of studies were determined: is prevention better than cure; the fear of the unknown; limited knowledge and understanding; complex vaccination decisions and; parental responsibility. Third-order interpretations were developed and linked using a 'line of argument' to develop a conceptual model.
Conclusion:
The majority of parents are motivated to protect their children and prevent disease. The link to sexual intercourse associated with the HPV vaccine often complicates the vaccination decision. Vaccine manufacturers, national healthcare systems and healthcare providers can reinforce the importance of HPV immunisation and reiterate the rationale behind vaccination recommendations, by providing unambiguous information in a timely manner, transparently addressing parental concerns regarding vaccine safety and efficacy, whilst taking account of cultural and religious sensitivities and varying health literacy levels. In recent years, there has been a reduction in HPV vaccine uptake worldwide. Currently, there is a paucity of published qualitative studies addressing these new vaccine concerns. Therefore, such research is required to guide intervention development, to improve HPV vaccine uptake.
Objectives: Fake news: misinformation and falsehood of health news in social media constitute a potential threat to the public health, but the scope of this issue remains unclear. Our pilot study is an initial attempt to measure a number of the top shared health misinformation stories in the Polish language social media. Methods: Using the BuzzSumo Application, a range of the top shared health web links in the Polish language social media was assessed during the period between 2012 and 2017. We used the following keywords which were related to the most common diseases and causes of death: cancer, neoplasm, heart attack, stroke, hypertension, diabetes, vaccinations, HIV, and AIDS. Each link was checked for the presence of fake news. Results: 40% of the most frequently shared links contained text we classified as fake news. These were shared more than 450,000 times. The most fallacious content concerned vaccines, while news about cardiovascular diseases was, in general, well sourced and informative. More than 20% of dangerous links from our material was generated by one source. Conclusions: Analyzing social media top shared news could contribute to identification of leading fake medical information miseducating the society. It might also encourage authorities to take actions such as put warnings on biased domains or scientifically evaluate those generating fake health news.
Lies spread faster than the truth
There is worldwide concern over false news and the possibility that it can influence political, economic, and social well-being. To understand how false news spreads, Vosoughi et al. used a data set of rumor cascades on Twitter from 2006 to 2017. About 126,000 rumors were spread by ∼3 million people. False news reached more people than the truth; the top 1% of false news cascades diffused to between 1000 and 100,000 people, whereas the truth rarely diffused to more than 1000 people. Falsehood also diffused faster than the truth. The degree of novelty and the emotional reactions of recipients may be responsible for the differences observed.
Science , this issue p. 1146
Fact checking must be done as a public good, but it's pointless to direct the results at those who can't change their mind and won't change the subject. Our focus should be on developing a set of online tools to facilitate the fact-checking process and make it easily accessible to those who wish their truth straight up.
Disparities in online health information accessibility are partially due to varying levels of eHealth literacy and perceived trust. This study examined the relationship between eHealth literacy and perceived trust in online health communication channels and sources among diverse sociodemographic groups. A stratified sample of Black/African Americans (n = 402) and Caucasians (n = 409) completed a web-based survey that measured eHealth literacy and perceived trustworthiness of online health communication channels and information
sources. eHealth literacy positively predicted perceived trust in online health communication channels and sources, but disparities existed by sociodemographic factors. Segmenting audiences according to eHealth literacy level provides a detailed understanding of how perceived trust in discrete online health communication channels and information sources varies among diverse audiences. Black/African Americans with low eHealth literacy had high perceived trust in YouTube and Twitter, whereas Black/African Americans with high eHealth literacy had high perceived trust in online government and religious organizations. Older adults with low eHealth literacy had high perceived trust in Facebook but low perceived trust in online support groups. Researchers and practitioners should consider the socio-demographics and eHealth literacy level of an intended audience when tailoring information through trustworthy online health communication channels and information sources.
Anti-vaccine sentiment can be extremely resistant to change, making it difficult to promote childhood vaccines. Thus, there is a need for effective strategies to communicate the benefits of vaccination to vaccine hesitant parents. Understanding how anti-vaccine advocates successfully persuade parents against vaccinating their children can provide insight into communication tactics that could be incorporated into vaccine promotion efforts. The internet is an important source of vaccine information for many parents, and plays a role informing vaccine hesitancy. To understand what might make anti-vaccine websites so convincing, we used persuasion theory as a lens to examine what information was being presented, and the persuasive tactics being used to communicate the information. We conducted a content analysis of 480 anti-vaccine websites. Four trained coders coded sites for the content of the vaccine information being presented, types of persuasive tactics used, and values and lifestyle norms associated with anti-vaccine advocacy. Anti-vaccine websites contain a considerable amount of misinformation, most commonly that vaccines are dangerous, cause autism and brain injury. Websites used both scientific evidence and anecdotes to support these claims. Values such as choice, freedom, and individuality were linked to anti-vaccine beliefs. The most commonly co-promoted behaviors included the use of alternative medicine and homeopathy, and eating a healthy or organic diet. Anti-vaccine websites use a battery of effective persuasive techniques to forward their agenda. The use of similar persuasive techniques and tapping into parents’ values and lifestyles are potentially useful strategies for vaccine promotion communication.
La profesion –formacion- docente es un tema crucial en los actuales debates educativos. La existencia de dos decretos y el desplazamiento del verdadero sentido del ser maestro reclaman de los analisis un ejercicio de comprension del orden discursivo oficial. La calidad es el sustrato de la sociedad de control. En este marco se agencia nuevas practicas de subjetivacion del maestro los cuales podriamos situar en la calidad, flexibilidad, adaptabilidad, eficiencia, eficacia. En cualquier caso, el esfuerzo por hacer del maestro un intelectual de la educacion fue borrado. La gran cuestion consiste en saber que discursos regula el saber del docente a la luz de la sociedad de control.
This study aims to (a) examine the roles of knowledge, distrust in medical professionals, information sources, and 2 dimensions of religiosity (i.e., religious activity and religious belief) in influencing willingness to participate (WTP) in cancer clinical trials and to (b) compare the results for Caucasians and African Americans in order to inform future recruitment. An online survey was fielded via a Knowledge Networks panel with a nationally representative sample including 478 Caucasians and 173 African Americans. The results showed that distrust in medical professionals was a strong barrier to WTP for both ethnic groups, whereas factual knowledge about trial procedures was not associated with WTP for either ethnic group. Seeking trial information from doctors was positively associated with WTP for Caucasians; seeking trial information from hospitals was positively associated with WTP for African Americans. More interestingly, levels of religious activity negatively predicted WTP for Caucasians but positively predicted WTP for African Americans. Self-reported religious belief was not associated with WTP for either ethnic group. In sum, although distrust is a common barrier to WTP, the influence of preferred information sources and religious activity on WTP varies as a function of ethnicity.
This study explains and critiques how discourse and related practices of stay-at-home fathering perpetuate, resist and/or potentially undo hegemonic gender relations of work and family. Changes in everyday micro-discourses of fathering can contribute to a feminist politics of macrostructural transformations in gender relations. First, masculinity in relation to historic cultural scripts of fathering is explored. Second, data collection and discourse analysis procedures employed in this study are described. Next, an analysis is presented of the various ways 45 at-home fathers’ use discourse to position themselves and their domestic labors in relation to hegemonic masculinity. Finally, three critical reflections are offered along with steps for future research and activism.
Differences in religious faith-based viewpoints (controversies) on the sanctity of human life, acceptable behaviour, health-care technologies and health-care services contribute to the widespread variations in health care worldwide. Faith-linked controversies include family planning, child protection (especially child marriage, female genital mutilation, and immunisation), stigma and harm reduction, violence against women, sexual and reproductive health and HIV, gender, end-of-life issues, and faith activities including prayer. Buddhism, Christianity, Hinduism, Islam, Judaism, and traditional beliefs have similarities and differences in their viewpoints. Improved understanding by health-care providers of the heterogeneity of viewpoints, both within and between faiths, and their effect on health care is important for clinical medicine, public-health programmes, and health-care policy. Increased appreciation in faith leaders of the effect of their teachings on health care is also crucial. This Series paper outlines some faith-related controversies, describes how they influence health-care provision and uptake, and identifies opportunities for research and increased interaction between faith leaders and health-care providers to improve health care.
Copyright © 2015 Elsevier Ltd. All rights reserved.
Despite being recognized as one of the most successful public health measures, vaccination is perceived as unsafe and unnecessary by a growing number of individuals. Lack of confidence in vaccines is now considered a threat to the success of vaccination programs. Vaccine hesitancy is believed to be responsible for decreasing vaccine coverage and an increasing risk of vaccine-preventable disease outbreaks and epidemics. This review provides an overview of the phenomenon of vaccine hesitancy. First, we will characterize vaccine hesitancy and suggest the possible causes of the apparent increase in vaccine hesitancy in the developed world. Then we will look at determinants of individual decision-making about vaccination.
The Internet plays a large role in disseminating anti-vaccination information. This paper builds upon previous research by analyzing the arguments proffered on anti-vaccination websites, determining the extent of misinformation present, and examining discourses used to support vaccine objections. Arguments around the themes of safety and effectiveness, alternative medicine, civil liberties, conspiracy theories, and morality were found on the majority of websites analyzed; misinformation was also prevalent. The most commonly proposed method of combating this misinformation is through better education, although this has proven ineffective. Education does not consider the discourses supporting vaccine rejection, such as those involving alternative explanatory models of health, interpretations of parental responsibility, and distrust of expertise. Anti-vaccination protestors make postmodern arguments that reject biomedical and scientific "facts" in favour of their own interpretations. Pro-vaccination advocates who focus on correcting misinformation reduce the controversy to merely an "educational" problem; rather, these postmodern discourses must be acknowledged in order to begin a dialogue.
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