2021年3月10日 星期三

On Tech: How to reach the unvaccinated

Plus, the costs of tech self-reliance.

How to reach the unvaccinated

Lydia Ortiz

What does it take to get credible information about the coronavirus vaccine, and the vaccines themselves, to more people?

My colleague Sheera Frenkel spoke to experts and followed a community group as it went door to door in an ethnically diverse neighborhood in Northern California to understand the reasons behind the low vaccination rates for Black and Hispanic Americans compared with non-Hispanic white people.

What Sheera found, as she detailed in an article on Wednesday, was how online vaccine myths reinforce people's fears and the ways that personal outreach and easier access to doses can make a big difference.

Shira: What surprised you from your reporting?

Sheera: One question I was trying to answer was whether the incorrect narratives floating around online about the vaccines — that they change people's DNA or are a means of government control — were reaching Black and Hispanic communities and other people of color in the real world. I heard false information like that firsthand. It was eye opening.

The other surprise was how effective it was for someone to stand on a person's doorstep and talk about their own experience getting a coronavirus vaccine and answer questions. The outreach group talked to each household for half an hour or longer sometimes. That may make more of a difference than any online health campaign ever could.

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But it's laborious to go door to door. Can reliable information ever travel as far and fast as misinformation?

Internet platforms amplify misinformation, and countering it isn't simple. It takes more than a celebrity posting a vaccine selfie on Instagram.

Are we overstating the impact of vaccine hesitancy? The pediatrician Rhea Boyd recently wrote in our Opinion section that the primary barrier to Covid-19 vaccinations among Black Americans is a lack of access, not wariness about getting the shot.

It's both.

Two things struck me from my reporting. First, false vaccine information is persuasive because it builds on something that people know to be true: The medical community has mistreated people of color, and the bias continues. And second, vaccine hesitancy is different in each community.

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That makes reaching Black Americans different than reaching new immigrants who are reading articles in Vietnamese or Chinese that make them concerned about vaccine safety. It's an opportunity for community leaders to address what's keeping people who trust them from getting vaccinated.

You've written about Russian propaganda in Latin America that fanned concerns about European and American coronavirus vaccines. Is that also reaching people in the United States?

Yes. Two Russian state-backed media networks, Sputnik and Russia Today, have among the most popular Spanish-language Facebook pages in the world. Their news reaches Spanish speakers in the United States.

I heard people ask in my reporting, Why should they get an American vaccine when the Russian one is better? (Those articles tend to cite real statistics but in misleading contexts.) I asked one man I met, George Rodriguez, where he had read that, and we figured out that it was from one of those Russian news sites.

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What has been effective at increasing the coronavirus vaccination rates among Black and Latino Americans?

It seems effective to hold walk-in vaccination clinics. People can show up, ask questions they have and get a shot.

What about Republicans? Surveys show that they are among the wariest Americans about coronavirus vaccines.

There have been concerns among some Republicans that people will be forced to get vaccinated, but that isn't happening.

It's clear that among Republicans and other groups with vaccine hesitancy, once we know more people who are getting vaccinated, we're more willing to do it, too.

How do you see this moving forward?

In just the last few weeks, I've gotten more optimistic about closing the vaccination gap. There have been huge strides in reaching people, getting those walk-in vaccination clinics open or taking vaccines to people, and addressing people's concerns.

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The costs of tech self-reliance

It's worth paying attention when China, the United States and Europe are all seeking some measure of technology independence.

My colleagues Paul Mozur and Steven Lee Myers wrote on Wednesday about Chinese government officials' urgency to reduce their country's reliance on foreign technology — including high-end computer chips and artificial intelligence software.

China has long been a country where homegrown technology rules. But increasingly, Paul and Steven wrote, China's "leaders are accelerating plans to go it alone."

The United States is definitely not China. But as I wrote in a recent newsletter, there is a growing consensus among American policymakers and corporate executives that the United States needs to manufacture or develop more essential technology, including computer chips and complex batteries, within the country's borders. The European Union also is aiming for this.

The zeal for technology autarky underscores two points. First, more technologies are becoming — like barrels of oil or emergency vaccine stockpiles — something that countries consider important to national security. And second, the line between pragmatism and nationalism gets fuzzier by the day.

It's probably impossible for any country to become fully independent in technology, as Paul and Steven wrote. More self-reliance may still be worthwhile, but it's tricky to know when a desire for more homegrown technology is necessary, and when it's a waste of money, self-defeating or even dangerous.

The European Union and the United States want to throw taxpayer money at building computer chip factories, and that could be helpful. Or that may prove a waste of money if the factories sit idle.

And desires for more American tech independence or "beating" China in tech areas like A.I. or 5G can sometimes be a justification for U.S. policymakers and companies to plow more money into surveillance technology.

Tech self-sufficiency is a goal that sounds completely sensible. The devil, as always, is in the details.

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Before we go …

  • Governments wrestling the internet to the ground, example infinity: The Russian government said that it was slowing down the speed of Twitter in the country and accused the company of failing to effectively remove posts containing illegal content. My colleagues Anton Troianovski and Andrew E. Kramer wrote that Russia "is escalating its offensive against American internet companies that have long provided a haven for freedom of expression."
  • DO NOT mess with the library: A Washington Post columnist found that, unlike other big book publishers, Amazon won't sell e-books and audiobooks that the company publishes to public libraries. "The case of the vanishing e-books shows how tech monopolies hurt us not just as consumers, but as citizens," he wrote.
  • Why watching TV requires a Ph.D.: Oprah's interview with Meghan Markle and Prince Harry … well, good luck trying to find it online in a month. Ed Lee and Nicole Sperling show how new TV has replicated the messy business dealings of old TV, and made it harder for us.

Hugs to this

I have been watching a British nature series and discovered that I love the native red squirrels in that country. Look at their adorable tufted ears!

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How to Apologize to Your Kids

Everyone snaps sometimes — it's what you do after that counts.

How to Apologize to Your Kids

Linda Merad

A year into working from my bedroom, I thought I had reached an emotional equilibrium where I could tolerate the multiple kid interruptions throughout my day. But last week, my older daughter was assigned a scavenger hunt in remote school. She barged through my door — which I am sorry to report has no lock — four times in one hour, looking for slippers, something red (twice) and a hairbrush. On the fourth interruption, I snapped. "You've got to get out of here," I said, in a voice much harsher than I like to use with my children.

My daughter was upset, and I felt bad that I yelled. But I was also conflicted. Every time she came in, I had politely asked her to look elsewhere in the apartment because I had a deadline to meet. She's a third-grader, which is old enough to understand and honor that request, and I want to raise her to be empathetic to other people's needs.

How do I walk that line between showing my children that I have feelings that aren't always positive, but not letting my irritation erupt, uncontrolled?

The first thing to know is that "all parents snap at their children," said Dr. Pooja Lakshmin, a clinical assistant professor of psychiatry at George Washington University School of Medicine, and doing so from time to time doesn't make you a good parent or a bad one. It's just a fact of life. Dr. Lakshmin made clear that she's not talking about emotional abuse or physical violence, which are never acceptable. Emotional abuse may include ridiculing a child, constant criticism or withholding affection or comfort.

But raising your voice or losing your cool from time to time? That's inevitable because we are human. "There is this kind of expectation that children should be protected from feeling any negative emotion," said Jennie Hudson, a professor of clinical psychology at the University of New South Wales in Australia. "But that's toxic positivity. It's not normal; it's not OK. We have a range of emotions that include feeling frustrated, anxious and worried." It's also worth noting that the pandemic is exacerbating a lot of stressors on parents, both financial and emotional. And even as things improve, virus-wise, many of us are under additional strain.

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The most important thing is what happens after you snap at your children, said all four of the experts I spoke to. Here's their advice for coming back from saying things you regret, how to empathize with your kids and how to cut down on snapping when it's possible.

Acknowledge your mistake. After you've calmed down, apologize to your child, and talk to them in an age-appropriate way about your feelings, Dr. Hudson said. You don't have to go into the details of why you reacted the way you did, but you can say something like: "I'm sorry I yelled. I got frustrated, but it's not your fault I lost my cool. Here's how I could have handled it better." Then you can talk about ways to calm down that you could have used, like going for a walk, taking a deep breath or walking away from the discussion. "It's a learning opportunity for a child," Dr. Hudson said.

Give yourself a time out. They aren't just for kids; they're for grown-ups, too, said Dr. Alexandra Sacks, a reproductive psychiatrist based in New York. "If you're so overwhelmed that you can't think about what is developmentally appropriate, give yourself a time out," Dr. Sacks said.

While it's not always possible, especially if your child is so young they can't be left alone and you're the only parent in the situation, try to give yourself that space to call a friend or scream into a pillow if you're feeling emotionally overwhelmed.

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"When parents have too-high bars for perfection and flawlessness, they feel they can't walk out of the room, or give the kid five more minutes of screen time," even if it would help the parent calm down, Dr. Sacks said. Don't fall into this martyr trap.

Remember that kids struggle with impulse control. In my situation, even though my daughter is 8, she's still got a developing brain, and knowing that I'm on the other side of the closed door is just too enticing for her. Dr. Sacks suggested putting a sign on the door when I really don't want my kids to come in, as a visual cue that might remind them to stop, and help them resist opening it.

Dr. Alexa Mieses Malchuk, a family physician and assistant professor at the University of North Carolina School of Medicine, said that a timer could also help my daughter. If she's finding it irresistible to interrupt, I can set a timer for 30 minutes that can help her delay entering my room, at which point the urge might pass.

If your snapping is frequent, try to get help. With the caveat that there are so many situations in which this is not possible, if you find yourself irritable all the time and lashing out at your kids frequently, and these emotions are a marked change for you, you "need support or relief," Dr. Sacks said. That additional support could mean extra child care, or seeing a therapist.

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On the evening of the scavenger hunt, when I talked to my daughter after dinner about losing my temper, she was understanding, especially because I put it in terms she could empathize with. I said, "It's like how you feel when your little sister interrupts you during your school day" — an event that happens a few times a week and causes my older daughter to absolutely uncork on her sibling.

I apologized to my kid, and I think we both felt better after. But I'm still planning to invest in a lock for my bedroom door.

Want More on Your Family's Emotional Life?

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Tiny Victories

Parenting can be a grind. Let's celebrate the tiny victories.

My 2- and 4-year-old get a tiny cup of juice after they've had their snack. My younger son drank 90 percent of his, but held back the last sip so that he could pour it into his big sissy's cup, since she drank hers so much faster. — Christine McCracken, Seattle

If you want a chance to get your Tiny Victory published, find us on Instagram @NYTparenting and use the hashtag #tinyvictories; email us; or enter your Tiny Victory at the bottom of this page. Include your full name and location. Tiny Victories may be edited for clarity and style. Your name, location and comments may be published, but your contact information will not. By submitting to us, you agree that you have read, understand and accept the Reader Submission Terms in relation to all of the content and other information you send to us.

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