{"id":18357,"date":"2019-02-13T14:50:00","date_gmt":"2019-02-13T22:50:00","guid":{"rendered":"https:\/\/associatednews.info\/content\/medical-anthropologist-explores-vaccine-hesitancy\/"},"modified":"2019-02-13T14:50:00","modified_gmt":"2019-02-13T22:50:00","slug":"medical-anthropologist-explores-vaccine-hesitancy","status":"publish","type":"post","link":"https:\/\/associatednews.info\/content\/medical-anthropologist-explores-vaccine-hesitancy\/","title":{"rendered":"Medical Anthropologist Explores &#039;Vaccine Hesitancy&#039;"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a target=\"_blank\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/02\/13\/694449743\/medical-anthropologist-explores-vaccine-hesitancy?utm_medium=RSS&amp;utm_campaign=healthcare\">Mara Gordon<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/02\/13\/694449743\/medical-anthropologist-explores-vaccine-hesitancy?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_custom-6342f22b9572087fcda2bc5dfae6c6a73e8824ea-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_enl-16344547a8017ce0ab813c7fa1b709a125e4cfa4-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_enl-16344547a8017ce0ab813c7fa1b709a125e4cfa4-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Hesitancy about vaccination in a community has a lot to do with acculturation to its norms.<\/p>\n<p>                <b><\/p>\n<p>                    Karl Tapales\/Getty Images<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        Karl Tapales\/Getty Images<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>Distrust of vaccines may be almost as contagious as measles, according to medical anthropologist Elisa Sobo.<\/p>\n<p>More than 100 people have been infected with measles this year, according to the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html\">Centers for Disease Control<\/a>. Over 50 of those cases have occurred in southwest Washington state and northwest Oregon in an outbreak that led Washington Gov. Jay Inslee to declare a state of emergency on Jan. 25.<\/p>\n<p>Some public health officials blame the surge of cases on low vaccination rates for this highly infectious disease.<\/p>\n<p><!-- END ID=\"RES694590080\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Clark County, Wash. \u2014 the center of the current spate of cases \u2014 has an overall vaccination rate of 78 percent, but some schools in the county have <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.clark.wa.gov\/public-health\/immunizations\">rates lower than 40 percent<\/a>.<\/p>\n<p>Washington is one of <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.ncsl.org\/research\/health\/school-immunization-exemption-state-laws.aspx\">17 states<\/a> that allows a parent to send his or her child to public school not completely vaccinated because of a &#8220;<a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/app.leg.wa.gov\/RCW\/default.aspx?cite=28A.210.090\">philosophical or personal objection to the immunization of the child<\/a>.&#8221;<\/p>\n<p>What makes some families reluctant to vaccinate their children? Sobo, a <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/sobo.sdsu.edu\/\">professor at San Diego State University<\/a>, says it may be driven in part by the desire to conform in a community where many parents are skeptical of vaccines.<\/p>\n<p>To better understand how parents decide not to vaccinate, Sobo <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/full\/10.1111\/maq.12214\">interviewed families<\/a> at a school with low vaccination rates in California. She found that skepticism of vaccines was &#8220;socially cultivated.&#8221;<\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/02\/11\/692825201\/in-a-measles-outbreak-demand-for-vaccine-spikes\">In A Measles Outbreak, Demand For Vaccine Spikes<\/a>\n   <\/div>\n<p><!-- END ID=\"RES694494961\" CLASS=\"BUCKETWRAP EXTERNALLINK\" --><\/p>\n<p>Parents who believe that vaccines are dangerous persuaded other parents to believe the same thing by citing fears of &#8220;mainstream medicine&#8221; harming their children. Enrolling in the school even seemed to change the beliefs of some parents who had previously followed the state-mandated vaccine schedule: They started to refuse vaccines.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES694589762\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>NPR&#8217;s Audie Cornish spoke with Sobo on <em>All Things Considered. <\/em>These interview highlights have been edited for clarity and length.<\/p>\n<p><strong>What are the common ideas that we have about families that don&#8217;t believe in vaccination? <\/strong><\/p>\n<p>One common idea would be that they&#8217;re all absolutely looney-tunes, crazy people wearing tinfoil hats and reading all these conspiracy theories on crazy blogs on the Internet. And that is absolutely not the case. What I found was that most of the people who are hesitating to vaccinate &#8230; They&#8217;re really smart people, and they&#8217;re highly, highly educated.<\/p>\n<p><strong>Back in 2012, you actually spoke to some parents in California, in a community where parents had their kids at a fairly progressive school. Half of kindergarteners had gotten exemptions from vaccines. What was going on in this community? <\/strong><\/p>\n<p>Often, the parents, the family didn&#8217;t arrive at the school having any hesitancy about vaccinations &#8230; As they acculturated or became part of the community, that&#8217;s when these kinds of beliefs and practices would take hold.<\/p>\n<p>The longer the family had been in the community, &#8230; this practice of being hesitant about vaccinations evolved and it became part of that family&#8217;s medical practice.<\/p>\n<p>[In areas where there are low vaccination rates], there tends to be a more open norm, where not vaccinating is accepted or sometimes even encouraged. When you have people surrounding you that move in that direction, to go in a different direction has social costs.<\/p>\n<p><!-- END ID=\"RES694589897\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>It&#8217;s not just the facts and the information that you&#8217;re going by. It&#8217;s: &#8220;What are the norms? What are people around me doing? And they seem to be OK, and everything&#8217;s working out for them.&#8221;<\/p>\n<p>Think about yourself and the clothes that you wear to work. I&#8217;m guessing that you probably don&#8217;t have a formal dress code, but you kind of look around, and you see: &#8220;Oh, OK, this is what we&#8217;re expected to wear to work.&#8221; And you just do it.<\/p>\n<p><strong>Are you talking about a formal kind of peer pressure? <\/strong><\/p>\n<p>The peer pressure is not formal.<\/p>\n<p>Informally, there becomes a sort of feeling in the community. It becomes known for not vaccinating.<\/p>\n<p><strong>There are parts of the country where there&#8217;s the opposite expectation, where someone who didn&#8217;t want to vaccinate their kids might be socially isolated for that decision. <\/strong><\/p>\n<p>And then their behaviors would be pushed underground. They might not feel comfortable telling other people.<\/p>\n<p><strong>When you see what&#8217;s going on in Washington State, what came to mind for you? <\/strong><\/p>\n<p>What is the media coverage going to do? Are they going to vilify these parents?<\/p>\n<p>That witch hunt aspect is not helpful to have a good discussion about vaccination. It needs to be much more open and much less polarizing.<\/p>\n<p><strong>Are people ready to listen? Can there be convincing? <\/strong><\/p>\n<p>I think people are very ready to listen \u2014 if they&#8217;re heard. If you listen to them, and you allow them to say what they think without feeling judged, without pushing them into a corner, they&#8217;re absolutely ready.<\/p>\n<p><em>Mara Gordon is a family physician in Washington, D.C., and a health and media fellow at NPR and Georgetown University School of Medicine.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/02\/13\/694449743\/medical-anthropologist-explores-vaccine-hesitancy?utm_medium=RSS&amp;utm_campaign=healthcare\" target=\"_blank\" title=\"Medical Anthropologist Explores &#039;Vaccine Hesitancy&#039;\" rel=\"nofollow\">https:\/\/www.npr.org\/sections\/health-shots\/2019\/02\/13\/694449743\/medical-anthropologist-explores-vaccine-hesitancy?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2019\/02\/13\/694449743\/medical-anthropologist-explores-vaccine-hesitancy?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_custom-6342f22b9572087fcda2bc5dfae6c6a73e8824ea-s1100-c15.jpg\" alt><\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_enl-16344547a8017ce0ab813c7fa1b709a125e4cfa4-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2019\/02\/13\/baby-vaccine-1_enl-16344547a8017ce0ab813c7fa1b709a125e4cfa4-s1200.jpg\">Enlarge this image<\/a>\n        <\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Hesitancy about vaccination in a community has a lot to do with acculturation to its norms.<\/p>\n<p>                <b><\/p>\n<p>                    Karl Tapales\/Getty Images<\/p>\n<p>                <\/b><br \/>\n                <b><b>hide caption<\/b><\/b>\n            <\/p>\n<\/p><\/div>\n<p>            <b><b>toggle caption<\/b><\/b>\n    <\/div>\n<p>    <span><\/p>\n<p>        Karl Tapales\/Getty Images<\/p>\n<p>    <\/span>\n<\/div>\n<\/p><\/div>\n<p>Distrust of vaccines may be almost as contagious as measles, according to medical anthropologist Elisa Sobo.<\/p>\n<p>More than 100 people have been infected with measles this year, according to the <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/measles\/cases-outbreaks.html\">Centers for Disease Control<\/a>. Over 50 of those cases have occurred in southwest Washington state and northwest Oregon in an outbreak that led Washington Gov. Jay Inslee to declare a state of emergency on Jan. 25.<\/p>\n<p>Some public health officials blame the surge of cases on low vaccination rates for this highly infectious disease.<\/p>\n<p><!-- END ID=\"RES694590080\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>Clark County, Wash. \u2014 the center of the current spate of cases \u2014 has an overall vaccination rate of 78 percent, but some schools in the county have <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.clark.wa.gov\/public-health\/immunizations\">rates lower than 40 percent<\/a>.<\/p>\n<p>Washington is one of <a target=\"_blank\" rel=\"nofollow\" href=\"http:\/\/www.ncsl.org\/research\/health\/school-immunization-exemption-state-laws.aspx\">17 states<\/a> that allows a parent to send his or her child to public school not completely vaccinated because of a &#8220;<a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/app.leg.wa.gov\/RCW\/default.aspx?cite=28A.210.090\">philosophical or personal objection to the immunization of the child<\/a>.&#8221;<\/p>\n<p>What makes some families reluctant to vaccinate their children? Sobo, a <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/sobo.sdsu.edu\/\">professor at San Diego State University<\/a>, says it may be driven in part by the desire to conform in a community where many parents are skeptical of vaccines.<\/p>\n<p>To better understand how parents decide not to vaccinate, Sobo <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/anthrosource.onlinelibrary.wiley.com\/doi\/full\/10.1111\/maq.12214\">interviewed families<\/a> at a school with low vaccination rates in California. She found that skepticism of vaccines was &#8220;socially cultivated.&#8221;<\/p>\n<div>\n            <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/2019\/02\/11\/692825201\/in-a-measles-outbreak-demand-for-vaccine-spikes\">In A Measles Outbreak, Demand For Vaccine Spikes<\/a>\n   <\/div>\n<p><!-- END ID=\"RES694494961\" CLASS=\"BUCKETWRAP EXTERNALLINK\" --><\/p>\n<p>Parents who believe that vaccines are dangerous persuaded other parents to believe the same thing by citing fears of &#8220;mainstream medicine&#8221; harming their children. Enrolling in the school even seemed to change the beliefs of some parents who had previously followed the state-mandated vaccine schedule: They started to refuse vaccines.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p><!-- END ID=\"RES694589762\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>NPR&#8217;s Audie Cornish spoke with Sobo on <em>All Things Considered. <\/em>These interview highlights have been edited for clarity and length.<\/p>\n<p><strong>What are the common ideas that we have about families that don&#8217;t believe in vaccination? <\/strong><\/p>\n<p>One common idea would be that they&#8217;re all absolutely looney-tunes, crazy people wearing tinfoil hats and reading all these conspiracy theories on crazy blogs on the Internet. And that is absolutely not the case. What I found was that most of the people who are hesitating to vaccinate &#8230; They&#8217;re really smart people, and they&#8217;re highly, highly educated.<\/p>\n<p><strong>Back in 2012, you actually spoke to some parents in California, in a community where parents had their kids at a fairly progressive school. Half of kindergarteners had gotten exemptions from vaccines. What was going on in this community? <\/strong><\/p>\n<p>Often, the parents, the family didn&#8217;t arrive at the school having any hesitancy about vaccinations &#8230; As they acculturated or became part of the community, that&#8217;s when these kinds of beliefs and practices would take hold.<\/p>\n<p>The longer the family had been in the community, &#8230; this practice of being hesitant about vaccinations evolved and it became part of that family&#8217;s medical practice.<\/p>\n<p>[In areas where there are low vaccination rates], there tends to be a more open norm, where not vaccinating is accepted or sometimes even encouraged. When you have people surrounding you that move in that direction, to go in a different direction has social costs.<\/p>\n<p><!-- END ID=\"RES694589897\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>It&#8217;s not just the facts and the information that you&#8217;re going by. It&#8217;s: &#8220;What are the norms? What are people around me doing? And they seem to be OK, and everything&#8217;s working out for them.&#8221;<\/p>\n<p>Think about yourself and the clothes that you wear to work. I&#8217;m guessing that you probably don&#8217;t have a formal dress code, but you kind of look around, and you see: &#8220;Oh, OK, this is what we&#8217;re expected to wear to work.&#8221; And you just do it.<\/p>\n<p><strong>Are you talking about a formal kind of peer pressure? <\/strong><\/p>\n<p>The peer pressure is not formal.<\/p>\n<p>Informally, there becomes a sort of feeling in the community. It becomes known for not vaccinating.<\/p>\n<p><strong>There are parts of the country where there&#8217;s the opposite expectation, where someone who didn&#8217;t want to vaccinate their kids might be socially isolated for that decision. <\/strong><\/p>\n<p>And then their behaviors would be pushed underground. They might not feel comfortable telling other people.<\/p>\n<p><strong>When you see what&#8217;s going on in Washington State, what came to mind for you? <\/strong><\/p>\n<p>What is the media coverage going to do? Are they going to vilify these parents?<\/p>\n<p>That witch hunt aspect is not helpful to have a good discussion about vaccination. It needs to be much more open and much less polarizing.<\/p>\n<p><strong>Are people ready to listen? Can there be convincing? <\/strong><\/p>\n<p>I think people are very ready to listen \u2014 if they&#8217;re heard. If you listen to them, and you allow them to say what they think without feeling judged, without pushing them into a corner, they&#8217;re absolutely ready.<\/p>\n<p><em>Mara Gordon is a family physician in Washington, D.C., and a health and media fellow at NPR and Georgetown University School of Medicine.<\/em><\/p>\n<p><strong><a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a target=\"_blank\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[],"class_list":["post-18357","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/18357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/comments?post=18357"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/posts\/18357\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/media?parent=18357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/categories?post=18357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.info\/content\/wp-json\/wp\/v2\/tags?post=18357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}