CM 180 Final Project

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CM 180: Final Project 29 April 2021 Luqi Chen, Mariam Yousef, Anmol Shah COVID-19 Vaccine Misinformation and Impact on Public Perception I. Introduction To get vaccinated or not to get vaccinated, that is the question. It may seem like a very straightforward answer however, the ubiquitous disinformation of the COVID-19 vaccines have gone to great lengths creating ambiguity and doubt. With trolls, conspiracy theorists, and alleged scientific experts, the spread of misinformation has shown the world once again how preventing a further outbreak of the coronavirus cannot be stopped with the freedom of the internet. Despite over 200 million vaccines have been administered across the United States (CDC, 2021), the number of vaccine-hesitant Americans continues to persist and skepticism of the vaccine and its side effects remains to habituate social media platforms. The spark of anti-vaccine misinformation is inseparable from online media which has become a major platform for many to access health information. According to BMJ Global Health, more than 70% of adults use online platforms to search for healthcare-related information (Li, 2020). It also noted that approximately 23% of YouTube videos are disseminating misinformation related to COVID-19. On the other hand, Facebook reported that from March to April 2020, approximately 90 million pieces of content have placed warning labels as they related to the Covid-19 misinformation such as false cures and anti-vaccination propaganda (Barua, 2020). Furthermore, according to the American Journal of Nursing, individuals who refuse vaccines are more likely to obtain information from social networks rather than health professionals (Danielson, 2019). Based on this understanding, it’s important to explore how anti-vaccine supporters build their arguments on social platforms. Generally, the arguments of 1
2 anti-vaccine supporters are based on doubts about the use of multiple vaccines at an early stage and the lack of personalized drug use plans. Their concerns lie in the possible adverse effects and the constant changes in the vaccination schedule. Moreover, many anti-vaccine supporters are against vaccinations because of their disbelief. For example, many people believe that because the incidence rate of this disease is low for children therefore it’s unnecessary to vaccinate children. According to a study conducted by the American Academy of Pediatrics, 74% of pediatricians find parents oppose or have delayed the administration of vaccines to their children (Ortiz, 2020). People who have misleading beliefs keep confirming their thoughts by exposing the information that allies with them. On Facebook, anti-vaccine users describe themselves as a “pro-science” group that attempts to highlight information that is being hidden from the public. However, the study revealed that their posts and comments mainly discuss the distrust towards pharmacists or healthcare providers and the negative experiences with vaccines. On the other hand, according to a study, anti-vaccine users on Twitter based their posts and comments on personal experience, possible risks, the components of the vaccine, and distrust in the pharmaceutical industry (Soriano, 2020). In terms of interaction, anti-vaccination supporters are more engaged in discussions on Twitter and share their content from a pull of strong influencers. Furthermore, anti-vaccine Tweets were more likely to be shared than those expressing positive feelings. Both these findings provide a more comprehensive understanding of the spreading of anti-vaccine misinformation on social media. II. Spiral of Silence Theory As a result of such strong influence, many people who have been outspoken on social media with loud voices have fallen into the idea of “monkey see, monkey do” otherwise known 2
3 as the Spiral of Science. Coined by Elisabeth Noelle-Neumann in 1974, the Spiral of Science theory illustrates how mass media influences public opinion. According to Elisabeth Neumann in her book, The Spiral of Science , the theory refers to how people remain silent when they believe their views are opposed to the majority consensus (Neumann, 1984). People who share the minority opinion are reluctant to express their views as they fear that revealing their opinions will result in the likelihood of social isolation. As the majority opinion continues to be promoted, the less likelihood of minority groups are willing to express their views creating a spiral effect. Elements of the spiral of silence theory are apparent when it comes to the misinformation of the vaccine on social media. When the Pfizer-BioNTech COVID-19 Vaccine was first released, the skepticism around the vaccine’s effectiveness and side effects submerged the topic of conversation at the time. According to a survey conducted by the CDC, 23.4% of the respondents surveyed in the United States stated that the reason why they choose not to get vaccinated is because of concerns about the side effects and quick development of the vaccine (CDC, 2021). When the respondents were asked where they acquired this information, they stated to have obtained vaccine information on Facebook groups, Instagram pages, and Reddit discussion forums. As a result of increasing doubts regarding the vaccine, what propagates the effects of misinformation is the online behavior and exposure to misinformation. As we tend to minimize our biases when researching and acquiring information, our perception of what the consensus is may differ. According to a BBC article, a French Facebook group with over 50,000 members share and discuss conspiracy theories about the vaccines spreading false rumors about tracking devices, DNA mix-ups, and ailments of the COVID-19 vaccines (BBC, 2021). Anti-vaccine content on Facebook grew by 27% in 2020 (BBC Monitoring 2021) as a result of the spread of 3
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4 false medical information. Such statistics create negative impressions on people making them believe that these opinions are the consensus. This impacts people’s ability to oppose such anti-vaccine groups further diminishing their capacity to express their contrary views. As Facebook continues to serve as an echo chamber for the public, the importance of preventing false homogenous opinions can only be tackled through influencers and the volume of content shared on the internet. Such practices have been utilized, recognizing flaws within the spiral of silence theory allowing for the reduction of misinformation. As the fear of isolation may exist among many individuals on the internet, anti-vaccine consensus does not influence a change in attitude the same way for everyone. As many people online do seek others to make decisions, social media has permitted louder and more effective communication among the public as world leaders and influencers have utilized such platforms to minimize misinformation of the vaccine. The disinformation of COVID-19 vaccines continues to propagate on social media however platforms such as Instagram and Facebook have taken the necessary action to mitigate the spread of misinformation. III. Agenda-setting theory Agenda setting theory in the media can shape the public's perception of what they should think about and how to think about a particular story through framing. The theory was formulated in 1972 by Maxwell McCombs and Donald Shaw. W. Russel Neuman, Professor of Media Technology mentions in The Dynamics of Public Attention , that agenda-setting theory refers to the standard paradigm of persuasion and change in attitudes. During the COVID-19 pandemic, fake news spread across social media informing the public about the dangers of the vaccination. Thus, vaccine hesitancy created a widespread issue that emerged from the spread of fake news. Many believed the media and chose to stand against the vaccine. The reason why 4
5 false rumors began to catch on among many people is that they tend to believe is that the vaccine may alter DNA, causing infertility or miscarriage among women creating a greater risk of getting sick from other diseases. Many news articles have only focused on publishing about vaccine release dates and supply reports, for example, articles on CNN and Washington Post. Such articles do not address the public’s concerns such as vaccine side effects and efficacy. Other articles and posts on various social media platforms spread false information about the vaccine. For instance, in December 2020, social media posts circulated about the Pfizer-BioNTech COVID-19 vaccine potentially causing infertility in women because of the ingredient syncytin-1 (Fauzia, 2020). Based on the Agenda-setting theory, social media shapes how the public views the effects of the vaccine, and in the case of misinformation online, public distrusts has caused an increase in vaccination hesitancy across the United States. News posts and non-credible sources continue to contribute to the misinformation by framing content in a way that influences people to become more skeptical towards vaccines. According to a national survey conducted by Carnegie Mellon University, the uptake from the COVID-19 vaccine increased, but the proportion of adults who are vaccine-hesitant remained the same. Out of 1.9 million Americans who responded to the survey, 23% of them had a steady rate of vaccine hesitancy. (Kish, 2021). Research conducted by the Kaiser Family Foundation tracks the nature of the U.S. public’s attitudes and experiences with the COVID-19 vaccine. The research studied more than 11,000 people and indicated that 70% of the people surveyed were concerned about the side effects while 65% were concerned about being required to get vaccinated when they do not want to (Hamel, 2021). The survey further explains how COVID-19 vaccines have been perceived differently based on people’s ethnicities. According to 5
6 an NPR/PBS poll survey, 25% of African American respondents, 28% of white respondents, and 37% of Latino respondents indicated that they did not plan to get the vaccine (Summers 2021). False information on vaccines targeted minority groups as well as certain political affiliations to enhance the spread of misinformation further proliferating vaccine uncertainty. IV. Proposed Solution In order to tackle this pressing problem, we have to demonstrate how anti-vaccine misinformation spreads through social media and explain both the benefits and side effects of vaccines. In addition, with billions of daily views, social media platforms like Facebook, Instagram, and Twitter have tremendous potential to both promote and hinder public misinformation. For this reason, an infographic, illustrating the spread of misinformation on social media will provide scientific insights including concerns related to vaccines and their safety to communicate how online users can prevent being influenced by disinformation. This infographic, which can easily be delivered on social media, aims to reach anti-vaccine users and individuals who have concerns about vaccines related issues. In order to deliver information professionally, it is important to develop an effective and instructive communication strategy for health organizations to inform the public about the precautions of the COVID-19 vaccine on appropriate media channels. Therefore, advocating the establishment of online communities with vaccine supporters and medical professionals will help promote the dissemination of authoritative scientific information. V. Conclusion Due to COVID-19, we are all experiencing massive threats and impacts on lives and livelihoods. As the Director-General of the World Health Organization stated, we are now going 6
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7 through an ‘infodemic’ (information epidemic) of misinformation (WHO, 2020). The dissemination of misinformation also results in considerable social effects. Therefore, we want to inform the public how misinformation is intentionally and unintentionally influencing us through online media. Examining how vaccine-related information is portrayed on social media with scientific insights has given media practitioners a sense of the importance of reliable communication. Nevertheless, we should not only look at how anti-vaccine-related misinformation is disseminated but also how effective strategies help the dissemination of information from professional sources. As social media proceeds to be the primary source of our medical knowledge, it is imperative for media practitioners and healthcare organizations to minimize the spread of disinformation through appropriate communication. 7
8 Appendix 8
9 References Barua, Z., Barua, S., Aktar, S., Kabir, N., & Li, M. (2020, July 21). Effects of misinformation on COVID-19 individual responses and recommendations for resilience of disastrous consequences of misinformation . Progress in Disaster Science. Effects of misinformation on COVID-19 individual responses and recommendations for resilience of disastrous consequences of misinformation BBC. (2021, March 27). The vaccine misinformation battle raging in France . BBC News. https://www.bbc.com/news/blogs-trending-56526265 Cunningham, P. W. (2021, March 11). Analysis | The Health 202: The U.S. bought enough coronavirus vaccines for three times its adult population . The Washington Post. Retrieved from: Analysis | The Health 202: The U.S. bought enough coronavirus vaccines for three times its adult population Danielson, L., Marcus, B., & Boyle, L. (2019). Special Feature: Countering Vaccine Misinformation. The American journal of nursing, 119(10), 50–55. Special Feature: Countering Vaccine Misinformation: AJN The American Journal of Nursing 9
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10 Durkee, A. (2021, April 23). Here Are The States With The Greatest Covid-19 Vaccine Hesitancy, Poll Says. Forbes. Here Are The States With The Greatest Covid-19 Vaccine Hesitancy, Poll Says Elisabeth Noelle-Neumann: The Spiral of Silence. Public Opinion – Our Social Skin. Chicago University Press, Chicago 1984. Spiral of Silence Elsevier. (2020, December 8). COVID-19 vaccine myths debunked . Mayo Clinic Health System Retrieved from: COVID-19 vaccine myths debunked Fauzia, M. (2020, December 15). Fact check: A false post on social media claims COVID-19 vaccine causes infertility in women . USA Today. Retrieved from: Fact check: A false post on social media claims COVID-19 vaccine causes infertility in women Gee, J. (2021, February 25). Morbidity and Mortality Weekly Report (MMWR): First Month of COVID-19 Vaccine Safety Monitoring - United States, December 14, 2020–January 13, 2021 . Centers for Disease Control and Prevention. First Month of COVID-19 Vaccine Safety Monitoring — United States, December 14, 2020–January 13, 2021, | MMWR 10
11 Germani, F., & Biller-Andorno, N. (2021, March 3). The anti-vaccination infodemic on social media: A behavioral analysis . PLOS ONE. The anti-vaccination infodemic on social media: A behavioral analysis Glynn, J.C., Hayes, F.A. & Shanahan, J. (1997). “Perceived support for one’s opinions sand willingness to speak out: A meta-analysis of survey studies on the ‘spiral of silence’ Public Opinion Quarterly 61 (3):452-463. Perceived Support for One's Opinions and Willingness to Speak Out: A Meta-Analysis of Survey Studies on the 'Spiral of Silence' Kearney, A., Brodie, M., Hamel, & L., Lopes, L. (2021, March 30). KFF COVID-19 Vaccine Monitor: March 2021. KFF. Retrieved from: KFF COVID-19 Vaccine Monitor: March 2021 | KFF Kim, S. R., & Nichols, M. (2021, April 20). 3 things scientists have learned about vaccine hesitancy: Analysis. ABC News. 3 things scientists have learned about vaccine hesitancy: Analysis King, J. (Ed.). (2021, March 24). Covid-19 Analysis: How anti-vaccine narratives went global during the pandemic . BBC Monitoring: Insight. Covid-19 Analysis: How anti-vaccine narratives went global during the pandemic 11
12 Kish, S. (2021, March 23). COVID-19 Vaccination Hesitancy Remains Unchanged - Dietrich College of Humanities and Social Sciences - Carnegie Mellon University. Retrieved from: COVID-19 Vaccination Hesitancy Remains Unchanged - Dietrich College of Humanities and Social Sciences Li, H., Y., Bailey, A., Huynh, D., & Chan, J. (2020, May 1). YouTube as a source of information on COVID-19: a pandemic of misinformation? BMJ Global Health. YouTube as a source of information on COVID-19: a pandemic of misinformation? Liptak, K., Zeleny, J., & Harwood, J. (2021, March 2). Biden now says US will have enough vaccine for every adult by the end of May . CNN. Retrieved from: Biden now says US will have enough vaccine for every adult by the end of May National Center for Immunization and Respiratory Diseases (NCIRD). (2021, March 9). Understanding How COVID-19 Vaccines Work. Centers for Disease Control and Prevention. Understanding How COVID-19 Vaccines Work Nguyen KH, Srivastav A, Razzaghi H, et al. COVID-19 Vaccination Intent, Perceptions, and Reasons for Not Vaccinating Among Groups Prioritized for Early Vaccination — United States, September and December 2020. MMWR Morb Mortal Wkly Rep 2021;70:217–222. DOI: COVID-19 Vaccination Intent, Perceptions, and Reasons for Not 12
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13 Vaccinating Among Groups Prioritized for Early Vaccination — United States, September and December 2020 | MMWR Ortiz-Sánchez, E., Velando-Soriano, A., Pradas-Hernández, L., Vargas-Román, K., Gómez-Urquiza, J. L., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2020). Analysis of the Anti-Vaccine Movement in Social Networks: A Systematic Review. International journal of environmental research and public health , 17(15), 5394. Analysis of the Anti-Vaccine Movement in Social Networks: A Systematic Review W. Russell Neuman, Lauren Guggenheim, S. Mo Jang, Soo Young Bae, The Dynamics of Public Attention: Agenda-Setting Theory Meets Big Data, Journal of Communication, Volume 64, Issue 2, April 2014, Pages 193–214, Dynamics of Public Attention: Agenda-Setting Theory Meets Big Data Sharevski, F., Jachim, P., & Florek, K. (2020). To tweet or not to tweet: covertly manipulating a Twitter debate on vaccines using malware-induced misperceptions. Proceedings of the 15th International Conference on Availability, Reliability, and Security. https://arxiv.org/pdf/2003.12093.pdf Summers, J. (2021, March 12). Little Difference In Vaccine Hesitancy Among White And Black Americans, Poll Finds . WBUR News. Retrieved from: Little Difference In Vaccine Hesitancy Among White And Black Americans, Poll Finds 13