Friday, July 13, 2018

Why Anti-Vax?

Vaccination has been one of public health’s greatest success stories. It led to the eradication of smallpox and to the imminent elimination of polio. Eradication of a disease means that it has been permanently wiped out and that intervention efforts are no longer necessary; smallpox so far is the only disease that has been eradicated. Elimination means a reduction to zero incidences in a specific geographic area as a result of deliberate efforts. Vaccination has protected millions from the ravages of tetanus, whooping cough, measles and chicken pox. Yet, vaccine skepticism persists, extending into the political realm, with many politicians questioning the safety of vaccines.

The growing “anti-vax” movement has seen parents refuse to give their children mandatory school vaccinations and even pet owners refusing to vaccinate their dogs – forcing the British Veterinary Association to issue a statement in April that dogs cannot develop autism. Anti-vaccine attitudes have been fueled in large part by growing rates of autism diagnoses as well as a now debunked study that linked autism and the measles mumps rubella (MMR) vaccine. Given the consistent message from the scientific community about the safety of vaccines, and evidence of vaccine success as seen through the eradication of diseases, why has the skepticism about vaccines continued?

Could the inability of anti-vaxxers to accurately appraise their own knowledge and skills compared to those of medical experts play a role in shaping their attitudes about vaccines? This inability to accurately appraise one’s own knowledge is called the Dunning-Kruger effect, first identified in social psychologyDunning-Kruger effects occur when individuals’ lack of knowledge about a particular subject leads them to inaccurately gauge their expertise on that subject. Ignorance of one’s own ignorance can lead people who lack knowledge on a subject think of themselves as more expert than those who are comparatively better informed. We refer to this as “overconfidence.”

 34 percent of U.S. adults in a sample feel that they know as much or more than scientists about the causes of autism. Slightly more, or 36 percent, feel the same way about their knowledge relative to that of medical doctors. 62 percent of those who performed worst on our autism knowledge test believe that they know as much or more than both doctors and scientists about the causes of autism, compared to only 15 percent of those scoring best on the knowledge test. Likewise, 71 percent of those who strongly endorse misinformation about the link between vaccines and autism feel that they know as much or more than medical doctors about the causes of autism, compared to only 28 percent of those who most strongly reject that misinformation.  30 percent, of people who think that they know more than medical experts about the causes of autism strongly support giving parents the latitude to not vaccinate their children. In contrast, 16 percent of those who do not think that they know more than medical professionals felt the same way.

 The study also found that people who think they know more than medical experts are more likely to trust information about vaccines from non-expert sources, such as celebrities. These individuals are also more likely to support a strong role for non-experts in the process of making policies that pertain to vaccines and vaccination. Even as the mountain of evidence on the safety and importance of vaccines from doctors and scientists continues to grow, many Americans think they know more than the experts trying to correct their misperceptions.

Taken from here
https://theconversation.com/why-vaccine-opponents-think-they-know-more-than-medical-experts-99278

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