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GOOD MORNING, EVERYONE.

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WELCOME TO DAY 2 OF THE MEETING 

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AND OUR 20-YEAR ANNIVERSARY 

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CELEBRATION OF THIS WONDERFUL 

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SURVEY AND DATA COMMUNITY.  I'M 

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ROBIN VANDERPOOL AND CURRENT 

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BRANCH CHIEF FOR HEALTH 

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COMMUNICATION AND INFORMATICS 

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RESEARCH AT THE NATIONAL CANCER 

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INSTITUTE AND HAPPY TO KICK OFF 

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DAY 2.  WE HAD A REALLY TERRIFIC

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DAY YESTERDAY AND HAD A GREAT 

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SET OF PRESENTATIONS THAT REALLY

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COVERED THE HISTORY OF HINTS AND

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HOW IT IS FOUNDATIONAL TO 

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RESEARCH AND POLICY EFFORTS WE 

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LEAD AT NATIONAL CANCER 

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INSTITUTE AS WELL AS OTHER PARTS

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OF THE FEDERAL GOVERNMENT AND WE

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HAVE A TERRIFIC PANEL 

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PRESENTATION FROM FEDERAL 

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PARTNERS THAT RUN SURVEYS AND 

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HAD AN OPPORTUNITY TO WORK 

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THROUGH CHALLENGES AND 

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OPPORTUNITIES THROUGH SURVEY 

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RESEARCH THAT ALL OF US CAN 

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LEARN FROM GOING FORWARD.  

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WE HAD REALLY IMPRESSIVE 

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PRESENTATIONS FROM YOU ALL, OUR 

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DATA USERS, ON IMPORTANT TOPICS 

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SUCH AS CANCER SURVIVORSHIP AND 

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HEALTH DISPARITIES AND HEALTH 

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EQUITY AND DIGITAL HEALTH AND 

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REALLY NEW AND EXCITING TOPICS 

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AND DISCUSSIONS AROUND SOCIAL 

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ISOLATION AND LONELINESS.  

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AGAIN, THANKS FOR BRINGING 

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RESEARCH PROJECTS TO US.  I WAS 

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ESPECIALLY DELIGHTED TO SEE ALL 

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PRESENTATIONS FROM STUDENTS. 

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AND FROM EARLY-STAGE CAREER 

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INVESTIGATORS. 

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YESTERDAY, YOU ALL MAY RECALL 

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KELLY ASKED SOME OF US TO RAISE 

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OUR HANDS IF WE HAVE BEEN HINTS 

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DATA USERS SINCE THE VERY 

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BEGINNING SINCE 2003 AND LIKE 

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MANY PRESENTERS YESTERDAY, I WAS

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ONE OF THE STUDENTS IN 2005 AND 

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2006 USING ORIGINAL HINTS 

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DATASET FOR OWN DOCTORATE OF 

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PUBLIC HEALTH CAPSTONE AT 

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UNIVERSITY OF KENTUCKY AND HAS 

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BEEN SUR REEL FOR ME IN THE PAST

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FEW YEARS SINCE I JOINED THE NCI

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TEAM TO SIT AT THE TABLE AS WE 

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ACTUALLY CURATE AND BRING 

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TOGETHER THE HINTS SEER SURVEY 

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AND HINTS 6 AND HAD A RETREAT TO

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PLAN OUT THE HINTS 7 SURVEY.  I 

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WAS THRILLED TO SEE, FOR 

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EXAMPLE, NEW TELEHEALTH ITEMS WE

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ADDED THE PAST COUPLE YEARS.  

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YOU ARE DATA USERS COMMUNITY 

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USING THAT TO ANSWER IMPORTANT 

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QUESTIONS AROUND TELEHEALTH AND 

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AROUND RURAL AND URBAN HEALTH 

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DISPARITIES FOR EXAMPLE.  PLEASE

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KEEP USING THIS DATA.  THIS IS 

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WHY WE DO THIS WORK TO BRING 

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IMPORTANT RESEARCH QUESTIONS TO 

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FRUITION. 

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I WANT TO, AGAIN, JUST GIVE A 

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BIG SHOUTOUT TO THE HINTS TEAM 

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LED BY KELLY BLAKE, HEATHER, 

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ANNA AND WONDERFUL COLLEAGUES AT

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WESTAT AND ICF AND THANK ALL OF 

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THE HINTS CHAMPIONS PART OF THE 

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DIVISION OF CANCER CONTROL AND 

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POPULATION SCIENCES AND THEIR 

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CONTRIBUTION TO DEVELOPING THE 

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HINTS SURVEY AND THANKING THE 

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NATIONAL CANCER INSTITUTE FOR 

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THE SUPPORT OF THIS SURVEY FOR 

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THE PAST 20 YEARS AND HOPE 

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ANOTHER 20 OR 30 OR 40 YEARS TO 

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COME.  TODAY, I WANT TO QUICKLY 

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COVER SOME LOGISTICS OF OUR TIME

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TOGETHER HERE AT THE NATURE 

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CENTER.  IF YOU HAVE SUITCASES, 

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YOU ARE WELCOME TO PUT THEM IN 

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ROOM J.  PLEASE KNOW IT IS NOT 

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BEING ACTIVELY MONITORED.  IF 

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YOU HAVE VALUABLES, YOU MIGHT 

95
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WANT TO KEEP THEM WITH YOU OR IF

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YOU NEED HELP WITH TAXIS OR 

97
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INDICATING WHERE TO SEND A LYFT 

98
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OR UBER DRIVERS, EVENT STAFF IS 

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HAPPY TO HELP WITH THAT AS WELL.

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CAFETERIA, IMPORTANT.  THEY ARE 

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OPEN TODAY FROM 11:30 TO 1:30 

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PLEASE PATRONIZE THEIR SURVEYS. 

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FOR COLLEAGUES LISTENING 

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VIRTUALLY, LINES ARE MUTED AND 

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WE HAVE THE CHAT FEATURE OPEN.  

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PLEASE USE IT TO POST ANY 

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QUESTIONS.  WE WILL TRY TO GET 

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TO THOSE IF TIME ALLOWS DURING 

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THE Q & A SESSION.  IF YOU
HAVE 

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QUESTIONS, PLEASE REACH OUT TO 

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ARIANA. 

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GOINS.  WITH THAT, THAT IS ALL 

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OUR LOGISTICS FOR THE DAY.  I 

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WANT TO WELCOME UP TO THE PODIUM

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KELLY BLAKE AND RICK MOSER WHO 

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IS THE DIRECTOR OF HINTS 

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PROGRAM.  THEY WILL START US OFF

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WITH HINTS PROGRAM UPDATES AND 

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NEW DATA COLLECTION EFFORTS. 

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THANKS SO MUCH. 

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>> THANK YOU SO MUCH,
ROBIN.  

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>> GOOD MORNING,
EVERYBODY.  

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WELCOME BACK TO DAY 2 OF THE 

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HIPTS CONFERENCE.  WE WILL START

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THIS MORNING GIVING YOU A 

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LOOSELY STRUCTURED HODGE PODGE 

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OF UPDATES ON OUR DATA RESOURCES

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AND DATA COLLECTION EFFORTS.

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WE WILL BRIEFLY COVER THESE SIX 

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AREAS IN THE NEXT 20 MINUTES.  

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WE WILL GO OVER DATA MERGING 

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CODE TOOL AND DATA SUPPRESSION 

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RULES AND HINTS SEER AND TALKING

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ABOUT DATA LINKAGE PROJECT AND 

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COME BACK TO TELL YOU WHAT IS ON

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THE HORIZON FOR HINTS 7 AND OUR 

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LONGITUDINAL PANEL.  FIRST, FOR 

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THOSE NEW TO HINTS OR THAT NEED 

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A REMINDER WE CREATED A DATA 

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MERGING CODE TOOL THAT LIVES ON 

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THE HINTS WEBSITE AND CREATED IT

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WITH ICF AS A RESULT FROM 

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FEEDBACK FROM DATA USERS AND 

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HOPE IT WILL HELP MERGE 

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DIFFERENT ITERATIONS OF HINTS 

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FOR TREND ANALYSIS OR INCREASING

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SAMPLE SIZES FOR ANALYSIS AND IT

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PROVIDES CODE TO MERGE AND SET 

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UP REPLICATE WEIGHTS AND PROVIDE

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CODES FOR STATISTICAL PROCEDURES

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AND CROSS-TABULATION TABLE AND 

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CAI SQUARED TESTS AND THOSE ARE 

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CODES WE PROVIDE THAT IS 

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PROVIDED IN SAAS AND DATA AND 

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ARE DISCUSSING OUR CODE AND HOPE

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TO MAKE THAT UPDATE RELATIVELY 

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SOON. 

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NEXT I WANTED TO MAKE YOU AWARE 

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OF DATA SUPPRESSION RULES 

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IMPLEMENTED STARTING IN 20202 IN

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THE 2022 DATASET, HINTS 6 TO 

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MINIMIZE DISCLOSURE -- FOR 

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DEMOGRAPHIC AND GEOGRAPHIC 

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RESPONDENT CATEGORIES WITH FEWER

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THAN 25 RESPONDENTS PER CELL AND

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THIS RULE WAS IMPLEMENTED 

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STRICTLY FOR DISCLOSURE RISK NOT

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FOR PRECISION.  YOU MIGHT BE 

169
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AWARE THAT NCHS HAS SUPPRESSION 

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STANDARD FOR SAMPLE SIZES OF 

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LESS THAN 50 OR RELATIVE 

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STANDARD ERRORS LESS THAN OR 

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EQUAL TO 30% AND USERS DON'T 

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COMPLY PRESENTING RESULTS FOR 

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THAT.  WE ACTUALLY LEAVE IT TO 

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YOU TO DO THAT. 

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YOU KNOW, TO IMPLEMENT 

178
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SUPPRESSION RULES YOU THINK ARE 

179
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NECESSARY FOR PRECISION.  THERE 

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ARE METHODS OBTAINING CONFIDENCE

181
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INTERVALS FOR SMALL PROPORTIONS 

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OR LIMITED SUBPOPULATIONS USING 

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STATISTICAL SOFTWARE AND LEAVE 

184
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THAT PART TO YOU.  WHAT WE HAVE 

185
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DONE IN PUBLIC USE DATA SETS IS 

186
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HANDLE SUPPRESSION OF AS I SAID 

187
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CELLS FEWER THAN 25 RESPONDENTS 

188
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PER CELL ON DEMOGRAPHIC AND 

189
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GEOGRAPHIC CATEGORIES IN THREE 

190
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WAYS. 

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WE EITHER COLLAPSE RESPONSE 

192
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OPTIONS WITH ANOTHER RESPONSE 

193
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OPTION.  IN OUR RURAL URBAN 

194
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CONTINUUM CODES WE MIGHT 

195
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COLLAPSE CODES 8 AND 9 IN THAT 

196
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IF CELL SIZES WERE TOO SMALL AND

197
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IS WHAT IS ON OUR PUBLIC USE 

198
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DATA SET AND SET THE RESPONSE 

199
00:08:52,849 --> 00:08:55,719
OPTION TO MISSING OR VARIABLE 

200
00:08:55,719 --> 00:08:58,188
WITH RESPONSE OPTION MIGHT HAVE 

201
00:08:58,188 --> 00:08:59,389
BEEN SUPPRESSED ENTIRELY.  YOU 

202
00:08:59,389 --> 00:09:02,993
CAN APPLY TO ACCESS RESTRICTED 

203
00:09:02,993 --> 00:09:06,062
USE DATA FILES THAT CONTAIN 

204
00:09:06,062 --> 00:09:07,764
VARIABLES WITH SMALL CELL SIZES 

205
00:09:07,764 --> 00:09:10,367
AND GEOCODES AND MAKING YOU 

206
00:09:10,367 --> 00:09:12,068
AWARE THIS IS A CHANGE 

207
00:09:12,068 --> 00:09:14,004
IMPLEMENTED IN 2022 AND WE WILL 

208
00:09:14,004 --> 00:09:15,939
BE DOING AND GOING FORWARD AS 

209
00:09:15,939 --> 00:09:17,207
WELL. 

210
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NOW, I WILL SWITCH GEARS AND 

211
00:09:19,976 --> 00:09:21,211
TALK ABOUT HINTS SEER. 

212
00:09:21,211 --> 00:09:23,546
THIS IS DATA WE COLLECTED IN 

213
00:09:23,546 --> 00:09:23,880
2021. 

214
00:09:23,880 --> 00:09:26,549
WE RELEASED IT LAST YEAR.  YOU 

215
00:09:26,549 --> 00:09:29,119
HAVE A PREVIEW YESTERDAY DURING 

216
00:09:29,119 --> 00:09:32,555
ORAL SESSION FOCUSED ON CANCER 

217
00:09:32,555 --> 00:09:34,758
SURVIVORSHIP AND POSTERS LAST 

218
00:09:34,758 --> 00:09:37,594
NIGHT OF ANALYSIS THAT ARE USING

219
00:09:37,594 --> 00:09:39,929
HINTS SEER.  WE WANT TO PROMOTE 

220
00:09:39,929 --> 00:09:41,998
IT A BIT AND GIVE YOU AN 

221
00:09:41,998 --> 00:09:42,766
OVERVIEW TODAY. 

222
00:09:42,766 --> 00:09:44,467
SO, WHY DID WE DO THIS?  

223
00:09:44,467 --> 00:09:47,871
A LARGER SAMPLE OF CANCER 

224
00:09:47,871 --> 00:09:50,373
SURVIVORS HAVE BEEN THE MOST 

225
00:09:50,373 --> 00:09:52,075
COMMON REQUEST WE RECEIVE FROM 

226
00:09:52,075 --> 00:09:56,146
HINTS DATA USERS.  ACROSS ANY 

227
00:09:56,146 --> 00:09:58,448
GIVEN CRICKLE OF HINTS WE HAVE 7

228
00:09:58,448 --> 00:10:00,950
TO 11 RESPONDIENTS THAT REPORT 

229
00:10:00,950 --> 00:10:03,286
HAVING BEEN DIAGNOSED WITH 

230
00:10:03,286 --> 00:10:05,088
CANCER AND FRANKLY DATA USERS 

231
00:10:05,088 --> 00:10:07,257
NEED POWER TO DETECT DIFFERENCES

232
00:10:07,257 --> 00:10:08,858
AND INFORMATION SUPPORT NEEDS 

233
00:10:08,858 --> 00:10:11,261
AND EXPERIENCES BY TIMES OF 

234
00:10:11,261 --> 00:10:13,963
DIAGNOSIS AND CANCER TYPE. 

235
00:10:13,963 --> 00:10:17,100
SO, WE -- OUR COLLEAGUE LILA DID

236
00:10:17,100 --> 00:10:19,335
A REVIEW OF HINTS STUDIES FOR US

237
00:10:19,335 --> 00:10:21,171
AND ABOUT 35 WERE FOCUSED ON 

238
00:10:21,171 --> 00:10:25,141
CANCER SURVIVORS AND PATIENTS. 

239
00:10:25,141 --> 00:10:28,078
WE NOTED A FEW GAPS FROM 

240
00:10:28,078 --> 00:10:28,344
STUDIES. 

241
00:10:28,344 --> 00:10:30,313
MAINLY THAT ANALYSIS WERE 

242
00:10:30,313 --> 00:10:31,581
LIMITED ONLY TO MOST COMMON 

243
00:10:31,581 --> 00:10:33,683
CANCERS AND ANWILLITYIC SAMPLES 

244
00:10:33,683 --> 00:10:35,552
FOR SINGLE SURVEY AND 

245
00:10:35,552 --> 00:10:36,886
ADMINISTRATIONS WERE PRETTY 

246
00:10:36,886 --> 00:10:40,990
SMALL AND WE HAD LIMITED DATA ON

247
00:10:40,990 --> 00:10:42,525
CANCER SPECIFIC INFORMATION 

248
00:10:42,525 --> 00:10:45,528
SEEKING BEHAVIOR AND EXPERIENCES

249
00:10:45,528 --> 00:10:47,030
AND BARRIERS, ET CETERA AND 

250
00:10:47,030 --> 00:10:48,765
WANTED TO CONDUCT THE PILOT 

251
00:10:48,765 --> 00:10:50,366
STUDY TO SEE IF WE COULD GET 

252
00:10:50,366 --> 00:10:52,735
MORE SURVIVORS FOR HINTS.  

253
00:10:52,735 --> 00:10:55,371
BEFORE I JUMP INTO HINTS SEER, 

254
00:10:55,371 --> 00:10:57,974
FAR RIGHT COLUMN OF THIS SLIDE 

255
00:10:57,974 --> 00:11:00,176
SHOWS NUMBER OF CANCER SURVIVORS

256
00:11:00,176 --> 00:11:02,579
IN PREVIOUS ADMINISTRATIONS OF 

257
00:11:02,579 --> 00:11:04,614
HINTS WE GET RANDOMLY IN THE 

258
00:11:04,614 --> 00:11:06,983
GENERAL POPULATION SURVEYS. 

259
00:11:06,983 --> 00:11:11,354
IT RANGED FROM 44 SURVIVORS FROM

260
00:11:11,354 --> 00:11:15,158
HINTS PUERTO RICO AND HINTS 

261
00:11:15,158 --> 00:11:21,598
CYCLE 2 UP TO 926 IN HINTSES 6, 

262
00:11:21,598 --> 00:11:24,100
2022.  HINT SEER TO ADDRESS 

263
00:11:24,100 --> 00:11:27,504
NEEDS I MENTIONED PREVIOUSLY WE 

264
00:11:27,504 --> 00:11:30,373
CONDUCTED PILOT STUDY TO DO 

265
00:11:30,373 --> 00:11:32,175
SURVIVORS FOR HINTS SELECTED 

266
00:11:32,175 --> 00:11:33,943
REGISTRIES FOR EPIDEMIOLOGY AND 

267
00:11:33,943 --> 00:11:37,480
END RESULTS PROGRAM AS A 

268
00:11:37,480 --> 00:11:39,349
SAMPLING FRAME OF CANCER 

269
00:11:39,349 --> 00:11:41,184
SURVIVORS DRAWING FROM GREATER 

270
00:11:41,184 --> 00:11:42,385
BAY IOWA AND NEW MEXICO CANCER 

271
00:11:42,385 --> 00:11:45,722
ARE EDGETRIES TO OVERSAMPLE 

272
00:11:45,722 --> 00:11:47,924
SURVIVORS FOR HINTS 5 CYCLE 4 

273
00:11:47,924 --> 00:11:50,360
THAT WE DID A BIT LATER.  

274
00:11:50,360 --> 00:11:51,928
REGISTRIES WERE SELECTED WITH 

275
00:11:51,928 --> 00:11:53,563
GOAL OF ENSURING RACIAL AND 

276
00:11:53,563 --> 00:11:57,734
ETHNIC AND GEOGRAPHIC DIVERSITY.

277
00:11:57,734 --> 00:12:00,436
WE DID EXCLUDE NONMALIGNANT 

278
00:12:00,436 --> 00:12:03,072
TUMORS, OBVIOUSLY AND NONMEL 

279
00:12:03,072 --> 00:12:06,376
GNOMA SKIN CANCERS AND WE DID 

280
00:12:06,376 --> 00:12:07,877
THAT BECAUSE IN GENERAL 

281
00:12:07,877 --> 00:12:09,846
POPULATION SURVEY 1/3 OF 

282
00:12:09,846 --> 00:12:13,550
RESPONDENTS REPORTING HISTORY OF

283
00:12:13,550 --> 00:12:18,354
CANCER HAD BASIL CELL OR 

284
00:12:18,354 --> 00:12:19,656
SQUEEMOUS CARCINOMA AND 

285
00:12:19,656 --> 00:12:21,891
TREATMENT IS DIFFERENT FOR 

286
00:12:21,891 --> 00:12:25,828
SURVIVORS THAN PEOPLE DIAGNOSED 

287
00:12:25,828 --> 00:12:27,697
REPRESSED COLORECTAL THYROID AND

288
00:12:27,697 --> 00:12:29,299
OTHER TYPES OF CANCER AND 

289
00:12:29,299 --> 00:12:31,034
INDIVIDUALS IN SAMPLE HAD TO BE 

290
00:12:31,034 --> 00:12:34,704
ALIVE AND 18 OR OLDER AS OF 

291
00:12:34,704 --> 00:12:37,207
DECEMBER 31ST, 2020 WITH LAST 

292
00:12:37,207 --> 00:12:39,042
DATE OF CONTACT NO EARLIER THAN 

293
00:12:39,042 --> 00:12:42,378
JANUARY OF 2016 THAT IS THE 

294
00:12:42,378 --> 00:12:44,614
LATEST DATE WE CAN GET.  

295
00:12:44,614 --> 00:12:46,683
WE TRIED TO DO, THAT YOU KNOW, 

296
00:12:46,683 --> 00:12:48,952
TO LESSEN THE LIKELIHOOD WE 

297
00:12:48,952 --> 00:12:50,853
WOULD EXCEPTED OUR SURVEY 

298
00:12:50,853 --> 00:12:52,355
MATERIALS TO HOMES WHERE PEOPLE 

299
00:12:52,355 --> 00:12:54,724
NO LONGER LIVED AND WE USE 

300
00:12:54,724 --> 00:12:56,459
STANDARD HINTS POSTAL 

301
00:12:56,459 --> 00:12:57,827
ADMINISTRATION PROCEDURES. 

302
00:12:57,827 --> 00:13:00,396
SO, THREE MAILINGS.  WE FIELDED 

303
00:13:00,396 --> 00:13:02,532
SURVEYS WITH EACH REGISTRY 

304
00:13:02,532 --> 00:13:03,633
COHORT INDIVIDUALLY BETWEEN 

305
00:13:03,633 --> 00:13:08,738
JANUARY AND AUGUST OF 2021 AND 

306
00:13:08,738 --> 00:13:09,772
UNFORTUNATELY DID IT ENGLISH 

307
00:13:09,772 --> 00:13:13,009
ONLY FOR PLUS REASONS. 

308
00:13:13,009 --> 00:13:15,144
WHILE NOT NATIONALLY 

309
00:13:15,144 --> 00:13:16,579
REPRESENTATIVE, HINTS SEER 

310
00:13:16,579 --> 00:13:18,047
SAMPLES ARE PROBABILITY SAMPLES 

311
00:13:18,047 --> 00:13:19,749
FROM FRAMES FROM WHICH THEY WERE

312
00:13:19,749 --> 00:13:21,651
DRAWN.  CONTROL TOTALS REFLECT 

313
00:13:21,651 --> 00:13:25,121
THE DISTRIBUTIONS OF DEMOGRAPHIC

314
00:13:25,121 --> 00:13:27,090
CHARACTERISTICS OF EACH ELIGIBLE

315
00:13:27,090 --> 00:13:29,158
POPULATION PROVIDED BY EACH 

316
00:13:29,158 --> 00:13:30,760
REGISTRY AND WEIGHTS FOR EACH 

317
00:13:30,760 --> 00:13:31,928
REGISTRY SCALE UP TO THE 

318
00:13:31,928 --> 00:13:34,364
REGISTRY POPULATIONS AND HOPE 

319
00:13:34,364 --> 00:13:35,398
THAT MAKES SENSE. 

320
00:13:35,398 --> 00:13:37,500
SAMPLING FRAMES WERE STRATIFIED 

321
00:13:37,500 --> 00:13:39,435
BY TIMES FOR DIAGNOSIS.  FEWER 

322
00:13:39,435 --> 00:13:42,105
THAN 5 YEARS 5 TO 10 YEARS OR 

323
00:13:42,105 --> 00:13:45,174
10 + YEARS AND BY RACE 

324
00:13:45,174 --> 00:13:45,475
ETHNICITY. 

325
00:13:45,475 --> 00:13:47,076
THE DATE OF DIAGNOSIS WAS PRIOR 

326
00:13:47,076 --> 00:13:51,080
TO 2018 BASED ON CERTIFIED DATA.

327
00:13:51,080 --> 00:13:53,850
CANCER REGISTRY DATA HAS A 

328
00:13:53,850 --> 00:13:55,852
TWO-YEAR LAG PERIOD FOR 

329
00:13:55,852 --> 00:13:56,219
CERTIFICATION. 

330
00:13:56,219 --> 00:13:58,154
THE STRATIFICATION BY RACE AND 

331
00:13:58,154 --> 00:14:00,390
ETHNICITY WAS CONSISTENT WITH 

332
00:14:00,390 --> 00:14:04,027
HOW HINTS OVERSAMPLE AFRICAN 

333
00:14:04,027 --> 00:14:05,595
AMERICANS AND HISPANIC'S FOR 

334
00:14:05,595 --> 00:14:07,997
PROBABILITY SURVEY AND OVERALL 

335
00:14:07,997 --> 00:14:11,467
RESPONSE RATE WAS 12.6% 

336
00:14:11,467 --> 00:14:12,402
UNFORTUNATELY AND RESPONSE RATE 

337
00:14:12,402 --> 00:14:16,105
WAS EFFECTED BY THE CONSENTING 

338
00:14:16,105 --> 00:14:16,339
STAGE. 

339
00:14:16,339 --> 00:14:18,374
EACH CANCER REGISTRY HAD A 

340
00:14:18,374 --> 00:14:20,643
DIFFERENT IRB AND CONSENTING 

341
00:14:20,643 --> 00:14:22,612
PROCEDURE AND IN IOWA THEY 

342
00:14:22,612 --> 00:14:24,247
REQUIRED ACTIVE CONSENT TO BE 

343
00:14:24,247 --> 00:14:26,382
ABLE TO SHARE ADDRESSES TO BE ON

344
00:14:26,382 --> 00:14:26,949
OUR FRAME. 

345
00:14:26,949 --> 00:14:29,585
SO, YOU CAN SEE THE VARYING 

346
00:14:29,585 --> 00:14:31,387
RESPONSE RATES FOR EACH OF THE 

347
00:14:31,387 --> 00:14:34,223
REGISTRIES AND THEN AS I SAID, 

348
00:14:34,223 --> 00:14:37,727
OUR OVERALL RESPONSE RATE WAS 

349
00:14:37,727 --> 00:14:38,528
12.6%. 

350
00:14:38,528 --> 00:14:41,064
ANDREW AND OTHERS AT WESTAT DID 

351
00:14:41,064 --> 00:14:42,732
A BRIEF NONRESPONSE BIAS 

352
00:14:42,732 --> 00:14:44,834
ANALYSIS FOR US THAT INDICATED 

353
00:14:44,834 --> 00:14:48,137
FEW DIFFERENCES IN DEMOGRAPHIC 

354
00:14:48,137 --> 00:14:49,739
COMPOSITION BETWEEN RESPONDENTS 

355
00:14:49,739 --> 00:14:52,408
AND POOL SAMPLE PATIENTS IN EACH

356
00:14:52,408 --> 00:14:52,675
REGISTRY. 

357
00:14:52,675 --> 00:14:55,878
SO, IN TERMS OF CONTENT, MOST 

358
00:14:55,878 --> 00:14:58,548
ITEMS ON HINTS SEER WERE TAKEN 

359
00:14:58,548 --> 00:15:01,751
FROM HINTS CYCLE 42020 AND A FEW

360
00:15:01,751 --> 00:15:04,454
UNIQUE ITEMS WERE ADDED AND SOME

361
00:15:04,454 --> 00:15:06,356
MODIFIED TO MAKE THEM SALIENT TO

362
00:15:06,356 --> 00:15:07,390
CANCER SURVIVORS. 

363
00:15:07,390 --> 00:15:09,926
SOME TOPICS ARE LISTED HERE. 

364
00:15:09,926 --> 00:15:12,895
EXAMPLES OF SOME OF THE NEW 

365
00:15:12,895 --> 00:15:14,731
ITEMS ARE THAT OUR IN HINTS SEER

366
00:15:14,731 --> 00:15:17,467
BUT NOT IN GENERAL POPULATION 

367
00:15:17,467 --> 00:15:19,769
SURVEY ARE THOSE RELATED TO 

368
00:15:19,769 --> 00:15:21,170
CANCER TREATMENT AND COVID-19.  

369
00:15:21,170 --> 00:15:23,039
FOR EXAMPLE, IN CANCER 

370
00:15:23,039 --> 00:15:25,108
TREATMENT, WE HAVE QUESTIONS 

371
00:15:25,108 --> 00:15:26,376
ABOUT WHETHER THEY HAD TREATMENT

372
00:15:26,376 --> 00:15:28,177
AND HOW LONG AGO IT WAS AND 

373
00:15:28,177 --> 00:15:29,912
QUALITY OF CARE THEY RECEIVED 

374
00:15:29,912 --> 00:15:31,914
AND SIDE-EFFECTS FROM TREATMENT 

375
00:15:31,914 --> 00:15:33,116
AND FINANCIAL BURDEN AND 

376
00:15:33,116 --> 00:15:35,051
DISCUSSIONS WITH PROVIDERS FOR 

377
00:15:35,051 --> 00:15:40,223
EXAMPLE ON EFFECTIVE TREATMENT 

378
00:15:40,223 --> 00:15:41,924
ON THEIR WORK LIFE AND COVID-19 

379
00:15:41,924 --> 00:15:45,661
ABLE TO ASK AND YOU SAW IN 

380
00:15:45,661 --> 00:15:46,162
PRESENTATIONS YESTERDAY 

381
00:15:46,162 --> 00:15:46,963
QUESTIONS ABOUT WHETHER 

382
00:15:46,963 --> 00:15:48,297
TREATMENTS OR APPOINTMENTS WERE 

383
00:15:48,297 --> 00:15:50,366
EFFECTED BY COVID OR WHETHER 

384
00:15:50,366 --> 00:15:51,934
TREATMENT PLANS CHANGED AND 

385
00:15:51,934 --> 00:15:54,537
THINGS LIKE THAT AS WELL AS 

386
00:15:54,537 --> 00:15:56,005
QUESTIONS WE HAD ON HINTS 6 

387
00:15:56,005 --> 00:15:57,006
ABOUT TRUSTED INFORMATION 

388
00:15:57,006 --> 00:15:58,808
SOURCES AND PERCEPTIONS THAT 

389
00:15:58,808 --> 00:16:01,177
WERE DIRECTLY RELATED TO 

390
00:16:01,177 --> 00:16:04,580
COVID-19 THAT MIRROR OUR CANCER 

391
00:16:04,580 --> 00:16:05,815
FATALISM QUESTIONS. 

392
00:16:05,815 --> 00:16:07,884
AND A REALLY SPECIAL COMPONENT 

393
00:16:07,884 --> 00:16:10,787
OF THIS DATA SET IS IT IS LINKED

394
00:16:10,787 --> 00:16:14,190
TO SEER METADATA FOR EACH 

395
00:16:14,190 --> 00:16:15,525
RESPONDENT.  EACH RESPONDENT HAS

396
00:16:15,525 --> 00:16:18,361
LINKED DATA ON PRIMARY CANCER 

397
00:16:18,361 --> 00:16:20,463
SITE HADDISTOLOGY SUMMARY STAGE 

398
00:16:20,463 --> 00:16:23,900
AND DATE OF DIAGNOSIS AND DATA 

399
00:16:23,900 --> 00:16:25,902
SET INCLUDES RAW DATA AND CODES 

400
00:16:25,902 --> 00:16:28,805
THAT DERIVE VARIABLES LOOSELY 

401
00:16:28,805 --> 00:16:30,473
ALIGNING WITH SELF-REPORTED 

402
00:16:30,473 --> 00:16:32,742
CANCER SITES ON HINTS.  ASK 

403
00:16:32,742 --> 00:16:35,378
ASHLEY MURRAY WHO DID A POSTER 

404
00:16:35,378 --> 00:16:36,913
FOR US SOMETIME LAST YEAR ABOUT 

405
00:16:36,913 --> 00:16:40,450
CONCORDANCE OF PEOPLE'S 

406
00:16:40,450 --> 00:16:41,284
SELF-REPORTED CANCER SITE AND 

407
00:16:41,284 --> 00:16:44,720
ACTUAL CANCER DIAGNOSIS FROM 

408
00:16:44,720 --> 00:16:45,755
SEER.  LUCKILY IT WAS VERY HIGH.

409
00:16:45,755 --> 00:16:47,690
IF INTERESTED IN SEEING SOME 

410
00:16:47,690 --> 00:16:50,960
NITTY GRITTY, YOU CAN LOOK AT 

411
00:16:50,960 --> 00:16:53,029
APPENDICIS IN METHODS REPORT AND

412
00:16:53,029 --> 00:16:55,064
SECOND COLUMN IS SHOWING YOU 

413
00:16:55,064 --> 00:16:56,899
VARIABLE NAMES AND DESCRIPTIONS 

414
00:16:56,899 --> 00:17:00,336
OF THE SEER METADATA IN THIS 

415
00:17:00,336 --> 00:17:00,837
DATA SET. 

416
00:17:00,837 --> 00:17:02,738
TO GIVE YOU AN IDEA OF THE 

417
00:17:02,738 --> 00:17:05,775
SAMPLE CHARACTERISTICS, 60% OF 

418
00:17:05,775 --> 00:17:07,610
CANCER SAMPLE WAS DIAGNOSED 10 

419
00:17:07,610 --> 00:17:10,513
OR MORE YEARS AGO AND 30%, 5 TO 

420
00:17:10,513 --> 00:17:13,783
10 YEARS AGO. 

421
00:17:13,783 --> 00:17:16,252
10%, LESS THAN 5 YEARS AGO OR 

422
00:17:16,252 --> 00:17:17,653
RESPONDENTS WERE LESS THAN FIVE 

423
00:17:17,653 --> 00:17:19,422
YEARS POST DIAGNOSIS, I SHOULD 

424
00:17:19,422 --> 00:17:21,824
SAY.  IN TERMS OF TUMOR 

425
00:17:21,824 --> 00:17:23,259
CHARACTERISTICS, I HOPE YOU CAN 

426
00:17:23,259 --> 00:17:25,328
SEE IT ON THE BIG SCREEN AND 

427
00:17:25,328 --> 00:17:27,163
DOESN'T LOOK SO SMALL AND 

428
00:17:27,163 --> 00:17:29,465
LARGELY ALIGN WITH SITE 

429
00:17:29,465 --> 00:17:31,167
PREVALENCES IN GENERAL 

430
00:17:31,167 --> 00:17:32,568
POPULATION AND BREAST PROSTATE 

431
00:17:32,568 --> 00:17:34,370
AND CANCER SURVIVORS YOU CAN SEE

432
00:17:34,370 --> 00:17:36,606
OTHERS HERE IN UNWEIGHTED 

433
00:17:36,606 --> 00:17:36,973
FREQUENCIES. 

434
00:17:36,973 --> 00:17:42,512
YOU KNOW, 119 MELANOMA, SKIN 

435
00:17:42,512 --> 00:17:43,546
CANCERS. 

436
00:17:43,546 --> 00:17:47,316
68 URINARY TRACT CANCERS. 

437
00:17:47,316 --> 00:17:51,020
84 LYMPHOTHETIC LYMPHOMAS.  YOU 

438
00:17:51,020 --> 00:17:53,890
SEE A RANGE OF CANCER SITES. 

439
00:17:53,890 --> 00:17:55,992
THIS NEXT SLIDE SHOWS STAGE OF 

440
00:17:55,992 --> 00:17:58,160
TUMORS REPRESENTED IN THE DATA 

441
00:17:58,160 --> 00:18:02,265
SET WITH ALMOST 68%, I'M SORRY, 

442
00:18:02,265 --> 00:18:04,567
BEING LOCALIZED TUMORS. 

443
00:18:04,567 --> 00:18:07,637
AND, YOU KNOW, THIS IS A PILOT 

444
00:18:07,637 --> 00:18:08,905
STUDY WE LEARN AID LOT FROM AND 

445
00:18:08,905 --> 00:18:11,507
WERE CHALLENGES TO DATA 

446
00:18:11,507 --> 00:18:12,708
COLLECTION EFFORT AND 

447
00:18:12,708 --> 00:18:13,843
CONSIDERATIONS FOR ITS USE FOR 

448
00:18:13,843 --> 00:18:15,444
YOU ALL. 

449
00:18:15,444 --> 00:18:17,313
NAMELY, AS I MENTIONED, 

450
00:18:17,313 --> 00:18:19,181
REGISTRIES HAVE INDIVIDUAL IRBS 

451
00:18:19,181 --> 00:18:20,816
AND CONSENTING PROCESSES TO 

452
00:18:20,816 --> 00:18:23,486
OBTAIN MAILING ADDRESSES. 

453
00:18:23,486 --> 00:18:25,054
SO, NONRESPONSE OF THE 

454
00:18:25,054 --> 00:18:27,123
CONSENTING STAGE DID EFFECT OUR 

455
00:18:27,123 --> 00:18:29,325
OVERALL RESPONSE RATE.  AS I 

456
00:18:29,325 --> 00:18:31,394
SAID, LUCKILY, NONRESPONSE BIAS 

457
00:18:31,394 --> 00:18:33,062
ANALYSIS INDICATED A FEW 

458
00:18:33,062 --> 00:18:34,630
DIFFERENCES WE NEED TO BE 

459
00:18:34,630 --> 00:18:37,366
CONCERNED ABOUT.  METHODOLOGICAL

460
00:18:37,366 --> 00:18:38,901
SIDE, YOU KNOW, DESPITE 

461
00:18:38,901 --> 00:18:41,103
ESTABLISHED METHODS COMBINING 

462
00:18:41,103 --> 00:18:43,906
PROBABILITY AND NONPROBABILITY 

463
00:18:43,906 --> 00:18:45,608
SAMPLES, HINTS SEER SAMPLE WILL 

464
00:18:45,608 --> 00:18:48,678
LIKELY BE A STANDALONE DATA SET 

465
00:18:48,678 --> 00:18:50,613
WHEN YOU USE IT IS LIKELY 

466
00:18:50,613 --> 00:18:54,250
POSSIBLE TO STATISTICALLY 

467
00:18:54,250 --> 00:18:56,218
COMPARE HINTS SEER RESULTS 

468
00:18:56,218 --> 00:18:57,420
CAPTURED IN LARGER HINTS DATA 

469
00:18:57,420 --> 00:19:00,222
SETS LOOKING AT DEMOGRAPHIC 

470
00:19:00,222 --> 00:19:01,991
DISTRIBUTIONS AND CANCERS 

471
00:19:01,991 --> 00:19:03,092
RESPONSES TO HEALTH 

472
00:19:03,092 --> 00:19:06,295
COMMUNICATION ITEMS DOG IT BY 

473
00:19:06,295 --> 00:19:07,396
CONDUCTING SIGNIFICANCE TESTS 

474
00:19:07,396 --> 00:19:12,268
RUNNING MODELS SIMILAR TO DATA 

475
00:19:12,268 --> 00:19:13,102
COMPARISONS ACROSS DIFFERENT 

476
00:19:13,102 --> 00:19:15,571
HINTS AND POPULATION CYCLES AND 

477
00:19:15,571 --> 00:19:17,473
COMBINING SEER WITH HINTS TO 

478
00:19:17,473 --> 00:19:19,542
PRODUCE ESTIMATE GENERALLY NOT 

479
00:19:19,542 --> 00:19:20,977
RECOMMENDED AND WOULD REQUIRE 

480
00:19:20,977 --> 00:19:22,878
CAREFUL CONSIDERATION HOW THE 

481
00:19:22,878 --> 00:19:24,413
SAMPLES DIFFER GEOGRAPHICALLY 

482
00:19:24,413 --> 00:19:26,716
AND DEMOGRAPHICALLY AND ON SOME 

483
00:19:26,716 --> 00:19:27,984
OUTCOMES YOU WOULD BE INTERESTED

484
00:19:27,984 --> 00:19:30,052
IN BEFORE YOU COULD ACTUALLY 

485
00:19:30,052 --> 00:19:33,356
MERGE THE DATASET TO GENERATE A 

486
00:19:33,356 --> 00:19:34,390
SINGLE ESTIMATE.  

487
00:19:34,390 --> 00:19:37,159
BUT WE HOPE THAT YOU ARE 

488
00:19:37,159 --> 00:19:38,561
INTERESTED IN THE HINTS SEER 

489
00:19:38,561 --> 00:19:43,699
DATA SET THAT IS A RESTRICTED 

490
00:19:43,699 --> 00:19:46,369
USE DATA FILE THAT CONTAINS 

491
00:19:46,369 --> 00:19:48,437
MEDICAL INFORMATION AND PII AND 

492
00:19:48,437 --> 00:19:50,539
REQUIRES YOU FILLING OUT A 

493
00:19:50,539 --> 00:19:53,142
REQUEST FORM AND USING STRINGENT

494
00:19:53,142 --> 00:19:54,744
DATA USE AGREEMENT AND TO ACCESS

495
00:19:54,744 --> 00:19:57,780
DATA YOU CAN GO TO THE 

496
00:19:57,780 --> 00:19:59,482
RESTRICTED USE DATA PAGE LINKED 

497
00:19:59,482 --> 00:20:01,117
HERE AND Q.R. CODE IS HERE AND 

498
00:20:01,117 --> 00:20:03,219
IS THE SAME FORM YOU WOULD FILL 

499
00:20:03,219 --> 00:20:05,388
OUT TO REQUEST GEOCODED DATA AS 

500
00:20:05,388 --> 00:20:05,721
WELL. 

501
00:20:05,721 --> 00:20:08,324
I THINK THAT IS ALL FOR HINTS 

502
00:20:08,324 --> 00:20:11,560
SEER AND WILL TURN IT TO RICK 

503
00:20:11,560 --> 00:20:13,663
FOR HINTS SEER DATA LINKAGE 

504
00:20:13,663 --> 00:20:15,164
PROJECT AND WE CAN ANSWER 

505
00:20:15,164 --> 00:20:16,198
QUESTIONS AT THE END SCOMBL 

506
00:20:16,198 --> 00:20:19,168
THANK YOU.  I'M HERE TO TELL YOU

507
00:20:19,168 --> 00:20:21,904
ABOUT THE HINTS DATA LINKAGE 

508
00:20:21,904 --> 00:20:25,307
PROJECT.  IT IS A BABY OF MINE. 

509
00:20:25,307 --> 00:20:26,375
I FEEL LIKE A PROUD PARENT ABOUT

510
00:20:26,375 --> 00:20:27,677
THIS AND TELLING YOU ABOUT IT 

511
00:20:27,677 --> 00:20:29,945
AND WHY WE ARE DOING 

512
00:20:29,945 --> 00:20:31,814
THESELINGAGES AND POINTING OUT 

513
00:20:31,814 --> 00:20:34,183
KELLY TALKED ABOUT HINTS SEER 

514
00:20:34,183 --> 00:20:36,252
PERSON TO PERSON LINKAGE PERSON 

515
00:20:36,252 --> 00:20:38,220
FROM HINTS AND LINK THEM UP WITH

516
00:20:38,220 --> 00:20:40,623
SEER DATA.  WE ARE TALKING ABOUT

517
00:20:40,623 --> 00:20:42,358
GEOCODED LINKAGES HERE AND 

518
00:20:42,358 --> 00:20:44,326
POINTING THAT OUT AND WHY WE DO 

519
00:20:44,326 --> 00:20:46,362
THESE LINKAGES REGARDLESS OF 

520
00:20:46,362 --> 00:20:49,432
METHOD AND IDEA PROVIDING 

521
00:20:49,432 --> 00:20:53,569
PREDICTORS MODERATORS AND -- 

522
00:20:53,569 --> 00:20:54,637
TYPICALLY NOT OUTCOMES 

523
00:20:54,637 --> 00:20:55,905
EXPLAINING WHAT WE ARE TALKING 

524
00:20:55,905 --> 00:20:57,907
ABOUT IS THIS IDEA WITH THIS 

525
00:20:57,907 --> 00:20:59,375
ILLUSTRATION THIS MULTILEVEL 

526
00:20:59,375 --> 00:21:00,609
INFLUENCES AND THINKING ABOUT 

527
00:21:00,609 --> 00:21:02,445
CANCER AND INFLUENCES ON CANCER 

528
00:21:02,445 --> 00:21:04,113
AND WE DO WANT TO DEFINITELY 

529
00:21:04,113 --> 00:21:06,082
THINK ABOUT THESE CELLS TO 

530
00:21:06,082 --> 00:21:07,483
SOCIETY KIND OF IDEA.  THAT IS 

531
00:21:07,483 --> 00:21:09,218
WHAT WE ARE REALLY TRYING TO 

532
00:21:09,218 --> 00:21:11,287
SUPPORT HERE IN MANY WAYS AND 

533
00:21:11,287 --> 00:21:13,422
ULTIMATELY WE ARE TRYING TO 

534
00:21:13,422 --> 00:21:14,990
PROVIDE THE ABILITY TO ANSWER 

535
00:21:14,990 --> 00:21:16,592
NOVEL QUESTIONS YOU CAN'T ANSWER

536
00:21:16,592 --> 00:21:18,928
WITH ANY ONE DATA SET.  IT GETS 

537
00:21:18,928 --> 00:21:23,499
US TO HDLP AND HINTS DATA 

538
00:21:23,499 --> 00:21:25,334
LINKAGE PROJECT AND HINTS 5 

539
00:21:25,334 --> 00:21:27,136
CYCLE 4 DATA AND SEE WHAT IS 

540
00:21:27,136 --> 00:21:29,672
COLLECTED IN 2020 AND SEE THINGS

541
00:21:29,672 --> 00:21:31,507
HERE AND CONTENT AND HOPEFULLY 

542
00:21:31,507 --> 00:21:33,642
ARE FAMILIAR WITH THAT 

543
00:21:33,642 --> 00:21:35,411
INTERESTED ITEMS CAREGIVING 

544
00:21:35,411 --> 00:21:38,080
CLINICAL TRIALS GENETIC TESTING 

545
00:21:38,080 --> 00:21:40,282
AND LINK IT AT A COUNTY LEVEL 

546
00:21:40,282 --> 00:21:42,084
WITH 70 VARIABLES FROM OTHER 

547
00:21:42,084 --> 00:21:46,355
SOURCES AND CAREFUL TO USE 

548
00:21:46,355 --> 00:21:50,359
TRUSTED SOURCED HR CENSUS AND 

549
00:21:50,359 --> 00:21:53,129
THOSE VARIABLES PUT IN FIVE 

550
00:21:53,129 --> 00:21:54,830
CATEGORIES SOCIAL AND ECONOMIC 

551
00:21:54,830 --> 00:21:56,899
FACTORS AND ONE THING TO POINT 

552
00:21:56,899 --> 00:21:58,968
OUT A LOT OF THE EXTERNAL 

553
00:21:58,968 --> 00:22:00,102
VARIABLES HAVE SOCIAL 

554
00:22:00,102 --> 00:22:01,337
DETERMINANTS OF HEALTH FOCUS 

555
00:22:01,337 --> 00:22:02,271
THAT IS SOMETHING WE 

556
00:22:02,271 --> 00:22:04,073
SPECIFICALLY WANTED TO DO.  

557
00:22:04,073 --> 00:22:05,541
THINKING ABOUT THE FIRST GROUP 

558
00:22:05,541 --> 00:22:07,343
THAT IS MORE SOCIAL AND ECONOMIC

559
00:22:07,343 --> 00:22:09,545
FACTORS INCLUDING A COUPLE 

560
00:22:09,545 --> 00:22:11,781
INDICES AND INDEX OF INCOMING 

561
00:22:11,781 --> 00:22:14,450
INEQUALITY AND NEXT GROUP I CALL

562
00:22:14,450 --> 00:22:15,551
DEMOGRAPHICS AND FOR EXAMPLE 

563
00:22:15,551 --> 00:22:17,586
PERCENT OF POPULATION OF AGES 65

564
00:22:17,586 --> 00:22:19,855
OR OLDER OR SOMETHING LIKE THAT.

565
00:22:19,855 --> 00:22:21,524
PERCENT OF DIFFERENT RACE 

566
00:22:21,524 --> 00:22:23,159
ETHNICITIES AT A COUNTY LEVEL 

567
00:22:23,159 --> 00:22:24,126
AND THIRD I WILL CALL 

568
00:22:24,126 --> 00:22:25,895
INFORMATION TECHNOLOGY THAT 

569
00:22:25,895 --> 00:22:28,164
INCLUDES PERCENT OF HOUSEHOLDS 

570
00:22:28,164 --> 00:22:30,566
WITH BROADBAND INTERNET OR 

571
00:22:30,566 --> 00:22:31,667
HOUSEHOLD WITH ONE OR MORE 

572
00:22:31,667 --> 00:22:34,136
COMPUTING DEVICES OR NO COMPUTER

573
00:22:34,136 --> 00:22:35,371
THINK ABOUT THAT AND HOW IT 

574
00:22:35,371 --> 00:22:38,073
MIGHT EFFECT OUTCOMES AND THIRD 

575
00:22:38,073 --> 00:22:40,376
CATEGORY IS BUILT ENVIRONMENT 

576
00:22:40,376 --> 00:22:41,977
INCLUDING THINGS LIKE FAST FOOD 

577
00:22:41,977 --> 00:22:44,280
RESTAURANTS AND FITNESS CENTERS 

578
00:22:44,280 --> 00:22:46,382
AND NUMBER OF COMMUNITY HEALTH 

579
00:22:46,382 --> 00:22:48,384
CENTERS AND SHORTAGE OF PRIMARY 

580
00:22:48,384 --> 00:22:49,385
CARE PHYSICIANS AND MENTAL 

581
00:22:49,385 --> 00:22:51,720
HEALTH PROVIDERS AND FINALLY 

582
00:22:51,720 --> 00:22:52,955
PHYSICAL ENVIRONMENT THAT 

583
00:22:52,955 --> 00:22:55,124
INCLUDES PERCENTAGE OF DAYS WITH

584
00:22:55,124 --> 00:22:58,861
GOOD AIR QUALITY OR AMOUNT OF 

585
00:22:58,861 --> 00:23:01,263
AIR PARTICULARATES MATTER AND 

586
00:23:01,263 --> 00:23:02,198
SAW IMPORTANCE OF AIR POLLUTION 

587
00:23:02,198 --> 00:23:04,667
ON HEALTH THAT IS A GREAT THING 

588
00:23:04,667 --> 00:23:06,569
TO INCLUDE OR AT LEAST WE HOPE 

589
00:23:06,569 --> 00:23:07,069
SO.  

590
00:23:07,069 --> 00:23:09,939
THE -- WE ARE GOING TO REPEAT 

591
00:23:09,939 --> 00:23:12,374
THIS WITH HINTS 6 DATA AND TAKE 

592
00:23:12,374 --> 00:23:14,376
DATA COLLECTED IN 20202 AND DO 

593
00:23:14,376 --> 00:23:16,412
THE SAME THING AND WE PLAN TO 

594
00:23:16,412 --> 00:23:18,180
PROVIDE THOSE DATA BY THE END OF

595
00:23:18,180 --> 00:23:20,449
THE CALENDAR YEAR.  IF YOU HAVE 

596
00:23:20,449 --> 00:23:21,784
SUGGESTIONS ON OTHER VARIABLES 

597
00:23:21,784 --> 00:23:23,752
WE SHOULD BE LINKING, PLEASE LET

598
00:23:23,752 --> 00:23:25,654
ME KNOW.  WE ARE REALLY LOOKING 

599
00:23:25,654 --> 00:23:28,324
AT THE COUNTY LEVEL THAT SEEMS 

600
00:23:28,324 --> 00:23:30,659
TO WORK BEST AND COUPLE THINGS 

601
00:23:30,659 --> 00:23:32,361
TO MENTION USING DATA HOPE YOU 

602
00:23:32,361 --> 00:23:33,996
DO AND STRONGLY ENCOURAGE YOU TO

603
00:23:33,996 --> 00:23:36,332
DO THAT AND WAY THAT YOU USE 

604
00:23:36,332 --> 00:23:38,367
ANALYSIS YOU DO IS SIMILAR TO 

605
00:23:38,367 --> 00:23:40,703
USING ANY KINDS OF HINTS DATA 

606
00:23:40,703 --> 00:23:44,840
SET AND IN THIS SENSE FINAL 

607
00:23:44,840 --> 00:23:47,142
SAMPLE OF ESTIMATES AND VARIANCE

608
00:23:47,142 --> 00:23:49,311
ESTIMATES OR YOU CAN USE 

609
00:23:49,311 --> 00:23:50,512
TAILORED LINEARIZATION EITHER 

610
00:23:50,512 --> 00:23:53,749
WAY.  IT IS DOING REGULAR 

611
00:23:53,749 --> 00:23:54,083
ANALYSIS. 

612
00:23:54,083 --> 00:23:55,985
OF COURSE NOW YOU HAVE KROUNLTY 

613
00:23:55,985 --> 00:23:57,686
LEVEL VARIABLES TO INCLUDE IN 

614
00:23:57,686 --> 00:23:59,255
MODELS AND WE WILL MAKE SURE 

615
00:23:59,255 --> 00:24:01,590
THAT YOU THINK ABOUT ISSUES 

616
00:24:01,590 --> 00:24:02,524
AROUND PRECISION AND ACCURACY 

617
00:24:02,524 --> 00:24:04,126
AND SOME OF THE VARIABLES YOU 

618
00:24:04,126 --> 00:24:06,528
WILL SEE AND LINKED VARIABLES 

619
00:24:06,528 --> 00:24:08,764
HAVE MOES AND MARGINS OF RHO R 

620
00:24:08,764 --> 00:24:10,833
THAT IS WAY OF GETTING AT 

621
00:24:10,833 --> 00:24:12,835
PRECISION AND ACCURACY SIMILAR 

622
00:24:12,835 --> 00:24:14,236
TO CONFIDENCE INTERVAL AND WE 

623
00:24:14,236 --> 00:24:15,671
CAN INCLUDE THOSE WHERE WE CAN. 

624
00:24:15,671 --> 00:24:17,506
WHAT YOU WON'T SEE IS SAMPLE 

625
00:24:17,506 --> 00:24:20,709
SIZES AND SAY YOU SEE A COUNTY 

626
00:24:20,709 --> 00:24:22,111
LEVEL ESTIMATE OF WHATEVER AIR 

627
00:24:22,111 --> 00:24:23,078
PARTICULARATES MATTER YOU WON'T 

628
00:24:23,078 --> 00:24:25,147
KNOW HOW MANY UNITS WENT INTO 

629
00:24:25,147 --> 00:24:26,282
THAT TO FIGURE THAT OUT.  YOU 

630
00:24:26,282 --> 00:24:28,817
MAY WANT TO LOOK AT THOSE MOES 

631
00:24:28,817 --> 00:24:31,687
AND MARGINS OF ERROR TO HELP 

632
00:24:31,687 --> 00:24:33,622
DECIDE YES THAT IS SEEMING 

633
00:24:33,622 --> 00:24:35,557
PRECISE AND ACCURATE ENOUGH AT 

634
00:24:35,557 --> 00:24:38,193
COUNTY LEVEL TO USE AND DATA SET

635
00:24:38,193 --> 00:24:40,129
INCLUDES ZIP CODE AND STATE 

636
00:24:40,129 --> 00:24:41,230
INFORMATION FOR HINTS 

637
00:24:41,230 --> 00:24:42,898
RESPONDENTS MAYBE DOING DATA 

638
00:24:42,898 --> 00:24:45,968
LINKAGES OR OTHER VARIABLES TO 

639
00:24:45,968 --> 00:24:48,070
INCLUDE.  IMPORTANTLY, THIS DATA

640
00:24:48,070 --> 00:24:50,673
SET GETS TO FACT OF RESTRICTED 

641
00:24:50,673 --> 00:24:53,475
DATA SET AND SIMILARLY WE HAVE 

642
00:24:53,475 --> 00:24:55,511
OTHER HINTS DATA SETS THAT 

643
00:24:55,511 --> 00:24:57,579
INCLUDE GEOGRAPHIC CODES AND 

644
00:24:57,579 --> 00:24:59,882
STATE LEVEL COUNTY AND STATES, 

645
00:24:59,882 --> 00:25:01,884
COUNTY AND ZIP CODE.  YOU CAN 

646
00:25:01,884 --> 00:25:03,319
REQUEST THOSE 2.  AGAIN, DO YOUR

647
00:25:03,319 --> 00:25:05,354
OWN THING.  FOR THIS, WE HAVE 

648
00:25:05,354 --> 00:25:07,356
DONE THE HARD WORK.  ASHLEY 

649
00:25:07,356 --> 00:25:09,525
MURRAY DID ALL OF THE HARD WORK 

650
00:25:09,525 --> 00:25:10,826
EMERGING DATA ALL TOGETHER TO 

651
00:25:10,826 --> 00:25:13,095
HELP YOU OUT AND WILL DO THE 

652
00:25:13,095 --> 00:25:14,596
SAME WITH HINTS 6 AND 

653
00:25:14,596 --> 00:25:15,831
IMPORTANTLY LIKE KELLY SAID IT 

654
00:25:15,831 --> 00:25:18,033
IS A RESTRICTED DATASET YOU HAVE

655
00:25:18,033 --> 00:25:20,336
TO MAKE A REQUEST AND LOOK AT 

656
00:25:20,336 --> 00:25:21,170
YOUR APPLICATION AND BACK AND 

657
00:25:21,170 --> 00:25:23,272
FORTH SOME QUESTIONS AND IF IT 

658
00:25:23,272 --> 00:25:24,807
LOOKS GOOD WE APPROVE IT AND 

659
00:25:24,807 --> 00:25:27,643
SEND YOU DATA YOU AND THAT IS 

660
00:25:27,643 --> 00:25:28,877
Q.R. CODE AND ALL THESE GOOD 

661
00:25:28,877 --> 00:25:31,914
THINGS AND WILL STEP ASIDE AND 

662
00:25:31,914 --> 00:25:32,948
KELLY WILL COME BACK UP AND TELL

663
00:25:32,948 --> 00:25:34,183
YOU ALL ABOUT THIS. 

664
00:25:34,183 --> 00:25:36,452
>> OKAY.  SO, WE ARE
GETTING 

665
00:25:36,452 --> 00:25:38,354
READY TO GO IN THE FIELD AGAIN 

666
00:25:38,354 --> 00:25:40,522
IN JANUARY OF 2024. 

667
00:25:40,522 --> 00:25:43,492
OUR GOALS REMAIN FAIRLY 

668
00:25:43,492 --> 00:25:43,792
CONSISTENT. 

669
00:25:43,792 --> 00:25:45,794
AS ALWAYS WITH HINTS.  IT IS TO 

670
00:25:45,794 --> 00:25:48,163
ASK TIMELY AND IMPORTANT CANCER 

671
00:25:48,163 --> 00:25:49,264
COMMUNICATION QUESTIONS UNIQUE 

672
00:25:49,264 --> 00:25:52,634
TO FEDERAL SURVEYS AND MAINTAIN 

673
00:25:52,634 --> 00:25:54,370
ROBUST DATA USER COMMUNITY WE 

674
00:25:54,370 --> 00:25:56,472
HAVE AND INCREASE RESPONSE RATES

675
00:25:56,472 --> 00:25:57,840
WE HOPE AND DATA QUALITY TO 

676
00:25:57,840 --> 00:26:01,777
REDUCE POTENTIAL FOR RESPONSE 

677
00:26:01,777 --> 00:26:03,345
BIAS AND STRENGTHEN METHODOLOGY 

678
00:26:03,345 --> 00:26:05,514
AND ANY IN THE TUTORIAL THIS 

679
00:26:05,514 --> 00:26:07,316
MORNING LEARNED AND MAYBE YOU 

680
00:26:07,316 --> 00:26:10,185
KNOW FROM LOOKING AT HINTS 6 

681
00:26:10,185 --> 00:26:12,287
DOCUMENTATION THAT RESPONSE RATE

682
00:26:12,287 --> 00:26:13,956
IS HISTORICALLY LOW WHEN WE WERE

683
00:26:13,956 --> 00:26:15,958
SLATED TO STOP THE DATA 

684
00:26:15,958 --> 00:26:17,493
COLLECTION EFFORT FOR HINTS 6 

685
00:26:17,493 --> 00:26:22,364
THAT REQUIRED A 4TH MAILING AND 

686
00:26:22,364 --> 00:26:26,368
INCREASED INCENTIVE TO SUBSAMPLE

687
00:26:26,368 --> 00:26:27,870
OF NONRESPONDIENTS TO BRING UP 

688
00:26:27,870 --> 00:26:30,039
TO 28% RESPONSE RATE AND WE ARE 

689
00:26:30,039 --> 00:26:32,241
HOPING TO CONTINUE EFFORTS TO 

690
00:26:32,241 --> 00:26:33,842
INCREASE OUR RESPONSE RATE AND 

691
00:26:33,842 --> 00:26:36,912
HOPE TO CONTINUE TO RECRUIT 

692
00:26:36,912 --> 00:26:38,013
LONGITUDINAL SUBSAMPLE I WILL 

693
00:26:38,013 --> 00:26:39,748
TELL YOU ABOUT IN A MOMENT.  

694
00:26:39,748 --> 00:26:41,216
THIS IS JUST A QUICK SLIDE TO 

695
00:26:41,216 --> 00:26:43,318
SHOW, YOU KNOW, IT IS GOING TO 

696
00:26:43,318 --> 00:26:45,521
CONTINUE TO BE A BIENIAL 

697
00:26:45,521 --> 00:26:47,890
FIELDING AND WE HOPE TO GET 

698
00:26:47,890 --> 00:26:50,459
BETWEEN 6,000 TO 7,000 

699
00:26:50,459 --> 00:26:51,827
RESPONDENTS AND WILL BE 

700
00:26:51,827 --> 00:26:53,595
CROSS-SECTIONAL WITH SUBSECTION 

701
00:26:53,595 --> 00:26:56,465
THAT IS RECRUITED FOR PANEL AND 

702
00:26:56,465 --> 00:26:58,467
DUAL MODE AND POSTAL AND PUSH TO

703
00:26:58,467 --> 00:27:00,402
WEB WITH SAMPLE OF AFRICAN 

704
00:27:00,402 --> 00:27:02,838
AMERICANS AND HISPANIC'S IN 

705
00:27:02,838 --> 00:27:04,440
RURAL I ZIP CODES WE STARTED TO 

706
00:27:04,440 --> 00:27:07,743
DO IN 2022 AND SAME AS HIBT 6 IS

707
00:27:07,743 --> 00:27:10,379
INFORMATION SEEKING ITEMS FOCUS 

708
00:27:10,379 --> 00:27:12,714
ON CANCER ONLY INSTEAD OF HEALTH

709
00:27:12,714 --> 00:27:13,982
INFORMATION SEEKING GENERALLY 

710
00:27:13,982 --> 00:27:16,819
AND ARE COMMITTED TO INCLUDING 

711
00:27:16,819 --> 00:27:18,387
MORE VALIDATED SCALES SUCH AS 

712
00:27:18,387 --> 00:27:20,055
INFORMATION SEEKING EXPERIENCES 

713
00:27:20,055 --> 00:27:23,625
SCALE AND PATIENT CENTERED 

714
00:27:23,625 --> 00:27:24,960
COMMUNICATION SCALE AND SOCIAL 

715
00:27:24,960 --> 00:27:26,361
ISOLATION SCALE AND OTHERS.

716
00:27:26,361 --> 00:27:28,163
AS RICK SAID WE HOPE TO PROVIDE 

717
00:27:28,163 --> 00:27:31,834
LINKED DATA SETS WITH OR SOON 

718
00:27:31,834 --> 00:27:34,703
AFTER PUBLIC RELEASE OF HINTS 7 

719
00:27:34,703 --> 00:27:36,371
AND WE WILL CONTINUE OUR -- WHAT

720
00:27:36,371 --> 00:27:39,308
WE THINK IS A STRONG PROTOCOL 

721
00:27:39,308 --> 00:27:41,376
FOR SPANISH INSTRUMENT MAILING 

722
00:27:41,376 --> 00:27:43,645
WHERE WE WILL MAIL BOTH ENGLISH 

723
00:27:43,645 --> 00:27:45,681
AND SPANISH INSTRUMENTS TO ALL 

724
00:27:45,681 --> 00:27:49,485
HOUSEHOLDS IN THE HIGH MINORITY 

725
00:27:49,485 --> 00:27:52,287
CENSUS TRACKS WE SAMPLE.  IN 

726
00:27:52,287 --> 00:27:54,022
TERMS OF HINTS SEVEN CONSTRUCTS 

727
00:27:54,022 --> 00:27:55,390
THIS SLIDE HIGHLIGHTS NEW AREAS 

728
00:27:55,390 --> 00:27:58,527
WE WILL ASK.  IN ADDITION TO 

729
00:27:58,527 --> 00:28:00,696
STANDARD HINTS CORE ITEMS AND 

730
00:28:00,696 --> 00:28:03,765
HEALTH BEHAVIOR ITEMS WE WILL 

731
00:28:03,765 --> 00:28:08,370
EXPAND TO CANNABIS USE AND RISK 

732
00:28:08,370 --> 00:28:10,539
PERCEPTIONS ON HINTS 7 AND 

733
00:28:10,539 --> 00:28:11,607
INTERSECTION OF SUN ALCOHOL AND 

734
00:28:11,607 --> 00:28:13,575
DIET MARKETING AND MORE 

735
00:28:13,575 --> 00:28:15,344
QUESTIONS ON CLIMATE CHANGE AND 

736
00:28:15,344 --> 00:28:17,479
QUESTIONS LED BY NICOLE AND ANNA

737
00:28:17,479 --> 00:28:19,214
ON INFORMATION SEEKING IN THE 

738
00:28:19,214 --> 00:28:21,817
CLINICAL ENCOUNTER AND WHAT 

739
00:28:21,817 --> 00:28:22,985
EFFECT DOES PEOPLE'S INFORMATION

740
00:28:22,985 --> 00:28:25,220
SEEKING ON THE INTERNET, FOR 

741
00:28:25,220 --> 00:28:27,356
EXAMPLE, HAVE IN THE CLINICAL 

742
00:28:27,356 --> 00:28:28,490
ENCOUNTER WITH THEIR PROVIDER.  

743
00:28:28,490 --> 00:28:31,360
WE WILL HAVE QUESTIONS ON NEW 

744
00:28:31,360 --> 00:28:32,828
MULTICANCER EARLY DETECTION 

745
00:28:32,828 --> 00:28:34,363
TESTS AND PEOPLE'S KNOWLEDGE 

746
00:28:34,363 --> 00:28:34,963
ABOUT THOSE. 

747
00:28:34,963 --> 00:28:38,066
AND SO IN TERMS OF OUR 

748
00:28:38,066 --> 00:28:39,301
LONGITUDINAL PANEL, THIS IS 

749
00:28:39,301 --> 00:28:41,036
REALLY EXCITING.  

750
00:28:41,036 --> 00:28:42,771
SO, STARTING WITH HINTS 6, WE 

751
00:28:42,771 --> 00:28:44,706
HAD A QUESTION FOR PEOPLE TO 

752
00:28:44,706 --> 00:28:47,009
CONSENT TO BE CONTACTED BY 

753
00:28:47,009 --> 00:28:49,545
E-MAIL TO PARTICIPATE IN FUTURE 

754
00:28:49,545 --> 00:28:50,345
SURVEYS. 

755
00:28:50,345 --> 00:28:54,049
WE WERE THRILLED WE RECEIVED 

756
00:28:54,049 --> 00:28:56,518
2009 E-MAILS IN RESPONSE TO THAT

757
00:28:56,518 --> 00:28:58,420
QUESTION.  ONLY ABOUT 100 OF 

758
00:28:58,420 --> 00:29:00,322
THEM WERE INVALID.  TO RECRUIT 

759
00:29:00,322 --> 00:29:03,392
FOR THIS WE PROVIDED A 20 DLRDZ 

760
00:29:03,392 --> 00:29:04,326
INCENTIVE AND WHEN PEOPLE 

761
00:29:04,326 --> 00:29:06,361
RECEIVED THE E-MAIL FROM US, 

762
00:29:06,361 --> 00:29:08,931
THEY WOULD GET $5 FOR UPDATING 

763
00:29:08,931 --> 00:29:11,733
CONTACT INFORMATION AND $15 FOR 

764
00:29:11,733 --> 00:29:15,103
COMPLETING ENROLLMENT SURVEY 

765
00:29:15,103 --> 00:29:18,373
THAT WAS ONE CREATED WITH OLD 

766
00:29:18,373 --> 00:29:20,809
HINTS ITEMS THEY HADN'T JUST 

767
00:29:20,809 --> 00:29:23,212
ANSWERED ON HINTS 6 BUT WERE 

768
00:29:23,212 --> 00:29:24,446
ITEMS THAT HAD BEEN FIELDED 

769
00:29:24,446 --> 00:29:26,582
BEFORE AND WAY TO ENGAGE IN A 

770
00:29:26,582 --> 00:29:29,284
QUITE SHORT SURVEY AND SO FAR WE

771
00:29:29,284 --> 00:29:31,753
HAVE ABOUT 432 RESPONDENTS THAT 

772
00:29:31,753 --> 00:29:34,022
FULLY CONSENTED AND UPDATED 

773
00:29:34,022 --> 00:29:35,424
CONTACT INFORMATION AND 

774
00:29:35,424 --> 00:29:36,491
COMPLETED ENROLLMENT SURVEY AND 

775
00:29:36,491 --> 00:29:38,660
WE HAVE 87 THAT ARE JUST 

776
00:29:38,660 --> 00:29:41,196
PARTIALLY ENROLLED AND WILL 

777
00:29:41,196 --> 00:29:43,599
CONTINUE TO RECRUIT NEW PANEL 

778
00:29:43,599 --> 00:29:46,368
MEMBERS WITH HINTS 7 AT OUR ITEM

779
00:29:46,368 --> 00:29:48,804
DEVELOPMENT RETREAT.  WE JUST 

780
00:29:48,804 --> 00:29:50,706
DECIDED HOW TO CHANGE WORDING OF

781
00:29:50,706 --> 00:29:52,474
OUR QUESTION ON THE SURVEY A 

782
00:29:52,474 --> 00:29:54,176
LITTLE BETTER TO PERHAPS 

783
00:29:54,176 --> 00:29:55,143
INCREASE MORE INTERESTS. 

784
00:29:55,143 --> 00:29:58,013
WHAT WE ARE HOPING IS THIS 

785
00:29:58,013 --> 00:29:59,514
LONGITUDINAL PANEL WILL, YOU 

786
00:29:59,514 --> 00:30:01,750
KNOW, BE ABLE TO LAUNCH FUTURE 

787
00:30:01,750 --> 00:30:03,051
HINTS SURVEYS WITH IT AND 

788
00:30:03,051 --> 00:30:05,220
SUPPORT OUR FEDERAL PARTNERS AND

789
00:30:05,220 --> 00:30:07,923
OTHER INVESTIGATORS TO LAUNCH 

790
00:30:07,923 --> 00:30:10,659
SURVEYS ON OWN PANEL TO DO TREND

791
00:30:10,659 --> 00:30:12,427
ANALYSIS AND LOOK AT CHANGES 

792
00:30:12,427 --> 00:30:14,062
OVER TIME IN CERTAIN CONSTRUCTS.

793
00:30:14,062 --> 00:30:17,432
THAT WAS A LOT TO SAY. 

794
00:30:17,432 --> 00:30:19,935
THANK YOU ALL FOR LISTENING.  WE

795
00:30:19,935 --> 00:30:21,670
ARE A LITTLE OVER TIME.  HAPPY 

796
00:30:21,670 --> 00:30:24,373
TO TAKE A FEW QUESTIONS IF YOU 

797
00:30:24,373 --> 00:30:27,542
WOULD LIKE BEFORE WE MOVE ON TO 

798
00:30:27,542 --> 00:30:30,479
THE NEXT SESSION.  

799
00:30:30,479 --> 00:30:40,822
>> SOME QUESTIONS?  

800
00:30:41,890 --> 00:30:43,659
>> QUESTION ABOUT THE
HINTS 

801
00:30:43,659 --> 00:30:46,561
SEER.  I UNDERSTAND THAT DE

802
00:30:46,561 --> 00:30:50,966
DEMOTICS IN HINTS SEER -- THERE 

803
00:30:50,966 --> 00:30:53,702
ARE FEW MINORITIES SPECIFICALLY 

804
00:30:53,702 --> 00:30:55,137
AFRICAN AMERICANS ARE THERE 

805
00:30:55,137 --> 00:30:57,372
PLANS FOR ADDITIONAL SAMPLING IN

806
00:30:57,372 --> 00:30:58,173
FUTURE YEARS?  

807
00:30:58,173 --> 00:30:59,908
>> THIS WAS A PILOT STUDY.
YOU 

808
00:30:59,908 --> 00:31:03,545
ARE RIGHT.  IOWA IS VERY WHITE 

809
00:31:03,545 --> 00:31:06,348
AND YEAH.  THE WHOLE SAMPLE 

810
00:31:06,348 --> 00:31:07,783
ENDED UP BEING FAIRLY WHITE.  WE

811
00:31:07,783 --> 00:31:09,651
WILL NEED TO TALK ABOUT IT.  

812
00:31:09,651 --> 00:31:12,387
RIGHT NOW, OUR FOCUS, YOU KNOW, 

813
00:31:12,387 --> 00:31:16,692
FOR AN ADDITIONAL STUDY OUT OF 

814
00:31:16,692 --> 00:31:18,360
OUR BACKBONE CROSS-SECTIONAL 

815
00:31:18,360 --> 00:31:19,828
SURVEY IS ON OUR PANEL GIVEN 

816
00:31:19,828 --> 00:31:23,465
WHERE WE ARE AT NCI AND INTEREST

817
00:31:23,465 --> 00:31:25,367
IN DATA USE HINTS SEER WE WILL 

818
00:31:25,367 --> 00:31:27,502
HAVE TO SEE IF WE DO IT AGAIN 

819
00:31:27,502 --> 00:31:31,073
AND USE A PUBLIC SET DATASET FOR

820
00:31:31,073 --> 00:31:32,507
LINKAGES AND SAMPLING.  WE HAVE 

821
00:31:32,507 --> 00:31:34,343
NOT TALKED ABOUT IT YET.  WE ARE

822
00:31:34,343 --> 00:31:35,510
JUST TRYING TO GET IT OUT INTO 

823
00:31:35,510 --> 00:31:38,046
THE WORLDED.  WE HAVE TO THINK 

824
00:31:38,046 --> 00:31:39,948
ABOUT IT AND SEE WHERE OUR 

825
00:31:39,948 --> 00:31:40,982
PRIORITIES ARE.  CERTAINLY AS I 

826
00:31:40,982 --> 00:31:43,852
SAID, IT IS ONE OF THE MOST 

827
00:31:43,852 --> 00:31:45,487
REQUESTED THINGS WE GET FROM 

828
00:31:45,487 --> 00:31:48,557
DATA USERS AND WOULD LIKE TO 

829
00:31:48,557 --> 00:31:51,660
CERTAINLY IMPROVE SAMPLE OF 

830
00:31:51,660 --> 00:31:53,528
CANCER SURVIVORS WE USE FOR OUR 

831
00:31:53,528 --> 00:31:53,729
DATA. 

832
00:31:53,729 --> 00:31:54,629
>> GREAT PRESENTATION. 

833
00:31:54,629 --> 00:31:56,932
I HAD A QUESTION ABOUT THE 

834
00:31:56,932 --> 00:31:59,801
NUMBER LIKE $20 FOR THE AMAZON 

835
00:31:59,801 --> 00:32:00,836
GIFT CARDS AND HOW YOU ALL KIND 

836
00:32:00,836 --> 00:32:03,372
OF DECIDED ON THAT PARTICULAR 

837
00:32:03,372 --> 00:32:03,605
NUMBER. 

838
00:32:03,605 --> 00:32:06,842
BECAUSE THERE IS JUST ONGOING 

839
00:32:06,842 --> 00:32:07,943
CONVERSATION ABOUT WHAT IS AN 

840
00:32:07,943 --> 00:32:09,177
APPROPRIATE AMOUNT.  IF YOU NEED

841
00:32:09,177 --> 00:32:11,279
TO INCREASE IT FOR SOME 

842
00:32:11,279 --> 00:32:13,882
POPULATIONS TO GET MORE INTEREST

843
00:32:13,882 --> 00:32:15,517
AND ALSO IF YOU KNOW ON AVERAGE 

844
00:32:15,517 --> 00:32:17,619
HOW LONG IT TAKES PEOPLE TO 

845
00:32:17,619 --> 00:32:18,954
COMPLETE SURVEYS, ESPECIALLY PEN

846
00:32:18,954 --> 00:32:20,989
AND PAPER ONES IF YOU HAVE ANY 

847
00:32:20,989 --> 00:32:21,823
INFORMATION ABOUT THAT. 

848
00:32:21,823 --> 00:32:24,526
>> I HAVE TO DEFER TO
WESTAT 

849
00:32:24,526 --> 00:32:26,328
COLLEAGUES ON BOTH THOSE 

850
00:32:26,328 --> 00:32:29,164
QUESTIONS AND FEEL CERTAIN THAT 

851
00:32:29,164 --> 00:32:31,032
DAVID AND ANDREW GROUNDED OUR 

852
00:32:31,032 --> 00:32:33,335
INCENTIVE AMOUNT IN THE 

853
00:32:33,335 --> 00:32:33,635
LITERATURE. 

854
00:32:33,635 --> 00:32:36,238
FOR BOTH, YOU KNOW, UPDATING 

855
00:32:36,238 --> 00:32:37,572
CONTACT INFORMATION AND WHAT WE 

856
00:32:37,572 --> 00:32:41,109
GIVE FOR FULL ENROLLMENT. 

857
00:32:41,109 --> 00:32:42,744
WHAT -- I CAN'T SEE YOU GUYS. 

858
00:32:42,744 --> 00:32:44,112
IS THAT RIGHT?  

859
00:32:44,112 --> 00:32:46,114
I'M SURE THERE IS SOME 

860
00:32:46,114 --> 00:32:48,283
LITERATURE TO INDICATE, THANKS, 

861
00:32:48,283 --> 00:32:49,484
ANDREW, FOR SAVING ME HERE. 

862
00:32:49,484 --> 00:32:51,186
>> I WOULD SAY THE
DECISION IS 

863
00:32:51,186 --> 00:32:52,854
BASED ON THE AVAILABLE BUDGET.  

864
00:32:52,854 --> 00:32:57,192
WE ARE TRYING OWE BE PRETTY 

865
00:32:57,192 --> 00:32:59,361
ECONOMICALLY ABOUT IT AND BASED 

866
00:32:59,361 --> 00:33:02,364
ON EFFECTIVENESS OF PROMISED 

867
00:33:02,364 --> 00:33:05,333
INCENTIVES YOU GIVE CONTINGENT 

868
00:33:05,333 --> 00:33:07,302
OF COMPLETING SURVEY AND TEND TO

869
00:33:07,302 --> 00:33:09,971
BE LARGER THAN PREPAID 

870
00:33:09,971 --> 00:33:11,740
INCENTIVES AND ARE THOSE TWO 

871
00:33:11,740 --> 00:33:13,141
CONSIDERATIONS THAT LED TO OUR 

872
00:33:13,141 --> 00:33:14,176
$20 DECISION. 

873
00:33:14,176 --> 00:33:15,811
>> THANK YOU ANDREW.  WHAT
IS 

874
00:33:15,811 --> 00:33:17,279
THE OTHER QUESTION?  

875
00:33:17,279 --> 00:33:18,447
I'M SORRY. 

876
00:33:18,447 --> 00:33:21,349
>> ON AVERAGE HOW LONG 

877
00:33:21,349 --> 00:33:21,750
[INDISCERNIBLE]. 

878
00:33:21,750 --> 00:33:22,951
>> YEAH.  

879
00:33:22,951 --> 00:33:23,718
30 MINUTES. 

880
00:33:23,718 --> 00:33:26,254
FUNNY YOU SHOULD ASK.  WE HAVE 

881
00:33:26,254 --> 00:33:28,390
LOOKED AT IT TO MAKE SURE WE 

882
00:33:28,390 --> 00:33:30,025
WERE UNDER OUR ORIGINAL GOAL AND

883
00:33:30,025 --> 00:33:33,328
WE TRY TO KEEP THE SURVEY AT 

884
00:33:33,328 --> 00:33:38,366
20ZOITE EMS IN 30 MINUTES AND 

885
00:33:38,366 --> 00:33:42,370
HITITE EMS IN 30 MINUT200

886
00:33:42,370 --> 00:33:46,174
ITE EMS IN 30 MINUTES AND HIT 

887
00:33:46,174 --> 00:33:46,374
THAT. 

888
00:33:46,374 --> 00:33:49,311
>> WHAT IS DATA PROCESS
FOR 

889
00:33:49,311 --> 00:33:51,179
RESEARCHERS AND ARE THERE 

890
00:33:51,179 --> 00:33:54,516
DIFFERENT TIERS FOR HINTS SEER 

891
00:33:54,516 --> 00:33:54,716
DATA. 

892
00:33:54,716 --> 00:33:57,319
>> WHAT IS DATA ACCESS IN
PLACE 

893
00:33:57,319 --> 00:33:59,821
FOR RESEARCHERS AND ARE THERE 

894
00:33:59,821 --> 00:34:00,388
DIFFERENT TIERS?  

895
00:34:00,388 --> 00:34:02,357
>> SURE.  THERE ARE NOT 

896
00:34:02,357 --> 00:34:03,792
DIFFERENT TIERS.  PROCESS IF YOU

897
00:34:03,792 --> 00:34:05,494
GO TO THE WEBSITE WHERE THERE IS

898
00:34:05,494 --> 00:34:08,964
A FORM FOR RESTRICTED USE DATA 

899
00:34:08,964 --> 00:34:10,899
FILES, TELL US WHAT YOUR GOALS 

900
00:34:10,899 --> 00:34:14,002
ARE.  YOUR HYPOTHESES. 

901
00:34:14,002 --> 00:34:17,072
THE DEPENDENT AND INDEPENDENT 

902
00:34:17,072 --> 00:34:18,907
VARIABLES YOU PLAN TO USE AND 

903
00:34:18,907 --> 00:34:20,709
DEAL WITH SMALL CELL SIZES AND 8

904
00:34:20,709 --> 00:34:26,348
TO 10 QUESTIONS YOU HAVE TO 

905
00:34:26,348 --> 00:34:29,551
ANSWER. 

906
00:34:29,551 --> 00:34:31,553
THOSE COME TO HINTS MANAGEMENT 

907
00:34:31,553 --> 00:34:33,088
TEAM AND FOLLOW UP WITH 

908
00:34:33,088 --> 00:34:36,391
REQUESTER TO ASK QUESTIONS AND 

909
00:34:36,391 --> 00:34:39,961
WHEN WE ARE SATISFIED WE FEEL WE

910
00:34:39,961 --> 00:34:43,431
CAN RELEASE THE DATA SET WE SEND

911
00:34:43,431 --> 00:34:45,400
OUT A STRINGENT DATA USE 

912
00:34:45,400 --> 00:34:47,435
AGREEMENT THAT HAS TO BE SIGNED 

913
00:34:47,435 --> 00:34:50,839
AND WE SEND DATA OFF.  

914
00:34:50,839 --> 00:34:52,774
ANY OTHER QUESTIONS?  

915
00:34:52,774 --> 00:34:55,343
OKAY.  I THINK WE ARE WAY OVER. 

916
00:34:55,343 --> 00:34:59,147
I WILL TURN IT TO RICK TO 

917
00:34:59,147 --> 00:35:00,448
INTRODUCE THE NEXT PANEL.  THANK

918
00:35:00,448 --> 00:35:02,284
YOU ALL. 

919
00:35:02,284 --> 00:35:04,052
>> THANK YOU, THANK YOU,
THANK 

920
00:35:04,052 --> 00:35:06,054
YOU, KELLY.  ALL RIGHT.  I WILL 

921
00:35:06,054 --> 00:35:08,156
ASK FOR THE TWO PRESENTERS TO 

922
00:35:08,156 --> 00:35:09,124
COME, PLEASE.  WHILE THEY ARE 

923
00:35:09,124 --> 00:35:11,893
DOING THAT I WILL SAY A COUPLE 

924
00:35:11,893 --> 00:35:13,228
WORDS.  I'M SUPER EXCITED ABOUT 

925
00:35:13,228 --> 00:35:15,330
THIS.  THIS IS ABOUT MAXIMIZING 

926
00:35:15,330 --> 00:35:17,065
DATA QUALITY AND AS A 

927
00:35:17,065 --> 00:35:18,366
METHODOLOGIST THIS IS OUR 

928
00:35:18,366 --> 00:35:19,634
BIGGEST CONCERN AND WANT TO 

929
00:35:19,634 --> 00:35:21,036
REALLY TALK ABOUT DATA QUALITY 

930
00:35:21,036 --> 00:35:24,105
AND TALKING ABOUT THINGS LIKE 

931
00:35:24,105 --> 00:35:26,074
RELIABILITY AND REPRODUCIBILITY 

932
00:35:26,074 --> 00:35:27,475
AND REPRODUCING DATA IS IT VALID

933
00:35:27,475 --> 00:35:29,344
WE ARE MEASURING WHAT WE THINK 

934
00:35:29,344 --> 00:35:31,846
WE ARE MEASURING?  ARE MEASURES 

935
00:35:31,846 --> 00:35:33,882
PRECISE AND ACCURATE AND CAN WE 

936
00:35:33,882 --> 00:35:35,183
GENERALIZE FROM SAMPLE TO 

937
00:35:35,183 --> 00:35:35,717
POPULATION?  

938
00:35:35,717 --> 00:35:37,385
VERY IMPORTANT WE ARE ACHIEVING 

939
00:35:37,385 --> 00:35:38,587
ALL THESE ISSUES .

940
00:35:38,587 --> 00:35:41,022
I'M REALLY PLEASED WE HAVE TWO 

941
00:35:41,022 --> 00:35:42,190
PRESENTERS THAT WILL TALK 

942
00:35:42,190 --> 00:35:43,892
EXACTLY ABOUT THAT AND HOW TO 

943
00:35:43,892 --> 00:35:45,727
MAXIMIZE DATA QUALITY AND TURNS 

944
00:35:45,727 --> 00:35:47,529
OUT THEY ARE BOTH NAMED ANDREW. 

945
00:35:47,529 --> 00:35:49,230
YOU DON'T HAVE TO BE NAMED 

946
00:35:49,230 --> 00:35:51,166
ANDREW TO BE PART OF THE PANEL 

947
00:35:51,166 --> 00:35:52,934
AND TURNS OUT IT WORKS PRETTY 

948
00:35:52,934 --> 00:35:56,237
WELL AND FIRST PRESENTER IS 

949
00:35:56,237 --> 00:35:59,341
ANDREW KAP AR ACEO SENIOR 

950
00:35:59,341 --> 00:36:00,709
METHODOLOGIST AT WESTAT THAT IS 

951
00:36:00,709 --> 00:36:02,377
MAIN CONTRACTOR FOR DATA 

952
00:36:02,377 --> 00:36:05,146
COLLECTION THAT WILL BE TALKING 

953
00:36:05,146 --> 00:36:06,247
ABOUT MAXIMIZING DATA QUALITY 

954
00:36:06,247 --> 00:36:08,583
FROM THE DATA COLLECTION 

955
00:36:08,583 --> 00:36:09,784
PERSPECTIVE.  THAT WILL BE 

956
00:36:09,784 --> 00:36:12,687
GREAT.  AFTER HE FINISHES ANDREW

957
00:36:12,687 --> 00:36:15,223
WILL COME NEXT AND ANDREW IS 

958
00:36:15,223 --> 00:36:16,491
RESEARCH DIRECTOR AT TRUTH 

959
00:36:16,491 --> 00:36:19,294
INITIATIVE AND FORMER COLLEAGUE 

960
00:36:19,294 --> 00:36:20,795
THAT I'M VERY PROUD OF 

961
00:36:20,795 --> 00:36:23,632
LE TALK ABOUT FROM THE DATA 

962
00:36:23,632 --> 00:36:24,733
ANALYSIS SIDE AND DATA 

963
00:36:24,733 --> 00:36:26,134
COLLECTION AND DATA ANALYSIS 

964
00:36:26,134 --> 00:36:28,336
THINKING ABOUT IT AND HOW WE CAN

965
00:36:28,336 --> 00:36:31,206
MAXIMIZE.  I HEAR SOME VERY LOUD

966
00:36:31,206 --> 00:36:33,074
NOISE.  OKAY.  MAYBE WE CAN KIND

967
00:36:33,074 --> 00:36:35,043
OF FIGURE THAT OUT.  PARDON FOR 

968
00:36:35,043 --> 00:36:36,678
THAT.  ACTUALLY, ANDREW, WE WILL

969
00:36:36,678 --> 00:36:38,279
FIGURE THAT OUT.  YOU SHOULD 

970
00:36:38,279 --> 00:36:45,887
COME UP AND TALK.  

971
00:36:45,887 --> 00:36:51,126
ALL RIGHT.  ANDREW, YOU ARE UP. 

972
00:36:51,126 --> 00:36:53,828
>> ALL RIGHT.  HI,
EVERYBODY.  

973
00:36:53,828 --> 00:36:57,666
THANK YOU FOR THE INTRODUCTION, 

974
00:36:57,666 --> 00:37:00,335
RICK.  I'M ANDREW AND I WORKED 

975
00:37:00,335 --> 00:37:02,370
ON THE HINTS PROJECT OVER 10 

976
00:37:02,370 --> 00:37:05,306
YEARS AND OVER THAT TIME MY MAIN

977
00:37:05,306 --> 00:37:09,711
ROLE IS TO OVERSEE VR EVOLVING 

978
00:37:09,711 --> 00:37:11,179
DATA INSTRUMENT IN DATA 

979
00:37:11,179 --> 00:37:12,213
COLLECTION PROCEDURES AND YOU 

980
00:37:12,213 --> 00:37:14,249
KNOW EVERY TIME HINTS GOES IN 

981
00:37:14,249 --> 00:37:18,353
FIELD SURVEY HAS UNIQUE MIX OF 

982
00:37:18,353 --> 00:37:19,954
CORE CONTENT THAT IS A LITTLE 

983
00:37:19,954 --> 00:37:20,755
DIFFERENT AND YOU ARE LESS 

984
00:37:20,755 --> 00:37:22,857
FAMILIAR WITH THE FACT THAT MOST

985
00:37:22,857 --> 00:37:24,926
CYCLES IN MOST CYCLES WE ARE 

986
00:37:24,926 --> 00:37:26,861
ALSO EXPERIMENTING WITH HOW WE 

987
00:37:26,861 --> 00:37:28,863
DO DATA COLLECTION PROCEDURES TO

988
00:37:28,863 --> 00:37:32,934
HELP INFORM BEST PRACTICES FOR 

989
00:37:32,934 --> 00:37:36,271
FUTURE DATA COLLECTION. 

990
00:37:36,271 --> 00:37:39,741
HINTS HAS A RICH HISTORY OF 

991
00:37:39,741 --> 00:37:40,408
EXPERIMENTATION DATING BACK TO 

992
00:37:40,408 --> 00:37:42,310
HINTS 1 AND IN ADDITION TO 

993
00:37:42,310 --> 00:37:43,945
TESTING AND ADOPTING NEW MODES 

994
00:37:43,945 --> 00:37:45,313
OF DATA COLLECTION WE 

995
00:37:45,313 --> 00:37:47,749
EXPERIMENTED WITH OTHER FACTORS 

996
00:37:47,749 --> 00:37:49,884
HOW TO DESIGN GRID QUESTIONS AND

997
00:37:49,884 --> 00:37:52,487
WHAT IS BEST PROTOCOL FOR 

998
00:37:52,487 --> 00:37:54,155
DISTRIBUTING SPANISH LANGUAGE 

999
00:37:54,155 --> 00:37:56,357
MATERIALS AND MIGHT HAVE SEEN 

1000
00:37:56,357 --> 00:37:58,259
PROJECT DIRECTOR TERRY 

1001
00:37:58,259 --> 00:37:58,960
SUMMARIZING EXPERIMENTS WE HAVE 

1002
00:37:58,960 --> 00:38:00,495
DONE THROUGHOUT THE YEARS AND 

1003
00:38:00,495 --> 00:38:02,564
SHE PRESENTED IT YESTERDAY AND 

1004
00:38:02,564 --> 00:38:05,233
ENCOURAGE YOU TO ASK HER 

1005
00:38:05,233 --> 00:38:06,201
DETAILED QUESTIONS ABOUT THE 

1006
00:38:06,201 --> 00:38:07,502
EXPERIMENTS AND IN THIS 

1007
00:38:07,502 --> 00:38:09,571
PRESENTATION HOPING TO TELL YOU 

1008
00:38:09,571 --> 00:38:11,439
ABOUT TWO LATEST EXPERIMENT 

1009
00:38:11,439 --> 00:38:12,874
IMBEDDED INTO HINTS 6 AND WILL 

1010
00:38:12,874 --> 00:38:18,012
SHARE WHAT WE DID AND FOUND AND 

1011
00:38:18,012 --> 00:38:19,047
HOW FACTORS WE ARE TESTING 

1012
00:38:19,047 --> 00:38:20,715
ULTIMATELY GO ON TO INFORM DATA 

1013
00:38:20,715 --> 00:38:24,419
QUALITY AND IMPACT YOUR 

1014
00:38:24,419 --> 00:38:24,886
ANALYSIS. 

1015
00:38:24,886 --> 00:38:27,922
SO, JUST REAL QUICKLY, THESE ARE

1016
00:38:27,922 --> 00:38:30,358
-- WE HAD TWO EXPERIMENTS IN 

1017
00:38:30,358 --> 00:38:32,193
HINTS 6.  BOTH WHICH WERE 

1018
00:38:32,193 --> 00:38:34,362
EXTENSIONS OF EXPERIMENTS WE 

1019
00:38:34,362 --> 00:38:37,198
CONDUCTED IN HINTS 5 CYCLE 3 

1020
00:38:37,198 --> 00:38:39,734
WHEN FIRST TESTED MIXED MODE 

1021
00:38:39,734 --> 00:38:41,803
PAPER PLUS PUSH TO WEB DESIGN 

1022
00:38:41,803 --> 00:38:44,139
AND EXPERIMENTS 1 I WILL CALL WE

1023
00:38:44,139 --> 00:38:45,573
COMPARED TWO WAYS DELIVERING 

1024
00:38:45,573 --> 00:38:49,210
MULTIPLE MODES OF DATA 

1025
00:38:49,210 --> 00:38:50,912
COLLECTION, EITHER CONCURRENT 

1026
00:38:50,912 --> 00:38:54,082
SENT BOTH AT SAME TIME OR 

1027
00:38:54,082 --> 00:38:55,083
SEQUENTIALLY MEANING WE OFFERED 

1028
00:38:55,083 --> 00:38:57,819
WEB FIRST AND PAPER AND WEB AND 

1029
00:38:57,819 --> 00:39:00,421
FUTURE MAILINGS AND SECOND 

1030
00:39:00,421 --> 00:39:02,357
EXPERIMENT TESTED IMPACT OF 

1031
00:39:02,357 --> 00:39:05,093
PROMPTING INTERVENTIONS KNOWN AS

1032
00:39:05,093 --> 00:39:06,828
POP-UPS APPEARING TO WEB 

1033
00:39:06,828 --> 00:39:08,429
RESPONDENTS THAT RESPONDED TO 

1034
00:39:08,429 --> 00:39:09,430
CERTAIN QUESTIONS TOO FAST OR 

1035
00:39:09,430 --> 00:39:11,699
WHEN STRAITH LINING ANSWERING 

1036
00:39:11,699 --> 00:39:14,369
CERTAIN QUESTIONS THAT I WILL DO

1037
00:39:14,369 --> 00:39:16,905
A VERY HIGH-LEVEL OVERVIEW OF 

1038
00:39:16,905 --> 00:39:19,407
BOTH EXPERIMENTS AND TIE IT ALL 

1039
00:39:19,407 --> 00:39:20,642
TOGETHER AT THE END. 

1040
00:39:20,642 --> 00:39:23,745
HERE WE GO.  FIRST, EXPERIMENT 

1041
00:39:23,745 --> 00:39:26,247
ONE ABOUT MIXED MODE EXPERIMENT 

1042
00:39:26,247 --> 00:39:27,448
AND SLIDESHOWS ARE RESEARCH 

1043
00:39:27,448 --> 00:39:29,384
QUESTIONS IN THE EXPERIMENTAL 

1044
00:39:29,384 --> 00:39:30,351
DESIGN FOR THIS EXPERIMENT THAT 

1045
00:39:30,351 --> 00:39:32,821
WE ARE INTERESTED IN LEARNING 

1046
00:39:32,821 --> 00:39:33,955
HOW CONTROL CONDITION OFFERING 

1047
00:39:33,955 --> 00:39:35,523
WEB AND PAPER AT THE SAME TIME 

1048
00:39:35,523 --> 00:39:38,159
AND INCENTIVIZING PEOPLE TO 

1049
00:39:38,159 --> 00:39:39,727
RESPOND BY WEB AND HOW THAT 

1050
00:39:39,727 --> 00:39:42,096
COMPARED TO A DESIGN WHERE 

1051
00:39:42,096 --> 00:39:42,997
RESPONDENTS WERE ONLY OFFERED 

1052
00:39:42,997 --> 00:39:45,934
WEB IN THE FIRST MAILING WITH NO

1053
00:39:45,934 --> 00:39:48,336
PARTICULAR INCENTIVE TO USE IT 

1054
00:39:48,336 --> 00:39:50,471
BESIDES NORMAL PREPAID $2 

1055
00:39:50,471 --> 00:39:51,272
INCENTIVE WE SENT TO EVERYBODY 

1056
00:39:51,272 --> 00:39:53,708
AND AFTER THAT MAILING WE 

1057
00:39:53,708 --> 00:39:57,312
FOLLOWED UP WITH WEB AND PAPER 

1058
00:39:57,312 --> 00:39:58,947
IN PERSON THAT HOUSEHOLD DIDN'T 

1059
00:39:58,947 --> 00:40:01,249
RESPOND TO THE INITIAL 

1060
00:40:01,249 --> 00:40:03,918
INVITATION AND KNEW FROM PAST 

1061
00:40:03,918 --> 00:40:05,453
EXPERIMENTS THAT CONCURRENT 

1062
00:40:05,453 --> 00:40:06,421
APPROACH WORKED WELL AND 

1063
00:40:06,421 --> 00:40:08,389
WOULDN'T UNDERSTAND WHETHER 

1064
00:40:08,389 --> 00:40:09,557
SEQUENTIAL DESIGN COULD ACHIEVE 

1065
00:40:09,557 --> 00:40:12,560
SIMILAR RESPONSE OUTCOMES MORE 

1066
00:40:12,560 --> 00:40:14,996
AFFORDABLY AND IN PARTICULAR ARE

1067
00:40:14,996 --> 00:40:17,465
INTERESTED IN MAXIMIZING OUR WEB

1068
00:40:17,465 --> 00:40:19,234
RESPONSE THAT REDUCES PRINTING 

1069
00:40:19,234 --> 00:40:21,336
AND SHIPPING AND DATA PROCESSING

1070
00:40:21,336 --> 00:40:23,972
THAT HAS TO DO MAKING HINTS 

1071
00:40:23,972 --> 00:40:27,375
LANER AND GREENER. 

1072
00:40:27,375 --> 00:40:28,009
OKAY.  

1073
00:40:28,009 --> 00:40:30,111
WHAT DID WE FIND?  

1074
00:40:30,111 --> 00:40:32,413
COMPARED TO CONTROL CONCURRENT 

1075
00:40:32,413 --> 00:40:34,849
CONDITION, THE SEQUENTIAL DESIGN

1076
00:40:34,849 --> 00:40:37,418
THAT ACHIEVED AN OVERALL LOWER 

1077
00:40:37,418 --> 00:40:39,387
RESPONSE RATE AND LOWER RESPONSE

1078
00:40:39,387 --> 00:40:42,257
-- LOWER PERCENT RESPONDING BY 

1079
00:40:42,257 --> 00:40:44,392
WEB AND WE TOOK WEB FIRST AND 

1080
00:40:44,392 --> 00:40:45,994
[INDISCERNIBLE] AND WE ALSO SAW 

1081
00:40:45,994 --> 00:40:47,595
MORE PEOPLE DROP OUT EARLY.  

1082
00:40:47,595 --> 00:40:50,131
THEY DIDN'T HAVE THAT PROMISED 

1083
00:40:50,131 --> 00:40:52,166
INCENTIVE TO GO THROUGH THE WEB 

1084
00:40:52,166 --> 00:40:53,668
SURVEY AND WE ALSO SAW THAT THEY

1085
00:40:53,668 --> 00:40:56,070
ARE IN THE SEQUENTIAL GROUP THAT

1086
00:40:56,070 --> 00:40:59,207
THERE ARE MORE OLDER RESPONDENTS

1087
00:40:59,207 --> 00:41:02,343
AND OTHERWISE TWO SAMPLES WERE 

1088
00:41:02,343 --> 00:41:04,112
DEMOGRAPHICALLY PRETTY SIMILAR 

1089
00:41:04,112 --> 00:41:06,347
AND WERE VERY FEW SIGNIFICANT 

1090
00:41:06,347 --> 00:41:08,316
DIFFERENCES IN SURVEY ESTIMATES 

1091
00:41:08,316 --> 00:41:09,584
BETWEEN PEOPLE THAT HAVE 

1092
00:41:09,584 --> 00:41:11,219
CONCURRENT AND SEQUENTIAL DESIGN

1093
00:41:11,219 --> 00:41:13,454
AND ABOUT -- WE LOOKED AT ALL 

1094
00:41:13,454 --> 00:41:15,056
DIFFERENT SURVEY QUESTIONS AND 

1095
00:41:15,056 --> 00:41:16,457
ABOUT AS MANY CAME UP 

1096
00:41:16,457 --> 00:41:17,659
SIGNIFICANT AS WOW EXPECT BY 

1097
00:41:17,659 --> 00:41:20,461
CHANCE ALONE. 

1098
00:41:20,461 --> 00:41:21,996
ULTIMATELY, SEQUENTIAL MIXED 

1099
00:41:21,996 --> 00:41:24,399
MODE DESIGN HAD WORSE RESPONSE 

1100
00:41:24,399 --> 00:41:25,333
OUTCOMES IN CONTROL CONDITION 

1101
00:41:25,333 --> 00:41:27,735
AND LESS EXPENSIVE ACHIEVING 

1102
00:41:27,735 --> 00:41:30,004
MOSTLY A COMPARABLE SAMPLE THAT 

1103
00:41:30,004 --> 00:41:32,740
WAS EXPERIMENT 1.  ON TO 

1104
00:41:32,740 --> 00:41:33,775
EXPERIMENT 2. 

1105
00:41:33,775 --> 00:41:34,876
EXPERIMENT 2 COMPARED THREE 

1106
00:41:34,876 --> 00:41:38,313
DIFFERENT APPROACHES TO 

1107
00:41:38,313 --> 00:41:39,981
INTERVENING WHEN WEB RESPONDENTS

1108
00:41:39,981 --> 00:41:41,816
EXHIBITED TWO BEHAVIORS 

1109
00:41:41,816 --> 00:41:43,551
ASSOCIATED WITH POOR DATA 

1110
00:41:43,551 --> 00:41:44,986
QUALITY.  FIRST BEHAVIOR IS 

1111
00:41:44,986 --> 00:41:46,421
SPEEDING ANSWERING QUESTION 

1112
00:41:46,421 --> 00:41:47,722
FASTER THAN TIME IT TAKES TO 

1113
00:41:47,722 --> 00:41:50,491
READ IT AND INCLUDED A PROMPT 

1114
00:41:50,491 --> 00:41:52,293
APPEARING RESPONDENTS ON LESS 

1115
00:41:52,293 --> 00:41:54,128
TIME ON CERTAIN PAGES EXPECTED 

1116
00:41:54,128 --> 00:41:56,197
BASED ON NUMBER OF WORDS IN THE 

1117
00:41:56,197 --> 00:41:59,200
PAGE AND EXPECTED READING SPEED 

1118
00:41:59,200 --> 00:42:00,802
BASED ON THEIR AGE AND SECOND 

1119
00:42:00,802 --> 00:42:03,271
BEHAVIOR WE TARGETED WITH 

1120
00:42:03,271 --> 00:42:04,772
STRAITH LINING THAT WAS CHOOSING

1121
00:42:04,772 --> 00:42:07,508
SAME ANSWER FOR ALL ITEMS IN A 

1122
00:42:07,508 --> 00:42:08,743
GRID WHEN WE EXPECT VARIATION IN

1123
00:42:08,743 --> 00:42:10,345
THE RESPONSE. 

1124
00:42:10,345 --> 00:42:12,880
WE INCLUDED STRAITH LINING 

1125
00:42:12,880 --> 00:42:15,883
PROMPTS ON 7 GRIDS THOUGHT IT 

1126
00:42:15,883 --> 00:42:18,119
WAS UNLIKELY FOR RESPONDENTS TO 

1127
00:42:18,119 --> 00:42:19,954
LJITY MEATALLY CHOOSE EXACT 

1128
00:42:19,954 --> 00:42:23,358
RESPONSE FOR ALL SUBITEMS AND 

1129
00:42:23,358 --> 00:42:24,959
EXPERIMENTED WITH HOW MANY 

1130
00:42:24,959 --> 00:42:26,761
PROMPTS TO ADMINISTER 0 PROMPTS 

1131
00:42:26,761 --> 00:42:28,429
ONE OF EACH PROMPT OR TWO OF 

1132
00:42:28,429 --> 00:42:30,398
EACH PROMPT AND INTERESTED IN 

1133
00:42:30,398 --> 00:42:33,334
WHETHER MORE PROMPTS WOULD 

1134
00:42:33,334 --> 00:42:35,103
FURTHER LIMIT UNDESIRABLE 

1135
00:42:35,103 --> 00:42:36,738
BEHAVIORS AND AT WHAT COST IT 

1136
00:42:36,738 --> 00:42:37,905
MIGHT HAVE TO OUR RESPONSE RATE 

1137
00:42:37,905 --> 00:42:40,875
IF WE POTENTIALLY ANNOY 

1138
00:42:40,875 --> 00:42:43,578
RESPONDENTS TOO MUCH. 

1139
00:42:43,578 --> 00:42:47,382
THIS IS WHAT THE PROMPT LOOKED 

1140
00:42:47,382 --> 00:42:49,050
LIKE FOR STRAITH LINING PROMPTS 

1141
00:42:49,050 --> 00:42:51,986
WHICH THIS IS THE EXAMPLE FROM 

1142
00:42:51,986 --> 00:42:54,822
HINTS 5 AND DESIGN WAS SAME FOR 

1143
00:42:54,822 --> 00:42:56,891
HINTS 6 AND SEE MY TIME HAS SHUT

1144
00:42:56,891 --> 00:42:58,860
DOWN AND WILL DESCRIBE THIS AND 

1145
00:42:58,860 --> 00:43:01,062
TELLS IN NOTES THE RESPONDENT 

1146
00:43:01,062 --> 00:43:03,197
STRAITH LINED AND ASKED WHAT IS 

1147
00:43:03,197 --> 00:43:04,966
THE NOTE WE WOULD LIKE THEM TO 

1148
00:43:04,966 --> 00:43:06,601
BE CONSIDERING ANSWERS 

1149
00:43:06,601 --> 00:43:08,102
SEPARATELY AND ASKED IF THEY ARE

1150
00:43:08,102 --> 00:43:09,404
WILLING TO GO BACK AND 

1151
00:43:09,404 --> 00:43:11,139
RECONSIDER ANSWERS.  THEY CAN DO

1152
00:43:11,139 --> 00:43:14,709
THAT OR SAY NO.  IF SAYING NO 

1153
00:43:14,709 --> 00:43:24,952
THEY MOVE ON. 

1154
00:43:32,760 --> 00:43:34,762
OKAY.  ON TO RESULTS.  THIS 

1155
00:43:34,762 --> 00:43:37,832
TABLE OR CHART SHOWS OVERALL 

1156
00:43:37,832 --> 00:43:39,067
RESPONSE RATE BY THREE TREATMENT

1157
00:43:39,067 --> 00:43:41,135
GROUPS AND YOU CAN SEE MORE 

1158
00:43:41,135 --> 00:43:42,270
PROMPTS LED TO LOWER RESPONSE 

1159
00:43:42,270 --> 00:43:44,639
RATES AND RESPONSE RATES ARE 

1160
00:43:44,639 --> 00:43:45,473
SIGNIFICANTLY DIFFERENT FROM ONE

1161
00:43:45,473 --> 00:43:47,508
ANOTHER AND SUGGEST THAT SOME 

1162
00:43:47,508 --> 00:43:49,177
RESPONDENTS WEREN'T PLEASED WITH

1163
00:43:49,177 --> 00:43:52,480
GETTING PROMPTED AND WE SORT OF 

1164
00:43:52,480 --> 00:43:53,548
ANTICIPATED THIS IN ADVANCE AND 

1165
00:43:53,548 --> 00:43:57,018
MADE SURE TO ALLOCATE A SMALL 

1166
00:43:57,018 --> 00:43:59,987
PORTION OF RESPONDENTS TO TWO 

1167
00:43:59,987 --> 00:44:01,322
PROMPTING CONDITIONS TO OFFSET 

1168
00:44:01,322 --> 00:44:03,057
NEGATIVE EFFECTS WE POTENTIALLY 

1169
00:44:03,057 --> 00:44:04,826
WERE ANTICIPATING ON THE 

1170
00:44:04,826 --> 00:44:05,693
RESPONSE RATE. 

1171
00:44:05,693 --> 00:44:08,196
HOW DID THE PROMPTS EFFECT THE 

1172
00:44:08,196 --> 00:44:11,365
BEHAVIORS THAT THEY TARGETED?  

1173
00:44:11,365 --> 00:44:13,901
FOR SPEAKING, FIRST TABLE SHOWS 

1174
00:44:13,901 --> 00:44:17,438
WHAT KELLY MENTIONED BEFORE 

1175
00:44:17,438 --> 00:44:18,539
OVERALL COMPLETION TIME BY 

1176
00:44:18,539 --> 00:44:20,274
TREATMENT GROUP HERE IS ABOUT 30

1177
00:44:20,274 --> 00:44:25,446
MINUTES THAT WE TARGET FOR IRB 

1178
00:44:25,446 --> 00:44:28,082
BURDEN CONSIDERATIONS. 

1179
00:44:28,082 --> 00:44:30,318
AND WE CAN SEE THAT THOSE 

1180
00:44:30,318 --> 00:44:32,653
PROMPTS RESPONDED SLOWER THAN 

1181
00:44:32,653 --> 00:44:35,056
THOSE WITH TWO AND BOTH GROUPS 

1182
00:44:35,056 --> 00:44:36,657
RESPONDED SLOWER THAN THOSE WITH

1183
00:44:36,657 --> 00:44:39,093
NO PROMPTS AND THESE PROMPTS 

1184
00:44:39,093 --> 00:44:40,561
LOOKS LIKE WERE EFFECTIVE AT 

1185
00:44:40,561 --> 00:44:41,929
SLOWING PEOPLE DOWN AND SECOND 

1186
00:44:41,929 --> 00:44:43,631
TABLE SHOWS STRAIGHTLINING 

1187
00:44:43,631 --> 00:44:45,166
RESULTS AND THIS IS MORE 

1188
00:44:45,166 --> 00:44:46,801
COMPLICATED.  I WILL BREAK IT 

1189
00:44:46,801 --> 00:44:49,237
DOWN.  FIRST HALF OF THE TABLE 

1190
00:44:49,237 --> 00:44:51,072
SHOWS DIFFERENCES BY TREATMENT 

1191
00:44:51,072 --> 00:44:52,340
GROUP IN PROPORTION OF 

1192
00:44:52,340 --> 00:44:53,908
RESPONDENTS THAT STRAIGHTLINED 

1193
00:44:53,908 --> 00:44:56,677
IN EACH OF THE GRIDS WITH 

1194
00:44:56,677 --> 00:44:57,578
STRAIGHTLINING PROMPTS OF WHICH 

1195
00:44:57,578 --> 00:44:59,847
THERE WERE 7.  GROUP A IS NO 

1196
00:44:59,847 --> 00:45:02,750
PROMPTS.  B IS TWO PROMPTS AND C

1197
00:45:02,750 --> 00:45:04,986
IS 4 PROMPTS AND SECOND HALF OF 

1198
00:45:04,986 --> 00:45:06,220
TABLE SHOWS P VALUE FOR 

1199
00:45:06,220 --> 00:45:08,456
DIFFERENCES AND STATISTICALLY 

1200
00:45:08,456 --> 00:45:10,458
SIGNIFICANT DIFFERENCES THAT ARE

1201
00:45:10,458 --> 00:45:11,893
HIGHLIGHTED IN RED AND RESULTS 

1202
00:45:11,893 --> 00:45:14,962
SHOW THAT COMPARED TO NO PROMPTS

1203
00:45:14,962 --> 00:45:20,434
TWO PROMPTS AND FOUR PROMPTS 

1204
00:45:20,434 --> 00:45:21,936
YIELDED STRAIGHTLINING IN MOST 

1205
00:45:21,936 --> 00:45:26,607
GRIDS THAT WERE INVOKED AND 

1206
00:45:26,607 --> 00:45:28,176
HOWEVER WERE NO SIGNIFICANT 

1207
00:45:28,176 --> 00:45:29,477
DIFFERENCES WITH 2 OR 4 PROMPTS 

1208
00:45:29,477 --> 00:45:32,180
AND ADDING ADDITIONAL PROMPTS 

1209
00:45:32,180 --> 00:45:33,881
DIDN'T FURTHER DO STRAIGHTLINING

1210
00:45:33,881 --> 00:45:35,049
AND RESULTS INDICATE THAT 

1211
00:45:35,049 --> 00:45:38,119
PROMPTS WERE EFFECTIVE 

1212
00:45:38,119 --> 00:45:39,787
ADDRESSING BEHAVIORS THEY 

1213
00:45:39,787 --> 00:45:41,489
TARGETED AND COST OF SLIGHT HINT

1214
00:45:41,489 --> 00:45:43,357
TO RESPONSE RATE I WILL SHOW IN 

1215
00:45:43,357 --> 00:45:45,026
LAST SLIDE AND WILL ADD WE WILL 

1216
00:45:45,026 --> 00:45:46,494
LOOK AT RESPONSE DISTRIBUTIONS 

1217
00:45:46,494 --> 00:45:50,097
FOR KEY ESTIMATES ACROSS 

1218
00:45:50,097 --> 00:45:52,233
PROMPTING CONDITION GROUPS THAT 

1219
00:45:52,233 --> 00:45:53,334
WERE NOT SIGNIFICANT DIFFERENCES

1220
00:45:53,334 --> 00:45:55,603
IN THE OVERALL RESULT IN POINT 

1221
00:45:55,603 --> 00:45:59,607
ESTIMATES THAT IS GOOD. 

1222
00:45:59,607 --> 00:46:01,342
OKAY.  ALL RIGHT.  SO, THAT IS 

1223
00:46:01,342 --> 00:46:03,611
THE CRASH COURSE IN THE TWO 

1224
00:46:03,611 --> 00:46:04,879
EXPERIMENTS.  I WOULD LIKE TO 

1225
00:46:04,879 --> 00:46:06,380
CONCLUDE BY TALKING A LITTLE 

1226
00:46:06,380 --> 00:46:08,316
MORE ABOUT HOW RESULTS RELATE TO

1227
00:46:08,316 --> 00:46:11,085
YOUR ANALYSIS.  IN EXPERIMENT 

1228
00:46:11,085 --> 00:46:13,754
ONE WE SAW CONTROL CONDITION AND

1229
00:46:13,754 --> 00:46:15,723
CONCURRENT MIX GROUP GOT AN 

1230
00:46:15,723 --> 00:46:17,692
ACHIEVED MORE RESPONSES THAN THE

1231
00:46:17,692 --> 00:46:19,026
SEQUENTIAL GROUP AND IS 

1232
00:46:19,026 --> 00:46:20,428
OBVIOUSLY IDEAL TO GO WITH THE 

1233
00:46:20,428 --> 00:46:22,496
DESIGN THAT GARNERS THE MOST 

1234
00:46:22,496 --> 00:46:24,165
RESPONSE.  MORE RESPONSES MEANS 

1235
00:46:24,165 --> 00:46:27,034
MORE POWER FOR ANALYSIS AND LESS

1236
00:46:27,034 --> 00:46:30,771
SCRUTINY FOR REVIEWERS ABOUT 

1237
00:46:30,771 --> 00:46:34,342
POTENTIAL NONRESPONSE BIAS AND 

1238
00:46:34,342 --> 00:46:36,210
-- RESPONDENTS WERE ULTIMATELY 

1239
00:46:36,210 --> 00:46:38,079
NOT THAT DIFFERENT FROM THE 

1240
00:46:38,079 --> 00:46:39,213
CONCURRENT GROUP. 

1241
00:46:39,213 --> 00:46:42,183
SO, THIS TOPIC OF COST IS 

1242
00:46:42,183 --> 00:46:43,918
ADMITTEDLY LESS RELEVANT FOR 

1243
00:46:43,918 --> 00:46:45,987
ANALYSIS BUT IS IMPORTANT TO NCI

1244
00:46:45,987 --> 00:46:49,991
THAT HAS TO PAY FOR HINTS AND 

1245
00:46:49,991 --> 00:46:53,694
WESTAT THAT HAS TO ADMINISTER IT

1246
00:46:53,694 --> 00:46:55,830
AND MORE PROMPTS HEARD RESULT 

1247
00:46:55,830 --> 00:46:58,165
DATA AND LESS DATA YOU THAT 

1248
00:46:58,165 --> 00:47:00,268
NOBODY LIKES AND EXPECT REDUCING

1249
00:47:00,268 --> 00:47:02,603
SPEEDING AND STRAIGHTLINING THAT

1250
00:47:02,603 --> 00:47:04,505
DATA YOU GET IS LESS NOISY AND 

1251
00:47:04,505 --> 00:47:06,774
MORE VALID AND HARD TO SEE 

1252
00:47:06,774 --> 00:47:08,276
DIFFERENCE BETWEEN DATA FROM 

1253
00:47:08,276 --> 00:47:09,477
SPEEDER AND NONSPEEDER BUT WE 

1254
00:47:09,477 --> 00:47:12,446
CAN UNDERSTAND THAT A PERSON WHO

1255
00:47:12,446 --> 00:47:13,781
SPENT TWO -- DID NOT SPEND 

1256
00:47:13,781 --> 00:47:15,449
ENOUGH TIME ON THE QUESTION TO 

1257
00:47:15,449 --> 00:47:17,518
FULLY READ IT IS NOT LIKELY TO 

1258
00:47:17,518 --> 00:47:20,388
GIVE YOU HIGH-QUALITY DATA AND 

1259
00:47:20,388 --> 00:47:21,856
STRAIGHTLINING ON OTHER HAND CAN

1260
00:47:21,856 --> 00:47:24,358
BE VISIBLE IN DATA. 

1261
00:47:24,358 --> 00:47:27,328
AND RESULTS, YOU KNOW, IN -- IN 

1262
00:47:27,328 --> 00:47:29,397
PEOPLE WHO -- IF YOU HAVE 

1263
00:47:29,397 --> 00:47:31,832
STRAIGHTLINING GOING ON, THIS 

1264
00:47:31,832 --> 00:47:34,235
RESULTS IN LESS VARIATION ACROSS

1265
00:47:34,235 --> 00:47:35,670
RESPONSES THAN MIGHT BE EXPECTED

1266
00:47:35,670 --> 00:47:38,039
AND DON'T WANT TO ARTIFICIALLY 

1267
00:47:38,039 --> 00:47:39,040
INFLATE VARIANCE WHERE THERE 

1268
00:47:39,040 --> 00:47:42,376
SHOULDN'T BE.  YOU KNOW, SOME 

1269
00:47:42,376 --> 00:47:43,644
PEOPLES STRAIGHTLINE 

1270
00:47:43,644 --> 00:47:45,579
LEGITIMATELY AND WE WERE NOT 

1271
00:47:45,579 --> 00:47:47,448
PUSHY ABOUT MAKING THEM CHANGE 

1272
00:47:47,448 --> 00:47:49,183
ANSWERS AND WERE VERY SELECTIVE 

1273
00:47:49,183 --> 00:47:52,053
ABOUT THE ACTUAL GRIDS THAT WE 

1274
00:47:52,053 --> 00:47:54,822
INVOKED THE STRAIGHTLINE 

1275
00:47:54,822 --> 00:47:55,256
RESULTS. 

1276
00:47:55,256 --> 00:47:57,358
SO, THAT IS ALL MY TIME.  I 

1277
00:47:57,358 --> 00:47:59,293
WANTED TO HAVE ONE FINAL WORD 

1278
00:47:59,293 --> 00:48:01,329
THAT IS THAT WE ULTIMATELY 

1279
00:48:01,329 --> 00:48:02,763
DESIGN SURVEYS SO YOU AS 

1280
00:48:02,763 --> 00:48:04,165
ANALYSTS DON'T NEED TO REALLY 

1281
00:48:04,165 --> 00:48:05,900
PAY MUCH ATTENTION TO THEM.  YOU

1282
00:48:05,900 --> 00:48:07,601
KNOW, WE KNOW YOU ARE NOT AS 

1283
00:48:07,601 --> 00:48:10,004
INTERESTED IN METHODS AS WE ARE 

1284
00:48:10,004 --> 00:48:11,238
AND ULTIMATELY IS VERY GOOD FOR 

1285
00:48:11,238 --> 00:48:13,007
YOU TO BE AWARE OF EXPERIMENTS 

1286
00:48:13,007 --> 00:48:14,475
THAT WERE HAPPENING AND HOW THEY

1287
00:48:14,475 --> 00:48:17,812
RELATE TO YOUR QUESTIONS AND SO 

1288
00:48:17,812 --> 00:48:19,213
I HOPE THAT YOU ARE MORE AWARE 

1289
00:48:19,213 --> 00:48:22,350
IN THE FUTURE IF YOU WEREN'T 

1290
00:48:22,350 --> 00:48:24,018
ALREADY AND PRESUMABLY YOU 

1291
00:48:24,018 --> 00:48:25,252
ALREADY KNEW ALL THIS.  THANK 

1292
00:48:25,252 --> 00:48:26,921
YOU FOR YOUR TIME THIS MORNING 

1293
00:48:26,921 --> 00:48:30,391
AND LOOK FORWARD TO YOUR 

1294
00:48:30,391 --> 00:48:30,891
QUESTIONS.

1295
00:48:30,891 --> 00:48:41,001
THA

1296
00:48:42,937 --> 00:48:43,104
THANKS. 

1297
00:48:43,104 --> 00:48:45,206
>> ALL RIGHT.  GOOD
MORNING, 

1298
00:48:45,206 --> 00:48:48,242
EVERYONE.  I'M ANDREW AND REALLY

1299
00:48:48,242 --> 00:48:49,043
EXCITED TO HAVE THIS OPPORTUNITY

1300
00:48:49,043 --> 00:48:53,214
TO TALK TO ALL OF YOU ABOUT 

1301
00:48:53,214 --> 00:48:56,050
PRICSSA A CHECKLIST DESIGNED BY 

1302
00:48:56,050 --> 00:48:56,684
RESEARCHERS ANALYZING COMPLEX 

1303
00:48:56,684 --> 00:48:59,787
SURVEY DATA YOU THAT IS ALL OF 

1304
00:48:59,787 --> 00:49:02,256
YOU.  HIRNTS IS EXAMPLE OF 

1305
00:49:02,256 --> 00:49:03,824
COMPLEX SURVEY DATA SET AND WE 

1306
00:49:03,824 --> 00:49:05,493
CREATED THE CHECKLIST TO HELP 

1307
00:49:05,493 --> 00:49:08,496
REDUCE ANALYSIS ERRORS AND 

1308
00:49:08,496 --> 00:49:09,530
INCREASE TRANSPARENCY AND IN MY 

1309
00:49:09,530 --> 00:49:11,132
PRESENTATION I WILL GO THROUGH 

1310
00:49:11,132 --> 00:49:12,600
ITEMS OF PRICSSA AND BEFORE I DO

1311
00:49:12,600 --> 00:49:15,703
THAT I WANT TO PROVIDE A LITTLE 

1312
00:49:15,703 --> 00:49:17,004
BACKGROUND AND CONTEXT FOR WHY 

1313
00:49:17,004 --> 00:49:21,275
WE CREATED PRICSSA.  TO GIVE A 

1314
00:49:21,275 --> 00:49:22,710
BRIEF DEFINITION, COMPLEX SURVEY

1315
00:49:22,710 --> 00:49:24,578
DATA AND FIRST TWO DATA COMING 

1316
00:49:24,578 --> 00:49:26,380
FROM A PROBABILITY SAMPLE THAT 

1317
00:49:26,380 --> 00:49:30,284
USES SAMPLING PROCEDURES 

1318
00:49:30,284 --> 00:49:32,620
INCLUDING STRATIFICATION 

1319
00:49:32,620 --> 00:49:33,154
[INDISCERNIBLE] UNEQUAL 

1320
00:49:33,154 --> 00:49:35,055
PROBABILITY OF SELECTION AND USE

1321
00:49:35,055 --> 00:49:36,323
COMPLEX SAMPLING BECAUSE IT HAS 

1322
00:49:36,323 --> 00:49:38,793
MANY ADVANTAGES OVER SIMPLE 

1323
00:49:38,793 --> 00:49:40,294
RANDOM SAMPLING INCLUDING 

1324
00:49:40,294 --> 00:49:43,831
REDUCING COSTS AND IMPROVING 

1325
00:49:43,831 --> 00:49:44,965
STATISTICAL EFFICIENCY AND 

1326
00:49:44,965 --> 00:49:46,300
SUBGROUP ESTIMATES AND WHEN 

1327
00:49:46,300 --> 00:49:48,235
ANALYZED CORRECTLY WE CAN MAKE 

1328
00:49:48,235 --> 00:49:50,171
INFERENCES TO A POPULATION OR 

1329
00:49:50,171 --> 00:49:51,672
SUBPOPULATION OF INTERESTS.  

1330
00:49:51,672 --> 00:49:54,141
THIS IS GREAT WITH THIS DATA WE 

1331
00:49:54,141 --> 00:49:57,378
CAN THEN DO RESEARCH RELATED TO 

1332
00:49:57,378 --> 00:49:58,512
SURVEILLANCE AND TRENDS AND 

1333
00:49:58,512 --> 00:50:00,614
HEALTH DISPARITIES RESEARCH AND 

1334
00:50:00,614 --> 00:50:01,882
POLICIES AND INTERVENTIONS AND 

1335
00:50:01,882 --> 00:50:03,818
THIS IS R-' SEARCH YOU ARE ALL 

1336
00:50:03,818 --> 00:50:06,153
DOING WITH HINTS DATA THAT IS 

1337
00:50:06,153 --> 00:50:10,257
ALL GREAT.  THERE IS ONE PROBLEM

1338
00:50:10,257 --> 00:50:12,426
THOUGH.  THAT IS OUR STATS 

1339
00:50:12,426 --> 00:50:13,627
SOFTWARE BY DEFAULT ASSUME DATA 

1340
00:50:13,627 --> 00:50:15,930
COMES FROM A SIMPLE RANDOM 

1341
00:50:15,930 --> 00:50:18,065
SAMPLE AND ONUS ON US TO ANALYZE

1342
00:50:18,065 --> 00:50:20,668
DATA CORRECTLY TO CAN THE FOR 

1343
00:50:20,668 --> 00:50:21,836
COMPLEX DESIGN FEATURES. 

1344
00:50:21,836 --> 00:50:24,405
IF USING THE CORRECT SOFTWARE 

1345
00:50:24,405 --> 00:50:25,873
PROCEDURES TO ACCOUNT FOR 

1346
00:50:25,873 --> 00:50:27,308
COMPLEX FEATURES AND FAILING TO 

1347
00:50:27,308 --> 00:50:29,543
DO SO CAN PRODUCE WHAT IN THE 

1348
00:50:29,543 --> 00:50:31,712
LITERATURE REFERRING TO AS 

1349
00:50:31,712 --> 00:50:33,347
ANALYTIC ERROR THAT CAN LEAD TO 

1350
00:50:33,347 --> 00:50:36,050
BIASED ESTIMATES AND INCORRECT 

1351
00:50:36,050 --> 00:50:38,118
STANDARD ERRORS AND TYPE 1 

1352
00:50:38,118 --> 00:50:38,352
ERRORS. 

1353
00:50:38,352 --> 00:50:41,222
ANOTHER ISSUE IS REFERRED TO AS 

1354
00:50:41,222 --> 00:50:43,457
REPORTING ERROR WHICH IS WHERE 

1355
00:50:43,457 --> 00:50:44,892
AUTHORS FAIL TO ADEQUATELY 

1356
00:50:44,892 --> 00:50:46,760
DESCRIBE DATA RESOURCES AND 

1357
00:50:46,760 --> 00:50:48,929
PLANS FOR REPRODUCIBILITY BY 

1358
00:50:48,929 --> 00:50:50,231
OTHERS AND UNFORTUNATELY BOTH OF

1359
00:50:50,231 --> 00:50:51,665
THE PROBLEMS ARE OCCURRING IN 

1360
00:50:51,665 --> 00:50:53,467
THE LITERATURE AND THESE ARE 

1361
00:50:53,467 --> 00:50:55,002
REFERENCES THAT THEY HAVE 

1362
00:50:55,002 --> 00:50:56,337
DOCUMENTED THIS ISSUE. 

1363
00:50:56,337 --> 00:51:00,341
SO, WE CREATED PRICSSA TO REDUCE

1364
00:51:00,341 --> 00:51:02,977
BOTH OF THESE PROBLEMS, ANALYTIC

1365
00:51:02,977 --> 00:51:04,378
ERROR AND REPORTING ERRORS AND 

1366
00:51:04,378 --> 00:51:07,181
WANT TO GIVE A QUICK EXAMPLE OF 

1367
00:51:07,181 --> 00:51:08,816
ANALYTIC ERROR.  ANALYZING 

1368
00:51:08,816 --> 00:51:10,251
COMPLEX SURVEY DATA THERE IS 

1369
00:51:10,251 --> 00:51:11,452
REALLY TWO PARTS TO CONSIDER.  

1370
00:51:11,452 --> 00:51:14,288
THERE IS WAITING AND VARIANCE 

1371
00:51:14,288 --> 00:51:15,990
ESTIMATION.  ONE COMMON MISTAKE 

1372
00:51:15,990 --> 00:51:19,627
IS WHERE AUTHORS OR RESEARCHERS 

1373
00:51:19,627 --> 00:51:20,995
WILL WAIVE DATA NOT ACCOUNTING 

1374
00:51:20,995 --> 00:51:23,497
FOR CLUSTERING STRATIFICATION OF

1375
00:51:23,497 --> 00:51:24,899
COMPLEX DESIGN FEATURES THAT 

1376
00:51:24,899 --> 00:51:26,834
LEADS TO INCORRECT VARIANCE 

1377
00:51:26,834 --> 00:51:29,403
ESTIMATION AND EFFECTS STANDARD 

1378
00:51:29,403 --> 00:51:30,404
ERRORS AND [INDISCERNIBLE] AND P

1379
00:51:30,404 --> 00:51:33,240
VALUES THAT I WANT TO GIVE A 

1380
00:51:33,240 --> 00:51:35,342
QUICK EXAMPLE OF THIS FROM A 

1381
00:51:35,342 --> 00:51:37,378
PAPER FROM BRIAN WARD AND 

1382
00:51:37,378 --> 00:51:38,679
REFERENCE IS ON BOTTOM OF THE 

1383
00:51:38,679 --> 00:51:40,748
SLIDE.  IN THE EXAMPLE HE IS 

1384
00:51:40,748 --> 00:51:43,250
ESTIMATING A PREVALENCE OF AN 

1385
00:51:43,250 --> 00:51:44,451
OUTCOME AMONG NON-HISPANIC 

1386
00:51:44,451 --> 00:51:46,787
WHITES AND HISPANICS AND REPORTS

1387
00:51:46,787 --> 00:51:48,956
IN THIS COLUMN LABELED SERIES 1 

1388
00:51:48,956 --> 00:51:52,726
A PREVALENCE ESTIMATE AND 

1389
00:51:52,726 --> 00:51:53,961
WEIGHTED PREVALENCE ESTIMATE AND

1390
00:51:53,961 --> 00:51:55,129
CONFIDENCE ERROR AND STANDARD 

1391
00:51:55,129 --> 00:51:56,931
ERROR AND P VALUE COMPARING AND 

1392
00:51:56,931 --> 00:51:59,400
TESTING IF TWO ESTIMATES ARE 

1393
00:51:59,400 --> 00:52:01,001
EQUAL OR NOT AND FIRST EXAMPLE 

1394
00:52:01,001 --> 00:52:03,037
DATA WAS WEIGHTED AND CLUSTERING

1395
00:52:03,037 --> 00:52:04,605
STRATIFICATION WAS NOT ACCOUNTED

1396
00:52:04,605 --> 00:52:06,874
FOR AND VARIANCE ESTIMATION WAS 

1397
00:52:06,874 --> 00:52:07,241
INCORRECT. 

1398
00:52:07,241 --> 00:52:10,210
IN THE COLUMN LABELED SERIES 2, 

1399
00:52:10,210 --> 00:52:12,479
DATA WERE WEIGHTED WITH 

1400
00:52:12,479 --> 00:52:15,616
CLUSTERING STRATIFICATION WORKED

1401
00:52:15,616 --> 00:52:17,785
DIRECTLY ACCOUNT FORD VARIANCE 

1402
00:52:17,785 --> 00:52:18,919
ESTIMATION IS CORRECT AND NOTICE

1403
00:52:18,919 --> 00:52:20,054
THAT WEIGHTED ESTIMATES ARE THE 

1404
00:52:20,054 --> 00:52:23,490
SAME AND COUNTING FOR CLUSTERING

1405
00:52:23,490 --> 00:52:24,925
STRATIFICATION DOESN'T EFFECT 

1406
00:52:24,925 --> 00:52:26,293
ESTIMATES BUT STANDARD ERRORS 

1407
00:52:26,293 --> 00:52:29,597
THAT THEY INCREASED AND DOUBLED 

1408
00:52:29,597 --> 00:52:31,732
AND NOTICE THAT CONFIDENCE 

1409
00:52:31,732 --> 00:52:34,501
INTERVALS GOT WIDER AND P VALUE 

1410
00:52:34,501 --> 00:52:38,172
INCREASED FROM .02 TO .26 HERE 

1411
00:52:38,172 --> 00:52:39,373
FAILING TO ACCOUNT FOR COMPLEX 

1412
00:52:39,373 --> 00:52:41,976
DESIGN FEATURES WOULD HAVE LED 

1413
00:52:41,976 --> 00:52:45,212
TO TYPE 1 ERROR AND AS A GENERAL

1414
00:52:45,212 --> 00:52:46,747
RULE THERE ARE EXCEPTIONS THAT 

1415
00:52:46,747 --> 00:52:49,049
GENERALLY WAITING INCREASING 

1416
00:52:49,049 --> 00:52:51,285
STANDARD ERRORS AND CONFIDENCE 

1417
00:52:51,285 --> 00:52:53,621
INTERVALS WIDER AS THEY REDUCE 

1418
00:52:53,621 --> 00:52:54,822
STANDARD ERRORS AND CONFIDENCE 

1419
00:52:54,822 --> 00:52:56,824
INTERVALS GET NARROWER AND IS A 

1420
00:52:56,824 --> 00:52:58,759
LITTLE CONTEXT AND WE CREATED 

1421
00:52:58,759 --> 00:53:01,996
PRICSSA TO REDUCE THIS PROBLEM 

1422
00:53:01,996 --> 00:53:03,497
AND INCREASE TRANSPARENCY AND 

1423
00:53:03,497 --> 00:53:05,699
THE PRICSSA CHECKLIST IS NOW 

1424
00:53:05,699 --> 00:53:08,502
PUBLISHED AND AVAILABLE OPEN 

1425
00:53:08,502 --> 00:53:11,305
ACCESS GOOGLE PRICSSA REPORTING 

1426
00:53:11,305 --> 00:53:15,109
ITEMS FOR COMPLEX SAMPLE SURVEY 

1427
00:53:15,109 --> 00:53:19,079
ANALYSIS AND HIGHLIGHTING MY TWO

1428
00:53:19,079 --> 00:53:19,647
AUTHORS. 

1429
00:53:19,647 --> 00:53:22,116
CHECKLIST HAS 14 ITEMS 5 OF 

1430
00:53:22,116 --> 00:53:24,985
WHICH ARE RELATES TO SURVEY 

1431
00:53:24,985 --> 00:53:26,854
CHARACTERISTICS AND 9 ANALYTIC 

1432
00:53:26,854 --> 00:53:27,621
CHARACTERISTICS AND TLAE 

1433
00:53:27,621 --> 00:53:29,189
ADDITIONAL ITEMS THAT ARE 

1434
00:53:29,189 --> 00:53:31,492
OPTIONAL TO BE USED AS NEEDED 

1435
00:53:31,492 --> 00:53:33,093
AND AGAIN THIS CHECKLIST WAS 

1436
00:53:33,093 --> 00:53:35,262
CREATED TO REDUCE ANALYTIC 

1437
00:53:35,262 --> 00:53:37,264
ERRORS AND REPORTING ERRORS WE 

1438
00:53:37,264 --> 00:53:38,499
ARE SEEING AND THIS CHECKLIST IS

1439
00:53:38,499 --> 00:53:41,335
NOW PART OF THE EQUATOR NETWORK.

1440
00:53:41,335 --> 00:53:45,005
I WILL TRY TO GO QUICKLY THROUGH

1441
00:53:45,005 --> 00:53:46,907
THE CHECKLIST. 

1442
00:53:46,907 --> 00:53:49,043
DATA COLLECTION DATES PROVIDES 

1443
00:53:49,043 --> 00:53:51,078
HISTORICAL CONTEXT WHAT IS GOING

1444
00:53:51,078 --> 00:53:54,615
ON WHEN CHRIS WAS COMPLETING THE

1445
00:53:54,615 --> 00:53:58,686
SURVEY DATA COLLECTION MODE 

1446
00:53:58,686 --> 00:54:00,487
SURVEYS CHANGES OVER TIME WITH 

1447
00:54:00,487 --> 00:54:03,357
HINTS AND DURING COVID PEOPLE 

1448
00:54:03,357 --> 00:54:05,259
HAD TO CHANGE MODE AND HOW 

1449
00:54:05,259 --> 00:54:07,094
PEOPLE RESPOND TO SURVEY AND 

1450
00:54:07,094 --> 00:54:07,795
NONRESPONSE IS IMPORTANT TO 

1451
00:54:07,795 --> 00:54:14,368
REPORT THAT IN YOUR PAPER. 

1452
00:54:14,368 --> 00:54:16,403
TARGET POPULATIONS WOULD BE US 

1453
00:54:16,403 --> 00:54:18,272
ADULT AND HIGH SCHOOL STUDENTS 

1454
00:54:18,272 --> 00:54:20,374
AND DESIGN TODAY REPRESENT AND 

1455
00:54:20,374 --> 00:54:21,608
IMPORTANTLY CONDUCTING WEIGHTED 

1456
00:54:21,608 --> 00:54:24,478
ANALYSIS YOU SHOULD INTERPRET 

1457
00:54:24,478 --> 00:54:29,917
ESTIMATES WITH RESPECT TO TARGET

1458
00:54:29,917 --> 00:54:35,355
POPULATION AND SUB INTERINTERES 

1459
00:54:35,355 --> 00:54:38,025
IT SHOULD BE US ADULTS WHATEVER 

1460
00:54:38,025 --> 00:54:40,027
TARGET POPULATION IS.  AUTHORS 

1461
00:54:40,027 --> 00:54:41,195
SHOULD DESCRIBE SAMPLE OF DESIGN

1462
00:54:41,195 --> 00:54:43,731
AND IMPLICATIONS FOR ANALYSIS 

1463
00:54:43,731 --> 00:54:45,499
AND VARIANCE ESTIMATION. 

1464
00:54:45,499 --> 00:54:49,636
RESPONSE RATE AND HOW IT WAS 

1465
00:54:49,636 --> 00:54:53,407
CALCULATED. 

1466
00:54:53,407 --> 00:54:55,342
MISSINGNESS RATES AND ANYTHING 

1467
00:54:55,342 --> 00:55:00,581
DONE TO ACCOUNT FOR MISSINGNESS 

1468
00:55:00,581 --> 00:55:05,119
SUCH AS IMPUTATIONS. 

1469
00:55:05,119 --> 00:55:07,721
OBSERVATION DELETION, DELETING 

1470
00:55:07,721 --> 00:55:09,923
OBSERVATIONS AND THEY LEAD TO 

1471
00:55:09,923 --> 00:55:11,125
INCORRECT VARIANCE ESTIMATION 

1472
00:55:11,125 --> 00:55:14,294
AND IT DOESN'T HAPPEN WITH 

1473
00:55:14,294 --> 00:55:20,734
REPLICATE WEIGHTS BUT TAILOR 

1474
00:55:20,734 --> 00:55:22,503
SERIES -- GENERAL RULE OF THUMB 

1475
00:55:22,503 --> 00:55:25,072
I ENCOURAGE YOU NEPHRTO DELETE 

1476
00:55:25,072 --> 00:55:26,373
OBSERVATIONS ANALYZING COMPLEX 

1477
00:55:26,373 --> 00:55:29,009
SURVEY DATA.  IN SOME SITUATIONS

1478
00:55:29,009 --> 00:55:31,578
IT COULD LEAD TO INCORRECT 

1479
00:55:31,578 --> 00:55:32,379
VARIANCE ESTIMATION. 

1480
00:55:32,379 --> 00:55:33,914
BECAUSE OF THIS WE ARE ASKING 

1481
00:55:33,914 --> 00:55:35,849
AUTHORS TO STATE IN METHODS 

1482
00:55:35,849 --> 00:55:41,288
WHETHER OR NOT OBSERVATIONS WERE

1483
00:55:41,288 --> 00:55:41,789
DELE

1484
00:55:41,789 --> 00:55:42,389
DELETED. 

1485
00:55:42,389 --> 00:55:46,393
INCLUDE UNWEIGHTED SAM SIZE FOR 

1486
00:55:46,393 --> 00:55:49,396
ESTIMATES READER REVIEWERS 

1487
00:55:49,396 --> 00:55:51,331
POPULATION ESTIMATE OFF SAMPLE 

1488
00:55:51,331 --> 00:55:55,335
SIZE OF 6 PEOPLE OR 6,000. 

1489
00:55:55,335 --> 00:55:57,771
ALL WEIGHTED ESTIMATES INCLUDE 

1490
00:55:57,771 --> 00:55:58,872
STANDARD ERRORS THAT DOESN'T 

1491
00:55:58,872 --> 00:56:02,376
HAVE TO BE IN TEXT BUT COULD BE 

1492
00:56:02,376 --> 00:56:05,312
IN TABLE OR SUPPLEMENTARY TABLE.

1493
00:56:05,312 --> 00:56:08,448
X IS WEIGHTING SO DESCRIBE WHICH

1494
00:56:08,448 --> 00:56:11,885
ANALYSIS WERE WEIGHTED AND 

1495
00:56:11,885 --> 00:56:14,188
COMMUNICATE WHICH VARIABLE WAS 

1496
00:56:14,188 --> 00:56:18,258
USED IN WEIGHTING HINT DATA SET 

1497
00:56:18,258 --> 00:56:19,726
THERE IS SAMPLE AND THIS COULD 

1498
00:56:19,726 --> 00:56:22,129
BE CONFUSING AND PEOPLE USING 

1499
00:56:22,129 --> 00:56:26,366
WRONG WEIGHT AND OTHER SURVEYS 

1500
00:56:26,366 --> 00:56:26,900
LONGITUDINAL SURVEYS ARE 

1501
00:56:26,900 --> 00:56:28,268
CONFUSING LONGITUDINAL AND 

1502
00:56:28,268 --> 00:56:31,705
CROSS-SECTIONAL WEIGHTS THAT WE 

1503
00:56:31,705 --> 00:56:33,407
FELT WAS IMPORTANT AUTHORS 

1504
00:56:33,407 --> 00:56:35,542
SHOULD STATE IN METHOD SECTION 

1505
00:56:35,542 --> 00:56:36,977
WHAT VARIABLES THEY USE TO 

1506
00:56:36,977 --> 00:56:40,113
WEIGHT DATA AND IN E IS VARIANCE

1507
00:56:40,113 --> 00:56:40,881
ESTIMATION THAT MIGHT BE MOST 

1508
00:56:40,881 --> 00:56:43,250
IMPORTANT ITEM IN THE CHECKLIST 

1509
00:56:43,250 --> 00:56:45,219
GIVEN COMMON MISTAKE OF 

1510
00:56:45,219 --> 00:56:47,120
INCORRECT VARIANCE ESTIMATION 

1511
00:56:47,120 --> 00:56:49,423
AND IS IMPORTANT THIS AUTHORS 

1512
00:56:49,423 --> 00:56:53,293
REPORT METHOD USED FOR VARIANCE 

1513
00:56:53,293 --> 00:56:55,295
ESTIMATION AND WE RECOMMEND 

1514
00:56:55,295 --> 00:56:58,665
LISTING VARIABLES USED COULD BE 

1515
00:56:58,665 --> 00:57:04,104
REPLICATE WEIGHTS OR THERE IS 

1516
00:57:04,104 --> 00:57:08,308
SOMETHING MISSING HERE.  TAILOR 

1517
00:57:08,308 --> 00:57:12,012
SERIES LINEARIZATION. 

1518
00:57:12,012 --> 00:57:14,381
NEXT IS SUBPOPULATION ANALYSIS. 

1519
00:57:14,381 --> 00:57:16,917
WHEN CONDUCTING SUBPOPULATION 

1520
00:57:16,917 --> 00:57:20,087
ANALYSIS IT IS STRONGLY 

1521
00:57:20,087 --> 00:57:21,455
RECOMMENDED YOU USE CORRECT 

1522
00:57:21,455 --> 00:57:24,458
SUBPOP COMMANDS WHEN USING 

1523
00:57:24,458 --> 00:57:26,393
TAILOR SERIES LINEARIZATION 

1524
00:57:26,393 --> 00:57:27,561
VARIANCE ESTIMATION THERE IS 

1525
00:57:27,561 --> 00:57:29,630
SPECIAL CODE NEEDED FOR 

1526
00:57:29,630 --> 00:57:31,465
SUBPOPULATION LEVEL ANALYSIS 

1527
00:57:31,465 --> 00:57:33,834
USING INCORRECT CODE WILL LEAD 

1528
00:57:33,834 --> 00:57:36,937
TO INCORRECT [INDISCERNIBLE] 

1529
00:57:36,937 --> 00:57:38,472
ESTIMATION AND THIS DOESN'T 

1530
00:57:38,472 --> 00:57:40,040
HAPPEN WITH REPLICATE WEIGHTS 

1531
00:57:40,040 --> 00:57:42,376
BUT STRONGLY RECOMMENDED YOU USE

1532
00:57:42,376 --> 00:57:45,145
CORRECT SUBPOP COMMANDS 

1533
00:57:45,145 --> 00:57:47,848
REGARDLESS OF METHOD OF 

1534
00:57:47,848 --> 00:57:48,482
VARIANCE. 

1535
00:57:48,482 --> 00:57:52,252
NEXT IS SUPPRESSION RULE.  KELLY

1536
00:57:52,252 --> 00:57:55,589
TALKED ABOUT THIS EARLIER. 

1537
00:57:55,589 --> 00:57:58,592
PRICSSA CHECKLIST DOESN'T 

1538
00:57:58,592 --> 00:58:02,362
REQUIRE TO USE SUPPRESSION RULE.

1539
00:58:02,362 --> 00:58:09,636
HINTS DATA SET DOESN'T HAVE. 

1540
00:58:09,636 --> 00:58:11,638
I WORK WITH HINTS DATA ALL THE 

1541
00:58:11,638 --> 00:58:14,074
TIME AND FOLLOW SUPPRESSION RULE

1542
00:58:14,074 --> 00:58:15,776
AND USE ONE RECOMMENDED BY 

1543
00:58:15,776 --> 00:58:18,245
NATIONAL CENTER FOR HEALTH 

1544
00:58:18,245 --> 00:58:20,147
STATISTICS.  I CAN TALK ABOUT IT

1545
00:58:20,147 --> 00:58:22,382
DURING THE Q & A IF YOU HAVE

1546
00:58:22,382 --> 00:58:24,351
QUESTIONS AND THIS PUBLISHED 

1547
00:58:24,351 --> 00:58:27,054
FROM NWR THERE ARE CELLS THAT 

1548
00:58:27,054 --> 00:58:28,455
ARE BLANK AND AT BOTTOM SAID 

1549
00:58:28,455 --> 00:58:32,459
THAT DATA WAS UNRELIABLE THAT IS

1550
00:58:32,459 --> 00:58:34,061
EXAMPLE OF SUPPRESSION RULE.  

1551
00:58:34,061 --> 00:58:36,196
LAST ITEM IS SOFTWARE AND CODE. 

1552
00:58:36,196 --> 00:58:39,533
THERE IS SOME SMALL DIFFERENCES 

1553
00:58:39,533 --> 00:58:42,336
BETWEEN SOFTWARES ANALYZING 

1554
00:58:42,336 --> 00:58:44,671
COMPLEX SURVEY DATA THAT IS 

1555
00:58:44,671 --> 00:58:47,441
SMALL AND IMPORTANT FOR AUTHORS 

1556
00:58:47,441 --> 00:58:49,209
TO DISCLOSE WHAT SOFTWARE 

1557
00:58:49,209 --> 00:58:51,244
VERSION THEY USE AND THAT 

1558
00:58:51,244 --> 00:58:53,347
AUTHORS MAKE CODE PUBLICLY 

1559
00:58:53,347 --> 00:58:54,881
AVAILABLE TO MAXIMIZE 

1560
00:58:54,881 --> 00:58:55,615
TRANSPARENCY.  IF YOU HAVE NOT 

1561
00:58:55,615 --> 00:58:58,418
DONE IT BEFORE IT IS EASY AND 

1562
00:58:58,418 --> 00:59:00,721
THERE IS SEVERAL FREE ONLINE 

1563
00:59:00,721 --> 00:59:02,122
REPOSITORIES CREATING ACCOUNT 

1564
00:59:02,122 --> 00:59:04,224
AND UPLOADING CODE AND WILL 

1565
00:59:04,224 --> 00:59:07,561
CREATE A SHAREABLE LINK YOU CAN 

1566
00:59:07,561 --> 00:59:12,532
PUT IN YOUR PAPER. 

1567
00:59:12,532 --> 00:59:23,143
>> CHECKLIST 14 ITEMS --
ALL OF 

1568
00:59:36,623 --> 00:59:38,091
THE ESSENTIAL PRICSSA 

1569
00:59:38,091 --> 00:59:41,628
INFORMATION THAT AUTHORS NEED IN

1570
00:59:43,096 --> 00:59:45,832
THAT IS A EXAMPLE FROM THE PAPER

1571
00:59:45,832 --> 00:59:49,369
AND EXCITED THAT HIBTS HAS 

1572
00:59:49,369 --> 00:59:51,571
CREATED A PRICSSA PAGE TO MAKE 

1573
00:59:51,571 --> 00:59:54,074
IT EASY TO COMPLY AND IT IS ON 

1574
00:59:54,074 --> 00:59:58,111
THE HINT WEBSITE DATA TAB AND 

1575
00:59:58,111 --> 01:00:00,947
DROPDOWN AND FROM HERE YOU CAN 

1576
01:00:00,947 --> 01:00:03,950
DOWNLOAD AN EXCEL SPREADSHEET 

1577
01:00:03,950 --> 01:00:06,253
AND PRICSSA INFORMATION FOR ALL 

1578
01:00:06,253 --> 01:00:08,121
WAVES OF HINTS AND THANK YOU TO 

1579
01:00:08,121 --> 01:00:09,423
THE PRICSSA TEAM FOR DOING THAT 

1580
01:00:09,423 --> 01:00:13,226
AND HAPPY TO ANSWER ANY 

1581
01:00:13,226 --> 01:00:23,437
QUESTIONS. 

1582
01:00:25,872 --> 01:00:28,008
I HAVE A QUESTION YOU MENTIONED 

1583
01:00:28,008 --> 01:00:31,711
FOR SUBGROUP ANALYZES WE HAVE TO

1584
01:00:31,711 --> 01:00:34,081
USE [INDISCERNIBLE] DOMAIN THAT 

1585
01:00:34,081 --> 01:00:38,051
IT ANALYZES AND FOR EXAMPLE ON 

1586
01:00:38,051 --> 01:00:42,489
CAREGIVERS I NEED TO USE THAT 

1587
01:00:42,489 --> 01:00:49,262
DOMAIN COMMENT FOR SAAS. 

1588
01:00:49,262 --> 01:00:51,098
>> I'M HAPPY TO CHAT WITH
YOU 

1589
01:00:51,098 --> 01:00:53,100
AFTER INDIVIDUALLY AND WE CAN 

1590
01:00:53,100 --> 01:00:54,501
GET INTO A LENGTHY DISCUSSION OF

1591
01:00:54,501 --> 01:00:57,404
THE CODE.  ANALYZING COMPLEX 

1592
01:00:57,404 --> 01:00:59,906
SURVEY DATA IS STRONGLY 

1593
01:00:59,906 --> 01:01:01,341
RECOMMEND TODAY USE CORRECT 

1594
01:01:01,341 --> 01:01:05,812
SUBPOP CODE FOR SAAS USERS IS A 

1595
01:01:05,812 --> 01:01:07,547
DOMAIN CO-MANNED AND THAT ENSURE

1596
01:01:07,547 --> 01:01:09,149
VARIANCE ESTIMATION IS CORRECT. 

1597
01:01:09,149 --> 01:01:11,885
I -- IT MIGHT BE BEST IF WE 

1598
01:01:11,885 --> 01:01:13,954
CHATTED ONE ON ONE AFTERWARDS. 

1599
01:01:13,954 --> 01:01:14,221
>> SURE. 

1600
01:01:14,221 --> 01:01:17,924
>> I CAN HELP WITH THAT. 

1601
01:01:17,924 --> 01:01:20,894
>> THANK YOU. 

1602
01:01:20,894 --> 01:01:24,364
>> GOOD MORNING.  NOT SURE
IF 

1603
01:01:24,364 --> 01:01:28,435
TRUE FOR HINTS BUT OTHER COMPLEX

1604
01:01:28,435 --> 01:01:29,436
SURVEYS.  THERE ARE MULTIPLE 

1605
01:01:29,436 --> 01:01:31,071
RESPONSE RATES YOU CAN FIND IF 

1606
01:01:31,071 --> 01:01:33,140
YOU GO THROUGH METHODOLOGY.  

1607
01:01:33,140 --> 01:01:36,643
WHICH ONE SHOULD WE BE LOOKING 

1608
01:01:36,643 --> 01:01:38,578
FOR?  

1609
01:01:38,578 --> 01:01:39,880
>> REALLY GOOD QUESTION
THAT I 

1610
01:01:39,880 --> 01:01:43,683
DON'T THINK I HAVE A GREAT 

1611
01:01:43,683 --> 01:01:49,189
ANSWER RIGHT NOW.  

1612
01:01:49,189 --> 01:01:50,790
IT WILL DEPEND WHAT ANALYSIS 

1613
01:01:50,790 --> 01:01:52,392
AND POPULATION YOU ARE WORKING 

1614
01:01:52,392 --> 01:01:54,194
WITH AND WHAT DATA SET AND MORE 

1615
01:01:54,194 --> 01:01:56,429
INFORMATION THE BETTER.  I -- 

1616
01:01:56,429 --> 01:01:58,798
YEAH.  I CAN'T REALLY GIVE A 

1617
01:01:58,798 --> 01:02:05,605
SPECIFIC ANSWER THAT IT WILL 

1618
01:02:05,605 --> 01:02:06,206
DEPEND.  

1619
01:02:06,206 --> 01:02:06,473
>> OKAY. 

1620
01:02:06,473 --> 01:02:09,709
>> SOMETHING WE COULD
INCLUDE IN

1621
01:02:09,709 --> 01:02:20,253
OUR MANUSCRIPT.  GREAT QUESTION.

1622
01:02:22,789 --> 01:02:26,326
>> NEXT MODERATOR IS
NEWEST TEAM

1623
01:02:26,326 --> 01:02:28,228
MEMBER MARIA WHO WILL MODERATE 

1624
01:02:28,228 --> 01:02:32,032
THE NEXT PANEL, I BELIEVE.  COME

1625
01:02:32,032 --> 01:02:42,175
ON UP. 

1626
01:02:50,083 --> 01:02:51,851
>> HELLO AND GOOD MORNING,

1627
01:02:51,851 --> 01:02:54,020
EVERYBODY.  CLOSE TO LUNCH.  IF 

1628
01:02:54,020 --> 01:02:55,622
ALL PANELISTS COULD COME UP FOR 

1629
01:02:55,622 --> 01:02:59,125
SESSION NO. 3 FOR MEASURE 

1630
01:02:59,125 --> 01:03:01,595
METHODS AND DATA LINKAGES.  I 

1631
01:03:01,595 --> 01:03:06,366
WILL DO A COUPLE OVERALL NOTES. 

1632
01:03:06,366 --> 01:03:09,002
LUNCH WILL BE RIGHT AFTER THIS 

1633
01:03:09,002 --> 01:03:13,707
UPSTAIRS AND WE CAN COME BACK BY

1634
01:03:13,707 --> 01:03:18,378
1 O'CLOCK PROMPTLY TO START THE 

1635
01:03:18,378 --> 01:03:24,084
SESSION -- UNDERSCORING THE 

1636
01:03:24,084 --> 01:03:26,353
POTENTIAL FOR USING HINTS DATA 

1637
01:03:26,353 --> 01:03:28,054
IN INNOVATIVE WAYS FOR LINKING 

1638
01:03:28,054 --> 01:03:31,258
TO OTHER TYPES OF DATA SETS THAT

1639
01:03:31,258 --> 01:03:34,160
IS REGISTRY DATA TO ASSESSING 

1640
01:03:34,160 --> 01:03:38,365
ITEMS AND MEASURES THROUGHOUT 

1641
01:03:38,365 --> 01:03:40,133
DIFFERENT HINTS CYCLES THAT IS 

1642
01:03:40,133 --> 01:03:41,635
VERY MUCH LOOKING FORWARD TO 

1643
01:03:41,635 --> 01:03:43,470
HEARING FROM OUR PRESENTERS THAT

1644
01:03:43,470 --> 01:03:45,639
I WILL QUICKLY INTRODUCE.  THEY 

1645
01:03:45,639 --> 01:03:47,574
WILL EACH HAVE UP TO 12 MINUTES 

1646
01:03:47,574 --> 01:03:50,377
TO DO PRESENTATIONS AND AT END 

1647
01:03:50,377 --> 01:03:51,611
WHATEVER REMAINING TIME WE WILL 

1648
01:03:51,611 --> 01:03:56,182
HAVE WE WILL OPEN THE FLOOR FOR 

1649
01:03:56,182 --> 01:03:57,484
QUESTIONS. 

1650
01:03:57,484 --> 01:03:58,785
FIRST, HEARING FROM DR. MARK WHO

1651
01:03:58,785 --> 01:04:01,054
IS THE DEVELOPMENT DIMENSIONS 

1652
01:04:01,054 --> 01:04:03,623
INTERNATIONAL ENDOWED PROFESSOR 

1653
01:04:03,623 --> 01:04:06,526
OF HEALTH BEHAVIOR AND SOCIETY 

1654
01:04:06,526 --> 01:04:10,363
IN COLLEGE OF PUBLIC HEALTH AT 

1655
01:04:10,363 --> 01:04:13,141
UNIVERSITY OF KENTUCKY AND 

1656
01:04:13,141 --> 01:04:14,543
SECONDARY WILL HEAR FROM  KAIYI 

1657
01:04:14,543 --> 01:04:16,350
WEN DATA PRACTICE AREA AT RT 

1658
01:04:16,350 --> 01:04:20,254
INTERNATIONAL AND LASTLY WE WILL

1659
01:04:20,254 --> 01:04:23,957
HEAR FROM CELESTE CAMPOS 

1660
01:04:23,957 --> 01:04:26,727
CASTILLO WHO IS AT MICHIGAN 

1661
01:04:26,727 --> 01:04:29,496
STATE UNIVERSITY.  

1662
01:04:29,496 --> 01:04:35,168
WITHOUT FURTHER ADO.  

1663
01:04:35,168 --> 01:04:37,437
>> THANK YOU.  GOOD
MORNING, 

1664
01:04:37,437 --> 01:04:38,372
EVERYBODY.  FOR THE MOST PART 

1665
01:04:38,372 --> 01:04:40,541
WHEN WE ASK PEOPLE ABOUT THEIR 

1666
01:04:40,541 --> 01:04:42,576
PERCEIVED RISK FOR CANCER WE DO 

1667
01:04:42,576 --> 01:04:44,478
IT WITH A QUESTION THAT LOOKS 

1668
01:04:44,478 --> 01:04:46,446
LIKE THIS.  MIGHT LOOK FAMILIAR 

1669
01:04:46,446 --> 01:04:51,184
AND HAS BEEN IN MANY HINTS 

1670
01:04:51,184 --> 01:04:51,485
ITERATIONS. 

1671
01:04:51,485 --> 01:04:52,519
BEHAVIORALLY WHEN WE GIVE PEOPLE

1672
01:04:52,519 --> 01:04:54,321
THAT KIND OF QUESTION, MOST GIVE

1673
01:04:54,321 --> 01:04:56,590
US AN ANSWER THAT IS A 

1674
01:04:56,590 --> 01:04:58,125
SCALE-POINT RESPONSE THAT TELLS 

1675
01:04:58,125 --> 01:05:00,327
US SOMETHING ABOUT THEIR LEVEL 

1676
01:05:00,327 --> 01:05:03,096
OF RISK.  

1677
01:05:03,096 --> 01:05:05,899
PAINFULLY OBVIOUS IT SEEMS FOR 

1678
01:05:05,899 --> 01:05:08,335
COMFORTS AS FANCY AS HINTS. 

1679
01:05:08,335 --> 01:05:09,570
IF YOU MAKE A VERY SMALL CHANGE 

1680
01:05:09,570 --> 01:05:11,738
IN WAY THAT YOU ASK ABOUT 

1681
01:05:11,738 --> 01:05:13,173
PERCEIVED RISK, ADD THE OPTION 

1682
01:05:13,173 --> 01:05:15,642
FOR PEOPLE TO SAY THAT THEY 

1683
01:05:15,642 --> 01:05:16,910
DON'T KNOW WHAT THEIR RISK FOR 

1684
01:05:16,910 --> 01:05:19,246
CANCER IS. 

1685
01:05:19,246 --> 01:05:20,814
YOU GET VERY DIFFERENT DATA THAT

1686
01:05:20,814 --> 01:05:23,684
IS NATIONALLY REPRESENTATIVE 

1687
01:05:23,684 --> 01:05:25,552
SURVEY OUR GROUP DID SIX MONTHS 

1688
01:05:25,552 --> 01:05:27,421
BEFORE THE ADMINISTRATION THAT I

1689
01:05:27,421 --> 01:05:29,256
JUST SHOWED YOU.  WHAT WE FOUND 

1690
01:05:29,256 --> 01:05:31,491
IS THAT ALMOST HALF OF AMERICAN 

1691
01:05:31,491 --> 01:05:32,826
ADULTS SAID THAT THEY DIDN'T 

1692
01:05:32,826 --> 01:05:34,461
KNOW THEIR RISK FOR COLON 

1693
01:05:34,461 --> 01:05:35,228
CANCER. 

1694
01:05:35,228 --> 01:05:36,597
NOW, I HAVE TO SAY BECAUSE 

1695
01:05:36,597 --> 01:05:38,131
OTHERWISE THAT ONE PERSON IN THE

1696
01:05:38,131 --> 01:05:39,266
AUDIENCE WILL ASK THE QUESTION 

1697
01:05:39,266 --> 01:05:41,668
AND I KNOW QUESTIONS ARE NOT 

1698
01:05:41,668 --> 01:05:42,469
DIRECTLY COMPARABLE THAT WE WILL

1699
01:05:42,469 --> 01:05:45,472
GET TO IN A MINUTE.  THERE IS A 

1700
01:05:45,472 --> 01:05:46,840
REALLY IMPORTANT IMPLICATION 

1701
01:05:46,840 --> 01:05:48,275
THAT COMES UP FROM DATA AND 

1702
01:05:48,275 --> 01:05:49,543
QUESTION WE NEED TO ADDRESS THAT

1703
01:05:49,543 --> 01:05:52,913
IS A QUESTION OF WHAT HAPPENS 

1704
01:05:52,913 --> 01:05:54,581
WHEN SOMEBODY CAN'T TELL YOU 

1705
01:05:54,581 --> 01:05:56,316
THEY DON'T KNOW THEIR RISK FOR 

1706
01:05:56,316 --> 01:05:58,986
CANCER BECAUSE YOU DON'T ASK THE

1707
01:05:58,986 --> 01:05:59,920
QUESTION?  

1708
01:05:59,920 --> 01:06:01,622
IMPLICATION WHAT I JUST SHOWED 

1709
01:06:01,622 --> 01:06:03,624
YOU IS THERE IS A MEANINGFUL 

1710
01:06:03,624 --> 01:06:04,958
PORTION OF THE US POPULATION 

1711
01:06:04,958 --> 01:06:06,994
THAT WOULD SAY THEY DON'T KNOW 

1712
01:06:06,994 --> 01:06:09,863
THEIR RISK IF GIVEN OPPORTUNITY 

1713
01:06:09,863 --> 01:06:13,233
TO DO SO YET IF YOU DON'T GIVE 

1714
01:06:13,233 --> 01:06:15,202
THEM THAT OPPORTUNITY THEY 

1715
01:06:15,202 --> 01:06:17,671
GENERATE A SCALE POINT RESPONSE 

1716
01:06:17,671 --> 01:06:20,007
SURVEY METHODOLOGY PERSPECTIVE 

1717
01:06:20,007 --> 01:06:20,841
BECOMES REALLY IMPORTANT TO 

1718
01:06:20,841 --> 01:06:22,342
UNDERSTAND WHAT THEY ARE DOG AND

1719
01:06:22,342 --> 01:06:24,011
WHAT SCALE POINT RESPONSE THEY 

1720
01:06:24,011 --> 01:06:24,745
ARE GENERATING AND WHAT THAT 

1721
01:06:24,745 --> 01:06:28,048
MEANS FOR THE WAY THAT WE THINK 

1722
01:06:28,048 --> 01:06:29,583
ABOUT AND UNDERSTAND PERCEIVED 

1723
01:06:29,583 --> 01:06:32,352
RISK AND RELATION TO OTHER 

1724
01:06:32,352 --> 01:06:32,719
CONSTRUCTS. 

1725
01:06:32,719 --> 01:06:35,856
WITH A BIG THANK YOU TO THE 

1726
01:06:35,856 --> 01:06:38,258
HINTS STAFF WE CAN ANSWER THAT 

1727
01:06:38,258 --> 01:06:38,659
QUESTION NOW. 

1728
01:06:38,659 --> 01:06:43,096
MOST RECENT ITERATION OF HINTS, 

1729
01:06:43,096 --> 01:06:47,167
HINTS 6 FIRST TIME KEY PERCEIVED

1730
01:06:47,167 --> 01:06:48,869
RISK OPTION RESPONSE OPTION AND 

1731
01:06:48,869 --> 01:06:50,637
THANKS TO THE HINTS STAFF.  IT 

1732
01:06:50,637 --> 01:06:52,172
IS GREAT IT IS THERE.  

1733
01:06:52,172 --> 01:06:53,674
IMPORTANTLY FOR US AND ALMOST 

1734
01:06:53,674 --> 01:06:55,142
IDENTICAL QUESTION WAS INCLUDED 

1735
01:06:55,142 --> 01:07:00,614
IN THREE OF CYCLES OF HINTS 4.  

1736
01:07:00,614 --> 01:07:01,815
ALBEIT OUT A RESPONSE OPTION 

1737
01:07:01,815 --> 01:07:03,417
THAT LET'S US LOOK DIRECTLY AT 

1738
01:07:03,417 --> 01:07:06,119
THAT QUESTION OF WHAT IS 

1739
01:07:06,119 --> 01:07:07,454
HAPPENING WHEN YOU DO OR DON'T 

1740
01:07:07,454 --> 01:07:08,789
GIVE PEOPLE THAT OPPORTUNITY TO 

1741
01:07:08,789 --> 01:07:09,690
SAY THEY DON'T KNOW. 

1742
01:07:09,690 --> 01:07:12,025
LET'S LOOK AT WHAT HAPPENS. 

1743
01:07:12,025 --> 01:07:13,126
BEFORE I DO, THAT I WILL GIVE 

1744
01:07:13,126 --> 01:07:15,162
YOU A LITTLE BIT OF A FRAMEWORK 

1745
01:07:15,162 --> 01:07:17,497
FOR WHAT I WILL DO THAT WILL 

1746
01:07:17,497 --> 01:07:20,033
KEEP THINGS FROM GETTING MUDDY 

1747
01:07:20,033 --> 01:07:20,600
IN RESULTS. 

1748
01:07:20,600 --> 01:07:22,436
FOR MOST PART I WILL SHOW YOU 

1749
01:07:22,436 --> 01:07:24,671
DATA COMPARING SURVEY 

1750
01:07:24,671 --> 01:07:25,338
ADMINISTRATIONS WHEN RISK 

1751
01:07:25,338 --> 01:07:27,474
QUESTION HAS A RESPONSE OPTION, 

1752
01:07:27,474 --> 01:07:30,077
HINTS 6 TO SURVEY 

1753
01:07:30,077 --> 01:07:31,078
ADMINISTRATIONS WHERE IT DOESN'T

1754
01:07:31,078 --> 01:07:34,014
IN HINTS 4 AND WILL SHOW YOU A 

1755
01:07:34,014 --> 01:07:36,083
FEW THINGS WHERE WITHIN HINTS 6 

1756
01:07:36,083 --> 01:07:37,384
WE COMPARE PEOPLE WHO GAVE ONE 

1757
01:07:37,384 --> 01:07:39,953
OF WHAT I WILL CALL SCALE POINT 

1758
01:07:39,953 --> 01:07:42,155
RESPONSES THAT VARY LIKELY TO 

1759
01:07:42,155 --> 01:07:43,256
UNLIKELY RELATIVE TO PEOPLE THAT

1760
01:07:43,256 --> 01:07:44,991
SAID THEY DON'T KNOW THEIR RISK 

1761
01:07:44,991 --> 01:07:46,660
AND WILL MAKE CLEAR DOING THAT 

1762
01:07:46,660 --> 01:07:49,029
AND KEEPING THAT DIFFERENCE IN 

1763
01:07:49,029 --> 01:07:50,964
MIND WHAT WILL HELP AS WE GO 

1764
01:07:50,964 --> 01:07:52,232
THROUGH.  LOOKING AT TWO 

1765
01:07:52,232 --> 01:07:53,600
QUESTIONS THAT WE PLAYED WITH A 

1766
01:07:53,600 --> 01:07:55,569
LITTLE BIT.  HOW DOES THE 

1767
01:07:55,569 --> 01:07:58,505
PRESENCE OR ABSENCE OF ABILITY 

1768
01:07:58,505 --> 01:08:00,207
TO SAY DON'T KNOW EFFECT 

1769
01:08:00,207 --> 01:08:02,976
ANSWERING QUESTIONING BEHAVIOR 

1770
01:08:02,976 --> 01:08:05,345
AND TO EXTENT IT ANSWERS 

1771
01:08:05,345 --> 01:08:06,179
QUESTIONING BEHAVIOR WITH HINT 

1772
01:08:06,179 --> 01:08:08,648
IT DOES WHAT ARE EFFECTS ON 

1773
01:08:08,648 --> 01:08:10,217
RELATION BETWEEN PERCEIVED RISKS

1774
01:08:10,217 --> 01:08:12,919
AND CONSTRUCTS WE MIGHT BE 

1775
01:08:12,919 --> 01:08:13,587
INTERESTED IN?  

1776
01:08:13,587 --> 01:08:16,690
COUPLE METHODS NOTES WE DID ALL 

1777
01:08:16,690 --> 01:08:19,025
THINGS ANDREW TOLD US WE SHOULD 

1778
01:08:19,025 --> 01:08:21,128
DO IN TERMS OF PRICSSA CHECKLIST

1779
01:08:21,128 --> 01:08:24,197
AND CREATED DATA STRUCTURE 

1780
01:08:24,197 --> 01:08:26,967
COMBINING HINTS DATA SETS AND 

1781
01:08:26,967 --> 01:08:28,468
WILL SHOW YOU ANALYSIS THAT 

1782
01:08:28,468 --> 01:08:30,937
COMPARE WITH I DON'T KNOW 

1783
01:08:30,937 --> 01:08:32,339
RESPONSE TO ALL HINTS LUMPED 

1784
01:08:32,339 --> 01:08:33,640
TOGETHER WITHOUT.  I WILL TELL 

1785
01:08:33,640 --> 01:08:35,375
YOU A COUPLE PLACES WE ARE 

1786
01:08:35,375 --> 01:08:38,111
LOOKING AT INDIVIDUALLY MATTERS 

1787
01:08:38,111 --> 01:08:39,679
COMBINED WEIGHTS FOR HINTS 

1788
01:08:39,679 --> 01:08:41,615
GUIDELINES AND ANALYSIS ARE 

1789
01:08:41,615 --> 01:08:44,317
LOOKING AT REPLICA WEIGHTS AND 

1790
01:08:44,317 --> 01:08:45,952
STATE 18 AND EXCLUDED TWO GROUPS

1791
01:08:45,952 --> 01:08:47,454
AND FIRST OF ALL EXCLUDED PEOPLE

1792
01:08:47,454 --> 01:08:49,956
WITH FAMILY HISTORY OF CANCER 

1793
01:08:49,956 --> 01:08:51,792
AND ACROSS SURVEY ADMINISTRATION

1794
01:08:51,792 --> 01:08:54,094
CYCLES THERE WERE A COUPLE WHERE

1795
01:08:54,094 --> 01:08:55,562
CANCER HISTORY WAS INCLUSION 

1796
01:08:55,562 --> 01:08:56,696
CRITERIA FOR THE RISK QUESTION 

1797
01:08:56,696 --> 01:08:58,799
AND MAKING SURE WE COMPARE 

1798
01:08:58,799 --> 01:09:02,235
APPLES TO APPLES WE EXCLUDED 

1799
01:09:02,235 --> 01:09:03,670
HISTORY ACROSS THE BOARD AND 

1800
01:09:03,670 --> 01:09:05,272
PEOPLE THAT HAD MISSING DATA YOU

1801
01:09:05,272 --> 01:09:06,273
FOR A REASON THAT WASN'T RELATED

1802
01:09:06,273 --> 01:09:08,608
TO THEIR BEHAVIOR AND SOMEBODY 

1803
01:09:08,608 --> 01:09:10,310
THAT DID A WEB SURVEY AND 

1804
01:09:10,310 --> 01:09:11,578
SOMETHING HAPPENED AND THEY 

1805
01:09:11,578 --> 01:09:12,579
DIDN'T GET THE QUESTION. 

1806
01:09:12,579 --> 01:09:14,214
WITH THAT, WE WILL SEE WHAT 

1807
01:09:14,214 --> 01:09:15,148
HAPPENS. 

1808
01:09:15,148 --> 01:09:18,118
SO, WHEN YOU GIVE PEOPLE THE 

1809
01:09:18,118 --> 01:09:19,886
ABILITY TO SAY THEY DON'T KNOW 

1810
01:09:19,886 --> 01:09:21,888
THEIR LIFETIME RISK FOR CANCER, 

1811
01:09:21,888 --> 01:09:24,591
ABOUT A QUARTER OF US ADULTS 

1812
01:09:24,591 --> 01:09:26,026
WITHOUT CANCER USE THAT OPTION 

1813
01:09:26,026 --> 01:09:29,796
AND SAY THEY DON'T KNOW WHAT 

1814
01:09:29,796 --> 01:09:31,498
THEIR RISK IS.  

1815
01:09:31,498 --> 01:09:33,700
IF YOU DON'T GIVE THEM THAT 

1816
01:09:33,700 --> 01:09:36,736
OPTION, 97% OF, AGAIN, 

1817
01:09:36,736 --> 01:09:39,639
NATIONALLY REPRESENTED SAMPLE OF

1818
01:09:39,639 --> 01:09:42,509
US ADULTS GIVE YOU A SCALE-POINT

1819
01:09:42,509 --> 01:09:43,343
RESPONSE OPTION.  

1820
01:09:43,343 --> 01:09:47,280
THEN YOU HAVE TO ASK WHAT IS 

1821
01:09:47,280 --> 01:09:48,915
HAPPENING TO 23.7% OF PEOPLE AND

1822
01:09:48,915 --> 01:09:51,084
WHERE THEY ARE GOING AND IN 

1823
01:09:51,084 --> 01:09:52,419
SURVEY VERSIONS THEY DON'T KNOW 

1824
01:09:52,419 --> 01:09:54,187
WHERE OPTION IS PROVIDED AND WE 

1825
01:09:54,187 --> 01:09:55,622
CAN GET A SENSE OF THAT LOOKING 

1826
01:09:55,622 --> 01:09:59,226
AT DISTRIBUTIONS OF RESPONSES. 

1827
01:09:59,226 --> 01:10:01,428
X AXIS HERE WE HAVE VARIETY OF 

1828
01:10:01,428 --> 01:10:03,496
DIFFERENT WAYS TO ANSWER THAT 

1829
01:10:03,496 --> 01:10:05,165
PERCEIVED RISK QUESTION AND WHAT

1830
01:10:05,165 --> 01:10:06,766
I CALL SCALE POINT RESPONSES 

1831
01:10:06,766 --> 01:10:09,536
FROM VERY LIKELY TO UNLIKELY AND

1832
01:10:09,536 --> 01:10:11,004
DON'T KNOW OPTION FOR HINTS 6 

1833
01:10:11,004 --> 01:10:12,439
AND MISSING DATA. 

1834
01:10:12,439 --> 01:10:14,674
WHEN I DON'T KNOW RESPONSE 

1835
01:10:14,674 --> 01:10:16,176
OPTION IS GIVEN AS IN HINTS 6, 

1836
01:10:16,176 --> 01:10:19,079
WE HAVE SEEN YOU HAVE 25% OF 

1837
01:10:19,079 --> 01:10:19,746
SAMPLES SAYING THEY DON'T KNOW 

1838
01:10:19,746 --> 01:10:22,515
AND YOU WILL SEE THERE IS A 

1839
01:10:22,515 --> 01:10:24,184
REASONABLY NORMAL DISTRIBUTION 

1840
01:10:24,184 --> 01:10:25,518
OF RESPONSES ACROSS THE SCALE 

1841
01:10:25,518 --> 01:10:25,752
POINT. 

1842
01:10:25,752 --> 01:10:28,321
WHEN YOU DO A SURVEY 

1843
01:10:28,321 --> 01:10:29,422
ADMINISTRATION THAT DOES NOT 

1844
01:10:29,422 --> 01:10:31,091
PROVIDE THAT OPTION, YOU GET A 

1845
01:10:31,091 --> 01:10:33,426
VERY DIFFERENT PATTERN.  I WANT 

1846
01:10:33,426 --> 01:10:35,528
YOU TO LOOK AT TWO THINGS IN 

1847
01:10:35,528 --> 01:10:37,230
PARTICULAR ABOUT THIS PATTERN.  

1848
01:10:37,230 --> 01:10:39,332
FIRST OF ALL, THERE IS MORE THAN

1849
01:10:39,332 --> 01:10:41,167
FOUR TIMES AS MUCH MISSING DATA 

1850
01:10:41,167 --> 01:10:43,670
IN THE ADMINISTRATIONS WITHOUT A

1851
01:10:43,670 --> 01:10:45,038
DON'T KNOW RESPONSE OPTION. 

1852
01:10:45,038 --> 01:10:48,108
IN OTHER WORDS SOME OF 23.7% OF 

1853
01:10:48,108 --> 01:10:51,278
PEOPLE ARE SKIPPING THE ITEM OR 

1854
01:10:51,278 --> 01:10:52,712
CIRCLING MULTIPLE ITEMS IN ERROR

1855
01:10:52,712 --> 01:10:54,014
OR SOMETHING LIKE THAT INSTEAD 

1856
01:10:54,014 --> 01:10:56,283
OF BEING ABLE TO SAY THAT THEY 

1857
01:10:56,283 --> 01:10:57,250
DON'T KNOW THE RISK. 

1858
01:10:57,250 --> 01:10:58,852
THE OTHER INTERESTING THING IS 

1859
01:10:58,852 --> 01:11:00,453
THE VAST MAJORITY OF THEM THOUGH

1860
01:11:00,453 --> 01:11:03,723
ARE PICKING THAT MIDDLE RESPONSE

1861
01:11:03,723 --> 01:11:05,458
OPTION AND NEITHER LIKELY NOR 

1862
01:11:05,458 --> 01:11:05,725
UNLIKELY. 

1863
01:11:05,725 --> 01:11:07,994
THIS IS A PRIMARILY METHODS TALK

1864
01:11:07,994 --> 01:11:09,596
I WON'T SAY A THINK ABOUT WHY 

1865
01:11:09,596 --> 01:11:11,231
THAT IS THE CASE I WILL TALK A 

1866
01:11:11,231 --> 01:11:14,067
LOT MORE ABOUT IT AT LUNCH IF 

1867
01:11:14,067 --> 01:11:15,235
ANYBODY IS INTERESTED AND I 

1868
01:11:15,235 --> 01:11:16,503
WON'T TALK ABOUT IT NOW BECAUSE 

1869
01:11:16,503 --> 01:11:18,271
I WANT TO SHOW YOU SECOND 

1870
01:11:18,271 --> 01:11:20,073
IMPORTANT THING ABOUT THIS DATA 

1871
01:11:20,073 --> 01:11:21,141
THAT IS WHAT EFFECT IS THAT 

1872
01:11:21,141 --> 01:11:23,576
CHANGE IN THE DISTRIBUTION AND 

1873
01:11:23,576 --> 01:11:25,312
QUESTION ANSWERING BEHAVIOR HAVE

1874
01:11:25,312 --> 01:11:27,347
ON RELATION BETWEEN PERCEIVED 

1875
01:11:27,347 --> 01:11:29,115
RISK AND OTHER CONSTRUCTS OF 

1876
01:11:29,115 --> 01:11:30,383
INTEREST?  

1877
01:11:30,383 --> 01:11:33,453
SO, WE IDENTIFIED 8 DIFFERENT 

1878
01:11:33,453 --> 01:11:34,988
PSYCHOSOCIAL OR BEHAVIORAL 

1879
01:11:34,988 --> 01:11:35,956
CONSTRUCTS THAT ARE ALL THINGS 

1880
01:11:35,956 --> 01:11:38,558
WE KNOW ARE RELATED PERCEIVED 

1881
01:11:38,558 --> 01:11:40,694
RISK AND ARE THINGS ASKED IN 

1882
01:11:40,694 --> 01:11:43,964
HINTS 6 AND ASKED IN AT LEAST 

1883
01:11:43,964 --> 01:11:47,167
ONE OF THE HINTS 4 CYCLES.  12 

1884
01:11:47,167 --> 01:11:48,635
MINUTES ONLY GOES SO FAR AND I 

1885
01:11:48,635 --> 01:11:51,371
WILL SHOW YOU IN DETAIL RESULTS 

1886
01:11:51,371 --> 01:11:52,806
JUST FOR PERCEIVED WORRY 

1887
01:11:52,806 --> 01:11:54,307
QUESTION AND TELL YOU ABOUT 

1888
01:11:54,307 --> 01:11:55,842
PATTERNS FOR OTHER THINGS IN A 

1889
01:11:55,842 --> 01:11:56,076
MINUTE. 

1890
01:11:56,076 --> 01:11:57,644
WHEN YOU START TO LOOK AT THIS 

1891
01:11:57,644 --> 01:12:00,647
AND YOU LOOK AT IN THIS CASE A 

1892
01:12:00,647 --> 01:12:03,116
REGRESSION OF PERCEIVED RISK AS 

1893
01:12:03,116 --> 01:12:05,151
A PREDICTOR LOOKING AT CANCER 

1894
01:12:05,151 --> 01:12:09,356
WORRY IS AN OUTCOME AND SLOPE 

1895
01:12:09,356 --> 01:12:11,491
ESTIMATE LEVEL PREDICTION THING 

1896
01:12:11,491 --> 01:12:13,827
DOESN'T LOOK TOO BAD AND SCALE 

1897
01:12:13,827 --> 01:12:15,528
POINT INCREASE IN PERCEIVED 

1898
01:12:15,528 --> 01:12:18,098
WORRY AND EACH INCREASE IN 

1899
01:12:18,098 --> 01:12:21,234
PERCEIVED RISK WHICH IS GREAT 

1900
01:12:21,234 --> 01:12:22,535
UNTIL YOU REMEMBER THAT A POINT 

1901
01:12:22,535 --> 01:12:24,304
ESTIMATE IS ONE THING WE CARE 

1902
01:12:24,304 --> 01:12:28,341
ABOUT WITH REGRESSION ANALYSIS. 

1903
01:12:28,341 --> 01:12:29,709
REGRESSION SLOPE IS THE BEST FIT

1904
01:12:29,709 --> 01:12:31,444
LINE FOR THE DATA. 

1905
01:12:31,444 --> 01:12:32,946
THAT DOESN'T NECESSARILY MEAN IT

1906
01:12:32,946 --> 01:12:34,681
IS A GOOD FIT LINE FOR THAT 

1907
01:12:34,681 --> 01:12:35,815
DATA. 

1908
01:12:35,815 --> 01:12:36,049
RIGHT?  

1909
01:12:36,049 --> 01:12:40,320
WE ARE FITTING THE LINE THAT 

1910
01:12:40,320 --> 01:12:41,921
MINIMIZES DISTANCE BETWEEN 

1911
01:12:41,921 --> 01:12:43,056
PEOPLE'S ACTUAL DATA AND BEST 

1912
01:12:43,056 --> 01:12:44,858
PREDICTION WE CAN COME AND HAVE 

1913
01:12:44,858 --> 01:12:46,526
A SLOPE DOING THAT WITH 

1914
01:12:46,526 --> 01:12:47,560
RELATIVELY SMALL DEGREE OF RHO R

1915
01:12:47,560 --> 01:12:49,362
THAT IS PREDICTED IN NATURALLY 

1916
01:12:49,362 --> 01:12:51,731
CLOSE TO EACH OTHER AND HAVE 

1917
01:12:51,731 --> 01:12:53,133
EXACTLY SAME SLOPE WITH MUCH 

1918
01:12:53,133 --> 01:12:54,734
GREATER DEGREE OF ERROR. 

1919
01:12:54,734 --> 01:12:56,736
THAT DISTANCE BETWEEN PREDICTED 

1920
01:12:56,736 --> 01:12:58,505
AND ACTUAL, THAT ERROR BECOMES 

1921
01:12:58,505 --> 01:12:59,739
REALLY IMPORTANT AND FACTORS 

1922
01:12:59,739 --> 01:13:02,709
INTO OUR CONCLUSIONS ABOUT 

1923
01:13:02,709 --> 01:13:03,343
STATISTICAL SIGNIFICANCE.  IN 

1924
01:13:03,343 --> 01:13:06,012
OTHER WORDS, IS THERE ACTUALLY 

1925
01:13:06,012 --> 01:13:07,647
RELATION BETWEEN PERCEIVED RISK 

1926
01:13:07,647 --> 01:13:10,550
AND SOMETHING ELSE AND FACTORS 

1927
01:13:10,550 --> 01:13:12,118
INTO VARIANCE ACCOUNTED FOR 

1928
01:13:12,118 --> 01:13:13,853
DOING THINGS EXCITING IF 

1929
01:13:13,853 --> 01:13:15,522
SOMETHING IS IMPORTANT ENOUGH TO

1930
01:13:15,522 --> 01:13:16,856
INTERVENE ON AND HOW MUCH 

1931
01:13:16,856 --> 01:13:18,058
VARIANCE DOES IT ACCOUNT FOR?  

1932
01:13:18,058 --> 01:13:20,126
THIS IS WHERE THINGS GET 

1933
01:13:20,126 --> 01:13:21,127
STICKIER FOR US. 

1934
01:13:21,127 --> 01:13:23,696
COMPARED TO WHEN THERE IS NOT --

1935
01:13:23,696 --> 01:13:25,932
WHEN YOU GIVE I DON'T KNOW 

1936
01:13:25,932 --> 01:13:27,967
RESPONSE OPTION AND PEOPLE DON'T

1937
01:13:27,967 --> 01:13:29,602
KNOW RISK STANDARD ERROR GOES UP

1938
01:13:29,602 --> 01:13:31,104
IN SURVEY ADMINISTRATIONS WHERE 

1939
01:13:31,104 --> 01:13:32,472
YOU DON'T. 

1940
01:13:32,472 --> 01:13:35,675
THIS IS ONE PLACE WHERE LUMPING 

1941
01:13:35,675 --> 01:13:37,110
TOGETHER HINTS 4 MUDDIES THINGS 

1942
01:13:37,110 --> 01:13:40,213
A BIT AND PART OF DENOMINATOR 

1943
01:13:40,213 --> 01:13:42,649
STANDARD ERROR IS SAMPLE SIZE 

1944
01:13:42,649 --> 01:13:44,050
INCREASING IT YOU DO STANDARD 

1945
01:13:44,050 --> 01:13:45,852
ERROR AND ALL THINGS BEING EQUAL

1946
01:13:45,852 --> 01:13:49,522
AND BREAKING IT SEPARATELY 1 IN 

1947
01:13:49,522 --> 01:13:51,925
HINTED 4 STANDARD ERROR GOES UP 

1948
01:13:51,925 --> 01:13:55,061
26% RELATIVE TO HINT 6 WITH 

1949
01:13:55,061 --> 01:13:56,663
DON'T KNOW RESPONSE OPTION AND 

1950
01:13:56,663 --> 01:14:03,069
HINTS 3 MORE THAN DOUBLES 110% 

1951
01:14:03,069 --> 01:14:03,336
GREATER. 

1952
01:14:03,336 --> 01:14:08,341
VARIANCE ACCOUNTED FOR DROPS BY 

1953
01:14:08,341 --> 01:14:10,376
40% WORRIED RELATIVE TO CYCLES 

1954
01:14:10,376 --> 01:14:11,511
DON'T KNOW RESPONSE OPTION GIVEN

1955
01:14:11,511 --> 01:14:14,881
AND COLLECTIVELY ACROSS 

1956
01:14:14,881 --> 01:14:15,815
CONSTRUCTS FOR HINTS 4 

1957
01:14:15,815 --> 01:14:17,884
ADMINISTRATION WE LOOKS AT 15 

1958
01:14:17,884 --> 01:14:21,354
DIFFERENT COMPARISONS FOR 

1959
01:14:21,354 --> 01:14:23,356
STANDARD ERRORS AND 13 OF 15 

1960
01:14:23,356 --> 01:14:27,060
WERE INCREASED 5 TO 110% AND 10 

1961
01:14:27,060 --> 01:14:30,263
OF 12 WERE R2 COMPARISONS 

1962
01:14:30,263 --> 01:14:33,466
ANYWHERE FROM 6 TO 86% REDUCTION

1963
01:14:33,466 --> 01:14:36,202
AND ROBUST PATTERN AND IN MANY 

1964
01:14:36,202 --> 01:14:37,737
CASES IS A VERY LARGE PATTERN.  

1965
01:14:37,737 --> 01:14:39,139
WHAT IS GOING ON?  

1966
01:14:39,139 --> 01:14:40,640
LAST THING I WILL SHOW YOU IS A 

1967
01:14:40,640 --> 01:14:44,077
LITTLE BIT OF A LOOK AT THE 

1968
01:14:44,077 --> 01:14:44,978
CROSS-TABS TABLES FOR 

1969
01:14:44,978 --> 01:14:46,546
INTERSECTION OF PEOPLE'S ANSWERS

1970
01:14:46,546 --> 01:14:48,448
TO CANCER RISK AND ANSWERS TO 

1971
01:14:48,448 --> 01:14:49,149
CANCER WORRY. 

1972
01:14:49,149 --> 01:14:51,251
THIS IS THE PERCENTAGE OF THE 

1973
01:14:51,251 --> 01:14:52,685
POPULATION THAT ANSWERED EACH OF

1974
01:14:52,685 --> 01:14:54,454
THE COMBINATIONS. 

1975
01:14:54,454 --> 01:14:55,955
THINKING ABOUT STATS. 

1976
01:14:55,955 --> 01:14:57,991
TO THE EXTENT THERE IS RELATION 

1977
01:14:57,991 --> 01:14:59,492
WE SHOULD SEE MOST RESPONSES 

1978
01:14:59,492 --> 01:15:02,262
FALL SOMEWHERE ON THIS UPPER 

1979
01:15:02,262 --> 01:15:03,763
DIAGONAL.  CANCER RISKS GO UP 

1980
01:15:03,763 --> 01:15:05,498
AND CANCER WORRY ANSWERS SHOULD 

1981
01:15:05,498 --> 01:15:06,466
ALSO GO UP. 

1982
01:15:06,466 --> 01:15:09,536
WE WILL DO A REALLY 

1983
01:15:09,536 --> 01:15:10,136
SOPHISTICATED STATISTICAL 

1984
01:15:10,136 --> 01:15:13,039
ANALYSIS TO LOOK AT THIS WHEN A 

1985
01:15:13,039 --> 01:15:14,641
DON'T KNOW RESPONSE OPTION IN 

1986
01:15:14,641 --> 01:15:16,809
HINTS 6 TAKE YOUR EYES AND LOOK 

1987
01:15:16,809 --> 01:15:18,678
ACROSS EACH OF THE ROWS FOR 

1988
01:15:18,678 --> 01:15:19,846
CANCER WORRY AND SEE WHERE MOST 

1989
01:15:19,846 --> 01:15:21,548
RESPONSES ARE. 

1990
01:15:21,548 --> 01:15:23,183
FOR EXAMPLE, OREGON NOT AT ALL 

1991
01:15:23,183 --> 01:15:25,451
MOST RESPONSES ARE THERE WITH 

1992
01:15:25,451 --> 01:15:26,486
VERY UNLIKELY. 

1993
01:15:26,486 --> 01:15:28,821
WHEN YOU HAVE AN I DON'T KNOW 

1994
01:15:28,821 --> 01:15:30,723
RESPONSE OPTION AS YOU DO IN 

1995
01:15:30,723 --> 01:15:32,292
HINTS 6 WHAT YOU SEE WHEN YOU DO

1996
01:15:32,292 --> 01:15:35,195
THAT IS A FAIRLY NICE UPWARD 

1997
01:15:35,195 --> 01:15:37,230
PROGRESSION WE GO TO.  ONE CELL 

1998
01:15:37,230 --> 01:15:38,932
DOESN'T WORK.  DATA IS NOT 

1999
01:15:38,932 --> 01:15:40,667
PERFECT.  BY AND LARGE YOU SEE 

2000
01:15:40,667 --> 01:15:42,368
RELATION YOU WOULD EXPECT.  WHEN

2001
01:15:42,368 --> 01:15:44,037
DON'T KNOW RESPONSE OPTION IS 

2002
01:15:44,037 --> 01:15:51,878
PROVIDED AND AND 27.3% OF PEOPL 

2003
01:15:51,878 --> 01:15:54,514
SAID THEY DON'T KNOW FOR.  SAME 

2004
01:15:54,514 --> 01:15:56,082
EXERCISE SURVEY THEY DON'T KNOW 

2005
01:15:56,082 --> 01:15:57,784
WHAT RESPONSE OPTION IS NOT 

2006
01:15:57,784 --> 01:15:58,785
PROVIDED YOU GET A VERY 

2007
01:15:58,785 --> 01:16:00,253
DIFFERENT PATTERN. 

2008
01:16:00,253 --> 01:16:02,722
THERE, AGAIN, WITH ONE 

2009
01:16:02,722 --> 01:16:04,057
EXCEPTION, DATA IS NEVER 

2010
01:16:04,057 --> 01:16:06,059
PERFECT.  REGARDLESS OF LEVEL OF

2011
01:16:06,059 --> 01:16:08,194
CANCER WORRY, MOST COMMON 

2012
01:16:08,194 --> 01:16:09,329
RESPONSE THAT PEOPLE ARE GIVING 

2013
01:16:09,329 --> 01:16:12,365
FOR CANCER RISK IS A MIDPOINT 

2014
01:16:12,365 --> 01:16:14,067
RESPONSE OPTION THAT IS NEITHER 

2015
01:16:14,067 --> 01:16:15,969
LIKELY NOR UNLIKELY AND IS 

2016
01:16:15,969 --> 01:16:17,670
CHANGE IN VARIANCE AND 

2017
01:16:17,670 --> 01:16:20,273
COVARIANCE PATTERNS INCREASING 

2018
01:16:20,273 --> 01:16:21,975
PERCEIVED RISK AND THEREFORE 

2019
01:16:21,975 --> 01:16:25,645
DECREASING THE -- OUR ABILITY TO

2020
01:16:25,645 --> 01:16:26,446
PREDICT RESPONSES. 

2021
01:16:26,446 --> 01:16:29,148
SO, THAT CHANGE IN PEOPLE'S 

2022
01:16:29,148 --> 01:16:30,516
ANSWERING BEHAVIOR AND FORCING 

2023
01:16:30,516 --> 01:16:32,252
PEOPLE TO NOT BE ABLE TO SAY 

2024
01:16:32,252 --> 01:16:33,686
THAT THEY DON'T KNOW THEIR RISK 

2025
01:16:33,686 --> 01:16:34,887
BUT HAVING TO FIGURE OUT A WAY 

2026
01:16:34,887 --> 01:16:37,190
TO DO IT HAS REALLY IMPORTANT 

2027
01:16:37,190 --> 01:16:40,226
IMPLICATIONS FOR US IN TERMS OF 

2028
01:16:40,226 --> 01:16:40,827
SURVEY METHODOLOGY. 

2029
01:16:40,827 --> 01:16:43,029
MY TEENAGE SON WAS LOOKING AT 

2030
01:16:43,029 --> 01:16:45,431
THIS GRAPH.  HE MADE EXACTLY THE

2031
01:16:45,431 --> 01:16:47,100
OBSERVATION ABOUT ITS LOOK YOU 

2032
01:16:47,100 --> 01:16:49,936
WOULD EXPECT A 14-YEAR-OLD BOY 

2033
01:16:49,936 --> 01:16:52,572
TO MAKE THAT MAKES OR MAY 

2034
01:16:52,572 --> 01:16:53,840
SUGGEST SOMETHING ABOUT WHAT 

2035
01:16:53,840 --> 01:16:56,242
HAPPENS TO OUR ABILITY TO 

2036
01:16:56,242 --> 01:16:57,543
UNDERSTAND PERCEIVED RISK AND TO

2037
01:16:57,543 --> 01:16:59,078
REALLY HONOR WHAT PEOPLE ARE OR 

2038
01:16:59,078 --> 01:17:01,581
ARE NOT TELLING US WITH 

2039
01:17:01,581 --> 01:17:03,116
PERCEIVED RISK ANSWERS AND 

2040
01:17:03,116 --> 01:17:04,450
FAILED TO ACCOUNT WE DON'T KNOW 

2041
01:17:04,450 --> 01:17:07,720
RESPONSES AND NOT ONLY DOES IT 

2042
01:17:07,720 --> 01:17:09,188
PROVIDE IMPORTANT INFORMATION 

2043
01:17:09,188 --> 01:17:11,457
ABOUT PEOPLE'S KNOWLEDGE OR LACK

2044
01:17:11,457 --> 01:17:12,592
THEREOF.  IF WE DON'T ACCOUNT 

2045
01:17:12,592 --> 01:17:14,227
FOR THE IMPORTANT FACT THERE ARE

2046
01:17:14,227 --> 01:17:15,328
PEOPLE THAT LACK KNOWLEDGE OF 

2047
01:17:15,328 --> 01:17:18,364
THEIR RISK, WE ARE LOOKING AT 

2048
01:17:18,364 --> 01:17:20,266
RELATION BETWEEN RISK AND OTHER 

2049
01:17:20,266 --> 01:17:22,335
CONSTRUCTS A LITTLE LIKE LOOKING

2050
01:17:22,335 --> 01:17:25,538
AT EYE CHART WITHOUT GLASSES 

2051
01:17:25,538 --> 01:17:28,341
LOSING -- AND DRAWING ERRONEOUS 

2052
01:17:28,341 --> 01:17:30,410
CONCLUSIONS ABOUT WHAT PERCEIVED

2053
01:17:30,410 --> 01:17:32,812
RISK IS DOG FOR IMPORTANT 

2054
01:17:32,812 --> 01:17:34,280
PHENOMENA FOR CANCER PREVENTION 

2055
01:17:34,280 --> 01:17:35,515
AND THANK YOU AND LOOK FORWARD 

2056
01:17:35,515 --> 01:17:39,152
TO ANSWERING QUESTIONS AND 

2057
01:17:39,152 --> 01:17:49,495
TALKING MORE LATER. 

2058
01:17:51,631 --> 01:17:56,602
>> GOOD MORNING, EVERYONE.

2059
01:17:56,602 --> 01:17:58,371
[INDISCERNIBLE] I'M GOING TO 

2060
01:17:58,371 --> 01:18:02,508
TALK ABOUT MY PAPER WITH MY 

2061
01:18:02,508 --> 01:18:04,177
ADVISOR.  MENTAL HEALTH CRISIS 

2062
01:18:04,177 --> 01:18:06,112
AND [INDISCERNIBLE].  LET'S GET 

2063
01:18:06,112 --> 01:18:06,946
STARTED WITH BACKGROUND 

2064
01:18:06,946 --> 01:18:09,282
INFORMATION.  ACCORDING TO 2021 

2065
01:18:09,282 --> 01:18:11,718
NATIONAL SURVEY ON DRUG USE AND 

2066
01:18:11,718 --> 01:18:14,454
HEALTH, MORE THAN 1/5 OF US 

2067
01:18:14,454 --> 01:18:16,089
ADULTS EXPERIENCE MENTAL ILLNESS

2068
01:18:16,089 --> 01:18:18,758
AND MENTAL HEALTH ISSUES ARE 

2069
01:18:18,758 --> 01:18:19,826
BECOMING MORE PREFL LEBT AND 

2070
01:18:19,826 --> 01:18:22,528
SERIOUS IN RECENT YEARS AND DATA

2071
01:18:22,528 --> 01:18:28,334
IN TWENTD 11 AROUND 6.6% OF 

2072
01:18:28,334 --> 01:18:30,002
ADULTS WITH -- FRACTION OF 

2073
01:18:30,002 --> 01:18:31,604
PEOPLE WITH MENTAL HEALTH 

2074
01:18:31,604 --> 01:18:36,342
PROBLEMS IN US IS HIGHER AND 

2075
01:18:36,342 --> 01:18:38,244
DEVELOPED COUNTRIES IN ENGLAND 

2076
01:18:38,244 --> 01:18:41,614
AND SWITER LOINTD IS 1 IN 7 

2077
01:18:41,614 --> 01:18:45,351
PEOPLE IN FRANCE AND MENTAL 

2078
01:18:45,351 --> 01:18:47,720
ILLNESS IS COSTLY TO SOCIETY 

2079
01:18:47,720 --> 01:18:49,455
IMPOSING MULTIBILLION DOLLAR 

2080
01:18:49,455 --> 01:18:51,858
BURDEN ON US ECONOMY EACH YEAR 

2081
01:18:51,858 --> 01:18:54,527
AND POOR MENTAL HEALTH HARMS 

2082
01:18:54,527 --> 01:18:56,462
EDUCATIONAL OUTCOMES FOR 

2083
01:18:56,462 --> 01:18:58,398
CHILDREN AND BRINGS LARGE 

2084
01:18:58,398 --> 01:18:59,966
PRODUCTIVITY AND EARNING 

2085
01:18:59,966 --> 01:19:02,335
PENALTIES FOR ADULTS FURTHER 

2086
01:19:02,335 --> 01:19:05,071
IMPACTING SOCIABILITY. 

2087
01:19:05,071 --> 01:19:11,611
WHAT IS MENTAL HEALTH AND NOISE 

2088
01:19:11,611 --> 01:19:13,513
POLLUTION AND -- COMPARED TO 

2089
01:19:13,513 --> 01:19:16,349
SECOND AND THIRD LARGEST COUNTRY

2090
01:19:16,349 --> 01:19:19,252
CHINA AND INDIA, US HAS HUGE 

2091
01:19:19,252 --> 01:19:21,988
NETWORK AROUND THE WORLD AND 20 

2092
01:19:21,988 --> 01:19:24,123
TIMES THAT OF THE WHOLE EUROPEAN

2093
01:19:24,123 --> 01:19:27,326
UNION.  ACROSS THE COUNTRY, 

2094
01:19:27,326 --> 01:19:28,861
AMERICAN DRIERNS SPENT MORE THAN

2095
01:19:28,861 --> 01:19:31,964
84 BILLION HOURS DRIVING DURING 

2096
01:19:31,964 --> 01:19:34,700
2015 ON AVERAGE AMERICAN DRIVERS

2097
01:19:34,700 --> 01:19:39,572
SPEND JUST UNDER AN HOUR DRIVING

2098
01:19:39,572 --> 01:19:40,339
EVERY DAY. 

2099
01:19:40,339 --> 01:19:42,875
I EXPENSIVE USAGE OF PRIVATE 

2100
01:19:42,875 --> 01:19:45,511
VEHICLES FOR TRANSPORTATION AND 

2101
01:19:45,511 --> 01:19:48,181
FROM HOME IS PRODUCED FROM 

2102
01:19:48,181 --> 01:19:49,582
HIGHWAYS COULD BE IMPORTANT 

2103
01:19:49,582 --> 01:19:51,484
FACTOR FOR COMMON MENTAL HEALTH 

2104
01:19:51,484 --> 01:19:53,419
PROBLEMS IN THE US.  IN THIS 

2105
01:19:53,419 --> 01:19:57,290
STUDY WE WANT TO KNOW WHAT IS 

2106
01:19:57,290 --> 01:20:04,330
CAUSAL EFFECT OF NOISE 

2107
01:20:04,330 --> 01:20:04,630
POLLUTION. 

2108
01:20:04,630 --> 01:20:08,267
MORE SPECIFIC WE USE 

2109
01:20:08,267 --> 01:20:11,404
[INDISCERNIBLE] BECAUSE ALL 

2110
01:20:11,404 --> 01:20:16,142
THESE FIVE ITERATIONS OFFER 

2111
01:20:16,142 --> 01:20:18,377
VALUABLE ZIP-9 INFORMATION FOR 

2112
01:20:18,377 --> 01:20:20,680
RANDOM RESPONDENTS AT A NATIONAL

2113
01:20:20,680 --> 01:20:22,715
LEVEL AND UNIQUE FEATURE OF 

2114
01:20:22,715 --> 01:20:25,251
HINTS DATA THAT WE CAN LINK 

2115
01:20:25,251 --> 01:20:26,719
INDIVIDUAL MENTAL HEALTH 

2116
01:20:26,719 --> 01:20:28,955
OUTCOMES TO HIGHWAY AND 

2117
01:20:28,955 --> 01:20:31,357
AVIATION.  LET'S LOOK AT THIS IS

2118
01:20:31,357 --> 01:20:34,527
THE SCREENSHOT OF THE NATIONAL 

2119
01:20:34,527 --> 01:20:38,631
NOISE MAP AND SHADED AREAS ARE 

2120
01:20:38,631 --> 01:20:42,668
HIGHWAYS AND ORANGE IS AVIATION 

2121
01:20:42,668 --> 01:20:43,336
NOISE. 

2122
01:20:43,336 --> 01:20:46,706
MORE SPECIFIC LOOK AT LOCAL AREA

2123
01:20:46,706 --> 01:20:49,709
TO SEE MAJOR HIGHWAYS IN PINK 

2124
01:20:49,709 --> 01:20:54,413
AND BLUE AREAS MEANING MORE 

2125
01:20:54,413 --> 01:20:56,182
NOISE POLLUTION AND 

2126
01:20:56,182 --> 01:20:57,216
[INDISCERNIBLE] ARE LOCAL AIR 

2127
01:20:57,216 --> 01:21:01,587
THAT IS OUT OF THE SCREEN AND 

2128
01:21:01,587 --> 01:21:09,128
AVIATION NOISE EXPOSURE.  AFTER 

2129
01:21:09,128 --> 01:21:11,030
DEMOGRAPHIC AND OTHER VARIABLES 

2130
01:21:11,030 --> 01:21:14,433
THAT EFFECT MENTAL HAEMTH WE 

2131
01:21:14,433 --> 01:21:16,435
HAVE [INDISCERNIBLE] RESPONDENTS

2132
01:21:16,435 --> 01:21:18,738
IN THE SAMPLE AND KEY OUTCOME 

2133
01:21:18,738 --> 01:21:21,340
VARIABLE IN SUMMARY MENTAL 

2134
01:21:21,340 --> 01:21:23,075
HEALTH STUDY IS [INDISCERNIBLE] 

2135
01:21:23,075 --> 01:21:26,913
AND THIS INDEX RANGES 0 TO 12 

2136
01:21:26,913 --> 01:21:27,713
WITH LARGER NUMBER INDICATING 

2137
01:21:27,713 --> 01:21:30,816
WORSE MENTAL HEALTH AND SPECIFIC

2138
01:21:30,816 --> 01:21:31,884
OTHER RESPONDENTS WILL BE ASKED 

2139
01:21:31,884 --> 01:21:34,053
IN PAST TWO WEEKS HOW OFTEN HAVE

2140
01:21:34,053 --> 01:21:36,389
YOU BEEN BOTHERED BY ANY OF THE 

2141
01:21:36,389 --> 01:21:38,457
FOLLOWING SYMPTOMS AND WE HAVE 

2142
01:21:38,457 --> 01:21:40,660
FOUR DESIGNATIONS TO KNOW OF 

2143
01:21:40,660 --> 01:21:43,896
MENTAL HEALTH CONDITIONS AND 

2144
01:21:43,896 --> 01:21:54,373
WILL GET INDEX IN THE END.  

2145
01:21:55,608 --> 01:21:58,344
MORE SPECIFIC NUMBER OF AVERAGE 

2146
01:21:58,344 --> 01:22:01,013
HOUSEHOLD YOU SEE ON ZIP-9 IS 5.

2147
01:22:01,013 --> 01:22:03,349
THIS IS VALUABLE PROCESS TO 

2148
01:22:03,349 --> 01:22:05,685
ADDRESS THIS AND HOW TO MEASURE 

2149
01:22:05,685 --> 01:22:06,419
NOISE. 

2150
01:22:06,419 --> 01:22:10,990
HERE, ALL OF THE POINTS ARE 

2151
01:22:10,990 --> 01:22:13,626
[INDISCERNIBLE] FOR HINTS 

2152
01:22:13,626 --> 01:22:15,695
RESPONDENTS DATA USE AGREEMENT 

2153
01:22:15,695 --> 01:22:16,829
SHOWING INFORMATION FOR ALL 

2154
01:22:16,829 --> 01:22:18,164
RESPONDENTS AND POINTS ARE 

2155
01:22:18,164 --> 01:22:21,334
[INDISCERNIBLE] SURROUNDING MY 

2156
01:22:21,334 --> 01:22:21,667
HOME. 

2157
01:22:21,667 --> 01:22:25,571
WE SEE EACH BUFFER IS BUFFER I 

2158
01:22:25,571 --> 01:22:26,939
CREATED [INDISCERNIBLE] WE ARE 

2159
01:22:26,939 --> 01:22:30,242
ASSUMING THAT EACH RESPONDENTS 

2160
01:22:30,242 --> 01:22:33,145
ARE [INDISCERNIBLE] WITHIN EACH 

2161
01:22:33,145 --> 01:22:36,749
WE CAN CALCULATE AVERAGE PIXEL 

2162
01:22:36,749 --> 01:22:39,352
VALUE OF NOISE POLLUTION FROM 

2163
01:22:39,352 --> 01:22:41,654
[INDISCERNIBLE] AND GET AVERAGE 

2164
01:22:41,654 --> 01:22:42,888
NOISE BUFFER TO [INDISCERNIBLE] 

2165
01:22:42,888 --> 01:22:46,559
HINT RESPONDENTS TO APPROXIMATE 

2166
01:22:46,559 --> 01:22:48,227
LOCAL EXPOSURE TO AVIATION NOISE

2167
01:22:48,227 --> 01:22:50,763
AND BLACK AND WHITE LINES HERE 

2168
01:22:50,763 --> 01:22:54,600
ARE LOCAL HEAVY HERE FROM THE 

2169
01:22:54,600 --> 01:22:55,034
CITY. 

2170
01:22:55,034 --> 01:22:57,203
WE ACCOUNT FOR INDIVIDUAL 

2171
01:22:57,203 --> 01:22:58,437
DEMOGRAPHIC INFORMATION LIKE 

2172
01:22:58,437 --> 01:23:00,906
GRENDER, RACE, EDUCATION AND 

2173
01:23:00,906 --> 01:23:03,943
INCOME.  WE INCLUDE OTHER 

2174
01:23:03,943 --> 01:23:04,877
FACTORS LIKE INDIVIDUAL PHYSICAL

2175
01:23:04,877 --> 01:23:06,912
HEALTH CONDITIONS AND LOCAL 

2176
01:23:06,912 --> 01:23:08,214
ENVIRONMENTAL CONDITIONS SUCH AS

2177
01:23:08,214 --> 01:23:11,484
EXTREME TEMPERATURE AND AIR 

2178
01:23:11,484 --> 01:23:13,019
QUALITY AND HINTS DATA HAD THIS 

2179
01:23:13,019 --> 01:23:15,721
AND ENVIRONMENTAL AND 

2180
01:23:15,721 --> 01:23:16,355
DEMOGRAPHIC INFORMATION FROM 

2181
01:23:16,355 --> 01:23:20,426
OTHER DATA SETS WE HAVE VALUABLE

2182
01:23:20,426 --> 01:23:21,894
INFORMATION FROM HINTS DATA.  WE

2183
01:23:21,894 --> 01:23:25,564
WILL LOOK AT STATISTICS. 

2184
01:23:25,564 --> 01:23:27,533
THIS IS DISTRIBUTION OF ROAD 

2185
01:23:27,533 --> 01:23:29,201
NOISE.  YOU SEE PEOPLE EXPOSED 

2186
01:23:29,201 --> 01:23:30,636
TO NO ROAD NOISE BECAUSE NOW 

2187
01:23:30,636 --> 01:23:33,005
MOST PEOPLE ARE LIVING IN URBAN 

2188
01:23:33,005 --> 01:23:35,608
CITY AND LOTS OF HIGHWAYS ARE 

2189
01:23:35,608 --> 01:23:37,476
SURROUNDING US.  MOST PEOPLE 

2190
01:23:37,476 --> 01:23:39,979
EXPOSURE TO ROAD NOISE IS 

2191
01:23:39,979 --> 01:23:43,315
BETWEEN 52 TO 53 DECIBELS.  

2192
01:23:43,315 --> 01:23:44,717
HOWEVER, AVIATION NOISE 

2193
01:23:44,717 --> 01:23:49,055
OBVIOUSLY A LOT OF PEOPLE ARE 

2194
01:23:49,055 --> 01:23:51,724
LIVING NEAR AIR PORTS NOT 

2195
01:23:51,724 --> 01:23:53,793
EXPOSED TO AVIATION NOISE AND 

2196
01:23:53,793 --> 01:23:58,898
THOSE EXPOSED TO IT 45 TO 50 

2197
01:23:58,898 --> 01:24:00,966
DECIBELS AND GAP IS HUGE BLANK 

2198
01:24:00,966 --> 01:24:03,669
AREA LOWEST DETECTIBLE NOISE 

2199
01:24:03,669 --> 01:24:05,471
VALUE FROM DEPARTMENT OF 

2200
01:24:05,471 --> 01:24:06,005
TRANSPORTATION IS 

2201
01:24:06,005 --> 01:24:07,206
[INDISCERNIBLE] WHICH 

2202
01:24:07,206 --> 01:24:10,309
CONTRIBUTES TO THE BLANK AREA IN

2203
01:24:10,309 --> 01:24:16,048
THE MIDDLE.  WE HAVE STATISTICS 

2204
01:24:16,048 --> 01:24:17,383
FOR RESPONDENTS AND AVERAGE AGE 

2205
01:24:17,383 --> 01:24:19,785
IS AROUND 55 AND FRACTION FOR 

2206
01:24:19,785 --> 01:24:21,353
DIFFERENT RACIAL GROUPS HERE WE 

2207
01:24:21,353 --> 01:24:24,156
SEE AROUND 61 PEOPLE ARE FROM 

2208
01:24:24,156 --> 01:24:26,726
BIG CITY AND FROM MIDDLE CITY 

2209
01:24:26,726 --> 01:24:29,228
AND WE HAVE STATISTICS FOR OTHER

2210
01:24:29,228 --> 01:24:33,065
CONTROL VARIABLES AND OUTCOME 

2211
01:24:33,065 --> 01:24:34,600
VARIABLE WE HAVE THESE. 

2212
01:24:34,600 --> 01:24:36,769
WE HAVE THESE BECAUSE WE ARE 

2213
01:24:36,769 --> 01:24:40,039
USING FIVE ITERATIONS AND 

2214
01:24:40,039 --> 01:24:40,973
SYSTEMATIC CHANGE AS CROSS 

2215
01:24:40,973 --> 01:24:43,342
DIFFERENT WAVES AND CREATED Z 

2216
01:24:43,342 --> 01:24:45,311
SCORE AND STANDARDIZED INDEX FOR

2217
01:24:45,311 --> 01:24:48,147
THIS INDEX AND USE THIS AS OUR 

2218
01:24:48,147 --> 01:24:50,516
MAIN OUTCOME VARIABLES AND WE 

2219
01:24:50,516 --> 01:24:52,451
HAVE [INDISCERNIBLE] FOR CONTROL

2220
01:24:52,451 --> 01:24:55,254
VARIABLES THAT MEASURE FSIS AND 

2221
01:24:55,254 --> 01:24:57,957
LOCAL ENVIRONMENTAL FACTORS LIKE

2222
01:24:57,957 --> 01:25:00,126
THIS INDEX AND TOTAL ONSITE 

2223
01:25:00,126 --> 01:25:01,994
EMISSIONS TO APPROXIMATE LOCAL 

2224
01:25:01,994 --> 01:25:05,765
EXPOSURE FOR TRADITIONAL AIR 

2225
01:25:05,765 --> 01:25:06,065
POLLUTANTS. 

2226
01:25:06,065 --> 01:25:09,301
AND HERE IS OUR MAIN RESULTS .

2227
01:25:09,301 --> 01:25:11,871
HERE, REMINDER IS POSITIVE CO 

2228
01:25:11,871 --> 01:25:12,872
EFFICIENTS ON THIS TABLE 

2229
01:25:12,872 --> 01:25:14,540
REPRESENT NEGATIVE EFFECTS OF 

2230
01:25:14,540 --> 01:25:16,642
MENTAL HEALTH.  ORIGINAL INDEX 

2231
01:25:16,642 --> 01:25:19,678
IS INDEX THAT HAS LARGER VALUE 

2232
01:25:19,678 --> 01:25:22,114
THAT IS WORSE MENTAL HEALTH.  

2233
01:25:22,114 --> 01:25:24,450
COLUMN 1 AND 2 THIS CASE ARE 

2234
01:25:24,450 --> 01:25:25,451
CORRELATIONS 

2235
01:25:25,451 --> 01:25:31,557
SO, THE 0.02, IT MEANS THE NOISE

2236
01:25:31,557 --> 01:25:34,460
WHERE IT WILL INCREASE AND I'M 

2237
01:25:34,460 --> 01:25:37,463
SORRY RESPONDENTS WILL HAVE 

2238
01:25:37,463 --> 01:25:38,631
WORSE MENTAL HEALTH BETWEEN 

2239
01:25:38,631 --> 01:25:40,533
STANDARD DEVIATIONS THAT IS VERY

2240
01:25:40,533 --> 01:25:41,967
SIGNIFICANT AND COLUMNS 3 AND 4 

2241
01:25:41,967 --> 01:25:44,537
ARE BASICALLY USING 

2242
01:25:44,537 --> 01:25:46,405
[INDISCERNIBLE] METRIC WAYS TO 

2243
01:25:46,405 --> 01:25:48,340
USE RANDOM VARIATIONS IN 

2244
01:25:48,340 --> 01:25:51,076
ENVIRONMENTAL FACTORS USING WIND

2245
01:25:51,076 --> 01:25:52,578
DIRECTION AND WIND SPEED IN THE 

2246
01:25:52,578 --> 01:25:54,046
STUDY TO TELL CAUSALITY BETWEEN 

2247
01:25:54,046 --> 01:25:56,348
NOISE AND CORRELATION AND THIS 

2248
01:25:56,348 --> 01:25:58,551
IS ANOTHER LEVEL BEYOND SIMPLE 

2249
01:25:58,551 --> 01:26:00,586
CORRELATION AND SIMILARLY WE 

2250
01:26:00,586 --> 01:26:04,456
HAVE THESE EFFECTS OF NOISE OF 

2251
01:26:04,456 --> 01:26:08,327
MENTAL HEALTH HERE. 

2252
01:26:08,327 --> 01:26:10,129
WE WANT TO KNOW WHY AND NOISE 

2253
01:26:10,129 --> 01:26:12,998
THAT EFFECT MENTAL HEALTH AND 

2254
01:26:12,998 --> 01:26:14,500
THERE IS EVIDENCE IN 

2255
01:26:14,500 --> 01:26:15,634
[INDISCERNIBLE] STRESSING 

2256
01:26:15,634 --> 01:26:17,970
INDIVIDUAL RESPECT TO NOISE WILL

2257
01:26:17,970 --> 01:26:19,672
BE THROUGH ACTIVATION OF 

2258
01:26:19,672 --> 01:26:21,473
[INDISCERNIBLE] PART IN OUR 

2259
01:26:21,473 --> 01:26:26,212
GRANT AND HPA AXIS AND WE FIND 

2260
01:26:26,212 --> 01:26:30,282
THAT AVERAGE NOISE HAS 

2261
01:26:30,282 --> 01:26:31,083
SIGNIFICANT EFFECTS -- BECAUSE 

2262
01:26:31,083 --> 01:26:35,387
THE DATA THAT WE HAVE ARE SLEEP 

2263
01:26:35,387 --> 01:26:38,157
OTHER FROM THE FIRST 

2264
01:26:38,157 --> 01:26:38,791
[INDISCERNIBLE]. 

2265
01:26:38,791 --> 01:26:40,960
SO, WE CAN'T GET ZIP-9 LEVEL 

2266
01:26:40,960 --> 01:26:42,928
NOISE FOR THREE WEEKS.  WE DON'T

2267
01:26:42,928 --> 01:26:44,697
HAVE INFORMATION FOR THESE THREE

2268
01:26:44,697 --> 01:26:46,065
WEEKS AND AT [INDISCERNIBLE] 

2269
01:26:46,065 --> 01:26:49,268
LEVEL WE SEE THAT OUR MECHANISM 

2270
01:26:49,268 --> 01:26:50,102
WORKS HERE AND [INDISCERNIBLE] 

2271
01:26:50,102 --> 01:26:54,306
BE REDUCED IF EXPOSED TO MORE 

2272
01:26:54,306 --> 01:26:57,877
ROAD NOISE. 

2273
01:26:57,877 --> 01:27:00,980
AND EVEN GOING FROM 

2274
01:27:00,980 --> 01:27:02,314
[INDISCERNIBLE] DEPRESSIVE 

2275
01:27:02,314 --> 01:27:04,650
SYMPTOMS TO LOWER LABOR INCOMES 

2276
01:27:04,650 --> 01:27:05,951
AND [INDISCERNIBLE] AND FINDINGS

2277
01:27:05,951 --> 01:27:08,254
FOR THIS EFFECT IS EQUIVALENT TO

2278
01:27:08,254 --> 01:27:11,790
THOSE THAT HAVE MENTAL HEALTH 

2279
01:27:11,790 --> 01:27:14,293
PROBLEMS DESCRIBED AT FIELDING 

2280
01:27:14,293 --> 01:27:15,261
[INDISCERNIBLE] AND WE HAVE 

2281
01:27:15,261 --> 01:27:18,597
LITTLE INTEREST OF DOING THIS 

2282
01:27:18,597 --> 01:27:19,231
FOR SEVERAL DAYS [INDISCERNIBLE]

2283
01:27:19,231 --> 01:27:21,800
AND NOT BEING ABLE TO CONTROL 

2284
01:27:21,800 --> 01:27:24,670
THIS AT SAME TIME AND 

2285
01:27:24,670 --> 01:27:25,638
[INDISCERNIBLE] NOISE ADVISEMENT

2286
01:27:25,638 --> 01:27:28,574
OF POLICY TO PROTECT PEOPLE FROM

2287
01:27:28,574 --> 01:27:31,010
NEGATIVE EFFECTS OF NOISE 

2288
01:27:31,010 --> 01:27:31,377
POLLUTION. 

2289
01:27:31,377 --> 01:27:34,146
TO CONCLUDE WE ASK ABOUT CAUSAL 

2290
01:27:34,146 --> 01:27:36,315
EFFECT OF NOISE SOLUTION MENTAL 

2291
01:27:36,315 --> 01:27:37,883
HEALTH USING RESTRICTED 

2292
01:27:37,883 --> 01:27:40,920
INDIVIDUAL LEVEL DATA WITH 

2293
01:27:40,920 --> 01:27:45,457
[INDISCERNIBLE] ZIP-9 LEVEL AND 

2294
01:27:45,457 --> 01:27:47,559
WE FIND THAT SLEEP DEPRIVATION 

2295
01:27:47,559 --> 01:27:50,229
IS SIGNIFICANTLY LOW EXPANDING 

2296
01:27:50,229 --> 01:27:53,666
HOW NOISE EFFECTS MENTAL HEALTH 

2297
01:27:53,666 --> 01:27:58,404
AND APPRECIATE DR. MOSER FOR 

2298
01:27:58,404 --> 01:27:59,972
USAGE OF HINTS DATA AND 

2299
01:27:59,972 --> 01:28:02,074
APPRECIATE MY DEPARTMENT ADVISOR

2300
01:28:02,074 --> 01:28:05,577
GETTING US ZIP-9 INFORMATION.  

2301
01:28:05,577 --> 01:28:07,746
[INDISCERNIBLE] I'M REALLY 

2302
01:28:07,746 --> 01:28:08,747
WILLING TO HEAR [INDISCERNIBLE] 

2303
01:28:08,747 --> 01:28:10,916
IN THE ECONOMIC WORLD AND 

2304
01:28:10,916 --> 01:28:12,351
LOOKING FOR TO ANY 

2305
01:28:12,351 --> 01:28:13,852
INCORPORATION.  THIS IS MY 

2306
01:28:13,852 --> 01:28:16,722
CONTACT INFORMATION.  THANK YOU 

2307
01:28:16,722 --> 01:28:19,058
VERY MUCH.  

2308
01:28:19,058 --> 01:28:28,334
>> HI, EVERYBODY.  I'M
ASHLEY 

2309
01:28:28,334 --> 01:28:30,302
MURRAY AND REALLY EXCITED TO 

2310
01:28:30,302 --> 01:28:33,339
PRESENT SOME ANALYSIS THAT WE 

2311
01:28:33,339 --> 01:28:35,441
CONDUCTED ON THE HINTS 

2312
01:28:35,441 --> 01:28:37,443
SEER-LINKED DATA SET THAT KELLY 

2313
01:28:37,443 --> 01:28:39,278
ELUDED TO EARLIER.  ALL THIS 

2314
01:28:39,278 --> 01:28:41,680
WORK WAS CONDUCTED WHILE I WAS A

2315
01:28:41,680 --> 01:28:43,649
FELLOW AT NCI.  

2316
01:28:43,649 --> 01:28:46,151
NOW, I CONSIDER MYSELF PART OF 

2317
01:28:46,151 --> 01:28:47,820
THE FAN CLUB.  I'M EXCITED TO BE

2318
01:28:47,820 --> 01:28:48,520
HERE TODAY. 

2319
01:28:48,520 --> 01:28:52,291
HERE IS A QUICK OUTLINE WHAT I 

2320
01:28:52,291 --> 01:28:55,561
WILL DISCUSS. 

2321
01:28:55,561 --> 01:28:56,895
SELF-REPORT SURVEYS PARTICULARLY

2322
01:28:56,895 --> 01:28:59,498
THOSE ASKING ABOUT HEALTH AND 

2323
01:28:59,498 --> 01:29:01,367
MEDICAL INFORMATION AND 

2324
01:29:01,367 --> 01:29:02,368
BEHAVIORS ARE PRONE TO ERROR 

2325
01:29:02,368 --> 01:29:03,802
THAT MAY BE PARTICULARLY TRUE 

2326
01:29:03,802 --> 01:29:05,637
FOR SOME MEDICAL HISTORIES .

2327
01:29:05,637 --> 01:29:07,373
WE HAVE KNOWN IT FOR QUITE SOME 

2328
01:29:07,373 --> 01:29:09,775
TIME AND FOR EXAMPLE RESEARCH 

2329
01:29:09,775 --> 01:29:11,377
HAS FOUND THAT SELF-REPORTED 

2330
01:29:11,377 --> 01:29:18,350
MAMMOGRA OFFY MIGHT BE MORE -- 

2331
01:29:18,350 --> 01:29:21,286
SELF REPORTED PROSTATE AND 

2332
01:29:21,286 --> 01:29:24,790
COLORECTAL CANCER SCREENING 

2333
01:29:24,790 --> 01:29:27,326
MIGHT BE USED AND CLINICAL 

2334
01:29:27,326 --> 01:29:28,727
HEALTH RECORDS IS EMERGING WAY 

2335
01:29:28,727 --> 01:29:32,164
TO ADDRESS THIS ISSUE AND ONE IN

2336
01:29:32,164 --> 01:29:33,665
THE UNITED STATES IS THE SEER 

2337
01:29:33,665 --> 01:29:36,335
PROGRAM.  SEER PROGRAM WAS 

2338
01:29:36,335 --> 01:29:38,837
INTRODUCED EARLIER.  SEER IS 

2339
01:29:38,837 --> 01:29:40,572
SURVEILLANCE EPIDEMIOLOGY AND 

2340
01:29:40,572 --> 01:29:42,841
END RESULT PROGRAM A REGISTRY OF

2341
01:29:42,841 --> 01:29:45,778
CANCER SURVIVORS AIMING TO TRACK

2342
01:29:45,778 --> 01:29:50,382
CANCER STATISTICS AND REDUCING 

2343
01:29:50,382 --> 01:29:52,317
CANCER BURDEN IN THE UNITED 

2344
01:29:52,317 --> 01:29:56,588
STATES -- DATA ON CANCER 

2345
01:29:56,588 --> 01:29:59,425
SURVIVORS ARE COLLECTED FROM 22 

2346
01:29:59,425 --> 01:30:01,593
POPULATION BASED GEOGRAPHIC 

2347
01:30:01,593 --> 01:30:02,995
REGIONS IN THE UNITED STATES AND

2348
01:30:02,995 --> 01:30:04,797
REPRESENT 48% OF THE UNITED 

2349
01:30:04,797 --> 01:30:10,602
STATES POPULATION APPROXIMATELY.

2350
01:30:10,602 --> 01:30:14,273
HINTS IS A BIENNIAL DUAL MODES 

2351
01:30:14,273 --> 01:30:16,642
SURVEY OF NONINSTITUTIONALIZED 

2352
01:30:16,642 --> 01:30:17,876
ADULTS IN THE UNITED STATES 

2353
01:30:17,876 --> 01:30:20,446
CONDUCTED BY NATIONAL CANCER 

2354
01:30:20,446 --> 01:30:22,781
INSTITUTE.  HINTS TYPICALLY 

2355
01:30:22,781 --> 01:30:24,283
MEASURES AND TRACKS TRENDS 

2356
01:30:24,283 --> 01:30:26,885
RELATED TO CANCER AND CANCER 

2357
01:30:26,885 --> 01:30:30,122
COMMUNICATION AND HEALTH 

2358
01:30:30,122 --> 01:30:31,523
BEHAVIORS.  HINTS SEER WAS 

2359
01:30:31,523 --> 01:30:33,292
CONDUCTED FROM RESPONDENTS FROM 

2360
01:30:33,292 --> 01:30:35,894
THREE SEER REGISTRIES CONDUCTED 

2361
01:30:35,894 --> 01:30:39,131
AS PILOT STUDY TO SAMPLE CANCER 

2362
01:30:39,131 --> 01:30:41,834
SURVIVORS FOR ADMINISTRATION OF 

2363
01:30:41,834 --> 01:30:44,369
THE HINTS SURVEY AND THREE 

2364
01:30:44,369 --> 01:30:46,171
CANCER REGISTRIES WERE GREATER 

2365
01:30:46,171 --> 01:30:48,974
BAY AREA CANCER REGISTRY IOWA 

2366
01:30:48,974 --> 01:30:53,011
CANCER REGISTRY AND NEW MEXICO 

2367
01:30:53,011 --> 01:30:55,080
TUMOR REGISTRY. 

2368
01:30:55,080 --> 01:30:57,116
BY SAMPLING CANCER SURVIVORS 

2369
01:30:57,116 --> 01:31:00,285
FROM SEER REGISTRIES PROVIDING 

2370
01:31:00,285 --> 01:31:01,753
LINKED CLINICAL HEALTH RECORDS 

2371
01:31:01,753 --> 01:31:03,422
USING SEER REGISTRY WE WERE ABLE

2372
01:31:03,422 --> 01:31:07,159
TO ASK A FEW UNIQUE QUESTIONS 

2373
01:31:07,159 --> 01:31:09,027
AND PRIOR ADMINISTRATION OF HINT

2374
01:31:09,027 --> 01:31:11,296
AND RESEARCH FOR TODAY'S 

2375
01:31:11,296 --> 01:31:12,831
PRESENTATION WERE TO WHAT EXTENT

2376
01:31:12,831 --> 01:31:15,667
DO SELF REPORT ITEMS MATCH 

2377
01:31:15,667 --> 01:31:17,803
RECORDS FOR CANCER SURVIVORS AND

2378
01:31:17,803 --> 01:31:20,706
CANCER SURVIVORS ACCURATELY 

2379
01:31:20,706 --> 01:31:22,374
SELF-REPORT CANCER TYPE AND DO 

2380
01:31:22,374 --> 01:31:24,143
THEY SELF-REPORT THEIR YEAR OF 

2381
01:31:24,143 --> 01:31:26,912
CANCER DIAGNOSIS?  

2382
01:31:26,912 --> 01:31:28,780
DELVING MORE INTO METHODS OF 

2383
01:31:28,780 --> 01:31:31,817
HINTS SEER IN 2021 THE 

2384
01:31:31,817 --> 01:31:34,586
INFORMATION FROM SURVEY FIELDED 

2385
01:31:34,586 --> 01:31:37,089
WITH RANDOM SAMPLE OF CANCER 

2386
01:31:37,089 --> 01:31:39,391
SURVIVORS FROM THREE REGISTRIES 

2387
01:31:39,391 --> 01:31:40,926
I MENTIONED EARLIER AND 

2388
01:31:40,926 --> 01:31:42,394
PROCEDURES REQUIRED BY SEER ARE 

2389
01:31:42,394 --> 01:31:44,363
EDGETRIES RESPONSE RATES WERE 

2390
01:31:44,363 --> 01:31:45,898
CALCULATED IN TWO STAGES FIRST 

2391
01:31:45,898 --> 01:31:48,800
OF WHICH ACCOUNTED FOR CONSENT 

2392
01:31:48,800 --> 01:31:51,103
RATES AND SECOND STAGE THAT 

2393
01:31:51,103 --> 01:31:54,840
ACCOUNTED FOR SURVEY COMPLETION 

2394
01:31:54,840 --> 01:31:55,040
RATE. 

2395
01:31:55,040 --> 01:31:56,842
LIKE KELLY DISCUSSED EARLIER 

2396
01:31:56,842 --> 01:31:58,043
THERE WERE DIFFERENT RESPONSE 

2397
01:31:58,043 --> 01:32:00,078
RATES BY EACH OF THE SIERRA 

2398
01:32:00,078 --> 01:32:01,713
REGISTRIES YOU CAN SEE UP ON THE

2399
01:32:01,713 --> 01:32:02,748
SCREEN. 

2400
01:32:02,748 --> 01:32:05,517
WE CONDUCTED OR SORRY ANDREW 

2401
01:32:05,517 --> 01:32:07,219
CONDUCTED AN OVERALL RESPONSE 

2402
01:32:07,219 --> 01:32:08,020
RATE.  

2403
01:32:08,020 --> 01:32:10,622
BIAS ANALYSIS, WHICH INDICATED 

2404
01:32:10,622 --> 01:32:13,292
TWO DIFFERENCES IN DEMOGRAPHIC 

2405
01:32:13,292 --> 01:32:16,295
COMPOSITION BETWEEN RESPONDENTS 

2406
01:32:16,295 --> 01:32:18,931
AND POOL OF SAMPLED PATIENTS IN 

2407
01:32:18,931 --> 01:32:20,933
EACH REGISTRY AND HINTS SEER 

2408
01:32:20,933 --> 01:32:25,404
ACHIEVED RESPONSE RATE OF 12.6%.

2409
01:32:25,404 --> 01:32:28,740
SO, HINTS SEER IS 

2410
01:32:28,740 --> 01:32:30,375
SELF-ADMINISTERED QUESTIONNAIRE 

2411
01:32:30,375 --> 01:32:32,277
THAT USING HINT 5 CYCLE 4 

2412
01:32:32,277 --> 01:32:33,545
SURVEY.  HOWEVER, WE WERE ABLE 

2413
01:32:33,545 --> 01:32:35,480
TO UPDATE THE SURVEY TO HAVE 

2414
01:32:35,480 --> 01:32:37,816
MODIFIED QUESTIONS TO BE MORE 

2415
01:32:37,816 --> 01:32:39,718
SALIENT TO CANCER SURVIVORS.  

2416
01:32:39,718 --> 01:32:41,620
FOR EXAMPLE AS WE HEARD FROM A 

2417
01:32:41,620 --> 01:32:43,589
COUPLE OTHER PRESENTERS THERE 

2418
01:32:43,589 --> 01:32:45,023
WERE QUESTIONS ASKING ABOUT RISK

2419
01:32:45,023 --> 01:32:46,592
FOR GETTING ADDITIONAL CANCER 

2420
01:32:46,592 --> 01:32:47,993
AND ABLE TO FIELD ALSO SOME 

2421
01:32:47,993 --> 01:32:51,230
ITEMS RELATED TO THE COVID-19 

2422
01:32:51,230 --> 01:32:52,698
PANDEMIC BECAUSE OF TIMING 

2423
01:32:52,698 --> 01:32:54,399
WHENEVER WE FIELDED THE SURVEY 

2424
01:32:54,399 --> 01:32:55,734
AND TWO QUESTIONS MOST 

2425
01:32:55,734 --> 01:32:57,135
INTERESTED IN FOR TODAY'S 

2426
01:32:57,135 --> 01:32:58,670
ANALYSIS ARE WHAT TYPES OF 

2427
01:32:58,670 --> 01:33:02,207
CANCER HAVE YOU BEEN DIAGNOSED 

2428
01:33:02,207 --> 01:33:03,575
WITH AND AT WHAT AGE WERE YOU 

2429
01:33:03,575 --> 01:33:09,081
TOLD YOU HAD CANCER?  

2430
01:33:09,348 --> 01:33:11,617
1,213 RESPONDENTS SELF-REPORTED 

2431
01:33:11,617 --> 01:33:12,818
CANCER DIAGNOSIS USING 

2432
01:33:12,818 --> 01:33:14,052
CATEGORICAL VARIABLE YOU CAN SEE

2433
01:33:14,052 --> 01:33:16,989
UP ON THE SCREEN THAT INCLUDED 

2434
01:33:16,989 --> 01:33:19,324
AND OTHER SPECIFY OPTION AND 

2435
01:33:19,324 --> 01:33:20,993
SELF-REPORTED CANCER DIAGNOSIS 

2436
01:33:20,993 --> 01:33:21,893
INCLUDING THOSE IN OTHER 

2437
01:33:21,893 --> 01:33:24,363
RESPONSES THAT WERE RECODED 

2438
01:33:24,363 --> 01:33:27,432
USING SEER SITE RECODES OR ICD03

2439
01:33:27,432 --> 01:33:29,234
CODES IF YOU HEARD OF THEM 

2440
01:33:29,234 --> 01:33:31,103
BEFORE AND SELF-REPORTED CANCER 

2441
01:33:31,103 --> 01:33:33,372
DIAGNOSIS WAS CROSSED WITH 

2442
01:33:33,372 --> 01:33:34,773
REGISTRY-RECORDED CANCER 

2443
01:33:34,773 --> 01:33:36,541
DIAGNOSIS FROM THE SEER REGISTRY

2444
01:33:36,541 --> 01:33:39,378
AND A FEW RESPONDENTS WROTE A 

2445
01:33:39,378 --> 01:33:41,346
RESPONSE UNABLE TO BE 

2446
01:33:41,346 --> 01:33:43,949
CATEGORIZED COLLAPSED THEM WITH 

2447
01:33:43,949 --> 01:33:44,916
RESPONDENTS WHO REPORTED 

2448
01:33:44,916 --> 01:33:46,785
REGISTRY RECORDED CANCER 

2449
01:33:46,785 --> 01:33:49,688
DIAGNOSIS THAT DIDN'T MATCH AND 

2450
01:33:49,688 --> 01:33:52,324
96.5% OF RESPONDENTS REPORTED 

2451
01:33:52,324 --> 01:33:53,625
CANCER DIAGNOSIS MATCHING SEER 

2452
01:33:53,625 --> 01:33:57,029
REGISTRY LINKED CANCER DIAGNOSIS

2453
01:33:57,029 --> 01:33:59,898
INDICATING HIGH ACCURACY IN 

2454
01:33:59,898 --> 01:34:01,033
SELF-REPORTED CANCER DIAGNOSIS. 

2455
01:34:01,033 --> 01:34:03,602
NEXT, WE WERE INTERESTED IN THE 

2456
01:34:03,602 --> 01:34:05,804
HINTS SEER ITEM AT WHAT AGE WERE

2457
01:34:05,804 --> 01:34:08,840
YOU FIRST TOLD YOU HAD A CANCER 

2458
01:34:08,840 --> 01:34:09,174
DIAGNOSIS?  

2459
01:34:09,174 --> 01:34:11,510
THIS ITEM MATCHED THE SEER ARE 

2460
01:34:11,510 --> 01:34:13,145
EDGETRY AND REPORTED DATE OF 

2461
01:34:13,145 --> 01:34:15,180
YEAR OF CANCER DIAGNOSIS. 

2462
01:34:15,180 --> 01:34:16,915
HOWEVER, WE HAD TO GO THROUGH A 

2463
01:34:16,915 --> 01:34:19,184
SERIES OF CALCULATIONS TO BE 

2464
01:34:19,184 --> 01:34:21,053
ABLE TO CREATE A HINTS SEER 

2465
01:34:21,053 --> 01:34:22,154
VARIABLE THAT COULD BE COMPARED 

2466
01:34:22,154 --> 01:34:23,889
WITH THE SEER ARE EDGETRY 

2467
01:34:23,889 --> 01:34:25,324
REPORTED DATA. 

2468
01:34:25,324 --> 01:34:28,493
USING AGE AT FIRST CANCER 

2469
01:34:28,493 --> 01:34:29,728
DIAGNOSIS, RESPONDENT'S CURRENT 

2470
01:34:29,728 --> 01:34:31,496
AGE AND YEAR OF SURVEY 

2471
01:34:31,496 --> 01:34:33,498
COMPLETION, WE WERE ABLE TO 

2472
01:34:33,498 --> 01:34:36,134
COMPUTE AN ESTIMATED YEAR OF 

2473
01:34:36,134 --> 01:34:39,137
CANCER DIAGNOSIS, WHICH THEN IF 

2474
01:34:39,137 --> 01:34:41,139
WE CALCULATE THE YEAR OF CANCER 

2475
01:34:41,139 --> 01:34:43,041
DIAGNOSIS THIS WAY, THIS IS 

2476
01:34:43,041 --> 01:34:44,242
UNFORTUNATELY CREATING AN 

2477
01:34:44,242 --> 01:34:45,110
OPPORTUNITY FOR ERROR. 

2478
01:34:45,110 --> 01:34:47,713
WE DON'T KNOW WHEN THE 

2479
01:34:47,713 --> 01:34:49,114
RESPONDENT'S BIRTHDAY IS ONLY 

2480
01:34:49,114 --> 01:34:51,016
THE YEAR THEY COMPLETED THE 

2481
01:34:51,016 --> 01:34:53,118
SURVEY AND HOW OLD THEY REPORTED

2482
01:34:53,118 --> 01:34:54,252
THEY WERE WHENEVER THEY 

2483
01:34:54,252 --> 01:34:57,055
COMPLETED THE SURVEY. 

2484
01:34:57,055 --> 01:34:58,457
ADDITIONALLY, BECAUSE WE ASKED 

2485
01:34:58,457 --> 01:34:59,891
WHEN THE RESPONDENT WAS FIRST 

2486
01:34:59,891 --> 01:35:01,927
TOLD THEY HAD CANCER, WE COULD 

2487
01:35:01,927 --> 01:35:04,329
ONLY CONDUCT ANALYSIS ON THOSE 

2488
01:35:04,329 --> 01:35:07,065
WHOSE SEER ARE EDGETRY LINKED 

2489
01:35:07,065 --> 01:35:08,800
CANCER DIAGNOSIS CORRESPONDED 

2490
01:35:08,800 --> 01:35:12,104
WITH FIRST CANCER DIAGNOSIS. 

2491
01:35:12,104 --> 01:35:13,839
TO ACCOUNT FOR THE ERROR 

2492
01:35:13,839 --> 01:35:16,541
PRODUCED BY HAVING TO CALCULATE 

2493
01:35:16,541 --> 01:35:20,312
YEAR OF CANCER DIAGNOSIS USING 

2494
01:35:20,312 --> 01:35:22,647
RESPONDENT SELF-REPORTED AGE AND

2495
01:35:22,647 --> 01:35:23,915
SELF-REPORTED AGE AT FIRST 

2496
01:35:23,915 --> 01:35:27,586
CANCER DIAGNOSIS WE ANALYZE 

2497
01:35:27,586 --> 01:35:31,123
CORRESPONDIENTS OF -- WE ANALYZE

2498
01:35:31,123 --> 01:35:32,724
CORRESPONDENTS TO ASSESS WHETHER

2499
01:35:32,724 --> 01:35:34,393
CALCULATED YEAR OF DIAGNOSIS 

2500
01:35:34,393 --> 01:35:37,095
MATCHED SEER ARE EDGETRY 

2501
01:35:37,095 --> 01:35:40,632
REPORTED YEAR OF DIAGNOSIS AND 

2502
01:35:40,632 --> 01:35:42,134
34.7% OF ELIGIBLE RESPONDENTS 

2503
01:35:42,134 --> 01:35:45,737
HAD MATCHING CALCULATED YEAR OF 

2504
01:35:45,737 --> 01:35:46,638
CANCER DIAGNOSIS AND SEER 

2505
01:35:46,638 --> 01:35:48,974
REGISTRY REPORTED YEAR OF CANCER

2506
01:35:48,974 --> 01:35:51,243
DIAGNOSIS.  39.1% HAD CALCULATED

2507
01:35:51,243 --> 01:35:53,979
YEAR OF CANCER DIAGNOSIS THAT 

2508
01:35:53,979 --> 01:35:56,948
MATCHED WITHIN PLUS OR MINUS ONE

2509
01:35:56,948 --> 01:35:58,750
YEAR OF SEER REGISTRY REPORTED 

2510
01:35:58,750 --> 01:36:01,820
CANCER DIAGNOSIS AND 9.7% HAD 

2511
01:36:01,820 --> 01:36:03,588
CALCULATED YEAR OF CANCER 

2512
01:36:03,588 --> 01:36:05,357
DIAGNOSIS MATCHING WITHIN PLUS 

2513
01:36:05,357 --> 01:36:07,726
OR MINUS 2 YEARS OF SEER ARE 

2514
01:36:07,726 --> 01:36:09,661
EDGETRY REPORTED YEAR OF CANCER 

2515
01:36:09,661 --> 01:36:10,328
DIAGNOSIS. 

2516
01:36:10,328 --> 01:36:13,231
FINALLY, ONLY 16.5% HAD A 

2517
01:36:13,231 --> 01:36:15,100
CALCULATED YEAR OF CANCER 

2518
01:36:15,100 --> 01:36:17,569
DIAGNOSIS THAT HAD A GREATER 

2519
01:36:17,569 --> 01:36:19,938
THAN PLUS OR MINUS TWO YEARS OF 

2520
01:36:19,938 --> 01:36:21,406
THE SEER ARE EDGETRY REPORTED 

2521
01:36:21,406 --> 01:36:24,776
YEAR OF CANCER DIAGNOSIS. 

2522
01:36:24,776 --> 01:36:26,411
IF WE COMBINE FIRST THREE GROUPS

2523
01:36:26,411 --> 01:36:28,313
I TALKED ABOUT RESPONDENTS THAT 

2524
01:36:28,313 --> 01:36:30,782
HAD CALCULATED YEAR OF CANCER 

2525
01:36:30,782 --> 01:36:32,117
DIAGNOSIS THAT MATCHED THEIR 

2526
01:36:32,117 --> 01:36:34,820
REGISTRY REPORTED YEAR OF CANCER

2527
01:36:34,820 --> 01:36:36,254
DIAGNOSIS WITHIN PLUS OR MINUS 

2528
01:36:36,254 --> 01:36:39,658
TWO YEARS OR LESS, 83.5% OF 

2529
01:36:39,658 --> 01:36:41,426
SAMPLE FIT WITHIN THAT CATEGORY 

2530
01:36:41,426 --> 01:36:44,763
AND ONLY 16.5% HAD GREATER THAN 

2531
01:36:44,763 --> 01:36:46,298
2 YEAR DIFFERENCE INDICATING 

2532
01:36:46,298 --> 01:36:48,233
THAT MOST CANCER SURVIVORS HAD 

2533
01:36:48,233 --> 01:36:52,637
AN ACCURATE CALCULATED YEAR OF 

2534
01:36:52,637 --> 01:36:56,975
CANCER DIAGNOSIS. 

2535
01:36:56,975 --> 01:37:00,712
TO SUM UP, 96.5% OF RESPONDENTS 

2536
01:37:00,712 --> 01:37:03,515
REPORTED CANCER DIAGNOSIS THAT 

2537
01:37:03,515 --> 01:37:05,417
MATCHED THE SEER REGISTRY LINKED

2538
01:37:05,417 --> 01:37:08,720
CANCER DIAGNOSIS AND 83.5% OF 

2539
01:37:08,720 --> 01:37:10,856
SAMPLE HAD CALCULATED YEAR OF 

2540
01:37:10,856 --> 01:37:13,191
CANCER DIAGNOSIS WITHIN ACING 

2541
01:37:13,191 --> 01:37:14,426
CREPTABLE MARGIN OF ERROR OF 

2542
01:37:14,426 --> 01:37:16,561
AGREEMENT WITH REGISTRY LINKED 

2543
01:37:16,561 --> 01:37:19,097
CANCER DIAGNOSIS AND FOUND A 

2544
01:37:19,097 --> 01:37:21,066
HIGH AGREEMENT BETWEEN CANCER 

2545
01:37:21,066 --> 01:37:23,568
TYPE INDICATORS AND SLIGHTLY 

2546
01:37:23,568 --> 01:37:26,805
LOWER AGREEMENT OF CANCER 

2547
01:37:26,805 --> 01:37:28,206
DIAGNOSIS INDICATORS AND PART OF

2548
01:37:28,206 --> 01:37:30,709
THIS LOWER AGREEMENT FOR AGE AT 

2549
01:37:30,709 --> 01:37:35,380
FIRST CANCER DIAGNOSIS COULD BE 

2550
01:37:35,380 --> 01:37:36,648
BECAUSE OR COULD BE ATTRIBUTED 

2551
01:37:36,648 --> 01:37:38,617
TO US HAVING TO CALCULATE YEAR 

2552
01:37:38,617 --> 01:37:40,886
OF CANCER DIAGNOSIS. 

2553
01:37:40,886 --> 01:37:43,388
PART MIGHT BE DUE TO DIFFICULTY 

2554
01:37:43,388 --> 01:37:46,124
IN REMEMBERING EXACTLY WHEN A 

2555
01:37:46,124 --> 01:37:47,058
DIAGNOSIS HAPPENED THAT I'M SURE

2556
01:37:47,058 --> 01:37:51,129
THAT MANY OF US HAVE GONE TO 

2557
01:37:51,129 --> 01:37:54,699
HEALTH CHECK-UPS AND STRUGGLED 

2558
01:37:54,699 --> 01:37:56,601
TO REMEMBER WHEN THINGS HAPPENED

2559
01:37:56,601 --> 01:37:58,770
ON MEDICAL HISTORY FORM AND I 

2560
01:37:58,770 --> 01:38:00,772
FIND MYSELF CONSTANTLY DOING 

2561
01:38:00,772 --> 01:38:03,441
MENTAL GYMNASTICS TRYING TO 

2562
01:38:03,441 --> 01:38:08,947
REMEMBER WHAT YEAR MEDICAL 

2563
01:38:08,947 --> 01:38:11,116
PROCEDURE HAPPENED AND HOW OLD 

2564
01:38:11,116 --> 01:38:13,418
WAS I IN THAT GRADE?  SOMETIMES 

2565
01:38:13,418 --> 01:38:15,520
THIS CAN BE OR MAKE THINGS MORE 

2566
01:38:15,520 --> 01:38:16,755
DIFFICULT FOR PEOPLE TO 

2567
01:38:16,755 --> 01:38:17,422
REMEMBER. 

2568
01:38:17,422 --> 01:38:18,790
HOWEVER, BECAUSE CANCER 

2569
01:38:18,790 --> 01:38:20,492
SURVIVORS HAVE LOTS OF 

2570
01:38:20,492 --> 01:38:22,060
INTERACTION WITH MEDICAL SYSTEM 

2571
01:38:22,060 --> 01:38:24,529
THEY MIGHT HAVE AN EASIER TIME 

2572
01:38:24,529 --> 01:38:25,664
REMEMBERING AND SELF-REPORTING 

2573
01:38:25,664 --> 01:38:28,066
CERTAIN ASPECTS OF THEIR 

2574
01:38:28,066 --> 01:38:29,834
DIAGNOSIS.  FUTURE RESEARCH 

2575
01:38:29,834 --> 01:38:31,336
COULD EXPLORE OTHER RESPONDENTS 

2576
01:38:31,336 --> 01:38:32,904
WITH OTHER MEDICAL DIAGNOSIS ARE

2577
01:38:32,904 --> 01:38:35,040
MORE OR LESS ACCURATE IN 

2578
01:38:35,040 --> 01:38:36,341
SELF-REPORTING THEIR MEDICAL 

2579
01:38:36,341 --> 01:38:37,943
HISTORY AND RESEARCH FOR EXAMPLE

2580
01:38:37,943 --> 01:38:39,678
IS FOUND THAT IF MORE SPECIFIC 

2581
01:38:39,678 --> 01:38:40,912
INFORMATION ABOUT CANCER 

2582
01:38:40,912 --> 01:38:42,814
DIAGNOSIS AND TREATMENT SUCH AS 

2583
01:38:42,814 --> 01:38:44,950
STAGE CANCER DIAGNOSIS, THOSE 

2584
01:38:44,950 --> 01:38:46,685
TYPES OF HEALTH HISTORIES MIGHT 

2585
01:38:46,685 --> 01:38:49,554
BE MORE PRONE TO ERROR. 

2586
01:38:49,554 --> 01:38:50,922
FINALLY, BECAUSE LINKAGES MIGHT 

2587
01:38:50,922 --> 01:38:53,892
BE A WAY TO REDUCE OR ESTIMATE 

2588
01:38:53,892 --> 01:38:56,161
ERROR IN SELF-REPORT 

2589
01:38:56,161 --> 01:38:57,562
QUESTIONNAIRES, THINKING ABOUT 

2590
01:38:57,562 --> 01:38:59,497
LINKAGES WHEN DESIGNING 

2591
01:38:59,497 --> 01:39:00,098
QUESTIONNAIRES IS IMPORTANT 

2592
01:39:00,098 --> 01:39:01,733
PRIOR TO FIELDING THE SURVEY AND

2593
01:39:01,733 --> 01:39:03,868
IMPORTANT TO NOTE THAT TESTING 

2594
01:39:03,868 --> 01:39:07,072
FOR ACCURACY OF SELF-REPORT IS 

2595
01:39:07,072 --> 01:39:09,007
NOT PRIMARY GOAL OF HINTS SEER 

2596
01:39:09,007 --> 01:39:10,909
AND TEAM WAS CAUTIOUS ABOUT 

2597
01:39:10,909 --> 01:39:12,177
MAKING CHANGES TO HINT 

2598
01:39:12,177 --> 01:39:14,346
INSTRUMENT LIMITING ABILITY TO 

2599
01:39:14,346 --> 01:39:16,314
COMPARE TO GENERAL POPULATION 

2600
01:39:16,314 --> 01:39:18,049
ADMINISTRATION OF HINTS. 

2601
01:39:18,049 --> 01:39:21,686
BASED ON FINDINGS FROM CURRENT 

2602
01:39:21,686 --> 01:39:23,321
ANALYSIS, WHEN POSSIBLE 

2603
01:39:23,321 --> 01:39:24,122
QUESTIONNAIRES SHOULD TAKE INTO 

2604
01:39:24,122 --> 01:39:25,123
CONSIDERATION WHETHER TO BE 

2605
01:39:25,123 --> 01:39:27,692
DESIGNED IN A WAY THAT LINKAGES 

2606
01:39:27,692 --> 01:39:30,261
COULD BE CREATED TO REDUCE OR 

2607
01:39:30,261 --> 01:39:31,796
ESTIMATE ERROR IN SELF-REPORT 

2608
01:39:31,796 --> 01:39:32,731
QUESTIONNAIRES TO INCREASE THE 

2609
01:39:32,731 --> 01:39:35,900
QUALITY OF A- NAL SEIZE. 

2610
01:39:35,900 --> 01:39:37,936
HERE ARE MY WORKS CITED AND 

2611
01:39:37,936 --> 01:39:40,338
THANK YOU TO MY COLLEAGUES AT 

2612
01:39:40,338 --> 01:39:44,209
WESTAT ICF, NCI, AND THANK YOU 

2613
01:39:44,209 --> 01:39:50,382
TO EVERYBODY HERE ON THE HINTS 

2614
01:39:50,382 --> 01:39:51,916
TEAM. 

2615
01:39:51,916 --> 01:40:02,360
>> HI, EVERYONE.  SO, THE 

2616
01:40:06,398 --> 01:40:09,134
CURRENT PAPER IS SITUATED IN THE

2617
01:40:09,134 --> 01:40:11,302
VAST LITERATURE ON TRUST AND 

2618
01:40:11,302 --> 01:40:14,706
HEALTHCARE PROVIDERS, WHICH 

2619
01:40:14,706 --> 01:40:16,141
FAIRLY CONSISTENTLY FINDS THAT 

2620
01:40:16,141 --> 01:40:20,178
BLACK ADULTS TEND TO CITE LOWER 

2621
01:40:20,178 --> 01:40:22,113
LEVELS OF TRUST IN PROVIDERS 

2622
01:40:22,113 --> 01:40:23,248
THAN WHITE ADULTS.

2623
01:40:23,248 --> 01:40:25,016
REASONS FOR THIS ARE A MYRIAD. 

2624
01:40:25,016 --> 01:40:28,153
THERE IS A VAST, VAST LITERATURE

2625
01:40:28,153 --> 01:40:30,722
HERE ALSO DOCUMENTING WHAT ARE 

2626
01:40:30,722 --> 01:40:32,390
MECHANISMS BEHIND DIFFERENCES.  

2627
01:40:32,390 --> 01:40:34,726
VERY, VERY BRIEFLY, THIS 

2628
01:40:34,726 --> 01:40:36,795
INCLUDES SYSTEMIC DISCRIMINATION

2629
01:40:36,795 --> 01:40:39,230
INSIDE OF HEALTHCARE AND 

2630
01:40:39,230 --> 01:40:40,598
EXPERIENCING FOR EXAMPLE 

2631
01:40:40,598 --> 01:40:42,367
MISTREATMENT OR MALTREATMENT BY 

2632
01:40:42,367 --> 01:40:46,137
CLINICIANS AND OTHER HEALTH 

2633
01:40:46,137 --> 01:40:47,138
PROVIDERS AND DISCRIMINATION 

2634
01:40:47,138 --> 01:40:49,841
OUTSIDE OF HEALTHCARE AND ONE 

2635
01:40:49,841 --> 01:40:51,376
EXAMPLE IS RESIDENTIAL 

2636
01:40:51,376 --> 01:40:52,343
SEGREGATION THAT MEANS THAT 

2637
01:40:52,343 --> 01:40:55,647
BLACK HOUSEHOLDS ARE LESS LIKELY

2638
01:40:55,647 --> 01:40:58,283
TO LIVE NEAR GREEN SPACES AND 

2639
01:40:58,283 --> 01:41:01,086
RISK OF HEART DISEASE DIABETES 

2640
01:41:01,086 --> 01:41:05,223
AND OBESITY AND POOR HEALTH 

2641
01:41:05,223 --> 01:41:06,991
OUTCOMES IN TURN LEAD TO 

2642
01:41:06,991 --> 01:41:08,893
MISMANAGEMENT FOR CLINICIANS AND

2643
01:41:08,893 --> 01:41:10,361
FUELS IDEA THAT CLINICIANS ARE 

2644
01:41:10,361 --> 01:41:13,865
NOT TO BE TRUSTED.  AN EXAMPLE 

2645
01:41:13,865 --> 01:41:16,801
HERE IS INTERGENERATIONAL 

2646
01:41:16,801 --> 01:41:17,702
TRANSMISSION.  BLACK CHILDREN 

2647
01:41:17,702 --> 01:41:19,604
FOR EXAM WILL GROW UP SEEING 

2648
01:41:19,604 --> 01:41:21,806
ADULTS AND FAMILIES GET 

2649
01:41:21,806 --> 01:41:22,874
MISTREATED BY CLINICIANS AND 

2650
01:41:22,874 --> 01:41:24,576
LEARN FROM EARLY AGE THAT 

2651
01:41:24,576 --> 01:41:25,777
CLINICIANS ARE NOT FOLKS THAT 

2652
01:41:25,777 --> 01:41:27,245
SHOULD BE TRUSTED. 

2653
01:41:27,245 --> 01:41:29,914
CITIES IN THE AREA TEND TO BE 

2654
01:41:29,914 --> 01:41:30,315
CROSS-SECTIONAL. 

2655
01:41:30,315 --> 01:41:33,418
WE AS A SOCIETY HAVE TRIED OUR 

2656
01:41:33,418 --> 01:41:36,254
BEST TO RECTIFY THE SITUATION 

2657
01:41:36,254 --> 01:41:37,322
AND LONGITUDINAL STUDIES HERE 

2658
01:41:37,322 --> 01:41:38,823
WOULD BE IDEAL AS A CHECK TO SEE

2659
01:41:38,823 --> 01:41:40,925
IF THINGS WE ARE DOING TO 

2660
01:41:40,925 --> 01:41:42,727
IMPROVE THE SITUATION FOR BLACK 

2661
01:41:42,727 --> 01:41:45,130
ADULTS, IF THAT IS EFFECTING 

2662
01:41:45,130 --> 01:41:47,332
DIFFERENCES IN TRUST. 

2663
01:41:47,332 --> 01:41:49,834
AND THEY SAID NO.  VERY FEW 

2664
01:41:49,834 --> 01:41:52,003
STUDIES LIKE THIS EXIST.  THIS 

2665
01:41:52,003 --> 01:41:54,405
IS WHERE HINTS COMES IN. 

2666
01:41:54,405 --> 01:41:56,241
HINTS HAS ASKED A QUESTION ABOUT

2667
01:41:56,241 --> 01:41:58,109
TRUST AND HEALTHCARE PROVIDERS 

2668
01:41:58,109 --> 01:42:01,179
AND I HAVE HERE IN THE BLACK 

2669
01:42:01,179 --> 01:42:02,814
DOTS THE DIFFERENT ITERATIONS 

2670
01:42:02,814 --> 01:42:04,149
THAT THIS QUESTION HAS BEEN 

2671
01:42:04,149 --> 01:42:04,682
ASKED IN. 

2672
01:42:04,682 --> 01:42:08,620
YOU SEE THAT IT COVERS ABOUT 15 

2673
01:42:08,620 --> 01:42:08,853
YEARS. 

2674
01:42:08,853 --> 01:42:10,388
LOTS OF INTERESTING CHANGES HAVE

2675
01:42:10,388 --> 01:42:12,390
HAPPENED IN THE 15 YEAR INSIDE 

2676
01:42:12,390 --> 01:42:14,959
OF HEALTHCARE.  FOR EXAMPLE, 

2677
01:42:14,959 --> 01:42:18,363
PASSAGE OF ACA AND PASSAGE OF 

2678
01:42:18,363 --> 01:42:20,064
HIGH TECH AND OUTSIDE OF 

2679
01:42:20,064 --> 01:42:21,466
HEALTHCARE OTHER CHANGES HAVE 

2680
01:42:21,466 --> 01:42:24,736
HAPPENED AS WELL POLITICALLY 

2681
01:42:24,736 --> 01:42:27,639
INCLUDING PRESIDENT BARACK OBAMA

2682
01:42:27,639 --> 01:42:28,673
BEING ELECTED AND PRESIDENT 

2683
01:42:28,673 --> 01:42:30,975
DONALD TRUMP ALSO BEING ELECTED 

2684
01:42:30,975 --> 01:42:33,845
AND MAINLY CHANGES THAT YOU CAN 

2685
01:42:33,845 --> 01:42:35,313
THEORIZE IMPACTING LEVELS OF 

2686
01:42:35,313 --> 01:42:38,116
TRUST AND HEALTHCARE PROVIDERS 

2687
01:42:38,116 --> 01:42:39,818
THAT THERE ARE ALSO OTHER 

2688
01:42:39,818 --> 01:42:40,685
EXTRANEOUS CHANGES THAT HAPPEN 

2689
01:42:40,685 --> 01:42:42,687
DURING THIS TIME THAT HAVE TO DO

2690
01:42:42,687 --> 01:42:44,022
WITH THE DESIGN OF HINTS. 

2691
01:42:44,022 --> 01:42:47,325
AND SO, FOR EXAMPLE, WE HAVE 

2692
01:42:47,325 --> 01:42:50,461
SURVEY MODE EFFECTS AND I JUST 

2693
01:42:50,461 --> 01:42:52,297
-- I -- AFTER I SENT SLIDES TO 

2694
01:42:52,297 --> 01:42:53,832
ANNA IS WHERE I DISCOVERED THIS 

2695
01:42:53,832 --> 01:42:55,466
PARTICULAR MISTAKE THAT IS THE 

2696
01:42:55,466 --> 01:42:57,468
FIRST TWO YEARS THERE AND 2005 

2697
01:42:57,468 --> 01:43:00,371
AND 2007 THAT ARE THE FILM 

2698
01:43:00,371 --> 01:43:00,605
SURVEY. 

2699
01:43:00,605 --> 01:43:04,576
AND THEN 2007 IS ALSO THAT 

2700
01:43:04,576 --> 01:43:06,511
MAIL-IN SURVEY AND EDIT AND OF 

2701
01:43:06,511 --> 01:43:08,346
COURSE THEY ARE DISCOVERING TO 

2702
01:43:08,346 --> 01:43:10,515
THESE SLIDES TO ANNA AND THANK 

2703
01:43:10,515 --> 01:43:13,651
YOU ANNA FOR HERDING CATS.  MY 

2704
01:43:13,651 --> 01:43:16,321
MISTAKE, OBVIOUSLY.  WE HAVE 

2705
01:43:16,321 --> 01:43:18,423
DIFFERENCES IN SURVEY MODE THAT 

2706
01:43:18,423 --> 01:43:20,925
COULD IMPACT LEVELS OF TRUST IN 

2707
01:43:20,925 --> 01:43:21,860
PROVIDERS THAT PEOPLE REPORT AND

2708
01:43:21,860 --> 01:43:24,162
FOR EXAMPLE IF TALKING ON PHONE 

2709
01:43:24,162 --> 01:43:26,798
TO A FELLOW HUMAN BEING AND 

2710
01:43:26,798 --> 01:43:27,999
ASKED IF YOU TRUST DOCTORS YOU 

2711
01:43:27,999 --> 01:43:30,168
KNOW DOCTORS ARE REVERED IN 

2712
01:43:30,168 --> 01:43:31,769
SOCIETY AND MIGHT BE INCLINED TO

2713
01:43:31,769 --> 01:43:33,671
SAY YES AND I TRUST THEM A LOT 

2714
01:43:33,671 --> 01:43:35,840
EVEN THOUGH YOU MAY NOT AND 

2715
01:43:35,840 --> 01:43:38,476
VERSUS A MAIL-IN SURVEY AND PEN 

2716
01:43:38,476 --> 01:43:41,045
AND PAPER-BASED SURVEY YOU MIGHT

2717
01:43:41,045 --> 01:43:43,314
BE INCLINED TO BE HONEST IN 

2718
01:43:43,314 --> 01:43:46,117
DISTRUST IN CLINICIANS AND ARE 

2719
01:43:46,117 --> 01:43:48,253
OTHER CHANGES HERE TO THE DESIGN

2720
01:43:48,253 --> 01:43:50,255
OF HINTS THAT ARE NOTEWORTHY 

2721
01:43:50,255 --> 01:43:56,060
THAT IS THE FDA ITERATIONS WHERE

2722
01:43:56,060 --> 01:44:01,299
THEY OVERSAMPLED SMOKERS USING 

2723
01:44:01,299 --> 01:44:02,767
STRATEGIES AND END GAME IS 

2724
01:44:02,767 --> 01:44:03,902
OVERSAMPLE SMOESHGS AND IMPACT 

2725
01:44:03,902 --> 01:44:07,505
TO MAKE IT INTO THE DATA SETS 

2726
01:44:07,505 --> 01:44:10,375
AND ONE THING HERE TO NOTE IS 

2727
01:44:10,375 --> 01:44:13,411
YOU WILL SEE YEAR 2017 HERE 

2728
01:44:13,411 --> 01:44:14,679
APPEARS TWICE THERE AND ONE IS 

2729
01:44:14,679 --> 01:44:17,982
AN FDA CYCLE WHERE THEY 

2730
01:44:17,982 --> 01:44:19,484
OVERSAMPLE SMOKERS AND ONE 

2731
01:44:19,484 --> 01:44:22,453
NON-FDA CYCLE USING FAIRLY 

2732
01:44:22,453 --> 01:44:24,355
TRADITIONAL SAMPLING METHODS 

2733
01:44:24,355 --> 01:44:26,691
THEY USE IN OTHER HINTS 

2734
01:44:26,691 --> 01:44:27,191
CONSIDERATIONS. 

2735
01:44:27,191 --> 01:44:31,195
I WILL COMPARE DEMOGRAPHICS OF 

2736
01:44:31,195 --> 01:44:34,065
THE TWO 2017 ITERATIONS THAT 

2737
01:44:34,065 --> 01:44:36,768
FROM MY READ OF THE METHODOLOGY 

2738
01:44:36,768 --> 01:44:38,703
REPORTS THOSE TWO ITERATIONS 

2739
01:44:38,703 --> 01:44:40,872
WERE FIELDED SIMULTANEOUSLY IN 

2740
01:44:40,872 --> 01:44:43,875
THE EXACT SAME MONTHS OF THE 

2741
01:44:43,875 --> 01:44:48,346
YEAR 2017.  ONE WAS FDA CYCLE 

2742
01:44:48,346 --> 01:44:53,685
AND ONE WAS NON-FDA CYCLE.  YOU 

2743
01:44:53,685 --> 01:44:58,189
SEE SHOWING RAW FREQUENCIES FOR 

2744
01:44:58,189 --> 01:45:00,591
ETHNO RACIAL DEMOGRAPHIC 

2745
01:45:00,591 --> 01:45:03,194
RESPONDENTS HERE OF FDA CYCLE 

2746
01:45:03,194 --> 01:45:05,697
AND NON-FDA CYCLE GREATER 

2747
01:45:05,697 --> 01:45:08,333
PERCENTAGE OF WHITE ADULTS MADE 

2748
01:45:08,333 --> 01:45:13,738
IT INTO FDA CYCLE VERSUS NON-FDA

2749
01:45:13,738 --> 01:45:16,107
CYCLE AND SMALLER OF BLACK 

2750
01:45:16,107 --> 01:45:19,944
ADULTS MADE IT IN FDA CYCLE THAN

2751
01:45:19,944 --> 01:45:30,455
NON-FDA CYCLE.  YOU SEE THESE 

2752
01:45:30,855 --> 01:45:33,224
DIFFERENCES IN THE CHI-SQUARED 

2753
01:45:33,224 --> 01:45:35,626
TEST.  WE SHOULD BE ABLE TO 

2754
01:45:35,626 --> 01:45:37,362
ACCOUNT FOR DIFFERENCES IN RAW 

2755
01:45:37,362 --> 01:45:41,032
FREQUENCIES IN THEORY.  NEXT I 

2756
01:45:41,032 --> 01:45:44,869
WILL SHOW YOU PERCENTAGE OF 

2757
01:45:44,869 --> 01:45:45,670
ADULTS SAYING THEY TRUST 

2758
01:45:45,670 --> 01:45:50,041
HEALTHCARE PROVIDERS A LOT USING

2759
01:45:50,041 --> 01:45:52,710
SURVEY WEIGHTS UNADJUSTED 

2760
01:45:52,710 --> 01:45:55,046
MEANING NO CO-VARIATES AND 

2761
01:45:55,046 --> 01:45:57,548
ATTEMPT TO ACCOUNT FOR 

2762
01:45:57,548 --> 01:45:59,283
DIFFERENCES IN SURVEY DESIGN OF 

2763
01:45:59,283 --> 01:46:02,820
HINTS ATTEMPTING TO ACCOUNT FOR 

2764
01:46:02,820 --> 01:46:06,224
SURVEY MODE AND OVERSAMPLING OF 

2765
01:46:06,224 --> 01:46:09,961
SMOKERS IN FDA CYCLES THAT IS 

2766
01:46:09,961 --> 01:46:12,196
FIRST YEAR FOR EVERYBODY THAT IS

2767
01:46:12,196 --> 01:46:14,832
65 TO 68% THAT IS A THEY TRUST 

2768
01:46:14,832 --> 01:46:20,071
IN HEALTHCARE PROVIDERS A LOT.  

2769
01:46:20,071 --> 01:46:22,440
WHITES COMPARED TO AVERAGE FOR 

2770
01:46:22,440 --> 01:46:24,809
SAMPLE SLIGHTLY HIGHER AND BLACK

2771
01:46:24,809 --> 01:46:26,344
ADULTS ARE SIGNIFICANTLY LOWER 

2772
01:46:26,344 --> 01:46:29,147
AND CONSISTENT WITH TRENDS IN 

2773
01:46:29,147 --> 01:46:30,982
OTHER LITERATURES THAT IS 

2774
01:46:30,982 --> 01:46:32,650
PERCENTAGE FOR LATINO AS WELL AS

2775
01:46:32,650 --> 01:46:35,486
OTHERS AND IN THE NEXT YEAR A 

2776
01:46:35,486 --> 01:46:39,123
VERY SIMILAR PATTERN THAT WE SAW

2777
01:46:39,123 --> 01:46:41,392
IN 2005 AND IN 2011, WE START TO

2778
01:46:41,392 --> 01:46:43,895
SEE THINGS LEVEL OUT AND STILL 

2779
01:46:43,895 --> 01:46:45,463
SEE THOSE DISPARITIES THAT 

2780
01:46:45,463 --> 01:46:48,666
APPEAR IN OTHER LITERATURES AND 

2781
01:46:48,666 --> 01:46:54,472
2013, WE HAVE THE 2015 FIRST FDA

2782
01:46:54,472 --> 01:46:55,840
CYCLE.  

2783
01:46:55,840 --> 01:46:58,076
WE SEE HERE BLACK ADULTS NOW 

2784
01:46:58,076 --> 01:47:00,344
REPORT SLIGHTLY HIGHER LEVELS OF

2785
01:47:00,344 --> 01:47:02,780
TRUST IN HEALTHCARE PROVIDERS 

2786
01:47:02,780 --> 01:47:04,115
THAT IS NOT SIGNIFICANT. 

2787
01:47:04,115 --> 01:47:07,852
WE SEE THE OTHER TWO GROUPS. 

2788
01:47:07,852 --> 01:47:10,555
NOW THAT 2017 ITERATION, FIRST 

2789
01:47:10,555 --> 01:47:13,157
THE FDA CYCLE.  WE HAVE GOT FOR 

2790
01:47:13,157 --> 01:47:15,726
THE ENTIRE SAMPLE THAT PRESENTS 

2791
01:47:15,726 --> 01:47:19,897
AS WELL AS FOR WHITE ADULTS. 

2792
01:47:19,897 --> 01:47:22,567
NOW, FOR BLACK ADULTS THAT 

2793
01:47:22,567 --> 01:47:24,535
PERCENTAGE SHOOTS UP INDEED IT 

2794
01:47:24,535 --> 01:47:27,205
IS STATISTICALLY SIGNIFICANT 

2795
01:47:27,205 --> 01:47:28,406
HERE THIS DIFFERENCE IN THIS 

2796
01:47:28,406 --> 01:47:30,274
PARTICULAR ITERATION, THE 

2797
01:47:30,274 --> 01:47:31,876
PERCENTAGE OF BLACK ADULTS THAT 

2798
01:47:31,876 --> 01:47:34,112
IS A THAT THEY TRUST IN 

2799
01:47:34,112 --> 01:47:36,781
PROVIDERS A LOT IS SIGNIFICANTLY

2800
01:47:36,781 --> 01:47:39,050
GREATER THAN PERCENT FOR WHITE 

2801
01:47:39,050 --> 01:47:41,152
ADULTS THAT DEPARTS FROM THAT 

2802
01:47:41,152 --> 01:47:42,553
VAST LITERATURE I MENTIONED IN 

2803
01:47:42,553 --> 01:47:45,490
THE VERY BEGINNING THAT DEPARTS 

2804
01:47:45,490 --> 01:47:47,492
FROM THE EXPLANATIONS I WAS 

2805
01:47:47,492 --> 01:47:48,559
SAYING FOR WHY WE WOULD EXPECT 

2806
01:47:48,559 --> 01:47:51,362
BLACK ADULTS TO REPORT LOWER 

2807
01:47:51,362 --> 01:47:53,664
LEVELS OF TRUST THAN WHITE 

2808
01:47:53,664 --> 01:47:54,398
ADULTS. 

2809
01:47:54,398 --> 01:47:56,334
AND THEN EVERYBODY ELSE.  

2810
01:47:56,334 --> 01:47:58,202
NOW, WE HAVE THAT OTHER DATA 

2811
01:47:58,202 --> 01:48:00,371
POINT FROM 2017.  WHAT I SHOWED 

2812
01:48:00,371 --> 01:48:02,607
YOU FOR FDA CYCLE COULD VERY 

2813
01:48:02,607 --> 01:48:03,941
WELL BE PART OF THE TREND THAT 

2814
01:48:03,941 --> 01:48:06,310
WE ARE STARTING TO SEE FROM THE 

2815
01:48:06,310 --> 01:48:07,578
PREVIOUS ITERATIONS AND HERE IS 

2816
01:48:07,578 --> 01:48:10,481
THE NON-FDA CYCLE FROM 2017 THAT

2817
01:48:10,481 --> 01:48:12,984
IS WHAT PATTERNS LOOK FOR AND 

2818
01:48:12,984 --> 01:48:13,451
LOOK LIKE. 

2819
01:48:13,451 --> 01:48:15,853
AND THEY ARE STATISTICALLY 

2820
01:48:15,853 --> 01:48:17,588
DIFFERENT FROM EACH OTHER. 

2821
01:48:17,588 --> 01:48:19,857
THEY DO NOT MATCH VERY WELL.  

2822
01:48:19,857 --> 01:48:22,693
FDA CYCLE AND NON-FDA CYCLE THAT

2823
01:48:22,693 --> 01:48:24,996
WAS FIELDED IN THE EXACT SAME 

2824
01:48:24,996 --> 01:48:26,264
YEAR AND MONTHS. 

2825
01:48:26,264 --> 01:48:29,634
WE HAVE 2019 YEAR HERE TOO. 

2826
01:48:29,634 --> 01:48:32,069
LOOKING AT PATTERNS, THEY 

2827
01:48:32,069 --> 01:48:33,337
SUGGEST THAT THEY SHOULD ACCOUNT

2828
01:48:33,337 --> 01:48:35,673
FOR CO-VARIATES AS WELL AS 

2829
01:48:35,673 --> 01:48:37,708
SURVEY DESIGN EFFECTS AND WHAT 

2830
01:48:37,708 --> 01:48:38,276
WE DID. 

2831
01:48:38,276 --> 01:48:41,445
SO, WHAT I WILL SHOW YOU HERE IS

2832
01:48:41,445 --> 01:48:43,514
THE ADJUSTED DIFFERENCES FOR 

2833
01:48:43,514 --> 01:48:45,750
PERCENTAGE OF BLACK ADULTS 

2834
01:48:45,750 --> 01:48:47,618
VERSUS WHITE RESPONDENTS 

2835
01:48:47,618 --> 01:48:49,687
SPECIFICALLY PERCENTAGE FOR 

2836
01:48:49,687 --> 01:48:51,088
WHITE ADULTS MINUS PERCENTAGE 

2837
01:48:51,088 --> 01:48:53,224
FOR BLACK ADULTS THAT SAY THEY 

2838
01:48:53,224 --> 01:48:55,259
TRUST IN DOCTORS AND HEALTHCARE 

2839
01:48:55,259 --> 01:48:58,029
PROVIDERS A LOT.  THIS IS 

2840
01:48:58,029 --> 01:49:00,998
WEIGHTED AND ADJUSTED FOR 

2841
01:49:00,998 --> 01:49:03,201
CO-VARIATES AND SURVEY DESIGN 

2842
01:49:03,201 --> 01:49:04,702
EFFECTS AND CATEGORICAL 

2843
01:49:04,702 --> 01:49:05,836
INDICATORS FOR SURVEY MODE AND 

2844
01:49:05,836 --> 01:49:08,239
WHETHER OR NOT IT WAS FDA CYCLE 

2845
01:49:08,239 --> 01:49:09,473
THAT IS PERCENT FROM 2 THOUGH 

2846
01:49:09,473 --> 01:49:11,809
YOU 5 THAT IS SIGNIFICANTLY 

2847
01:49:11,809 --> 01:49:15,079
DIFFERENT AND ABOUT A 12% 

2848
01:49:15,079 --> 01:49:15,379
DIFFERENCE. 

2849
01:49:15,379 --> 01:49:19,217
2007, THAT PERCENTAGE IS 6%.  IT

2850
01:49:19,217 --> 01:49:23,154
IS NOW HALF AND STILL 

2851
01:49:23,154 --> 01:49:24,255
STATISTICALLY DIFFERENT AND 2011

2852
01:49:24,255 --> 01:49:27,758
YOU START TO SEE NONSIGNIFICANT 

2853
01:49:27,758 --> 01:49:30,561
DIFFERENCES BETWEEN TWO GROUPS. 

2854
01:49:30,561 --> 01:49:32,129
13, PRACTICALLY THE SAME. 

2855
01:49:32,129 --> 01:49:34,865
15, 2015 IS ALSO PRACTICALLY THE

2856
01:49:34,865 --> 01:49:35,233
SAME. 

2857
01:49:35,233 --> 01:49:41,105
NOW, FOR 2017 YEAR.  AND 

2858
01:49:41,105 --> 01:49:44,242
NONSIGNIFICANCE, 2019, IT SHOOTS

2859
01:49:44,242 --> 01:49:45,209
BACK UP.  

2860
01:49:45,209 --> 01:49:46,911
NOT QUITE STATISTICALLY 

2861
01:49:46,911 --> 01:49:49,580
DIFFERENT, BUT THIS IS PROBABLY 

2862
01:49:49,580 --> 01:49:51,082
SOMETHING THAT SHOULD BE 

2863
01:49:51,082 --> 01:49:53,251
EXAMINED IN FURTHER ITERATIONS 

2864
01:49:53,251 --> 01:49:56,354
OF HINTS DATA TO SEE IF 

2865
01:49:56,354 --> 01:49:57,154
BLACK/WHITE DIFFERENCES IN 

2866
01:49:57,154 --> 01:49:58,656
LEVELS OF TRUST DO COME BACK AND

2867
01:49:58,656 --> 01:50:00,358
YOU SEE HERE AFTER ACCOUNTING 

2868
01:50:00,358 --> 01:50:03,327
AND ADJUSTING FOR CO-VARIATES 

2869
01:50:03,327 --> 01:50:07,064
AND SURVEY DESIGN EFFECTS.  

2870
01:50:07,064 --> 01:50:08,299
DIFFERENCES DID DISAPPEAR OVER 

2871
01:50:08,299 --> 01:50:10,768
TIME AND LOOK AS IF THEY 

2872
01:50:10,768 --> 01:50:13,304
REAPPEAR IN MOST RECENT 

2873
01:50:13,304 --> 01:50:14,538
ITERATION THAT THIS IS 

2874
01:50:14,538 --> 01:50:15,172
AVAILABLE. 

2875
01:50:15,172 --> 01:50:18,276
SO, AS I JUST SAID, THAT IS MY 

2876
01:50:18,276 --> 01:50:20,678
SUMMARY THAT DISAPPEARED OVER 

2877
01:50:20,678 --> 01:50:23,347
TIME AND INCONSISTENCY OF 

2878
01:50:23,347 --> 01:50:24,582
CROSS-SURVEY STUDIES THAT 

2879
01:50:24,582 --> 01:50:26,651
SOMETIMES DO HAPPEN IN THIS 

2880
01:50:26,651 --> 01:50:27,351
LITERATURE AND SHOULD TAKE INTO 

2881
01:50:27,351 --> 01:50:29,420
ACCOUNT OTHER FACTORS THAT 

2882
01:50:29,420 --> 01:50:31,155
PRESENT HERE THAT SHAPE THAT 

2883
01:50:31,155 --> 01:50:32,356
BLACK LIGHT DIFFERENCE SUCH AS 

2884
01:50:32,356 --> 01:50:33,991
SURVEY YEARS AND SURVEY MODE 

2885
01:50:33,991 --> 01:50:35,926
THAT WAS INSIDE OF THE SAMPLE 

2886
01:50:35,926 --> 01:50:37,728
AND JUST IN GENERAL THESE ISSUES

2887
01:50:37,728 --> 01:50:40,631
ARE TO BE CONSIDERED WHEN 

2888
01:50:40,631 --> 01:50:41,632
ANALYZING HINTS DATA. 

2889
01:50:41,632 --> 01:50:44,402
AS I MENTIONED IN ANALYSIS THIS 

2890
01:50:44,402 --> 01:50:46,404
IS A CATEGORICAL INDICATOR OF 

2891
01:50:46,404 --> 01:50:48,072
SURVEY DESIGN EFFECTS THAT I'M 

2892
01:50:48,072 --> 01:50:49,740
INTERESTED IN SOME FEEDBACK AND 

2893
01:50:49,740 --> 01:50:53,511
ADDITIONAL METHODS THAT COULD BE

2894
01:50:53,511 --> 01:50:53,911
USED. 

2895
01:50:53,911 --> 01:51:04,288
THANK YOU VERY MUCH.  

2896
01:51:15,533 --> 01:51:18,069
>> THANK YOU. 

2897
01:51:18,069 --> 01:51:21,739
>> IT IS GREEN.  

2898
01:51:21,739 --> 01:51:25,009
THANK YOU TO PRESENTERS IF YOU 

2899
01:51:25,009 --> 01:51:27,545
HAVE QUESTIONS WE HAVE TIME FOR 

2900
01:51:27,545 --> 01:51:28,079
A COUPLE. 

2901
01:51:28,079 --> 01:51:29,680
>> VERY GOOD TALKS.  VERY
GOOD 

2902
01:51:29,680 --> 01:51:31,982
JOB, ALL OF YOU.  I HAVE MANY 

2903
01:51:31,982 --> 01:51:34,852
QUESTIONS AND WILL ASK ONE.  DR.

2904
01:51:34,852 --> 01:51:38,923
CAMPOS CASTILLO, YOU SAW THAT 

2905
01:51:38,923 --> 01:51:43,227
U-SHAPED TREND, WHY?  ANY 

2906
01:51:43,227 --> 01:51:43,761
HYPOTHESES?  

2907
01:51:43,761 --> 01:51:46,130
>> TESTING?  OKAY.  GOOD. 

2908
01:51:46,130 --> 01:51:48,866
YEAH.  SO, AS BEST AS WE CAN 

2909
01:51:48,866 --> 01:51:50,234
TELL HERE BECAUSE, YOU KNOW, 

2910
01:51:50,234 --> 01:51:51,936
WHEN I STARTED OFF SETTING UP 

2911
01:51:51,936 --> 01:51:54,038
THE STAGE, THERE WERE LOTS OF 

2912
01:51:54,038 --> 01:51:55,840
THINGS THAT PRIOR LITERATURES DO

2913
01:51:55,840 --> 01:52:00,344
SHOW SHAPED LEVELS OF TRUST IN 

2914
01:52:00,344 --> 01:52:00,911
HEALTHCARE PROVIDERS AND WE 

2915
01:52:00,911 --> 01:52:02,680
CAN'T TEST OUT ALL OF THE 

2916
01:52:02,680 --> 01:52:03,748
DIFFERENT MECHANISMS. 

2917
01:52:03,748 --> 01:52:06,150
BEST AS WHAT WE CAN TELL FROM 

2918
01:52:06,150 --> 01:52:07,418
CO-VARIATES AVAILABLE IN EACH OF

2919
01:52:07,418 --> 01:52:09,954
THE ITERATIONS IS THAT BLACK 

2920
01:52:09,954 --> 01:52:11,789
ADULTS, THEIR EDUCATIONAL 

2921
01:52:11,789 --> 01:52:13,457
ATTAINMENT HAS INCREASED OVER 

2922
01:52:13,457 --> 01:52:15,826
TIME AND EDUCATION WILL BE 

2923
01:52:15,826 --> 01:52:18,028
ASSOCIATED WITH LEVELS OF TRUST 

2924
01:52:18,028 --> 01:52:20,364
IN HEALTHCARE PROVIDERS AND THAT

2925
01:52:20,364 --> 01:52:22,733
EDUCATION CANNOT EXPLAIN THE 

2926
01:52:22,733 --> 01:52:23,934
2019 SHOOTING BACK UP THE WAY 

2927
01:52:23,934 --> 01:52:25,569
THAT IT DID.  IT IS NOT LIKE 

2928
01:52:25,569 --> 01:52:27,571
THEY ALL OF A SUDDEN, YOU KNOW, 

2929
01:52:27,571 --> 01:52:28,906
STOPPED GOING TO SCHOOL. 

2930
01:52:28,906 --> 01:52:33,244
SOMETHING ELSE IS GOING ON 

2931
01:52:33,244 --> 01:52:33,544
THERE.  

2932
01:52:33,544 --> 01:52:36,580
LY SUGGEST IT IS PROBABLY MAYBE 

2933
01:52:36,580 --> 01:52:39,483
ELECTION OF PRESIDENT TRUMP.  IT

2934
01:52:39,483 --> 01:52:41,085
IS HARD TO DIRECTLY TEST SOME OF

2935
01:52:41,085 --> 01:52:43,354
THOSE THINGS AND AS FAR AS I CAN

2936
01:52:43,354 --> 01:52:45,089
TELL FROM CO-VARIATES THAT 

2937
01:52:45,089 --> 01:52:47,124
APPEAR IN ALL ITERATIONS WE CAN 

2938
01:52:47,124 --> 01:52:48,726
INCLUDE INTO THE MODEL IS THAT 

2939
01:52:48,726 --> 01:52:51,195
BLACK ADULTS ARE LEVEL OF 

2940
01:52:51,195 --> 01:52:54,498
EDUCATIONAL ATTAINMENTS INCREASE

2941
01:52:54,498 --> 01:52:57,802
OVER TIME.  

2942
01:52:57,802 --> 01:53:00,171
>> THIS IS MY QUESTION FOR
MARK.

2943
01:53:00,171 --> 01:53:03,407
YOU TALKED ABOUT OBVIOUSLY GIVEN

2944
01:53:03,407 --> 01:53:06,577
OPTION OF DON'T KNOW PROPENSITY 

2945
01:53:06,577 --> 01:53:08,078
OF CERTAIN PEOPLE TO ANSWER 

2946
01:53:08,078 --> 01:53:11,148
THAT.  CAN YOU TELL US ANYTHING 

2947
01:53:11,148 --> 01:53:12,883
ABOUT THESE FOLKS?  PEOPLE THAT 

2948
01:53:12,883 --> 01:53:14,084
IS A THEY DON'T KNOW DO THEY 

2949
01:53:14,084 --> 01:53:16,954
HAVE DIFFERENT BEHAVIORS OR 

2950
01:53:16,954 --> 01:53:18,322
PERCEPTIONS?  WHY SHOULD WE BE 

2951
01:53:18,322 --> 01:53:18,656
CONCERNED?  

2952
01:53:18,656 --> 01:53:20,090
VERY GOOD QUESTION I
CAN TALK

2953
01:53:20,090 --> 01:53:22,726
ABOUT FOR A LONG TIME AND COUPLE

2954
01:53:22,726 --> 01:53:24,161
TEASERS I WILL TALK MUCH MORE 

2955
01:53:24,161 --> 01:53:26,597
ABOUT IT WITH FOLKS INTERESTED 

2956
01:53:26,597 --> 01:53:28,766
IN LATER AND COUPLE THINGS 

2957
01:53:28,766 --> 01:53:32,636
GROUPS DON'T SHOW OVER TIME AND 

2958
01:53:32,636 --> 01:53:34,939
LOOKING AT WHO IS LIKELY TO SAY 

2959
01:53:34,939 --> 01:53:36,607
THEY DON'T KNOW RISKS IT IS 

2960
01:53:36,607 --> 01:53:39,477
FOLKS WITH LOWER EDUCATION AND 

2961
01:53:39,477 --> 01:53:42,446
LOWER HEALTH LITERACY AND EVERY 

2962
01:53:42,446 --> 01:53:44,782
ONCE IN A WHILE MINORITY -- LOTS

2963
01:53:44,782 --> 01:53:47,351
OF THE DISPARITIES WE CARE ABOUT

2964
01:53:47,351 --> 01:53:49,987
FOR CANCER PREVENTION WE THINK 

2965
01:53:49,987 --> 01:53:51,255
IS PRIMARILY PHENOMENA ABOUT 

2966
01:53:51,255 --> 01:53:53,557
LACK OF KNOWLEDGE AND HEALTH 

2967
01:53:53,557 --> 01:53:55,125
RELATED LITERACY AND INFORMATION

2968
01:53:55,125 --> 01:53:56,594
TO UNDERSTAND AND BE ABLE TO 

2969
01:53:56,594 --> 01:53:57,995
ANSWER RISKS AND OTHER THING 

2970
01:53:57,995 --> 01:54:00,097
INTERESTED IN TERMS OF BEHAVIOR 

2971
01:54:00,097 --> 01:54:01,832
IS WE HAVE A COUPLE PAPERS WE 

2972
01:54:01,832 --> 01:54:04,235
HAVE SHOWN WHEN YOU LOOK AT 

2973
01:54:04,235 --> 01:54:06,670
VARIOUS CANCER PREVENTION 

2974
01:54:06,670 --> 01:54:08,906
BEHAVIORS FOR EXAMPLE COAL OE 

2975
01:54:08,906 --> 01:54:11,575
RECTAL CANCER SCREENING PEOPLE 

2976
01:54:11,575 --> 01:54:13,043
THAT DON'T KNOW THEIR RISKS HAVE

2977
01:54:13,043 --> 01:54:15,312
LOIER LEVELS OF BEHAVIOR AND 

2978
01:54:15,312 --> 01:54:16,180
THAN PEOPLE THAT ANSWER 

2979
01:54:16,180 --> 01:54:18,215
QUESTIONS SAYING RISK IS VERY 

2980
01:54:18,215 --> 01:54:20,217
LOW AND IMPLICATIONS THERE ARE 

2981
01:54:20,217 --> 01:54:22,720
FOR CANCER PREVENTION AND IN 

2982
01:54:22,720 --> 01:54:25,256
TERMS OF ADVICE THIS IS ALL 

2983
01:54:25,256 --> 01:54:27,491
METHODOLOGICAL WHY YOU SHOULD 

2984
01:54:27,491 --> 01:54:29,527
MEASURE IT TO GET EXACT ANSWERS 

2985
01:54:29,527 --> 01:54:31,495
AND PHENOMENA PEOPLE LACKING 

2986
01:54:31,495 --> 01:54:33,898
RISK TO BE INCREDIBLY UNCERTAIN 

2987
01:54:33,898 --> 01:54:37,835
IS IMPORTANT PHENOMENA IN OWN 

2988
01:54:37,835 --> 01:54:41,038
RIGHT FOR HEALTH AND CANCER 

2989
01:54:41,038 --> 01:54:41,372
PREVENTION. 

2990
01:54:41,372 --> 01:54:43,607
>> TWO QUESTIONS.  ONE FOR
THE 

2991
01:54:43,607 --> 01:54:45,376
FIRST PERSON WHO WAS JUST 

2992
01:54:45,376 --> 01:54:47,077
SPEAKING.  YEAH.  THERE IS HUGE 

2993
01:54:47,077 --> 01:54:47,978
LITERATURE I DIDN'T SEE YOU SAY 

2994
01:54:47,978 --> 01:54:50,981
ANYTHING ABOUT.  I MEAN, IN THE 

2995
01:54:50,981 --> 01:54:52,316
SURVEY METHODS LITERATURE THIS 

2996
01:54:52,316 --> 01:54:57,054
IS DEBATE FOR THE LAST 50 YEARS.

2997
01:54:57,054 --> 01:55:05,296
SO, ONE QUESTION  IS TAKING 

2998
01:55:05,296 --> 01:55:07,698
PEOPLE OUT.  YOU HAVE A 

2999
01:55:07,698 --> 01:55:08,666
RELATIONSHIP WITH PEOPLE WHO 

3000
01:55:08,666 --> 01:55:10,134
HAVE VERY DEFINITE USE.  IS THAT

3001
01:55:10,134 --> 01:55:11,368
WHAT YOU ARE REALLY INTERESTED 

3002
01:55:11,368 --> 01:55:16,340
IN IF YOU WANT TO GENERALIZE THE

3003
01:55:16,340 --> 01:55:17,207
GENERAL POPULATION?  

3004
01:55:17,207 --> 01:55:19,510
>> YEAH.  THAT IS ANOTHER
ONE 

3005
01:55:19,510 --> 01:55:22,146
THAT IS MORE THAN A 30 SECOND 

3006
01:55:22,146 --> 01:55:23,314
ANSWER.  30 SECOND START TO IT. 

3007
01:55:23,314 --> 01:55:25,549
ARE YOU RIGHT.  FOLKS HAVE DONE 

3008
01:55:25,549 --> 01:55:27,484
A LOT OF THIS IN SURVEY 

3009
01:55:27,484 --> 01:55:28,986
LITERATURE AND MOST OF THE 

3010
01:55:28,986 --> 01:55:31,589
ADVICE IS UNFORTUNATELY TO NOT 

3011
01:55:31,589 --> 01:55:32,990
OFFER A NO RESPONSE OPTION THAT 

3012
01:55:32,990 --> 01:55:34,959
I ARGUE IS BAD VICE BY AND LARGE

3013
01:55:34,959 --> 01:55:37,528
WE CAN TALK ABOUT IT MORE LATER.

3014
01:55:37,528 --> 01:55:40,497
IF YOU -- WHAT I WOULD ARGUE IS 

3015
01:55:40,497 --> 01:55:42,232
YOU ARE NOT EXCLUDING THOSE 

3016
01:55:42,232 --> 01:55:43,701
FOLKS BY MEASURING DON'T KNOW 

3017
01:55:43,701 --> 01:55:45,369
AND THEN USING IT AS 

3018
01:55:45,369 --> 01:55:47,404
INFORMATION.  IT IS THAT IF YOU 

3019
01:55:47,404 --> 01:55:48,806
WANT TO THINK ABOUT RISK 

3020
01:55:48,806 --> 01:55:51,475
PERCEPTION AS MULTI-FACETED 

3021
01:55:51,475 --> 01:55:53,811
PHENOMENA, KNOWLEDGE OF RISK IS 

3022
01:55:53,811 --> 01:55:55,713
PART OF THE PHENOMENA AND LEVEL 

3023
01:55:55,713 --> 01:55:58,616
OF KNOWLEDGE IS A SEPARATE AND 

3024
01:55:58,616 --> 01:56:00,150
DISTINCT PART OF IT. 

3025
01:56:00,150 --> 01:56:04,088
>> COUNTERARGUMENT FOR
THAT IS 

3026
01:56:04,088 --> 01:56:05,723
-- COUNTERARGUMENT TO THAT IS 

3027
01:56:05,723 --> 01:56:08,325
PEOPLE TEND TO USE DON'T KNOW 

3028
01:56:08,325 --> 01:56:09,727
CATEGORY AS A [INDISCERNIBLE] 

3029
01:56:09,727 --> 01:56:10,661
DEVICE.  THEY DON'T WANT TO 

3030
01:56:10,661 --> 01:56:12,062
EXERT A LOT OF EFFORT TO THINK 

3031
01:56:12,062 --> 01:56:14,231
ABOUT IT.  THEY ARE A LITTLE 

3032
01:56:14,231 --> 01:56:15,299
UNCERTAIN AND PICK THE DON'T 

3033
01:56:15,299 --> 01:56:16,767
KNOW OPTION.  YOU ARE MISSING 

3034
01:56:16,767 --> 01:56:17,635
SOME OF THOSE PEOPLE. 

3035
01:56:17,635 --> 01:56:19,770
>> I AGREE THAT IS AN
ARGUMENT 

3036
01:56:19,770 --> 01:56:22,006
MADE BY FOLKS THAT ARGUE AGAINST

3037
01:56:22,006 --> 01:56:23,474
DON'T KNOW RESPONSE OPTION AND 

3038
01:56:23,474 --> 01:56:25,142
SAY THAT BY AND LARGE OUR DATA 

3039
01:56:25,142 --> 01:56:26,910
DOESN'T SUPPORT THAT ARGUMENT 

3040
01:56:26,910 --> 01:56:28,579
AND GIVING ONE DATA POINT FOR IT

3041
01:56:28,579 --> 01:56:30,080
AND WOULD LOVE TO TALK TO YOU 

3042
01:56:30,080 --> 01:56:33,484
MORE LATER.  IF YOU GIVE PEOPLE 

3043
01:56:33,484 --> 01:56:36,186
MULTIPLE RISK PERCEPTION 

3044
01:56:36,186 --> 01:56:38,155
QUESTIONS VERY FEW PEOPLE USE 

3045
01:56:38,155 --> 01:56:39,256
THE DON'T KNOW RESPONSE MULTIPLE

3046
01:56:39,256 --> 01:56:40,758
TIMES NOT PEOPLE ARE GOING 

3047
01:56:40,758 --> 01:56:42,693
THROUGH CHECKING DON'T KNOW AND 

3048
01:56:42,693 --> 01:56:44,495
EASIER THAN NOT AND SEEMS TO BE 

3049
01:56:44,495 --> 01:56:45,896
SPECIFIC TO DIFFERENT KINDS OF 

3050
01:56:45,896 --> 01:56:47,431
RISK QUESTIONS AND DEGREE OF 

3051
01:56:47,431 --> 01:56:49,767
KNOWLEDGE AND SENSITIVE TO HOW 

3052
01:56:49,767 --> 01:56:52,202
COMMON HEALTH PROBLEM IS AND 

3053
01:56:52,202 --> 01:56:53,771
RELATED TO EDUCATION AND OTHER 

3054
01:56:53,771 --> 01:56:55,139
THINGS YOU WOULDN'T NECESSARILY 

3055
01:56:55,139 --> 01:56:57,941
EXPECT FROM A PURELY SATISFYING 

3056
01:56:57,941 --> 01:56:59,710
ANSWER AND WOULD LOVE TO TALK 

3057
01:56:59,710 --> 01:57:01,712
MORE.  BY AND LARGE OUR DATA 

3058
01:57:01,712 --> 01:57:04,548
DOESN'T SUPPORT DATA THAT IT IS 

3059
01:57:04,548 --> 01:57:04,848
SATISFYING. 

3060
01:57:04,848 --> 01:57:06,116
>> IT IS VERY
QUESTION-SPECIFIC 

3061
01:57:06,116 --> 01:57:08,552
AND COULD BE FOR THIS PARTICULAR

3062
01:57:08,552 --> 01:57:11,622
QUESTION THE DON'T KNOW ONGS IS 

3063
01:57:11,622 --> 01:57:14,191
BETTER.  GENERALLY LITERATURE 

3064
01:57:14,191 --> 01:57:16,560
SAYS IF INTERESTED IN ISOLATING 

3065
01:57:16,560 --> 01:57:18,362
DON'T KNOW GROUP PUT IN DON'T 

3066
01:57:18,362 --> 01:57:22,066
KNOW ANSWER AND FOR VERY LAST 

3067
01:57:22,066 --> 01:57:27,771
SPEAKER, I GUESSSAYS IF INTERES 

3068
01:57:27,771 --> 01:57:28,372
DON'T KNOW GROUP PUT IN DON'T 

3069
01:57:28,372 --> 01:57:28,972
KNOW ANSWER AND FOR VERY LAST 

3070
01:57:28,972 --> 01:57:32,209
SPEAKER, I GUESS ONE THING THAT 

3071
01:57:32,209 --> 01:57:33,444
TROUBLES ME ABOUT LAST PART AND 

3072
01:57:33,444 --> 01:57:36,680
IN THE VERY LAST YEARS YOU ARE 

3073
01:57:36,680 --> 01:57:37,815
CONTROLLING FOR MODE MODE WASN'T

3074
01:57:37,815 --> 01:57:41,385
RANDOMLY ASSIGNED TO PEOPLE AND 

3075
01:57:41,385 --> 01:57:45,689
IT REPRESENTS A LOT BESIDES MODE

3076
01:57:45,689 --> 01:57:48,892
LIKE AGE, GENDER, EDUCATION, 

3077
01:57:48,892 --> 01:57:50,027
INCOME.  NOT CLEAR WHAT MODELS 

3078
01:57:50,027 --> 01:57:54,565
MEAN IF YOU PUT MODE IN AS A 

3079
01:57:54,565 --> 01:57:54,932
CO-VARIATE.  

3080
01:57:54,932 --> 01:57:57,835
>> FOR THE SAKE OF TIME, I

3081
01:57:57,835 --> 01:57:58,736
FOCUSED ON BLACK LIGHT 

3082
01:57:58,736 --> 01:58:00,204
DIFFERENCE IN THE LEVELS OF 

3083
01:58:00,204 --> 01:58:02,206
TRUST IN HEALTHCARE PROVIDERS 

3084
01:58:02,206 --> 01:58:03,640
AND I DIDN'T TOUCH ON WHAT 

3085
01:58:03,640 --> 01:58:05,976
HAPPENS WITH THE ESTIMATES FOR 

3086
01:58:05,976 --> 01:58:07,945
THE LATINO RESPONDENTS.  IN 

3087
01:58:07,945 --> 01:58:12,149
EARLY YEARS WHEN THEY HAD FILM 

3088
01:58:12,149 --> 01:58:16,754
SURVEY EARLY YEARS WHEN THIS HE 

3089
01:58:16,754 --> 01:58:19,289
FILM SURVEY, THAT IS WHERE YOU 

3090
01:58:19,289 --> 01:58:21,658
DO SEE DIFFERENCES IN LATINO 

3091
01:58:21,658 --> 01:58:22,926
WHITE RESPONDENTS THAT IS 

3092
01:58:22,926 --> 01:58:25,629
BECAUSE OF THE LANGUAGE OF THE 

3093
01:58:25,629 --> 01:58:25,963
SURVEY. 

3094
01:58:25,963 --> 01:58:27,998
WHEN I DID THE MAIL IN SURVEY 

3095
01:58:27,998 --> 01:58:30,334
THEY WERE ABLE TO PROVIDE 

3096
01:58:30,334 --> 01:58:31,935
SPANISH LANGUAGE OF MATERIALS AT

3097
01:58:31,935 --> 01:58:33,904
WHICH IT WAS A LITTLE MORE 

3098
01:58:33,904 --> 01:58:35,773
DIFFICULT, I GUESS, IN THE 

3099
01:58:35,773 --> 01:58:37,107
MAIL-IN SURVEY THAT IS SOMETHING

3100
01:58:37,107 --> 01:58:39,309
I CAN'T SPEAK TO.  ALL I KNOW IS

3101
01:58:39,309 --> 01:58:42,246
THAT IS WHAT I SEE WHEN I'M 

3102
01:58:42,246 --> 01:58:43,914
CALCULATING ESTIMATES THAT IS 

3103
01:58:43,914 --> 01:58:46,750
MUCH LESS ACCOUNTING FOR SURVEY 

3104
01:58:46,750 --> 01:58:49,386
MODE AND IS MUCH LESS ABOUT 

3105
01:58:49,386 --> 01:58:51,922
ADJUSTING ESTIMATES FOR BLACK 

3106
01:58:51,922 --> 01:58:54,491
AND WHITE DIFFERENCES AND MORE 

3107
01:58:54,491 --> 01:58:55,659
FOR LATINO WHITE DIFFERENCES. 

3108
01:58:55,659 --> 01:58:58,095
>> FOR EARLY YEARS AND 

3109
01:58:58,095 --> 01:58:59,696
CONTROLLING PROMOTERS IT IS 

3110
01:58:59,696 --> 01:59:02,666
ACTUALLY RECOMMENDED AND IN 2019

3111
01:59:02,666 --> 01:59:06,003
AND 2021, MODE DOESN'T REALLY 

3112
01:59:06,003 --> 01:59:07,538
REPRESENT ANYTHING EXCEPT SOME 

3113
01:59:07,538 --> 01:59:08,605
CONGLOMERATION OF PEOPLE THAT 

3114
01:59:08,605 --> 01:59:11,241
LIKE TO USE THOSE MODES THAT IS 

3115
01:59:11,241 --> 01:59:13,210
NOT REALLY RANDOMLY ASSIGNED AND

3116
01:59:13,210 --> 01:59:15,012
CONTROLLING FOR IT, I'M NOT 

3117
01:59:15,012 --> 01:59:17,147
QUITE SURE WHAT IT MEANS IN THAT

3118
01:59:17,147 --> 01:59:20,450
CONTEXT.  YOU ARE RIGHT.  I 

3119
01:59:20,450 --> 01:59:21,785
THINK WHEN HINTS WENT FROM PHONE

3120
01:59:21,785 --> 01:59:24,321
TO MAIL THERE WERE ISSUES WITH 

3121
01:59:24,321 --> 01:59:25,355
GETTING SPANISH SPEAKERS. 

3122
01:59:25,355 --> 01:59:25,656
>> RIGHT. 

3123
01:59:25,656 --> 01:59:29,526
>> THAT IS DEFINITELY
TRUE. 

3124
01:59:29,526 --> 01:59:31,428
>> OKAY.  

3125
01:59:31,428 --> 01:59:34,031
>> THANK YOU.  WE HAVE
TIME FOR 

3126
01:59:34,031 --> 01:59:34,731
A QUICK QUESTION. 

3127
01:59:34,731 --> 01:59:37,868
>> THIS QUESTION IS FOR
ASHLEY. 

3128
01:59:37,868 --> 01:59:40,337
I'M CURIOUS ABOUT THE 

3129
01:59:40,337 --> 01:59:42,272
IMPLICATIONS OF THE -- FOR THE 

3130
01:59:42,272 --> 01:59:44,942
16% OR SO THAT YOU SAID WERE 

3131
01:59:44,942 --> 01:59:46,510
MISESTIMATING THEIR AGE OF 

3132
01:59:46,510 --> 01:59:47,277
DIAGNOSIS. 

3133
01:59:47,277 --> 01:59:49,546
ONE WAY I PERSONALLY SEE THAT 

3134
01:59:49,546 --> 01:59:51,782
VARIABLE TO CALCULATE TIME TO 

3135
01:59:51,782 --> 01:59:55,853
CANCER SURVIVORSHIP.  I'M 

3136
01:59:55,853 --> 01:59:57,721
PERSONALLY CURIOUS ABOUT 

3137
01:59:57,721 --> 02:00:00,257
IMPLICATIONS FOR THAT VARIABLE 

3138
02:00:00,257 --> 02:00:02,526
AND PEOPLE MISESTIMATING AGE 

3139
02:00:02,526 --> 02:00:04,595
WERE THEY MORE LIKELY TO BE 

3140
02:00:04,595 --> 02:00:06,997
PEOPLE FURTHER OUT IN CANCER 

3141
02:00:06,997 --> 02:00:07,865
SURVIVORSHIP OR FURTHER AWAY 

3142
02:00:07,865 --> 02:00:09,132
FROM CANCER TREATMENT?  IF YOU 

3143
02:00:09,132 --> 02:00:11,468
CAN SPEAK TO THAT, THAT WOULD BE

3144
02:00:11,468 --> 02:00:11,969
HELPFUL.  THANK YOU. 

3145
02:00:11,969 --> 02:00:13,737
>> YEAH.  THANKS FOR YOUR 

3146
02:00:13,737 --> 02:00:15,739
QUESTION.  THAT IS SOMETHING WE 

3147
02:00:15,739 --> 02:00:19,243
HAVE DISCUSSED LOOKING INTO BUT 

3148
02:00:19,243 --> 02:00:20,043
HAVEN'T DELVED TOO FAR INTO 

3149
02:00:20,043 --> 02:00:22,079
QUITE YET.  THERE IS A LOT OF 

3150
02:00:22,079 --> 02:00:23,447
OPPORTUNITIES TO DIG MORE INTO 

3151
02:00:23,447 --> 02:00:25,616
DATA SET TO SEE IF THERE IS 

3152
02:00:25,616 --> 02:00:27,784
ANYTHING LIKE TIME-SENSE 

3153
02:00:27,784 --> 02:00:28,585
DIAGNOSIS THAT COULD HELP TO 

3154
02:00:28,585 --> 02:00:31,855
EXPLAIN SOME OF THE DIFFERENCES.

3155
02:00:31,855 --> 02:00:33,390
ALSO, THERE IS THE OPPORTUNITY 

3156
02:00:33,390 --> 02:00:37,527
FOR THE ERROR IN HOW WE HAD TO 

3157
02:00:37,527 --> 02:00:41,732
CALCULATE THE TIME-SENSE 

3158
02:00:41,732 --> 02:00:45,435
DIAGNOSIS AND AGE DIAGNOSIS IN 

3159
02:00:45,435 --> 02:00:47,804
COMPARISON TO HOW SEER 

3160
02:00:47,804 --> 02:00:50,140
REGISTERED AND REPORTED THE 

3161
02:00:50,140 --> 02:00:50,540
VARIABLE. 

3162
02:00:50,540 --> 02:00:52,843
THANK YOU, AGAIN,
EVERYONE, 

3163
02:00:52,843 --> 02:00:55,579
FOR YOUR WONDERFUL 

3164
02:00:55,579 --> 02:00:57,714
PRESENTATIONS.  ENJOY YOUR 

3165
02:00:57,714 --> 02:01:02,808
LUNCH.  THANK YOU. 

3166
02:01:02,808 --> 02:01:03,442
SYLVIA CHOU WILL MODERATE THE 

3167
02:01:03,442 --> 02:01:18,550
NEXT POSTER SESSION -- OF. 

3168
02:01:18,550 --> 02:01:21,186
WHEN WE WERE HIGHLIGHTING THE 

3169
02:01:21,186 --> 02:01:23,889
MOST CITED HINTS PAPERS AND 

3170
02:01:23,889 --> 02:01:26,424
SYLVIA'S IS THE MOST CITED HINTS

3171
02:01:26,424 --> 02:01:29,694
PAPER AT OVER 1500 CITATIONS FOR

3172
02:01:29,694 --> 02:01:32,764
A 2009 PAPER THAT WAS PUBLISHED 

3173
02:01:32,764 --> 02:01:35,800
IN JMIR TITLED SOCIAL MEDIA USE 

3174
02:01:35,800 --> 02:01:40,538
AND US IMPLICATIONS FOR HEALTH 

3175
02:01:40,538 --> 02:01:44,876
PROMOTION AND CO-AUTHORS WERE 

3176
02:01:44,876 --> 02:01:46,278
YVONNE HUNT AND ELLEN AND JOE.  

3177
02:01:46,278 --> 02:01:49,581
I WANTED TO SAY THAT.  IT WAS A 

3178
02:01:49,581 --> 02:01:50,882
REALLY IMPORTANT PAPER.  HINTS 

3179
02:01:50,882 --> 02:01:52,183
WAS ONE OF THE FIRST SURVEYS 

3180
02:01:52,183 --> 02:01:54,619
THAT STARTED TO LOOK AT SOCIAL 

3181
02:01:54,619 --> 02:01:57,222
MEDIA USE IN THE US AND 

3182
02:01:57,222 --> 02:01:58,390
FOUNDATIONAL PAPER THAT SYLVIA 

3183
02:01:58,390 --> 02:02:01,927
LED THAT IS A BIG PART OF HER 

3184
02:02:01,927 --> 02:02:03,828
CAREER AND REALLY SORRY I DIDN'T

3185
02:02:03,828 --> 02:02:05,330
MENTION IT YESTERDAY OR IT 

3186
02:02:05,330 --> 02:02:07,132
DIDN'T SHOW UP IN OUR ANALYSIS. 

3187
02:02:07,132 --> 02:02:10,068
WITH THAT, HERE IS SYLVIA TO 

3188
02:02:10,068 --> 02:02:11,169
MODERATE THE NEXT SESSION. 

3189
02:02:11,169 --> 02:02:13,705
>> THANK YOU, KELLY AND
EVERYONE

3190
02:02:13,705 --> 02:02:14,739
FOR COMING BACK AVERAGE LUNCH 

3191
02:02:14,739 --> 02:02:17,976
FOR WHAT IS GOING TO BE A VERY 

3192
02:02:17,976 --> 02:02:19,945
EXCITING PANEL.  I'M SYLVIA CHOU

3193
02:02:19,945 --> 02:02:21,947
AND WILL SAY ONE REASON WHY I 

3194
02:02:21,947 --> 02:02:32,424
THINK HINTS HAS A VALUABLE 

3195
02:03:23,108 --> 02:03:23,575
INSIGHT IS TRYING TO MEET 

3196
02:03:23,575 --> 02:03:24,209
PEOPLE'S COMMUNICATION NEEDS OR 

3197
02:03:24,209 --> 02:03:24,809
UNDERSTAND THEIR NEED WHERE'S 

3198
02:03:24,809 --> 02:03:25,443
THEY LIVE AND WORK AND PLAY AND 

3199
02:03:25,443 --> 02:03:26,077
IS ONE OF THE FIRST SURVEYS THAT

3200
02:03:26,077 --> 02:03:26,711
INTRODUCED SOCIAL MEDIA RELATED 

3201
02:03:26,711 --> 02:03:27,278
ITEMS NOT JUST HOW YOU USE 

3202
02:03:27,278 --> 02:03:27,912
SOCIAL MEDIA BUT HEALTH RELATED 

3203
02:03:27,912 --> 02:03:28,446
SOCIAL MEDIA USE WHETHER 

3204
02:03:28,446 --> 02:03:29,080
PARTICIPATION IN ONLINE SUPPORT 

3205
02:03:29,080 --> 02:03:29,647
GROUPS OR WATCHING YOUTUBE 

3206
02:03:29,647 --> 02:03:30,281
VIDEOS ABOUT HEALTH THAT GIVES A

3207
02:03:30,281 --> 02:03:30,915
LOT TO THINK ABOUT IN MATERIALS 

3208
02:03:30,915 --> 02:03:31,449
OF EVOLVING AND CHANGING 

3209
02:03:31,449 --> 02:03:32,083
LANDSCAPE THAT IS CHARACTERIZED 

3210
02:03:32,083 --> 02:03:32,717
BY USER GENERATED CONTENT THAT 

3211
02:03:32,717 --> 02:03:33,351
CONNECTS TO WAY WE COMMUNICATE 

3212
02:03:33,351 --> 02:03:33,985
ABOUT HEALTH AND THIS PANEL HAS 

3213
02:03:33,985 --> 02:03:34,519
FOUR PRESENTATIONS ABOUT 

3214
02:03:34,519 --> 02:03:35,086
DIFFERENT ASPECTS OF SOCIAL 

3215
02:03:35,086 --> 02:03:35,320
MEDIA. 

3216
02:03:35,320 --> 02:03:35,954
BY WAY OF INTRODUCTION THE FEEL 

3217
02:03:35,954 --> 02:03:36,588
THE FIRST DECADE OF SOCIAL MEDIA

3218
02:03:36,588 --> 02:03:37,122
THERE WAS EXCITEMENT AND 

3219
02:03:37,122 --> 02:03:37,756
PROMISES THINKING ABOUT HOW IT 

3220
02:03:37,756 --> 02:03:38,323
HELPS SUPPORT COMMUNICATION 

3221
02:03:38,323 --> 02:03:38,890
EFFORTS AND BIG QUESTION OF 

3222
02:03:38,890 --> 02:03:39,524
MISINFORMATION THAT BECOMES TOO 

3223
02:03:39,524 --> 02:03:40,125
BIG TO IGNORE AND WE THINK 

3224
02:03:40,125 --> 02:03:41,426
OPENING UP PEER-TO-PEER 

3225
02:03:41,426 --> 02:03:43,261
COMMUNICATION LET'S US HAVE LESS

3226
02:03:43,261 --> 02:03:44,829
CONTROL OF CONTENT AND BEGIN 

3227
02:03:44,829 --> 02:03:47,065
ASKING QUESTIONS OF PEOPLE'S 

3228
02:03:47,065 --> 02:03:48,166
PERCEPTIONS AND QUALITY OF 

3229
02:03:48,166 --> 02:03:49,467
INFORMATION THEY SEE ON SOCIAL 

3230
02:03:49,467 --> 02:03:51,336
MEDIA THAT YOU WILL SEE IN AT 

3231
02:03:51,336 --> 02:03:52,837
LEAST TWO PRESENTATIONS TODAY. 

3232
02:03:52,837 --> 02:03:55,940
LET'S GET STARTED.  WE WILL 

3233
02:03:55,940 --> 02:04:03,648
START WITH OUR FIRST SPEAK ER. 

3234
02:04:03,648 --> 02:04:14,159
DR. MING WONG AND YONAIRA AND 

3235
02:04:20,398 --> 02:04:20,899
PRATHYUSHA. 

3236
02:04:20,899 --> 02:04:31,242
THANK YOU SO MUCH. 

3237
02:04:31,576 --> 02:04:33,411
>> THANK YOU, EVERYONE,
FOR 

3238
02:04:33,411 --> 02:04:34,679
STAYING THIS AFTERNOON. 

3239
02:04:34,679 --> 02:04:37,082
MY RESEARCH FOCUSES ON IMPACT OF

3240
02:04:37,082 --> 02:04:38,583
NEW COMMUNICATION TECHNOLOGIES 

3241
02:04:38,583 --> 02:04:39,851
ON HEALTH COMMUNICATIONS THAT 

3242
02:04:39,851 --> 02:04:41,986
I'M TRYING TO IDENTIFY 

3243
02:04:41,986 --> 02:04:43,655
STRATEGIES FOR SOCIAL MEDIA 

3244
02:04:43,655 --> 02:04:45,723
INTERVENTIONS IN ANTIRAPING 

3245
02:04:45,723 --> 02:04:51,596
CAMPAIGNS IN THE STUDY. 

3246
02:04:51,596 --> 02:04:54,499
VAPING HAS SURPASSED CIGARETTES 

3247
02:04:54,499 --> 02:04:56,067
BECOMING THE MOST PREVALENT 

3248
02:04:56,067 --> 02:05:01,106
TOBACCO USE BY US USE AND 6% OF 

3249
02:05:01,106 --> 02:05:06,845
HIGH SCHOOL STUDENTS AND 4.7% OF

3250
02:05:06,845 --> 02:05:08,279
STUDENTS REPORTED -- MAY SERVE 

3251
02:05:08,279 --> 02:05:11,082
AS A GATEWAY TO CIGARETTE 

3252
02:05:11,082 --> 02:05:14,219
SMOKING AND MARIJUANA AND OTHER 

3253
02:05:14,219 --> 02:05:17,422
SUBSTANCE USE.  FACEBOOK 

3254
02:05:17,422 --> 02:05:19,557
INSTAGRAM AND TIKTOK AND YOUTUBE

3255
02:05:19,557 --> 02:05:23,294
WHERE THEY ARE MORE LIKELY TO 

3256
02:05:23,294 --> 02:05:25,096
SEARCH FOR AND SHARE INFORMATION

3257
02:05:25,096 --> 02:05:27,866
ABOUT [INDISCERNIBLE] AND 

3258
02:05:27,866 --> 02:05:30,135
INTERNET VENDORS MARKET PRODUCTS

3259
02:05:30,135 --> 02:05:32,604
AND NONCOMMERCIAL VENDORS THAT 

3260
02:05:32,604 --> 02:05:37,709
SHARE COUPONS PROMOTIONS AND 

3261
02:05:37,709 --> 02:05:39,410
PRODUCT USE. 

3262
02:05:39,410 --> 02:05:41,679
COMMON PROMOTIONAL STRATEGIES 

3263
02:05:41,679 --> 02:05:43,781
INCLUDE PRICE PROMOTIONS BETWEEN

3264
02:05:43,781 --> 02:05:46,317
FLAVORS FEATURING PRODUCT 

3265
02:05:46,317 --> 02:05:48,086
CHARACTERISTICS THAT USE 

3266
02:05:48,086 --> 02:05:50,188
YOUTH-APPEALING THEMES AND 

3267
02:05:50,188 --> 02:05:52,323
CELEBRITY INFLUENCER MARKETING 

3268
02:05:52,323 --> 02:05:54,359
BUILDING PROVAPE COMMUNITIES AND

3269
02:05:54,359 --> 02:05:55,827
IDENTITIES AND INCENTIVIZING 

3270
02:05:55,827 --> 02:05:58,363
FRIEND TAGGING LIKE THE ICE 

3271
02:05:58,363 --> 02:05:59,497
BUCKET CHALLENGE VIRAL CAMPAIGNS

3272
02:05:59,497 --> 02:06:04,302
WE HAVE SEEN BEFORE.  VISUALS 

3273
02:06:04,302 --> 02:06:05,870
OFTEN PORTRAY A SAFE YOUTH 

3274
02:06:05,870 --> 02:06:09,207
HEALTHY INDEPENDENT NATURAL AND 

3275
02:06:09,207 --> 02:06:11,676
COOL THEMES AND WE SEE USERS 

3276
02:06:11,676 --> 02:06:15,146
POST VERY COOL VAPING TRICKS AND

3277
02:06:15,146 --> 02:06:18,449
PROMOTE VAPING PRODUCTS ON 

3278
02:06:18,449 --> 02:06:21,119
INSTAGRAM AND TIKTOK AND 

3279
02:06:21,119 --> 02:06:23,221
EXPOSURE TO PROMOTION MESSAGES 

3280
02:06:23,221 --> 02:06:25,924
WE KNOW AS RISK FACTOR FOR USE 

3281
02:06:25,924 --> 02:06:29,327
PARTICULARLY AMONG ADOLESCENTS 

3282
02:06:29,327 --> 02:06:31,162
BEING SHOWN TO SHOW INCREASED 

3283
02:06:31,162 --> 02:06:33,031
[INDISCERNIBLE] AND REDUCED 

3284
02:06:33,031 --> 02:06:34,032
SMOKING CESSATIONS AND IN 

3285
02:06:34,032 --> 02:06:36,100
ADDITION TO PROVAPING MESSAGES 

3286
02:06:36,100 --> 02:06:38,036
ON SOCIAL MEDIA WE KNOW PUBLIC 

3287
02:06:38,036 --> 02:06:40,805
HEALTH PROFESSIONALS ARE POSTING

3288
02:06:40,805 --> 02:06:44,309
ANTIRAPING MESSAGES ON SOCIAL 

3289
02:06:44,309 --> 02:06:52,116
MEDIA SUCH AS REAL COST 

3290
02:06:52,116 --> 02:06:55,053
E-CIGARETTE CAMPAIGN AND NEW 

3291
02:06:55,053 --> 02:06:56,854
EVIDENCE SUGGESTS THAT ENGAGING 

3292
02:06:56,854 --> 02:07:00,058
YOUTH OF HARMS OF E-CIGARETTE 

3293
02:07:00,058 --> 02:07:01,659
USE HAVE SOME EFFECT.  QUESTIONS

3294
02:07:01,659 --> 02:07:05,863
I'M TRYING TO ASK HERE IS HOW DO

3295
02:07:05,863 --> 02:07:09,734
SOCIAL MEDIA EXPERIENCES EFFECT 

3296
02:07:09,734 --> 02:07:12,570
VAPOR'S PERCEPTIONS OF 

3297
02:07:12,570 --> 02:07:13,271
E-CIGARETTE [INDISCERNIBLE]. 

3298
02:07:13,271 --> 02:07:15,707
AS WE TALK AND WE HEARD EARLIER 

3299
02:07:15,707 --> 02:07:18,309
THAT WE KNOW THAT HEALTH 

3300
02:07:18,309 --> 02:07:19,477
MISINFORMATION IN PARTICULAR HAS

3301
02:07:19,477 --> 02:07:21,246
BEEN PREVALENT ON SOCIAL MEDIA 

3302
02:07:21,246 --> 02:07:22,914
AND WENT THROUGH THOSE AND 

3303
02:07:22,914 --> 02:07:24,482
PARTICULARLY IS ON SOCIAL MEDIA 

3304
02:07:24,482 --> 02:07:27,018
THAT SOCIAL MEDIA USERS HEAR 

3305
02:07:27,018 --> 02:07:29,687
MESSAGES SUCH AS NICO TEEN IS 

3306
02:07:29,687 --> 02:07:33,891
NOT ADDICTIVE AND NEVER HARMFUL 

3307
02:07:33,891 --> 02:07:36,127
AND [INDISCERNIBLE] THAT TOUT 

3308
02:07:36,127 --> 02:07:41,666
UNPROVEN HEALTH BENEFITS I HAVE 

3309
02:07:41,666 --> 02:07:43,534
SEEN [INDISCERNIBLE] FOR 

3310
02:07:43,534 --> 02:07:44,936
INSTANCE E-CIGARETTES COMPLETELY

3311
02:07:44,936 --> 02:07:50,074
HEALTHY AND SYNTHETIC NICOTINE 

3312
02:07:50,074 --> 02:07:51,476
DOESN'T CAUSE CANCER AND 

3313
02:07:51,476 --> 02:07:52,610
E-CIGARETTES CAN PROMOTE SMOKING

3314
02:07:52,610 --> 02:07:53,945
CESSATION AND STARTED TO WORK 

3315
02:07:53,945 --> 02:07:55,980
WITH A COLLEAGUE WHO USED TO 

3316
02:07:55,980 --> 02:07:59,050
MANAGE ESPORTS TEAMS AND TALK 

3317
02:07:59,050 --> 02:08:01,219
ABOUT E-CIGARETTE USE IN SPORTS 

3318
02:08:01,219 --> 02:08:04,322
COMMUNITY AND FOUND THERE IS A 

3319
02:08:04,322 --> 02:08:07,892
LOT OF MISINFORMATION ABOUT 

3320
02:08:07,892 --> 02:08:14,198
ESPORTS AND SOME CLAIM THIS IS A

3321
02:08:14,198 --> 02:08:15,800
PARTICULAR PAIR. 

3322
02:08:15,800 --> 02:08:17,802
VAPE WILLING DURING GAMING HELPS

3323
02:08:17,802 --> 02:08:19,937
RELAX NERVES AND PERFORM BETTER 

3324
02:08:19,937 --> 02:08:29,013
AND HELPS YOU SOCIALIZE. 

3325
02:08:29,013 --> 02:08:32,850
I TALKED WITH MI COLLEAGUE. 

3326
02:08:32,850 --> 02:08:36,821
I'M INTERESTED IN LOOKING AT 

3327
02:08:36,821 --> 02:08:42,660
WHETHER EXPOSURE TO HEALTH 

3328
02:08:42,660 --> 02:08:44,662
MISINFORMATION ON SOCIAL MEDIA. 

3329
02:08:44,662 --> 02:08:48,766
SO, I HYPOTHESIZED THAT VAPING 

3330
02:08:48,766 --> 02:08:52,737
FREQUENCY IS ASSOCIATED WITH 

3331
02:08:52,737 --> 02:08:53,938
PERCEIVED E-CIGARETTE HARM AND 

3332
02:08:53,938 --> 02:08:56,407
MORE IMPORTANTLY I EXPECT THIS 

3333
02:08:56,407 --> 02:08:57,308
RELATIONSHIP TO BE AMPLIFIED 

3334
02:08:57,308 --> 02:09:00,044
WHEN INDIVIDUALS ARE EXPOSED TO 

3335
02:09:00,044 --> 02:09:01,979
TOBACCO ADVERTISING ON SOCIAL 

3336
02:09:01,979 --> 02:09:03,948
MEDIA AND EXPOSE TODAY HEALTH 

3337
02:09:03,948 --> 02:09:04,916
INFORMATION ON SOCIAL MEDIA 

3338
02:09:04,916 --> 02:09:07,285
MEANING THEY ARE LESS LIKELY TO 

3339
02:09:07,285 --> 02:09:09,287
PERCEIVE HARM WHEN EXPOSED TO 

3340
02:09:09,287 --> 02:09:10,088
THESE SOURCES AVEND THIS EFFECT 

3341
02:09:10,088 --> 02:09:12,056
IS ATTENUATED WHEN INDIVIDUALS 

3342
02:09:12,056 --> 02:09:15,860
ARE EXPOSED TO ANTI-VAPING AND 

3343
02:09:15,860 --> 02:09:17,428
ANTITOBACCO ADVERTISING ON 

3344
02:09:17,428 --> 02:09:18,963
SOCIAL MEDIA MEANING WHEN THEY 

3345
02:09:18,963 --> 02:09:23,568
SEE THESE MESSAGES THIS ARE MORE

3346
02:09:23,568 --> 02:09:27,672
LIKELY TO SEE HARM. 

3347
02:09:27,672 --> 02:09:31,075
DATA SET I USED IS THIS DATA 

3348
02:09:31,075 --> 02:09:33,511
THAT E-CIGARETTE HARM IS 

3349
02:09:33,511 --> 02:09:35,713
MEASURED BY 5-POINT SCALE I 

3350
02:09:35,713 --> 02:09:37,682
RECODED SO HIGHER VALUE 

3351
02:09:37,682 --> 02:09:41,719
INDICATES MORE PERCEIVED HARM 

3352
02:09:41,719 --> 02:09:45,089
AND E-CIGARETTE FREQUENCY THAT 

3353
02:09:45,089 --> 02:09:49,961
IS USED TO USERS THOSE REPORTED 

3354
02:09:49,961 --> 02:09:52,196
USING E-CIGARETTES BEFORE AND 6%

3355
02:09:52,196 --> 02:09:55,500
IN THE DATASET AND NOT LOOKING 

3356
02:09:55,500 --> 02:09:57,235
AT SOCIAL MEDIA EFFECTS OF THOSE

3357
02:09:57,235 --> 02:09:59,570
USED ON E-CIGARETTES BEFORE AND 

3358
02:09:59,570 --> 02:10:03,908
OTHER MEASURES I USED DURING 

3359
02:10:03,908 --> 02:10:05,343
TOBACCO EXPOSURE ADVERTISING IN 

3360
02:10:05,343 --> 02:10:07,879
PAST THREE MONTHS AND TOBACCO 

3361
02:10:07,879 --> 02:10:09,046
ADVERTISING SOCIAL MEDIA AND 

3362
02:10:09,046 --> 02:10:12,884
SIMILAR QUESTION WAS ASKED ABOUT

3363
02:10:12,884 --> 02:10:13,885
ANTITOBACCO ADVERTISING AND 

3364
02:10:13,885 --> 02:10:17,422
ASKED HOW MUCH OF THE HEALTH 

3365
02:10:17,422 --> 02:10:20,158
INFORMATION YOU SEE ON SOCIAL 

3366
02:10:20,158 --> 02:10:21,959
MEDIA YOU THINK IS FALSE OR 

3367
02:10:21,959 --> 02:10:23,728
MISLEADING AND CONTROLLED A HOST

3368
02:10:23,728 --> 02:10:33,704
OF DEMOGRAPHICS THIS WAS A 

3369
02:10:33,704 --> 02:10:37,341
SURVEY PACKAGE IN R.  

3370
02:10:37,341 --> 02:10:40,278
SO S

3371
02:10:40,278 --> 02:10:45,349
SO, RESULTS SHOW FREQUENCY IS 

3372
02:10:45,349 --> 02:10:48,019
ASSOCIATED WITH PERCEIVED 

3373
02:10:48,019 --> 02:10:48,486
E-CIGARETTE HARM AND 

3374
02:10:48,486 --> 02:10:51,456
[INDISCERNIBLE] IS NOT 

3375
02:10:51,456 --> 02:10:56,594
SURPRISING AND I'M NOT TRYING TO

3376
02:10:56,594 --> 02:10:59,630
SORT OF CLAIM CAUSATION HERE AND

3377
02:10:59,630 --> 02:11:01,632
RELATIONSHIP COULD BE REVERSED 

3378
02:11:01,632 --> 02:11:03,601
LOOKING AT CORRELATION HERE AND 

3379
02:11:03,601 --> 02:11:04,869
MORE IMPORTANTLY THERE IS A 

3380
02:11:04,869 --> 02:11:07,138
SIGNIFICANT TWO-WAY INTERACTION 

3381
02:11:07,138 --> 02:11:08,873
BETWEEN VAPING FREQUENCY AND 

3382
02:11:08,873 --> 02:11:10,575
EXPOSURE TO TOBACCO ADVERTISING 

3383
02:11:10,575 --> 02:11:13,678
ON SOCIAL MEDIA SHOWING THAT 

3384
02:11:13,678 --> 02:11:17,682
FREQUENT VAPORS ARE LESS LIKELY 

3385
02:11:17,682 --> 02:11:19,350
TO PERCEIVE -- GIVEN PREVALENCE 

3386
02:11:19,350 --> 02:11:23,421
OF VAPING FREQUENCY AMONG YOUTH 

3387
02:11:23,421 --> 02:11:26,624
ALSO FOLLOWED UP WITH A 

3388
02:11:26,624 --> 02:11:27,391
THREE-WAY INTERACTION THAT WE 

3389
02:11:27,391 --> 02:11:29,694
KNOW THAT AGE MATTERS HERE AND 

3390
02:11:29,694 --> 02:11:32,263
DID ANALYSIS WITH THREE WAY 

3391
02:11:32,263 --> 02:11:35,533
INTERACTION BETWEEN VAPING 

3392
02:11:35,533 --> 02:11:40,538
FREQUENCY EXPOSURE AND THIS 

3393
02:11:40,538 --> 02:11:43,608
TELLS US THAT THIS EFFECT IS 

3394
02:11:43,608 --> 02:11:46,577
STRONGER ON YOUTH.  

3395
02:11:46,577 --> 02:11:48,613
UNFORTUNATELY OTHER TWO 

3396
02:11:48,613 --> 02:11:50,848
MODERATION HYPOTHESES WEREN'T 

3397
02:11:50,848 --> 02:11:52,850
SUPPORTED AND EFFECT AND 

3398
02:11:52,850 --> 02:11:54,252
RELATIONSHIP BETWEEN VAPING 

3399
02:11:54,252 --> 02:11:58,256
FREQUENCY AND PERCEIVED 

3400
02:11:58,256 --> 02:12:01,058
E-CIGARETTE HARM DIDN'T VARY 

3401
02:12:01,058 --> 02:12:01,726
SIGNIFICANTLY BETWEEN THOSE THAT

3402
02:12:01,726 --> 02:12:03,661
WERE EXPOSED TO HEALTH 

3403
02:12:03,661 --> 02:12:04,428
MISINFORMATION AND THOSE THAT 

3404
02:12:04,428 --> 02:12:06,864
WERE NOT AND THEY DID NOT VARY 

3405
02:12:06,864 --> 02:12:09,333
BETWEEN THOSE THAT WERE EXPOSED 

3406
02:12:09,333 --> 02:12:11,235
TO ANTITOBACCO ADVERTISING ON 

3407
02:12:11,235 --> 02:12:12,436
SOCIAL MEDIA VERSUS THOSE THAT 

3408
02:12:12,436 --> 02:12:13,971
WERE NOT EXPOSED TO THOSE. 

3409
02:12:13,971 --> 02:12:16,240
WHAT ARE IMPLICATIONS?  

3410
02:12:16,240 --> 02:12:19,777
WE KNOW THAT TOBACCO ADVERTISING

3411
02:12:19,777 --> 02:12:22,547
IS EFFECTIVE PARTICULARLY AMONG 

3412
02:12:22,547 --> 02:12:23,681
YOUTH AND SEE STRONG INTERACTION

3413
02:12:23,681 --> 02:12:27,852
AMONG RESULTS AND WE HAVE TO BE 

3414
02:12:27,852 --> 02:12:29,987
PROACTIVE IN STRATEGIC 

3415
02:12:29,987 --> 02:12:31,889
COUNTERACT TOBACCO ADVERTISING 

3416
02:12:31,889 --> 02:12:32,156
EFFECTS. 

3417
02:12:32,156 --> 02:12:35,293
WE KNOW PUBLIC HEALTH, PUBLIC IS

3418
02:12:35,293 --> 02:12:36,894
EXPOSED TO HEALTH MISINFORMATION

3419
02:12:36,894 --> 02:12:39,530
ONLINE AND RESEARCH IS SHOWING 

3420
02:12:39,530 --> 02:12:40,598
IMPACT.  

3421
02:12:40,598 --> 02:12:42,266
ANNA'S PRESENTATION NEXT WILL 

3422
02:12:42,266 --> 02:12:44,936
LOOK AT PREVALENCE PREDICTORS 

3423
02:12:44,936 --> 02:12:46,604
AND ASSOCIATED BEHAVIOR WITH 

3424
02:12:46,604 --> 02:12:47,772
EXPOSURE TO HEALTH 

3425
02:12:47,772 --> 02:12:49,240
MISINFORMATION ON SOCIAL MEDIA 

3426
02:12:49,240 --> 02:12:52,843
AND DIDN'T FIND EFFECT IN STUDY 

3427
02:12:52,843 --> 02:12:54,211
REGARDING E-CIGARETTE USE. 

3428
02:12:54,211 --> 02:12:55,379
THINKING ABOUT RESULTS AND 

3429
02:12:55,379 --> 02:12:56,781
THINKING ABOUT THIS MEASURE, THE

3430
02:12:56,781 --> 02:13:01,686
ONE THAT I USED HERE IS A 

3431
02:13:01,686 --> 02:13:03,621
SELF-REPORTED MEASURE TO HEALTH 

3432
02:13:03,621 --> 02:13:05,022
MISINFORMATION ON SOCIAL MEDIA 

3433
02:13:05,022 --> 02:13:06,424
AND PROBLEM THINKING ABOUT THIS 

3434
02:13:06,424 --> 02:13:10,461
MEASURE IS THOSE EXPOSED TO 

3435
02:13:10,461 --> 02:13:12,563
HEALTH INFORMATION THAT MAY NOT 

3436
02:13:12,563 --> 02:13:13,698
KNOW OR THINK INFORMATION THEY 

3437
02:13:13,698 --> 02:13:16,834
SEE IS MISINFORMATION.  TO THEM,

3438
02:13:16,834 --> 02:13:18,269
MISINFORMATION IS ACTUALLY THE 

3439
02:13:18,269 --> 02:13:19,971
TRUTH AND WHAT THEY BELIEVE IN 

3440
02:13:19,971 --> 02:13:23,307
AND THAT MIGHT BE A CONCERTIVE 

3441
02:13:23,307 --> 02:13:24,709
MEASURE OF EFFECT OF 

3442
02:13:24,709 --> 02:13:26,277
MISINFORMATION.  I THOUGHT OF 

3443
02:13:26,277 --> 02:13:27,378
ANOTHER POSSIBILITY WHEN LOOKING

3444
02:13:27,378 --> 02:13:30,181
AT SOCIAL MEDIA INSTAGRAM DATA 

3445
02:13:30,181 --> 02:13:33,250
SET I COLLECTED I SEE SOME 

3446
02:13:33,250 --> 02:13:34,952
VAPORS CLAIM ANTI-VAPING 

3447
02:13:34,952 --> 02:13:36,020
MESSAGES TO BE MISINFORMATION 

3448
02:13:36,020 --> 02:13:38,956
AND MESSAGES THEY THOUGHT WERE 

3449
02:13:38,956 --> 02:13:41,993
ACTUALLY FALSE.  IN THAT SENSE 

3450
02:13:41,993 --> 02:13:44,795
WHEN WE FIND EFFECTS FROM 

3451
02:13:44,795 --> 02:13:45,296
PERCEIVED EFFECTS ON 

3452
02:13:45,296 --> 02:13:47,965
MISINFORMATION OF VAPORS ARE 

3453
02:13:47,965 --> 02:13:49,734
EFFECT OF TRUE ARNTI VAPING 

3454
02:13:49,734 --> 02:13:50,901
MESSAGE AND THINKING ABOUT THIS 

3455
02:13:50,901 --> 02:13:52,970
I THINK THERE COULD BE MORE 

3456
02:13:52,970 --> 02:13:57,341
NUANCE TO MEASURE EXPOSURE TO 

3457
02:13:57,341 --> 02:13:58,109
HEALTH MISINFORMATION ONLINE. 

3458
02:13:58,109 --> 02:14:00,845
WE KNOW THAT WE NEED TO DEVELOP 

3459
02:14:00,845 --> 02:14:02,413
MORE EFFECTIVE ANTI-VAPING 

3460
02:14:02,413 --> 02:14:04,081
ADVERTISING CAMPAIGNS AND NULL 

3461
02:14:04,081 --> 02:14:06,050
EFFECT IN THE STUDY SUGGESTS WE 

3462
02:14:06,050 --> 02:14:08,886
HAVE TO DEVELOP MORE EFFECTIVE 

3463
02:14:08,886 --> 02:14:10,354
CAMPAIGN COMMUNICATION TO 

3464
02:14:10,354 --> 02:14:11,422
COMMUNICATE HARMS OF E-CIGARETTE

3465
02:14:11,422 --> 02:14:13,057
USE TO VAPORS.  

3466
02:14:13,057 --> 02:14:15,326
THERE HAS BEEN RESEARCH ON HOW 

3467
02:14:15,326 --> 02:14:17,595
TO DESIGN ANTI-VAPING CAMPAIGNS 

3468
02:14:17,595 --> 02:14:19,997
ON SOCIAL MEDIA IN THE 

3469
02:14:19,997 --> 02:14:21,465
LITERATURE AND GRANTED WE NEED 

3470
02:14:21,465 --> 02:14:23,034
MORE RESEARCH ON THAT.  I WANTED

3471
02:14:23,034 --> 02:14:25,136
TO SHARE RECENT DIRECTIONS I HAD

3472
02:14:25,136 --> 02:14:28,372
TAKEN BY RESEARCH OF LOOKING AT 

3473
02:14:28,372 --> 02:14:29,774
ARTIFICIALLY DRIVEN AND 

3474
02:14:29,774 --> 02:14:31,542
ARTIFICIAL INTELLIGENCE DRIVEN 

3475
02:14:31,542 --> 02:14:33,711
ALGORITHMS ON SOCIAL MEDIA AND 

3476
02:14:33,711 --> 02:14:35,046
ESPECIALLY ON TIKTOK. 

3477
02:14:35,046 --> 02:14:38,449
SO, I WORKING WITH A LOCAL 

3478
02:14:38,449 --> 02:14:40,751
NON-PROFIT WHOSE AIM IS TOBACCO 

3479
02:14:40,751 --> 02:14:42,486
CONTROL AND NOTICED AN 

3480
02:14:42,486 --> 02:14:45,423
INTERESTING PHENOMENON POSTING 

3481
02:14:45,423 --> 02:14:46,490
ANTI-VAPING MESSAGES ON TIKTOK. 

3482
02:14:46,490 --> 02:14:48,993
WHEN WE CLICKED ON ANTI-VAPING 

3483
02:14:48,993 --> 02:14:50,327
MESSAGE WE GET RECOMMENDED THESE

3484
02:14:50,327 --> 02:14:52,663
ARE RELATED VIDEOS YOU SHOULD 

3485
02:14:52,663 --> 02:14:54,865
WATCH AND KEEP CLICKING ON 

3486
02:14:54,865 --> 02:14:56,333
MESSAGES, WE WERE DIRECTED TO 

3487
02:14:56,333 --> 02:14:58,669
MORE AND MORE PROVAPING MESSAGES

3488
02:14:58,669 --> 02:15:00,171
ON SOCIAL MEDIA. 

3489
02:15:00,171 --> 02:15:02,039
IMAGINE A CURRENT VAPOR WHO 

3490
02:15:02,039 --> 02:15:03,841
WANTS TO QUIT VAPING SEES 

3491
02:15:03,841 --> 02:15:05,776
CAMPAIGN MESSAGE GOING TO 

3492
02:15:05,776 --> 02:15:07,144
ORGANIZATION'S WEBSITE AND 

3493
02:15:07,144 --> 02:15:11,048
CLICKS ANTI-VAPING MESSAGE AND 

3494
02:15:11,048 --> 02:15:13,718
SLOWLY STARTS TO SEE 

3495
02:15:13,718 --> 02:15:15,019
ATTITUDE-RE-ENFORCING MESSAGES 

3496
02:15:15,019 --> 02:15:16,787
THAT PROMOTE VAPING AND IS NOT 

3497
02:15:16,787 --> 02:15:18,022
WHAT WE WANTED. 

3498
02:15:18,022 --> 02:15:19,457
WHAT ARE SOLUTION SNZ. 

3499
02:15:19,457 --> 02:15:22,293
MORE RESEARCH I THINK INTO 

3500
02:15:22,293 --> 02:15:24,228
ALGORITHMIC IMPACT WORKING IN 

3501
02:15:24,228 --> 02:15:26,564
SOCIAL MEDIA PLATFORMS IS 

3502
02:15:26,564 --> 02:15:27,598
IMPORTANT AND FROM OUR 

3503
02:15:27,598 --> 02:15:30,201
PERSPECTIVE LOOKING AT MAYBE WE 

3504
02:15:30,201 --> 02:15:32,903
NEED TO THINK ABOUT AT RISK 

3505
02:15:32,903 --> 02:15:36,640
LITERACY AND SOCIAL MEDIA 

3506
02:15:36,640 --> 02:15:38,542
LITER

3507
02:15:38,542 --> 02:15:39,110
LITERACY. 

3508
02:15:39,110 --> 02:15:41,145
WE HAVE DONE RESEARCH THAT 

3509
02:15:41,145 --> 02:15:43,247
DEVELOPED VAPING SOCIAL MEDIA 

3510
02:15:43,247 --> 02:15:49,186
LITERACY PROGRAM AND FOUND THAT 

3511
02:15:49,186 --> 02:15:53,491
INCREASED PERCEIVED HARM OF 

3512
02:15:53,491 --> 02:15:58,329
E-CIGARETTES AND SEEING THIS 

3513
02:15:58,329 --> 02:16:04,168
LITERACY IN TOBACCO CONTROL 

3514
02:16:04,168 --> 02:16:04,468
ENDEAVORS. 

3515
02:16:04,468 --> 02:16:13,611
THANK YOU.  

3516
02:16:13,611 --> 02:16:15,412
>> HI.  GOOD AFTERNOON, 

3517
02:16:15,412 --> 02:16:17,081
EVERYONE.  I WILL PRESENT ON 

3518
02:16:17,081 --> 02:16:20,151
SOME OF THE NEW SOCIAL MEDIA 

3519
02:16:20,151 --> 02:16:22,453
MISINFORMATION ITEMS FROM HINT 6

3520
02:16:22,453 --> 02:16:24,622
AND RELATIONSHIP TO 

3521
02:16:24,622 --> 02:16:25,689
COMMUNICATION BEHAVIORS 

3522
02:16:25,689 --> 02:16:33,697
INVOLVING SHARING AND USING 

3523
02:16:33,697 --> 02:16:37,134
SOCIAL MEDIA HEALTH INFORMATION.

3524
02:16:37,134 --> 02:16:44,542
OKAY OUR TEAM STARTED TO WORK ON

3525
02:16:44,542 --> 02:16:46,343
HEALTH MISINFORMATION BACK IN 

3526
02:16:46,343 --> 02:16:47,578
2017 AND BACK THEN FELT WE HAD 

3527
02:16:47,578 --> 02:16:49,980
TO DO A LOT OF WORK TO CONVINCE 

3528
02:16:49,980 --> 02:16:52,216
PEOPLE THAT HEALTH 

3529
02:16:52,216 --> 02:16:53,684
MISINFORMATION WAS SOMETHING 

3530
02:16:53,684 --> 02:16:57,955
THAT NEEDED URGENT ATTENTION. 

3531
02:16:57,955 --> 02:16:59,290
MADE IT CLEAR TO EVERYONE THIS 

3532
02:16:59,290 --> 02:17:04,862
IS A SERIOUS PROBLEM TO HINDER 

3533
02:17:04,862 --> 02:17:05,863
PUBLIC HEALTH RESPONSE AND 

3534
02:17:05,863 --> 02:17:06,697
IMPORTANT TO NOTE THAT 

3535
02:17:06,697 --> 02:17:08,866
MISINFORMATION AS A CONCEPT IS 

3536
02:17:08,866 --> 02:17:13,137
NOT NEW BUT IS A BIGGER THREAT 

3537
02:17:13,137 --> 02:17:16,473
IN THE CURRENT -- THEREBY 

3538
02:17:16,473 --> 02:17:19,944
EXACERBATING NEGATIVE EFFECT OF 

3539
02:17:19,944 --> 02:17:20,911
MISINFORMATION ON INDIVIDUAL AND

3540
02:17:20,911 --> 02:17:23,480
POPULATION HEALTH AND MANY 

3541
02:17:23,480 --> 02:17:25,149
STUDIES TO DATE DOCUMENTED 

3542
02:17:25,149 --> 02:17:26,750
EXISTENCE OF SUBSTANTIAL AMOUNTS

3543
02:17:26,750 --> 02:17:29,653
OF HEALTH-RELATED MISINFORMATION

3544
02:17:29,653 --> 02:17:31,622
ON SOCIAL MEDIA PLATFORMS ACROSS

3545
02:17:31,622 --> 02:17:34,692
A WIDE RANGE OF TOPICS AND 

3546
02:17:34,692 --> 02:17:36,227
EXPERIMENTAL RESEARCH SUGGESTS 

3547
02:17:36,227 --> 02:17:37,761
THAT SOCIAL MEDIA MISINFORMATION

3548
02:17:37,761 --> 02:17:39,930
COULD HAVE NEGATIVE IMPACT ON 

3549
02:17:39,930 --> 02:17:42,233
HEALTH RELATED ATTITUDES 

3550
02:17:42,233 --> 02:17:44,501
BEHAVIORS AND OUTCOMES AND 

3551
02:17:44,501 --> 02:17:46,136
GROWING INFORMATION SUGGESTS 

3552
02:17:46,136 --> 02:17:47,037
MISINFORMATION IS WIDESPREAD ON 

3553
02:17:47,037 --> 02:17:49,974
SOCIAL MEDIA AND RELATIONSHIP 

3554
02:17:49,974 --> 02:17:51,442
BETWEEN SOCIAL MEDIA EXPOSURE 

3555
02:17:51,442 --> 02:17:54,945
AND HEALTH RELATED OUTCOMES AND 

3556
02:17:54,945 --> 02:17:57,481
LITTLE WORK TO DATE -- PERCEIVE 

3557
02:17:57,481 --> 02:17:58,415
MISINFORMATION ON SOCIAL MEDIA 

3558
02:17:58,415 --> 02:18:00,451
OR PERCEPTIONS THAT IMPACT 

3559
02:18:00,451 --> 02:18:02,553
BEHAVIOR THAT IS A POTENTIALLY 

3560
02:18:02,553 --> 02:18:03,754
SIGNIFICANT GAP IN THE 

3561
02:18:03,754 --> 02:18:05,089
LITERATURE AND EVIDENCE TO 

3562
02:18:05,089 --> 02:18:06,523
SUGGEST THAT PERCEPTIONS COULD 

3563
02:18:06,523 --> 02:18:10,394
IMPACT ATTITUDES AND BEHAVIORS 

3564
02:18:10,394 --> 02:18:13,697
OVER AND ABOVE -- OVER AND ABOVE

3565
02:18:13,697 --> 02:18:15,933
THE IMPACT OF ACTUAL EXPOSURE OR

3566
02:18:15,933 --> 02:18:17,601
MISINFORMATION ENDORSEMENT.  FOR

3567
02:18:17,601 --> 02:18:19,970
EXAMPLE A STUDY CONDUCTED IN 

3568
02:18:19,970 --> 02:18:23,274
2020 FOUND PERCEPTIONS OF HIGH 

3569
02:18:23,274 --> 02:18:23,908
MISINFORMATION PREVALENCE IN 

3570
02:18:23,908 --> 02:18:25,976
SOCIAL MEDIA WERE CORRELATED 

3571
02:18:25,976 --> 02:18:29,513
WITH WORRY ABOUT COVID-19 AND 

3572
02:18:29,513 --> 02:18:30,814
ACTUAL OBJECTIVE PREVALENCE OF 

3573
02:18:30,814 --> 02:18:33,050
MISINFORMATION AND WORRY ABOUT 

3574
02:18:33,050 --> 02:18:35,185
COVID-19 SUGGESTING THAT 

3575
02:18:35,185 --> 02:18:35,819
MISINFORMATION PERCEPTIONS MIGHT

3576
02:18:35,819 --> 02:18:36,954
HAVE UNIQUE EFFECTS. 

3577
02:18:36,954 --> 02:18:40,090
IN ADDITION TO ASSESSING 

3578
02:18:40,090 --> 02:18:41,692
PERCEPTIONS WITH MISINFORMATION 

3579
02:18:41,692 --> 02:18:43,994
PREVALENCE ASSESSING PEOPLE'S 

3580
02:18:43,994 --> 02:18:46,997
CONFIDENCE IN ABILITY TO DETECT 

3581
02:18:46,997 --> 02:18:48,299
MISINFORMATION IS IMPORTANT AND 

3582
02:18:48,299 --> 02:18:51,468
CONFIDENCE CAN EFFECT HOW PEOPLE

3583
02:18:51,468 --> 02:19:01,979
MAKE SUBSEQUENT JUDGMENTS -- 

3584
02:19:05,182 --> 02:19:07,217
ABILITY TO MANAGE AND MAKE 

3585
02:19:07,217 --> 02:19:09,887
HEALTH DECISIONS AND PERCEPTIONS

3586
02:19:09,887 --> 02:19:11,121
RELATED TO MISINFORMATION MIGHT 

3587
02:19:11,121 --> 02:19:13,090
IMPACT COGNITIONS AND BEHAVIORS 

3588
02:19:13,090 --> 02:19:15,793
IN IMPORTANT WAYS IT IS CRITICAL

3589
02:19:15,793 --> 02:19:17,695
TO ASSESS MISINFORMATION 

3590
02:19:17,695 --> 02:19:20,831
PERCEPTIONS ASSOCIATED BY OTHER 

3591
02:19:20,831 --> 02:19:21,699
CHARACTERISTICS TO IDENTIFY 

3592
02:19:21,699 --> 02:19:23,200
GROUPS VULNERABLE TO 

3593
02:19:23,200 --> 02:19:24,301
MISINFORMATION AND MIGHT BE A 

3594
02:19:24,301 --> 02:19:26,503
NEED OF TARGETED EFFORTS AND 

3595
02:19:26,503 --> 02:19:28,706
LIGHT OF FACT THAT LITTLE WORK 

3596
02:19:28,706 --> 02:19:30,908
TO DATE EXPLORED PUBLIC 

3597
02:19:30,908 --> 02:19:31,842
PERCEPTION MISINFORMATION AND 

3598
02:19:31,842 --> 02:19:33,744
EVIDENCE SUGGESTS THAT 

3599
02:19:33,744 --> 02:19:34,378
PERCEPTIONS CAN EFFECT REAL 

3600
02:19:34,378 --> 02:19:39,016
WORLD ATTITUDES AND BEHAVIORS 

3601
02:19:39,016 --> 02:19:43,487
UNDERTOOK A STUDY -- IDENTIFY 

3602
02:19:43,487 --> 02:19:45,723
SOCIO DEMOGRAPHIC FACTORS 

3603
02:19:45,723 --> 02:19:48,993
ASSOCIATED WITH PERCEPTIONS AND 

3604
02:19:48,993 --> 02:19:49,793
EXPLORE MISINFORMATION 

3605
02:19:49,793 --> 02:19:51,328
PERCEPTIONS AND HEALTH 

3606
02:19:51,328 --> 02:19:53,697
COMMUNICATION BEHAVIORS AND 

3607
02:19:53,697 --> 02:19:54,565
DISCUSSING HEALTH INFORMATION 

3608
02:19:54,565 --> 02:19:56,567
FROM SOCIAL MEDIA WITH PROVIDERS

3609
02:19:56,567 --> 02:19:58,402
AND USING SOCIAL MEDIA 

3610
02:19:58,402 --> 02:20:01,672
INFORMATION TO MAKE HEALTH 

3611
02:20:01,672 --> 02:20:11,615
DECISI

3612
02:20:11,615 --> 02:20:12,316
DECISIONS. 

3613
02:20:12,316 --> 02:20:15,219
RESPONDENTS SELECTING I DO NOT 

3614
02:20:15,219 --> 02:20:17,454
USE SOCIAL MEDIA WERE EXCLUDED 

3615
02:20:17,454 --> 02:20:19,390
FROM ANALYSIS.  LACK OF 

3616
02:20:19,390 --> 02:20:20,290
CONFIDENCE DISCERNING TRUTH OF 

3617
02:20:20,290 --> 02:20:21,425
FALSE INFORMATION ON SOCIAL 

3618
02:20:21,425 --> 02:20:23,193
MEDIA WAS ASSESSED BY RESPONDENT

3619
02:20:23,193 --> 02:20:25,496
AS GREEMENT WITH STATEMENT I 

3620
02:20:25,496 --> 02:20:27,464
FIND IT HARD TO TELL WHETHER 

3621
02:20:27,464 --> 02:20:28,432
HEALTH INFORMATION ON SOCIAL 

3622
02:20:28,432 --> 02:20:29,867
MEDIA IS TRUE OR FALSE AND 

3623
02:20:29,867 --> 02:20:31,869
INFORMATION SHARING BEHAVIOR ON 

3624
02:20:31,869 --> 02:20:35,472
SOCIAL MEDIA WAS ASSESSED ASKING

3625
02:20:35,472 --> 02:20:37,341
RESPONDENTS HOW OVRN THEY SHARED

3626
02:20:37,341 --> 02:20:38,742
PERSONAL OR GENERAL HEALTH 

3627
02:20:38,742 --> 02:20:41,745
INFORMATION ON SOCIAL MEDIA IN 

3628
02:20:41,745 --> 02:20:46,617
THE PAST 12 MONTHS ITEMS ASKING 

3629
02:20:46,617 --> 02:20:47,885
ABOUT USE OF INFORMATION FROM 

3630
02:20:47,885 --> 02:20:49,686
SOCIAL MEDIA IN DISCUSSION WITH 

3631
02:20:49,686 --> 02:20:50,921
PROVIDERS AND USE OF INFORMATION

3632
02:20:50,921 --> 02:20:54,892
FROM SOCIAL MEDIA MAKING HEALTH 

3633
02:20:54,892 --> 02:20:59,596
DECISIONS THIS SLIDE SHOWS SOCIO

3634
02:20:59,596 --> 02:21:03,767
DEMOGRAPHIC -- INCLUDING 

3635
02:21:03,767 --> 02:21:09,673
EDUCATION SEX AGE RACE ETHNICITY

3636
02:21:09,673 --> 02:21:12,810
INCOME GEOGRAPHIC RESIDENCE 

3637
02:21:12,810 --> 02:21:14,611
HEALTH LITERACY AND DIGITAL 

3638
02:21:14,611 --> 02:21:16,180
LITERACY AND CALCULATED 

3639
02:21:16,180 --> 02:21:18,082
FREQUENCIES AND UNADJUSTED 

3640
02:21:18,082 --> 02:21:18,649
PROPORTIONS TO DESCRIBE 

3641
02:21:18,649 --> 02:21:21,385
DISTRIBUTION OF RESPONSES TO TWO

3642
02:21:21,385 --> 02:21:22,886
MISINFORMATION PERCEPTION ITEMS 

3643
02:21:22,886 --> 02:21:25,689
RUNNING TWO LOGISTIC REGRESSION 

3644
02:21:25,689 --> 02:21:28,125
MODELS EXAMINING ASSOCIATION OF 

3645
02:21:28,125 --> 02:21:30,461
SOCIO DEMOGRAPHIC 

3646
02:21:30,461 --> 02:21:31,995
CHARACTERISTICS WITH TWO MAIN 

3647
02:21:31,995 --> 02:21:33,430
PERCEPTION ITEMS AND SEPARATE 

3648
02:21:33,430 --> 02:21:36,033
SET OF LOGISTIC REGRESSION 

3649
02:21:36,033 --> 02:21:38,102
MODELS USED TO TEST ASSOCIATION 

3650
02:21:38,102 --> 02:21:40,003
BETWEEN TWO MAIN PERCEPTION 

3651
02:21:40,003 --> 02:21:41,105
ITEMS AND COMMUNICATION 

3652
02:21:41,105 --> 02:21:43,173
BEHAVIORS RELATED TO SHARING USE

3653
02:21:43,173 --> 02:21:46,743
OF SOCIAL MEDIA INFORMATION. 

3654
02:21:46,743 --> 02:21:52,049
OVERALL, WE FOUND THAT OVER 

3655
02:21:52,049 --> 02:21:54,618
1/3US SOCIAL MEDIA USERS REPORT 

3656
02:21:54,618 --> 02:21:58,522
HIGH PERCEIVED MISINFORMATION 

3657
02:21:58,522 --> 02:22:03,160
AMOUNT.  

3658
02:22:03,160 --> 02:22:05,696
 -- WE ALSO FOUND CERTAIN SOCIO 

3659
02:22:05,696 --> 02:22:06,930
DEMOGRAPHIC CHARACTERISTICS AND 

3660
02:22:06,930 --> 02:22:11,068
LITERACY MEASURES TO BE -- FOR 

3661
02:22:11,068 --> 02:22:12,769
EXAMPLE HISPANIC AND 

3662
02:22:12,769 --> 02:22:14,771
NON-HISPANIC BLACK AND 

3663
02:22:14,771 --> 02:22:15,372
AFRICAN-AMERICAN INDIVIDUALS 

3664
02:22:15,372 --> 02:22:16,974
WERE LESS LIKELY TO PERCEIVE 

3665
02:22:16,974 --> 02:22:18,809
HIGH LEVELS OF MISINFORMATION AS

3666
02:22:18,809 --> 02:22:21,678
WERE THOSE WITH SUBJECTIVE 

3667
02:22:21,678 --> 02:22:23,447
HEALTH LITERACY AND OTHER HAND 

3668
02:22:23,447 --> 02:22:26,650
THOSE WITH LOWER DIGITAL 

3669
02:22:26,650 --> 02:22:29,686
LITERACY -- IN TERMS OF 

3670
02:22:29,686 --> 02:22:32,322
PERCEIVED DIFFICULTY -- WE FOUND

3671
02:22:32,322 --> 02:22:33,857
DIFFERENCES BASED ON AGE 

3672
02:22:33,857 --> 02:22:35,792
ETHNICITY AND WILLITY TRASCY AND

3673
02:22:35,792 --> 02:22:41,532
ADULTS 25 TO 34 AND -- WERE LESS

3674
02:22:41,532 --> 02:22:42,833
LIKELY TO REPORT HIGH 

3675
02:22:42,833 --> 02:22:44,434
DISCERNMENT DIFFICULTY COMPARED 

3676
02:22:44,434 --> 02:22:47,471
TO THOSE WITH AGE 18 TO 24 AND 

3677
02:22:47,471 --> 02:22:49,673
HISPANIC INDIVIDUALS WERE LESS 

3678
02:22:49,673 --> 02:22:51,608
LIKELY TO REPORT HIGH 

3679
02:22:51,608 --> 02:22:52,910
DISCERNMENT DIFFICULTY AND THOSE

3680
02:22:52,910 --> 02:22:56,780
WITH LOWER DIGITAL LITERACY AND 

3681
02:22:56,780 --> 02:22:58,982
LOWER -- FINALLY WE FOUND 

3682
02:22:58,982 --> 02:23:00,617
DISTINCT COMMUNICATION BEHAVIOR 

3683
02:23:00,617 --> 02:23:05,055
PATTERNS ASSOCIATED WITH TWO 

3684
02:23:05,055 --> 02:23:07,824
PERCEPTIONS AND WERE LESS LIKELY

3685
02:23:07,824 --> 02:23:10,494
TO REPORT SHARING GENERAL HEALTH

3686
02:23:10,494 --> 02:23:13,197
INFORMATION ON SOCIAL MEDIA AND 

3687
02:23:13,197 --> 02:23:15,499
USING SOCIAL MEDIA INFORMATION 

3688
02:23:15,499 --> 02:23:17,134
AND DISCUSSIONS WITH HEALTHCARE 

3689
02:23:17,134 --> 02:23:18,769
PROVIDERS AND INDIVIDUALS WITH 

3690
02:23:18,769 --> 02:23:21,138
HIGH PERCEIVED DISCERNMENT 

3691
02:23:21,138 --> 02:23:23,006
DIFFICULTY WERE MORE LIKELY TO 

3692
02:23:23,006 --> 02:23:24,408
REPORT USING INFORMATION FROM 

3693
02:23:24,408 --> 02:23:26,410
SOCIAL MEDIA MAKING HEALTH 

3694
02:23:26,410 --> 02:23:28,045
DECISIONS AND DISCUSSIONS WITH 

3695
02:23:28,045 --> 02:23:31,348
HEALTH PROVIDERS AND OVERALL SEE

3696
02:23:31,348 --> 02:23:33,116
1/3 OF AMERICAN SOCIAL MEDIA 

3697
02:23:33,116 --> 02:23:34,084
USERS REPORT THAT HEALTH 

3698
02:23:34,084 --> 02:23:35,852
INFORMATION THEY SEE ON SOCIAL 

3699
02:23:35,852 --> 02:23:37,988
MEDIA IS FALSE OR MISLEADING AND

3700
02:23:37,988 --> 02:23:40,057
PERCEPTION VARIES BY RACE 

3701
02:23:40,057 --> 02:23:42,826
ETHNICITY AND NONSUBJECTIVE 

3702
02:23:42,826 --> 02:23:44,194
LITERACY AND -- LESS LIKELY TO 

3703
02:23:44,194 --> 02:23:45,662
SAY LOTS OF THE HEALTH 

3704
02:23:45,662 --> 02:23:47,164
INFORMATION THEY SEE ON SOCIAL 

3705
02:23:47,164 --> 02:23:50,968
MEDIA IS FALSE OR MISLEADING 

3706
02:23:50,968 --> 02:23:53,403
THESE ARE SELF-REPORT MEASURES 

3707
02:23:53,403 --> 02:23:54,805
NOT POSSIBLE TO REPORT IF THESE 

3708
02:23:54,805 --> 02:23:56,440
GROUPS -- DUE TO NATURE OF 

3709
02:23:56,440 --> 02:23:58,675
ONLINE NETWORKS OR IF LESS AWARE

3710
02:23:58,675 --> 02:24:00,177
OF THE FACT THAT THE INFORMATION

3711
02:24:00,177 --> 02:24:02,212
THEY ARE SEEING IS ACTUALLY 

3712
02:24:02,212 --> 02:24:02,546
FALSE. 

3713
02:24:02,546 --> 02:24:04,681
IT WILL BE IMPORTANT TO FURTHER 

3714
02:24:04,681 --> 02:24:06,950
EXAMINE REASONS BEHIND FINDINGS 

3715
02:24:06,950 --> 02:24:09,152
GIVEN THAT BLACK AND HISPANIC 

3716
02:24:09,152 --> 02:24:10,320
INDIVIDUALS REPORT USING SOCIAL 

3717
02:24:10,320 --> 02:24:12,256
MEDIA AT HIGHER RATES THAN 

3718
02:24:12,256 --> 02:24:13,757
WHITES AND SUBSTANTIAL 

3719
02:24:13,757 --> 02:24:15,192
PROPORTIONS OF INDIVIDUALS IN 

3720
02:24:15,192 --> 02:24:17,761
GROUPS REPORT REGULARLY GETTING 

3721
02:24:17,761 --> 02:24:19,630
NEWS FROM SOCIAL MEDIA PLATFORMS

3722
02:24:19,630 --> 02:24:21,798
AND SAW THOSE ARE LOWER 

3723
02:24:21,798 --> 02:24:24,768
SUBJECTIVE HEALTH LITERACY 

3724
02:24:24,768 --> 02:24:26,703
PERCEIVED LOWER LEVELS OF HEALTH

3725
02:24:26,703 --> 02:24:29,506
MISINFORMATION AND CONCERNING 

3726
02:24:29,506 --> 02:24:31,808
THAT SUMMARY RESEARCH SUGGESTS 

3727
02:24:31,808 --> 02:24:33,510
THAT INDIVIDUALS WITH -- QUALITY

3728
02:24:33,510 --> 02:24:35,712
ISSUES AND MAY BE LESS LIKELY TO

3729
02:24:35,712 --> 02:24:37,681
USE ESTABLISHED INFORMATION 

3730
02:24:37,681 --> 02:24:39,750
EVALUATION CRITERIA.  OVERALL, 

3731
02:24:39,750 --> 02:24:40,817
FINDINGS INDICATE A NEED FOR 

3732
02:24:40,817 --> 02:24:42,986
TARGETED EFFORTS TO RAISE 

3733
02:24:42,986 --> 02:24:43,987
AWARENESS ABOUT MISINFORMATION 

3734
02:24:43,987 --> 02:24:45,756
AND PROVIDE INFORMATION 

3735
02:24:45,756 --> 02:24:47,858
EVALUATION TRAINING TO AT-RISK 

3736
02:24:47,858 --> 02:24:49,126
GROUPS AND FOUND THAT 

3737
02:24:49,126 --> 02:24:51,795
APPROXIMATELY 2/3 OF US SOCIAL 

3738
02:24:51,795 --> 02:24:54,231
MEDIA USERS FIND IT HARD TO TELL

3739
02:24:54,231 --> 02:24:54,865
WHETHER HEALTH INFORMATION ON 

3740
02:24:54,865 --> 02:24:57,067
SOCIAL MEDIA IS TRUE OR FALSE 

3741
02:24:57,067 --> 02:24:58,402
AND HIGH DISCERNMENT DIFFICULTY 

3742
02:24:58,402 --> 02:25:01,271
AMONG THE PUBLIC ARE CONCERNING 

3743
02:25:01,271 --> 02:25:02,973
SINCE LOW CONFIDENCE IN ONE'S 

3744
02:25:02,973 --> 02:25:04,341
ABILITY TO DISTINGUISH TRUE FROM

3745
02:25:04,341 --> 02:25:05,375
FALSE INFORMATION COULD RESULT 

3746
02:25:05,375 --> 02:25:08,278
IN LOWER MOTIVATION TO SEEK 

3747
02:25:08,278 --> 02:25:10,514
INFORMATION, APATHY AND 

3748
02:25:10,514 --> 02:25:11,848
CONFUSION THAT COULD HAVE 

3749
02:25:11,848 --> 02:25:13,917
NEGATIVE HEALTH OUTCOMES NO THE 

3750
02:25:13,917 --> 02:25:15,952
BECAUSE PEOPLE MIGHT ACT ON 

3751
02:25:15,952 --> 02:25:17,688
MISINFORMATION BUT FAIL TO ACT 

3752
02:25:17,688 --> 02:25:18,522
ON ACCURATE INFORMATION BECAUSE 

3753
02:25:18,522 --> 02:25:20,123
THEY ARE CONFUSED ABOUT WHAT TO 

3754
02:25:20,123 --> 02:25:23,527
BELIEVE.  ADDITIONALLY THERE 

3755
02:25:23,527 --> 02:25:24,761
WERE DIFFERENCES IN DISCERNMENT 

3756
02:25:24,761 --> 02:25:26,863
DIFFICULTY BASED ON DEMOGRAPHIC 

3757
02:25:26,863 --> 02:25:29,099
CHARACTERISTICS BASED ON AGE AND

3758
02:25:29,099 --> 02:25:30,267
ETHNICITY AND SOME GROUPS THAT 

3759
02:25:30,267 --> 02:25:32,402
IS MISPLACED COULD BE A PROBLEM 

3760
02:25:32,402 --> 02:25:34,338
AS INDIVIDUALS MAY NOT FEEL THE 

3761
02:25:34,338 --> 02:25:35,706
NEED TO FURTHER VERIFY 

3762
02:25:35,706 --> 02:25:36,573
INFORMATION THAT THEY FIND FOR 

3763
02:25:36,573 --> 02:25:38,275
EXAMPLE BY DOING ADDITIONAL 

3764
02:25:38,275 --> 02:25:40,243
RESEARCH OR BY TALKING TO 

3765
02:25:40,243 --> 02:25:42,679
PROVIDERS POTENTIALLY PUTTING 

3766
02:25:42,679 --> 02:25:45,015
THEM AT GREATER RISK ASKING ON 

3767
02:25:45,015 --> 02:25:47,751
FALSE INFORMATION AND FOUND 

3768
02:25:47,751 --> 02:25:49,086
INTERESTING PATTERNS BETWEEN 

3769
02:25:49,086 --> 02:25:49,720
MISINFORMATION PERCEPTIONS AND 

3770
02:25:49,720 --> 02:25:51,521
COMMUNICATION BEHAVIORS FOR 

3771
02:25:51,521 --> 02:25:53,156
EXAMPLE PERCEIVING HIGH LEVELS 

3772
02:25:53,156 --> 02:25:54,658
OF MISINFORMATION WAS ASSOCIATED

3773
02:25:54,658 --> 02:25:56,927
WITH LOWER ODDS SHARING GENERAL 

3774
02:25:56,927 --> 02:25:59,896
HEALTH INFORMATION ON SOCIAL 

3775
02:25:59,896 --> 02:26:01,698
MEDIA AND PERHAPS PEOPLE -- 

3776
02:26:01,698 --> 02:26:02,699
PLATFORMS ARE HESITANT TO 

3777
02:26:02,699 --> 02:26:04,334
FURTHER CONTRIBUTE TO THE 

3778
02:26:04,334 --> 02:26:05,235
PROBLEM SHARING INFORMATION THAT

3779
02:26:05,235 --> 02:26:07,838
MAY TURN OUT TO BE FALSE.  

3780
02:26:07,838 --> 02:26:09,373
INDIVIDUALS PERCEIVING HIGH 

3781
02:26:09,373 --> 02:26:10,440
LEVELS OF MISINFORMATION WERE 

3782
02:26:10,440 --> 02:26:12,576
LESS LIKELY TO USE SOCIAL MEDIA 

3783
02:26:12,576 --> 02:26:14,745
INFORMATION IN MAKING HEALTH 

3784
02:26:14,745 --> 02:26:15,846
DECISIONS OR IN DISCUSSIONS WITH

3785
02:26:15,846 --> 02:26:18,382
HEALTH PROVIDERS THEY ARE 

3786
02:26:18,382 --> 02:26:19,483
SKEPTICAL OF INFORMATION THEY 

3787
02:26:19,483 --> 02:26:23,286
ARE FINDING ON PLATFORMS AND IN 

3788
02:26:23,286 --> 02:26:26,289
CONTRAST INDIVIDUALS REPORTING 

3789
02:26:26,289 --> 02:26:28,425
ON SOCIAL MEDIA WERE LIKELY TO 

3790
02:26:28,425 --> 02:26:29,259
REPORT THEY USE INFORMATION FROM

3791
02:26:29,259 --> 02:26:31,294
THESE PLATFORMS MAKING HEALTH 

3792
02:26:31,294 --> 02:26:33,330
DECISIONS AND IN DISCUSSIONS 

3793
02:26:33,330 --> 02:26:34,798
WITH PROVIDERS BECAUSE THEY SEEK

3794
02:26:34,798 --> 02:26:36,933
ASSISTANCE FROM PROVIDERS 

3795
02:26:36,933 --> 02:26:38,502
ASSESSING CREDIBILITY OF THE 

3796
02:26:38,502 --> 02:26:39,302
INFORMATION THEY FIND AND 

3797
02:26:39,302 --> 02:26:40,937
RESEARCH SUGGESTS THAT PROVIDERS

3798
02:26:40,937 --> 02:26:44,007
ARE NOT CURRENTLY INITIATING 

3799
02:26:44,007 --> 02:26:49,112
CONVERSATIONS ABOUT ONLINETH 

3800
02:26:49,112 --> 02:26:52,682
INFORMATION -- COULD BE HELPFUL 

3801
02:26:52,682 --> 02:26:55,419
TO INCORPORATE INTO PATIENT 

3802
02:26:55,419 --> 02:26:56,353
PROVIDER CONVERSATIONS. 

3803
02:26:56,353 --> 02:26:58,422
SO, BEFORE I WRAP UP I WANT TO 

3804
02:26:58,422 --> 02:26:59,656
QUICKLY NOTE SOME LIMITATIONS OF

3805
02:26:59,656 --> 02:27:01,725
THE STUDY INCLUDING THE FACT 

3806
02:27:01,725 --> 02:27:03,660
THAT HINTS DATA IS 

3807
02:27:03,660 --> 02:27:05,462
CROSS-SECTIONAL AND FACT THAT 

3808
02:27:05,462 --> 02:27:06,596
MEASURES USED WERE SUBJECTIVE 

3809
02:27:06,596 --> 02:27:08,698
SELF-REPORT ITEMS AND SINCE 

3810
02:27:08,698 --> 02:27:11,134
PRIOR RESEARCH SUGGESTS 

3811
02:27:11,134 --> 02:27:11,968
MISINFORMATION PERCEPTIONS COULD

3812
02:27:11,968 --> 02:27:13,670
HAVE UNIQUE EFFECTS ON ATTITUDES

3813
02:27:13,670 --> 02:27:16,773
AND BEHAVIORS SEPARATE FROM 

3814
02:27:16,773 --> 02:27:17,707
OBJECTIVE EXPOSURE TO 

3815
02:27:17,707 --> 02:27:19,276
MISINFORMATION CURRENT STUDY 

3816
02:27:19,276 --> 02:27:20,644
NONETHELESS MAKES IMPORTANT 

3817
02:27:20,644 --> 02:27:22,579
CONTRIBUTION TO BROADER HEALTH 

3818
02:27:22,579 --> 02:27:23,747
MISINFORMATION LITERATURE AND 

3819
02:27:23,747 --> 02:27:25,348
ENDING BY ACKNOWLEDGING 

3820
02:27:25,348 --> 02:27:28,618
WONDERFUL COLLABORATORS ON THIS 

3821
02:27:28,618 --> 02:27:32,756
ANALYSIS.  NICOLE, SYLVIA AND 

3822
02:27:32,756 --> 02:27:43,099
KATIE.  THANK YOU.  

3823
02:27:43,500 --> 02:27:44,968
>> HI, EVERYONE.  I DON'T
HAVE 

3824
02:27:44,968 --> 02:27:47,003
TO GO THROUGH THREE OF MY SLIDES

3825
02:27:47,003 --> 02:27:50,273
ALREADY.  IT WAS A WONDERFUL 

3826
02:27:50,273 --> 02:27:52,509
PRESENTATION.  SO, I'M JENNA AND

3827
02:27:52,509 --> 02:27:54,978
SKIELT TODAY BE HERE AND BEFORE 

3828
02:27:54,978 --> 02:27:58,415
I START I WANT TO THANK CATRINA 

3829
02:27:58,415 --> 02:28:00,517
CORPUS A FELLOW WORKING WITH ME 

3830
02:28:00,517 --> 02:28:02,219
IN MY RESEARCH TEAM FOR A YEAR 

3831
02:28:02,219 --> 02:28:04,821
NOW WHO HELPED OUT WITH 

3832
02:28:04,821 --> 02:28:05,589
ANALYSIS. 

3833
02:28:05,589 --> 02:28:08,024
I WILL HONE IN ON A SPECIFIC 

3834
02:28:08,024 --> 02:28:15,632
SUBSET OF THIS DATA SET OF T202 

3835
02:28:15,632 --> 02:28:17,267
HINTS DATA SET FOCUSING ON 

3836
02:28:17,267 --> 02:28:19,035
LATINOS AND LOOKING AT 

3837
02:28:19,035 --> 02:28:20,537
ENGAGEMENT WITH AND UTILIZATION 

3838
02:28:20,537 --> 02:28:22,539
OF HEALTH INFORMATION ON SOCIAL 

3839
02:28:22,539 --> 02:28:24,608
MEDIA AMONG US LATINOS. 

3840
02:28:24,608 --> 02:28:30,280
SO, I WANT TO  START OFF TALKING

3841
02:28:30,280 --> 02:28:32,015
ABOUT ENGAGEMENT TALK BEING 

3842
02:28:32,015 --> 02:28:33,683
SOCIAL MEDIA AND ENGAGEMENT 

3843
02:28:33,683 --> 02:28:35,118
MEASURES WE TEND TO THINK OF 

3844
02:28:35,118 --> 02:28:36,920
LIKES, COMMENTS, SHARES AND 

3845
02:28:36,920 --> 02:28:39,990
THOSE THINGS ARE VERY IMPORTANT 

3846
02:28:39,990 --> 02:28:44,294
AND I ALWAYS LIKE TO ROUND 

3847
02:28:44,294 --> 02:28:47,664
DEFINING ENGAGEMENT BY WHAT IS A

3848
02:28:47,664 --> 02:28:51,735
COMPREHENSIVE -- THEY DEFINE AS 

3849
02:28:51,735 --> 02:28:56,006
USER -- INTERACT WITH AND CREATE

3850
02:28:56,006 --> 02:28:57,507
AND SHARE CONTENT. 

3851
02:28:57,507 --> 02:28:59,809
VERY IMPORTANT FROM PUBLIC 

3852
02:28:59,809 --> 02:29:03,346
HEALTH AND CANCER PREVENTION 

3853
02:29:03,346 --> 02:29:05,682
PERSPECTIVE THAT IS 

3854
02:29:05,682 --> 02:29:06,516
INCERTIFIMENTAL REACHING 

3855
02:29:06,516 --> 02:29:08,852
AUDIENCES ON PLATFORMS THESE ARE

3856
02:29:08,852 --> 02:29:10,320
PREDICTORS FOR INCREASED 

3857
02:29:10,320 --> 02:29:11,655
KNOWLEDGE AND AWARENESS AND 

3858
02:29:11,655 --> 02:29:15,325
USING INFORMATION; RIGHT?  

3859
02:29:15,325 --> 02:29:16,660
PEOPLE ARE ABSORBING INFORMATION

3860
02:29:16,660 --> 02:29:19,296
AND USING THEM OFFLINE 

3861
02:29:19,296 --> 02:29:20,630
POTENTIALLY.  THANK YOU, ANNA, 

3862
02:29:20,630 --> 02:29:22,232
FOR GOING OVER A LOT OF THESE. 

3863
02:29:22,232 --> 02:29:24,334
ONLY THING I WANT TO HIGHLIGHT 

3864
02:29:24,334 --> 02:29:26,636
IN ADDITION TO WHAT ANNA WAS 

3865
02:29:26,636 --> 02:29:29,005
SAYING AND RESULT SHEZ REPORTED 

3866
02:29:29,005 --> 02:29:31,608
IS A REALLY GREAT SYSTEMATIC 

3867
02:29:31,608 --> 02:29:33,343
REVIEW BY DR. HER AND IN THAT 

3868
02:29:33,343 --> 02:29:36,546
WAS LOOKING AT DIFFERENT 

3869
02:29:36,546 --> 02:29:37,714
PREDICTORS FOR HEALTH 

3870
02:29:37,714 --> 02:29:40,150
MISINFORMATION AND ENGAGEMENT 

3871
02:29:40,150 --> 02:29:41,151
AND UTILIZATION ON SOCIAL MEDIA 

3872
02:29:41,151 --> 02:29:43,386
AND TWO THINGS THAT THEY FOUND 

3873
02:29:43,386 --> 02:29:45,555
IS THAT BEING OF RACIAL MINORITY

3874
02:29:45,555 --> 02:29:47,190
STATUS AS WELL AS USING SOCIAL 

3875
02:29:47,190 --> 02:29:49,726
MEDIA HAVE BEEN ASSOCIATED WITH 

3876
02:29:49,726 --> 02:29:54,397
GREATER SUSCEPTIBILITY TO HEALTH

3877
02:29:54,397 --> 02:29:56,132
MISINFORMATION IN GENERAL. 

3878
02:29:56,132 --> 02:29:57,734
WHEN WE START THINKING ABOUT 

3879
02:29:57,734 --> 02:30:01,504
THIS CASE IN LAT TOONO COMMUNITY

3880
02:30:01,504 --> 02:30:04,908
COVID SHOWED ALL OF US AND 

3881
02:30:04,908 --> 02:30:06,109
RAMIFICATIONS OF HEALTH 

3882
02:30:06,109 --> 02:30:08,745
MISINFORMATION AND LATINOS IN 

3883
02:30:08,745 --> 02:30:10,947
PARTICULAR WONDERFUL KEYNOTE 

3884
02:30:10,947 --> 02:30:12,115
MENTIONED WE ARE LARGEST 

3885
02:30:12,115 --> 02:30:14,284
MINORITY GROUP IN THE UNITED 

3886
02:30:14,284 --> 02:30:17,721
STATES AND NIELSEN REPORTED THIS

3887
02:30:17,721 --> 02:30:20,590
WAS AUGUST-ISH OF 2020 THAT 

3888
02:30:20,590 --> 02:30:24,894
REPORTED THAT REGARDING TO COVID

3889
02:30:24,894 --> 02:30:26,096
AND CORONAVIRUS RELATED 

3890
02:30:26,096 --> 02:30:29,232
INFORMATION LAT TEENIAS WERE 22%

3891
02:30:29,232 --> 02:30:31,067
MORE LIKELY TO USE SOCIAL MEDIA 

3892
02:30:31,067 --> 02:30:32,002
AS PRIMARY SOURCE OF INFORMATION

3893
02:30:32,002 --> 02:30:35,005
ON THESE TOPICS THAT IS A 

3894
02:30:35,005 --> 02:30:36,706
POPULATION DEFINITELY THAT NOT 

3895
02:30:36,706 --> 02:30:38,775
ONLY IS IT A BIG AND YOUNGER 

3896
02:30:38,775 --> 02:30:40,710
POPULATION BUT THEY APPEAR TO 

3897
02:30:40,710 --> 02:30:44,581
USE SOCIAL MEDIA TO LEARN ABOUT 

3898
02:30:44,581 --> 02:30:54,724
HEALTH INFORMATION. 

3899
02:30:54,724 --> 02:30:56,559
LATINOS STREAM MORE AND WATCH 

3900
02:30:56,559 --> 02:30:58,595
MORE CONTENT ON SMARTPHONES, ET 

3901
02:30:58,595 --> 02:30:59,195
CETERA. 

3902
02:30:59,195 --> 02:31:01,064
WE CAN SEE HERE THAT THEY USE 

3903
02:31:01,064 --> 02:31:03,266
SOCIAL MEDIA IN DIFFERENT RATES 

3904
02:31:03,266 --> 02:31:04,834
AS WELL. 

3905
02:31:04,834 --> 02:31:07,370
LATINOS USE FACEBOOK A LOT AND 

3906
02:31:07,370 --> 02:31:10,306
USE WHATSAPP AT A MUCH HIGHER 

3907
02:31:10,306 --> 02:31:11,408
PROPORTION THAN OTHER SUBGROUPS 

3908
02:31:11,408 --> 02:31:13,943
IN THE UNITED STATES. 

3909
02:31:13,943 --> 02:31:16,279
SO, IT IS REALLY IMPORTANT TO 

3910
02:31:16,279 --> 02:31:18,281
THINK ABOUT WHAT PEOPLE ARE 

3911
02:31:18,281 --> 02:31:19,649
ENCOUNTERING ON PLATFORMS AND 

3912
02:31:19,649 --> 02:31:21,418
HOW THEY ARE MAKING SENSE OF 

3913
02:31:21,418 --> 02:31:22,652
INFORMATION THEY MIGHT BE 

3914
02:31:22,652 --> 02:31:24,654
ENGAGING WITH GIVEN THAT A 

3915
02:31:24,654 --> 02:31:26,523
PLATFORM LIKE WHATSAPP IS A 

3916
02:31:26,523 --> 02:31:28,024
LITTLE MORE INTERPERSONAL; 

3917
02:31:28,024 --> 02:31:28,692
RIGHT?  

3918
02:31:28,692 --> 02:31:29,959
PEOPLE ON THERE YOU ALREADY 

3919
02:31:29,959 --> 02:31:32,629
TRUST AND THEY MIGHT SEND YOU A 

3920
02:31:32,629 --> 02:31:34,297
VIDEO OR SOMETHING ELSE. 

3921
02:31:34,297 --> 02:31:37,000
AND AS ANNA ALSO MENTIONED, THIS

3922
02:31:37,000 --> 02:31:39,803
IS NOT NEW. 

3923
02:31:39,803 --> 02:31:43,606
SYLVIA LEADED A PAPER ON JAMA IN

3924
02:31:43,606 --> 02:31:46,276
2018 TALKING ABOUT IMPORTANCE OF

3925
02:31:46,276 --> 02:31:48,445
ADDRESSING HEALTH MISINFORMATION

3926
02:31:48,445 --> 02:31:50,346
AND MOVING RESEARCH AGENDA 

3927
02:31:50,346 --> 02:31:51,881
TOWARDS THERE AND SOME WORK 

3928
02:31:51,881 --> 02:31:53,717
REALLY FROM THOSE CALLS AND 

3929
02:31:53,717 --> 02:31:55,151
PREVIOUS WORK LOOKED AT 

3930
02:31:55,151 --> 02:31:56,720
SPECIFICALLY LATINOS AND HOW 

3931
02:31:56,720 --> 02:31:57,887
THEY ARE ENGAGING WITH 

3932
02:31:57,887 --> 02:31:59,823
INFORMATION AND ABOUT CANCER IN 

3933
02:31:59,823 --> 02:32:03,493
PARTICULAR.  WHAT THEY DO WITH 

3934
02:32:03,493 --> 02:32:05,562
IT.  

3935
02:32:05,562 --> 02:32:08,665
THIS IS IF IN-DEPTH QUALITATIVE 

3936
02:32:08,665 --> 02:32:11,301
WORK THAT I SIT DOWN AND TALK TO

3937
02:32:11,301 --> 02:32:11,868
PEOPLE ABOUT WHAT THEY ARE 

3938
02:32:11,868 --> 02:32:13,970
ACTUAL WILL ENCOUNTER ON THEIR 

3939
02:32:13,970 --> 02:32:15,805
FACEBOOK PLATFORMS AND SOCIAL 

3940
02:32:15,805 --> 02:32:16,973
MEDIA FEEDS AND TALKING THROUGH 

3941
02:32:16,973 --> 02:32:19,242
WHY THEY ARE ENGAGING WITH 

3942
02:32:19,242 --> 02:32:20,810
SPECIFIC CONTENT AND WHAT THEY 

3943
02:32:20,810 --> 02:32:26,549
DO WITH IT OUTSIDE OF THIS 

3944
02:32:26,549 --> 02:32:31,087
PLATF

3945
02:32:31,087 --> 02:32:31,588
PLATFORM. 

3946
02:32:31,588 --> 02:32:34,791
A LOT OF IT RELATES TO PARTS OF 

3947
02:32:34,791 --> 02:32:35,859
THEIR CULTURE AND IDENTITY AND 

3948
02:32:35,859 --> 02:32:38,428
MAYBE IT IS IN SPANISH OR 

3949
02:32:38,428 --> 02:32:43,233
BILINGUAL AND LOTS OF VIDEOS.  

3950
02:32:43,233 --> 02:32:45,769
ALSO A LOT OF CONTENT THEY 

3951
02:32:45,769 --> 02:32:48,905
ENGAGED WITH WAS WITH LOCI 

3952
02:32:48,905 --> 02:32:50,673
CREDIBILITY WHEN WE DID CONTENT 

3953
02:32:50,673 --> 02:32:51,975
ANALYSIS OF CONTENT THEY SHARED 

3954
02:32:51,975 --> 02:32:54,377
WITH US THAT IS QUALITATIVE AND 

3955
02:32:54,377 --> 02:32:56,613
EXPLORATORY AND WAS THRILLED TO 

3956
02:32:56,613 --> 02:32:59,482
SEE THAT HINTS INCLUDED ITEMS 

3957
02:32:59,482 --> 02:33:03,119
THAT CAN GIVE US INSIGHTS 

3958
02:33:03,119 --> 02:33:07,390
WHETHER THIS HOLDS IN A BIGGER 

3959
02:33:07,390 --> 02:33:08,424
POPULATION AND WITH THAT IN MIND

3960
02:33:08,424 --> 02:33:10,960
MY SLIDES ARE OFF.  APOLOGIES.  

3961
02:33:10,960 --> 02:33:13,196
WITH THAT IN MIND I WAS LOOKING 

3962
02:33:13,196 --> 02:33:15,865
AT THE SUBSET OF HINTS USERS 

3963
02:33:15,865 --> 02:33:17,567
THAT USE SOCIAL MEDIA SAME WAY 

3964
02:33:17,567 --> 02:33:19,302
THAT WAS PREVIOUSLY DESCRIBED 

3965
02:33:19,302 --> 02:33:21,271
AND REALLY HONING IN ON 

3966
02:33:21,271 --> 02:33:24,307
CENTERING MY ANALYSIS AROUND 

3967
02:33:24,307 --> 02:33:26,109
LATINOS AND COMPARING TO 

3968
02:33:26,109 --> 02:33:28,178
NON-LATINO WHITES. 

3969
02:33:28,178 --> 02:33:31,748
SAMPLE IS ANYONE THAT IDENTIFIED

3970
02:33:31,748 --> 02:33:33,716
AS EITHER LATINO OR NON-HISPANIC

3971
02:33:33,716 --> 02:33:37,720
WHITE AND USED SOCIAL MEDIA.  I 

3972
02:33:37,720 --> 02:33:38,988
WANTED TO EXPLORE DIFFERENCES 

3973
02:33:38,988 --> 02:33:40,990
WITH ENGAGEMENT AND UTILIZATION 

3974
02:33:40,990 --> 02:33:42,959
OF HEALTH INFORMATION AND THINK 

3975
02:33:42,959 --> 02:33:44,694
ALSO ABOUT PERCEPTIONS THAT ANNA

3976
02:33:44,694 --> 02:33:46,162
WAS MENTIONING. 

3977
02:33:46,162 --> 02:33:47,897
RIGHT? .  WHEN YOU HAVE AN 

3978
02:33:47,897 --> 02:33:49,666
AUDIENCE THAT IS PREDOMINANTLY 

3979
02:33:49,666 --> 02:33:51,100
USING THESE PLATFORMS TO 

3980
02:33:51,100 --> 02:33:54,571
COMMUNICATE TO GET ACCESS TO 

3981
02:33:54,571 --> 02:33:55,772
DIFFERENT TYPES OF INFORMATION 

3982
02:33:55,772 --> 02:33:58,174
IT BEGS THE QUESTION HOW DO THEY

3983
02:33:58,174 --> 02:34:01,711
PERCEIVE THAT THIS CONTENT IS 

3984
02:34:01,711 --> 02:34:05,748
BEING EXPLORED PRACH WHAT ARE 

3985
02:34:05,748 --> 02:34:07,917
THEY SEEING?  WE DIDN'T SEE 

3986
02:34:07,917 --> 02:34:09,719
LITERATURE THAT WAS TALKING 

3987
02:34:09,719 --> 02:34:11,020
ABOUT PERCEPTIONS AND PREDICTORS

3988
02:34:11,020 --> 02:34:13,456
AND WANTED TO DO A FEW THINGS TO

3989
02:34:13,456 --> 02:34:15,024
ASSESS DIFFERENCES IN 

3990
02:34:15,024 --> 02:34:17,594
PERCEPTIONS AND ENGAGEMENT AND 

3991
02:34:17,594 --> 02:34:19,028
UTILIZATION OF HEALTH 

3992
02:34:19,028 --> 02:34:20,797
INFORMATION AND DETERMINE IF 

3993
02:34:20,797 --> 02:34:24,167
PERCEPTIONS WERE PREDICTIVE. 

3994
02:34:24,167 --> 02:34:25,702
ALSO, EXPLORING THIS WITHIN 

3995
02:34:25,702 --> 02:34:28,104
THESE SUBETHNIC DIFFERENCES. 

3996
02:34:28,104 --> 02:34:30,373
IN MATERIALS OF OUTCOMES I WANT 

3997
02:34:30,373 --> 02:34:33,276
TO POINT OUT MY -- I ACTUALLY 

3998
02:34:33,276 --> 02:34:34,544
USED FOUR DIFFERENT OUTCOME 

3999
02:34:34,544 --> 02:34:36,746
MEASURES AND USED TWO FOR 

4000
02:34:36,746 --> 02:34:37,714
ENGAGEMENT AND DIDN'T AGGREGATE 

4001
02:34:37,714 --> 02:34:40,183
THEM AND ONE IS SHARING GENERAL 

4002
02:34:40,183 --> 02:34:40,650
HEALTH INFORMATION. 

4003
02:34:40,650 --> 02:34:42,085
OTHER ONE I WANTED TO REALLY 

4004
02:34:42,085 --> 02:34:44,520
LOOK AT BECAUSE OF THIS VISUAL 

4005
02:34:44,520 --> 02:34:45,855
COMPONENT I WAS MENTIONING 

4006
02:34:45,855 --> 02:34:49,292
EARLIER IS WATCHING OF 

4007
02:34:49,292 --> 02:34:51,327
HEALTH-RELATED VIDEOS ON SOCIAL 

4008
02:34:51,327 --> 02:34:53,329
MEDIA AND I DICHOTOMIZED 

4009
02:34:53,329 --> 02:34:56,199
RESPONSES TO INDIVIDUALS THAT 

4010
02:34:56,199 --> 02:34:57,901
REPORTED EITHER SHARING GENERAL 

4011
02:34:57,901 --> 02:34:59,669
HEALTH INFORMATION OR WATCHING 

4012
02:34:59,669 --> 02:35:01,437
VIDEOS LESS THAN ONCE A MONTH 

4013
02:35:01,437 --> 02:35:03,606
VERSUS THOSE THAT REPORTED 

4014
02:35:03,606 --> 02:35:04,641
HIGHER FREQUENCIES.  SEVERAL 

4015
02:35:04,641 --> 02:35:06,576
TIMES A MONTH OR MORE.  IN TERMS

4016
02:35:06,576 --> 02:35:08,912
OF UTILIZATION, I LOOKED AT 

4017
02:35:08,912 --> 02:35:09,712
MAKING DECISIONS WITH 

4018
02:35:09,712 --> 02:35:11,047
INFORMATION THAT THEY ARE 

4019
02:35:11,047 --> 02:35:13,683
ENCOUNTERING AS WELL AS TALKING 

4020
02:35:13,683 --> 02:35:15,518
TO THEIR PROVIDER POTENTIALLY.  

4021
02:35:15,518 --> 02:35:17,787
THOSE WERE DICHOTOMIZED AS AGREE

4022
02:35:17,787 --> 02:35:19,989
AND DISAGREE AS A WAY THAT A 

4023
02:35:19,989 --> 02:35:20,890
PREVIOUS PRESENTER WAS SAYING 

4024
02:35:20,890 --> 02:35:24,694
AND LOOKED AT PERCEIVED AMOUNT 

4025
02:35:24,694 --> 02:35:25,895
OF HEALTH MISINFORMATION ON 

4026
02:35:25,895 --> 02:35:29,699
SOCIAL MEDIA AND KEPT THEM AS 

4027
02:35:29,699 --> 02:35:32,101
THREE RESPONSE OPTIONS AND DID A

4028
02:35:32,101 --> 02:35:33,303
LITTLE AND NO MISINFORMATION AND

4029
02:35:33,303 --> 02:35:35,004
INDIVIDUALS THAT PERCEIVED A 

4030
02:35:35,004 --> 02:35:37,640
LITTLE OR NO MISINFORMATION AND 

4031
02:35:37,640 --> 02:35:40,176
MAINLY BECAUSE OF SKEWEDNESS AND

4032
02:35:40,176 --> 02:35:40,944
NO RESPONSES. 

4033
02:35:40,944 --> 02:35:45,782
I WANTED ALSO TO MAKE SURE THAT 

4034
02:35:45,782 --> 02:35:47,817
SOCIAL MEDIA UTILIZATION 

4035
02:35:47,817 --> 02:35:49,585
FREQUENCY WAS TAKEN CARE OF HERE

4036
02:35:49,585 --> 02:35:51,321
AND PEOPLE ARE USING SOCIAL 

4037
02:35:51,321 --> 02:35:53,690
MEDIA MORE OR DIFFERENCES 

4038
02:35:53,690 --> 02:35:56,526
REGARDING THAT AND RACIAL/ETHNIC

4039
02:35:56,526 --> 02:35:57,860
CATEGORIZATIONS THAT I 

4040
02:35:57,860 --> 02:35:58,561
MENTIONED. 

4041
02:35:58,561 --> 02:36:01,698
I ALSO INCLUDED A FEW EXTRA 

4042
02:36:01,698 --> 02:36:02,598
DEMOGRAPHIC VARIABLES AND 

4043
02:36:02,598 --> 02:36:09,072
ANALYZED THIS ON SPSS AND 

4044
02:36:09,072 --> 02:36:12,642
REPORTED CHI SQUARES FOR 

4045
02:36:12,642 --> 02:36:13,710
LOGISTICAL REGRESSIONS AND THIS 

4046
02:36:13,710 --> 02:36:15,678
IS SOMETHING I DIDN'T WEIGHT AND

4047
02:36:15,678 --> 02:36:17,714
I'M VERY THANKFUL FOR TODAY'S 

4048
02:36:17,714 --> 02:36:19,215
MORNING PRESENTATION AND GOT 

4049
02:36:19,215 --> 02:36:21,184
RESOURCES TO APPLY WEIGHTS AND 

4050
02:36:21,184 --> 02:36:22,719
SPS THAT I HAD NOT DONE BEFORE. 

4051
02:36:22,719 --> 02:36:26,055
WHAT I WILL REPORT IS THE ACTUAL

4052
02:36:26,055 --> 02:36:26,389
SAMPLE. 

4053
02:36:26,389 --> 02:36:28,791
HERE, THE MAIN THING THAT I 

4054
02:36:28,791 --> 02:36:33,696
WANTED TO HIGHLIGHT IS THE 

4055
02:36:33,696 --> 02:36:35,598
DIFFERENCES IN NON-HISPANIC 

4056
02:36:35,598 --> 02:36:37,700
WHITES AND LAT TOONOS AND 

4057
02:36:37,700 --> 02:36:40,269
POPULATION OF SOCIAL MEDIA USERS

4058
02:36:40,269 --> 02:36:43,006
WERE HEAVILY FEMALE AND YOUNGER 

4059
02:36:43,006 --> 02:36:44,540
IN LATINO POPULATION AND HAD 

4060
02:36:44,540 --> 02:36:47,110
LESS EDUCATION LEVEL AND LOWER 

4061
02:36:47,110 --> 02:36:48,678
HOUSEHOLD INCOMES AND WHEN WE 

4062
02:36:48,678 --> 02:36:51,214
LOOK AT SOCIAL MEDIA UTILIZATION

4063
02:36:51,214 --> 02:36:52,915
FREQUENCY THEY ARE USING SOCIAL 

4064
02:36:52,915 --> 02:36:58,488
MEDIA PLATFORMS IN SAME RATES AS

4065
02:36:58,488 --> 02:36:58,955
NON-HISPANIC WHITES. 

4066
02:36:58,955 --> 02:37:02,225
I HIGHLIGHTED A FEW MAIN POINTS 

4067
02:37:02,225 --> 02:37:05,328
I WANT TO MAKE HERE AND FIRST 

4068
02:37:05,328 --> 02:37:09,098
BEING WHEN WE LOOK AT 

4069
02:37:09,098 --> 02:37:12,168
PERCEPTIONS OF THE AMOUNT OF -- 

4070
02:37:12,168 --> 02:37:14,170
SORRY LOOKING AT PERCEPTIONS WE 

4071
02:37:14,170 --> 02:37:17,640
SEE THAT LATINOS WERE MORE 

4072
02:37:17,640 --> 02:37:21,811
LIKELY TO PERCEIVE LITTLE TO NO 

4073
02:37:21,811 --> 02:37:25,715
OR FALSE HEALTH INFORMATION ON 

4074
02:37:25,715 --> 02:37:28,484
SOCIAL MEDIA. 

4075
02:37:28,484 --> 02:37:29,752
 -- 

4076
02:37:29,752 --> 02:37:32,388
WHEN LOOKING AT HOW THEY REPORT 

4077
02:37:32,388 --> 02:37:36,626
ENGAGEMENT, AGAIN, WE SEE THAT 

4078
02:37:36,626 --> 02:37:40,496
LATINOS REPORT HIGHER AND MORE 

4079
02:37:40,496 --> 02:37:42,398
ENGAGEMENT BY SHARING OR 

4080
02:37:42,398 --> 02:37:44,267
WATCHING VIDEOS THAN 

4081
02:37:44,267 --> 02:37:45,768
NON-HISPANIC WHITES AND THINK 

4082
02:37:45,768 --> 02:37:47,737
THE BIGGEST THING I WANT TO SHOW

4083
02:37:47,737 --> 02:37:51,874
HERE IS IN VIDEO WATCHING THAT 

4084
02:37:51,874 --> 02:37:55,645
48.2% VERSUS 26% WE ALSO SEE 

4085
02:37:55,645 --> 02:37:58,314
THEY ARE USING THE INFORMATION 

4086
02:37:58,314 --> 02:38:00,850
TO EITHER MAKE DECISIONS OR 

4087
02:38:00,850 --> 02:38:04,420
DISCUSS INFORMATION WITH THEIR 

4088
02:38:04,420 --> 02:38:06,522
PROVIDER. 

4089
02:38:06,522 --> 02:38:08,491
ONCE WE RAN LOGISTIC REGRESSIONS

4090
02:38:08,491 --> 02:38:11,527
TO SEE ODDS, WE SEE THAT LATINOS

4091
02:38:11,527 --> 02:38:15,198
AND WHEN WE CONTROL FOR A FEW OF

4092
02:38:15,198 --> 02:38:18,601
THE CO-VARIATE AS WELL AS 

4093
02:38:18,601 --> 02:38:19,902
PERCEIVED HEALTH MISINFORMATION 

4094
02:38:19,902 --> 02:38:24,107
WE SEE LATINOS ARE 62% MORE 

4095
02:38:24,107 --> 02:38:27,343
LIKELY TO REPORT SHARING GENERAL

4096
02:38:27,343 --> 02:38:29,212
HEALTH INFORMATION SEVERAL TIMES

4097
02:38:29,212 --> 02:38:32,415
A MONTH OR MORE COMPARED TO 

4098
02:38:32,415 --> 02:38:35,251
NON-LATINO WHITES AND ARE 66% 

4099
02:38:35,251 --> 02:38:38,354
MORE LIKELY TO WATCH VIDEOS AND 

4100
02:38:38,354 --> 02:38:40,356
ARE ALSO REPORTING HIGHER 

4101
02:38:40,356 --> 02:38:42,158
UTILIZATION AND HAVE HIGHER ODDS

4102
02:38:42,158 --> 02:38:44,560
OF MAKING DECISIONS AND HIGHER 

4103
02:38:44,560 --> 02:38:47,697
ODDS OF DISCUSSING THE 

4104
02:38:47,697 --> 02:38:50,900
INFORMATION WITH THEIR 

4105
02:38:50,900 --> 02:38:51,200
PROVIDERS. 

4106
02:38:51,200 --> 02:38:55,204
I WILL JUMP THIS AND ACTUALLY GO

4107
02:38:55,204 --> 02:38:57,273
OVER TO THIS LAST SLIDE THAT WE 

4108
02:38:57,273 --> 02:39:00,943
SEE THAT.  YES.  AS ANNA WAS 

4109
02:39:00,943 --> 02:39:03,713
MENTIONING PERCEPTIONS OF HEALTH

4110
02:39:03,713 --> 02:39:05,281
MISINFORMATION WAS A PREDICTOR 

4111
02:39:05,281 --> 02:39:08,784
OF ENGAGEMENT AND UTILIZATION. 

4112
02:39:08,784 --> 02:39:10,153
I THINK THAT IS IMPORTANT, 

4113
02:39:10,153 --> 02:39:13,723
AGAIN, GOING TO SOME OF THE WORK

4114
02:39:13,723 --> 02:39:17,326
THAT SYLVIA HAS DONE AND AGE APH

4115
02:39:17,326 --> 02:39:18,327
SPECIAL ISSUE ON SOCIAL MEDIA 

4116
02:39:18,327 --> 02:39:21,297
THAT CALLED FOR REALLY HONING IN

4117
02:39:21,297 --> 02:39:22,732
ON VULNERABLE POPULATIONS AND 

4118
02:39:22,732 --> 02:39:24,200
IDENTIFYING WHO IS VULNERABLE IN

4119
02:39:24,200 --> 02:39:26,102
SOME OF THOSE REASONS AND WHEN I

4120
02:39:26,102 --> 02:39:28,504
SEE THIS I THINK, GREAT.  

4121
02:39:28,504 --> 02:39:29,772
LATINOS ARE USING MORE AND THERE

4122
02:39:29,772 --> 02:39:31,207
IS ALSO A GROUP OF INDIVIDUALS 

4123
02:39:31,207 --> 02:39:33,576
THAT PERCEIVE THERE IS LESS 

4124
02:39:33,576 --> 02:39:34,577
MISINFORMATION AND MAYBE 

4125
02:39:34,577 --> 02:39:36,379
INTERFACING AND ENGAGING WITH 

4126
02:39:36,379 --> 02:39:38,114
CONTENT AT HIGHER RAYS. 

4127
02:39:38,114 --> 02:39:41,717
HOW DOES IT LOOK HONING IN ON 

4128
02:39:41,717 --> 02:39:43,386
THAT GROUP AND SEEING WHETHER 

4129
02:39:43,386 --> 02:39:45,655
BEING LATINO IS PREDICTIVE ALSO 

4130
02:39:45,655 --> 02:39:47,423
AND ARE THEY ENGAGING MORE AND 

4131
02:39:47,423 --> 02:39:48,958
USING MORE?  

4132
02:39:48,958 --> 02:39:50,259
WE SEE IT WITHIN INDIVIDUALS 

4133
02:39:50,259 --> 02:39:52,662
THAT PERCEIVE THERE IS LITTLE TO

4134
02:39:52,662 --> 02:39:53,863
NO MISINFORMATION AND LATINOS 

4135
02:39:53,863 --> 02:39:55,665
ARE TWO TIME MONTHS R LIKELY TO 

4136
02:39:55,665 --> 02:39:58,267
SHARE INFORMATION AND 2.3 TIMES 

4137
02:39:58,267 --> 02:40:00,670
MORE LIKELY TO WATCH VIDEOS AND 

4138
02:40:00,670 --> 02:40:03,606
58% MORE LIKELY TO MAKE 

4139
02:40:03,606 --> 02:40:05,341
DECISIONS WITH THAT INFORMATION;

4140
02:40:05,341 --> 02:40:05,841
RIGHT?  

4141
02:40:05,841 --> 02:40:07,210
REALLY IMPORTANT GROUP TO HONE 

4142
02:40:07,210 --> 02:40:09,078
IN ON AND THIS IS ALSO SOMETHING

4143
02:40:09,078 --> 02:40:10,646
THAT ALIGNS WITH SOME WORKING I 

4144
02:40:10,646 --> 02:40:13,316
WAS MENTIONING EARLIER. 

4145
02:40:13,316 --> 02:40:15,218
ONE OF THE MOST IMPACTFUL 

4146
02:40:15,218 --> 02:40:18,788
INTERVIEWS I HAVE DONE IS WHEN 

4147
02:40:18,788 --> 02:40:23,025
TALKING TO A PORTO WREAK AN 

4148
02:40:23,025 --> 02:40:24,493
WOMAN SOMEONE CLAIMING TO BE 

4149
02:40:24,493 --> 02:40:27,496
PHYSICIAN THAT MAMMOGRAMS CAUSE 

4150
02:40:27,496 --> 02:40:29,565
BREAST CANCER AND CANCELLED HER 

4151
02:40:29,565 --> 02:40:31,367
MAMMOGRAM AND SHARED THAT WITH 

4152
02:40:31,367 --> 02:40:33,069
ME.  WE ARE SEEING RAMIFICATIONS

4153
02:40:33,069 --> 02:40:35,638
AND THIS WORK IS SHOWING THAT 

4154
02:40:35,638 --> 02:40:37,940
THIS IS NOT -- POTENTIALLY THIS 

4155
02:40:37,940 --> 02:40:41,377
IS AN ISOLATED CASE THAT IS 

4156
02:40:41,377 --> 02:40:43,145
HIGHLIGHTING AND ALIGNING WITH 

4157
02:40:43,145 --> 02:40:44,880
SUGGESTIONS OF HIGHER ENGAGEMENT

4158
02:40:44,880 --> 02:40:47,850
AND POTENTIAL SUBSEQUENT ACTIONS

4159
02:40:47,850 --> 02:40:50,086
TAKEN AMONG LATINOS WHEN 

4160
02:40:50,086 --> 02:40:51,053
DISCUSSING CANCER INFORMATION.  

4161
02:40:51,053 --> 02:40:53,689
IT ALSO PROVIDES MORE EVIDENCE 

4162
02:40:53,689 --> 02:40:55,725
FOR STRONGER VISUAL FORMAT THAT 

4163
02:40:55,725 --> 02:40:58,094
MIGHT BE IMPACTING AND WE TEND 

4164
02:40:58,094 --> 02:40:59,428
TO TALK ABOUT MISINFORMATION 

4165
02:40:59,428 --> 02:41:01,430
WORK AND FACT CHECKING AND SEE 

4166
02:41:01,430 --> 02:41:05,268
LOTS OF TEXT-BASED DATA.  SPACES

4167
02:41:05,268 --> 02:41:06,535
ARE ALLOWING FOR OTHER VISUAL 

4168
02:41:06,535 --> 02:41:10,039
FORMS OF DATA INCLUDING MEMES, 

4169
02:41:10,039 --> 02:41:11,741
ET CETERA, TO BE SHARING THIS 

4170
02:41:11,741 --> 02:41:13,142
KIND OF INFORMATION AND WE SEE 

4171
02:41:13,142 --> 02:41:15,778
THAT HIGHER PERCEPTIONS OF 

4172
02:41:15,778 --> 02:41:19,282
LITTLE TO NO MISINFORMATION ARE 

4173
02:41:19,282 --> 02:41:21,617
PREVALENT AMONG LATINOS AND ARE 

4174
02:41:21,617 --> 02:41:23,219
ALSO ENGAGING WITH CONTENT AND 

4175
02:41:23,219 --> 02:41:24,720
HIGHER RATES.  

4176
02:41:24,720 --> 02:41:26,489
AGAIN, THIS IS REALLY 

4177
02:41:26,489 --> 02:41:28,291
EMPHASIZING NEED FOR TAILORED 

4178
02:41:28,291 --> 02:41:29,959
DIGITAL HEALTH INTERVENTIONS AND

4179
02:41:29,959 --> 02:41:32,295
REALLY HONING IN ON HOW THIS IS 

4180
02:41:32,295 --> 02:41:33,829
MANIFESTING WHAT WE CAN DO ABOUT

4181
02:41:33,829 --> 02:41:33,996
IT. 

4182
02:41:33,996 --> 02:41:35,598
OF COURSE, LIMITATIONS. 

4183
02:41:35,598 --> 02:41:37,500
ONE THING I WANT TO ADD TO WHAT 

4184
02:41:37,500 --> 02:41:39,969
ANNA WAS SAYING IS THE ITEMS 

4185
02:41:39,969 --> 02:41:42,004
THAT ARE ASKING ENGAGEMENT AND 

4186
02:41:42,004 --> 02:41:43,839
UTILIZATION ARE FOR ANY KIND OF 

4187
02:41:43,839 --> 02:41:45,841
HEALTH INFORMATION; RIGHT?  

4188
02:41:45,841 --> 02:41:48,511
WE DON'T -- WE CAN'T REALLY 

4189
02:41:48,511 --> 02:41:50,046
INFER ON ACCURACY OR QUALITY 

4190
02:41:50,046 --> 02:41:51,914
WHAT PEOPLE ARE ENGAGING WITH 

4191
02:41:51,914 --> 02:41:53,716
AND HOW THEY PERCEIVE IT.  

4192
02:41:53,716 --> 02:41:55,384
ANOTHER THING WE WERE NOT ABLE 

4193
02:41:55,384 --> 02:41:57,853
TO DO IS EXPLORE DIFFERENCES 

4194
02:41:57,853 --> 02:41:59,955
WITHIN LATINO SUBGROUPS BY 

4195
02:41:59,955 --> 02:42:01,891
LANGUAGE PREFERENCES AND 

4196
02:42:01,891 --> 02:42:03,225
SUBETHNICITY GIVEN TO SAMPLE 

4197
02:42:03,225 --> 02:42:05,695
SIZE LIMITATIONS AND ALSO THE 

4198
02:42:05,695 --> 02:42:08,130
INABILITY TO EXPLORE HOW 

4199
02:42:08,130 --> 02:42:09,865
ENGAGEMENT AND UTILIZATION 

4200
02:42:09,865 --> 02:42:12,835
RELATE TO SPECIFIC SOCIAL MEDIA 

4201
02:42:12,835 --> 02:42:13,135
PLATFORMS. 

4202
02:42:13,135 --> 02:42:14,770
I WOULD ENCOURAGE TO THINK ABOUT

4203
02:42:14,770 --> 02:42:18,774
MAYBE ADDING SOME ITEMS THAT 

4204
02:42:18,774 --> 02:42:20,776
ALLOW US TO SEE WHAT PLATFORMS 

4205
02:42:20,776 --> 02:42:22,611
PEOPLE ARE ACTUALLY USING AND 

4206
02:42:22,611 --> 02:42:24,613
THERE ARE CERTAIN PLATFORMS WITH

4207
02:42:24,613 --> 02:42:26,048
SPECIFIC CERTAIN AFFORDANCES 

4208
02:42:26,048 --> 02:42:27,917
THAT MAY BE MORE -- THAT A 

4209
02:42:27,917 --> 02:42:29,618
CERTAIN GROUP MIGHT BE MORE 

4210
02:42:29,618 --> 02:42:31,354
LIKELY TO USE THAT WE NEED TO BE

4211
02:42:31,354 --> 02:42:32,688
LOOKING AT. 

4212
02:42:32,688 --> 02:42:34,490
REALLY, IN TERM OF THE FUTURE, 

4213
02:42:34,490 --> 02:42:37,059
THIS IS ALLOWING FOR MORE 

4214
02:42:37,059 --> 02:42:38,060
CENTERING OF ANALYSIS OF 

4215
02:42:38,060 --> 02:42:40,162
DIFFERENT POPULATIONS AND IN 

4216
02:42:40,162 --> 02:42:41,931
MANY CASE LATINO SOCIAL MEDIA 

4217
02:42:41,931 --> 02:42:44,533
USERS THIS IS A REALLY IMPORTANT

4218
02:42:44,533 --> 02:42:46,268
WORK TO EXPLORE IMPORTANT 

4219
02:42:46,268 --> 02:42:47,970
PREDICTORS OF ENGAGEMENT 

4220
02:42:47,970 --> 02:42:49,271
UTILIZATION AND FURTHER EXPLORE 

4221
02:42:49,271 --> 02:42:52,708
ROLES OF CULTURE AND IDENTITY 

4222
02:42:52,708 --> 02:42:53,309
AND HOW THESE DYNAMICS TAKE 

4223
02:42:53,309 --> 02:42:56,278
PLACE AND TO REALLY DEVELOP 

4224
02:42:56,278 --> 02:42:57,513
FUTURE THEORETICAL FRAMEWORKS 

4225
02:42:57,513 --> 02:43:00,249
AND MODELS THAT ARE INTEGRATING 

4226
02:43:00,249 --> 02:43:01,517
ENGAGEMENT UTILIZATION AND 

4227
02:43:01,517 --> 02:43:03,018
CREDIBILITY ASSESSMENTS. 

4228
02:43:03,018 --> 02:43:05,688
I'M VERY EXCITED TO BE HERE.  

4229
02:43:05,688 --> 02:43:07,656
THANK YOU VERY MUCH.  

4230
02:43:07,656 --> 02:43:10,760
>> THANK YOU SO MUCH.  OUR
LAST 

4231
02:43:10,760 --> 02:43:14,096
SPEAKER I'M VERY EAGER AND 

4232
02:43:14,096 --> 02:43:17,566
EXCITED TO HEAR THE TALK ABOUT 

4233
02:43:17,566 --> 02:43:18,401
RESPONSIBILITY AND HOW PEOPLE 

4234
02:43:18,401 --> 02:43:19,735
ARE RESPONSIBLE FOR SOME ISSUES 

4235
02:43:19,735 --> 02:43:22,838
WE HAVE BEEN DISCUSSING HERE.  

4236
02:43:22,838 --> 02:43:24,039
TAKE IT AWAY.  

4237
02:43:24,039 --> 02:43:29,078
>> HELLO.  HI, EVERYONE. 
GOOD 

4238
02:43:29,078 --> 02:43:32,047
AFTERNOON.  I'M A FIRST-YEAR 

4239
02:43:32,047 --> 02:43:33,983
MASTERS STUDENT IN DEPARTMENT OF

4240
02:43:33,983 --> 02:43:36,952
MEDIA AND INFORMATION AT 

4241
02:43:36,952 --> 02:43:38,354
MICHIGAN STATE UNIVERSITY.  THIS

4242
02:43:38,354 --> 02:43:40,790
IS MY FIRST TIME PRESENTING IN A

4243
02:43:40,790 --> 02:43:42,658
CONFERENCE.  JUST BEAR WITH ME. 

4244
02:43:42,658 --> 02:43:47,363
MY NAME IS PRATHYUSHA. 

4245
02:43:47,363 --> 02:43:49,698
IF I [INDISCERNIBLE] PLEASE 

4246
02:43:49,698 --> 02:43:50,599
EXCUSE ME.  

4247
02:43:50,599 --> 02:43:52,435
BEFORE I BEGIN MY PRESENTATION, 

4248
02:43:52,435 --> 02:43:55,471
I WOULD LIKE EVERYONE TO THINK 

4249
02:43:55,471 --> 02:43:59,141
ABOUT HOW HAVE WE EVER WONDERED 

4250
02:43:59,141 --> 02:44:00,876
ABOUT WHO SHOULD BEAR THE 

4251
02:44:00,876 --> 02:44:02,144
RESPONSIBILITY IN REDUCING OR 

4252
02:44:02,144 --> 02:44:04,280
MAYBE THIS IS A MORE BROADER 

4253
02:44:04,280 --> 02:44:07,783
WORD AND REDUCING HEALTH-RELATED

4254
02:44:07,783 --> 02:44:11,320
FALSEHOODS ONLINE AND FOR OLD 

4255
02:44:11,320 --> 02:44:12,488
RIDDLES AND GENERATION THAT 

4256
02:44:12,488 --> 02:44:15,357
DIDN'T GROW UP WITH DIGITAL 

4257
02:44:15,357 --> 02:44:15,658
TECHNOLOGY. 

4258
02:44:15,658 --> 02:44:17,726
LET'S DIVE DEEPER INTO THE 

4259
02:44:17,726 --> 02:44:17,993
SCENARIO. 

4260
02:44:17,993 --> 02:44:20,329
THIS IS JUST A SMALL ATTEMPT 

4261
02:44:20,329 --> 02:44:23,532
FROM ME OF UNDERSTANDING WHAT 

4262
02:44:23,532 --> 02:44:25,501
EXACTLY OLD RIDDLES MIGHT MEAN 

4263
02:44:25,501 --> 02:44:27,670
AND IS A KIND INFERENCE. 

4264
02:44:27,670 --> 02:44:30,139
LET'S START THIS OBJECTIVE. 

4265
02:44:30,139 --> 02:44:32,007
DESPITE OF GROWING CONCERNS OR 

4266
02:44:32,007 --> 02:44:35,010
OLDER ADULTS EXPOSURE TO FALSE 

4267
02:44:35,010 --> 02:44:37,246
HEALTH INFORMATION ON SOCIAL 

4268
02:44:37,246 --> 02:44:39,915
MEDIA, LITTLE RESEARCH EXAMINES 

4269
02:44:39,915 --> 02:44:42,351
BELIEFS OVER HOW AND WHO SHOULD 

4270
02:44:42,351 --> 02:44:45,855
BE HELD RESPONSIBLE IN REMOVING 

4271
02:44:45,855 --> 02:44:47,156
HEALTH-RELATED FALSEHOODS THAT 

4272
02:44:47,156 --> 02:44:50,025
IS UNFORTUNATE THERE IS VERY 

4273
02:44:50,025 --> 02:44:53,696
LIMITED RESEARCH BEING DONE ON 

4274
02:44:53,696 --> 02:44:55,364
OLDER PERCEPTIONS ON THEIR WAY 

4275
02:44:55,364 --> 02:44:56,899
OF THINKING AND EXACTLY WHAT 

4276
02:44:56,899 --> 02:44:59,335
THEY WANT TO DO AND WHAT THEY 

4277
02:44:59,335 --> 02:45:01,403
WANT FROM DIGITAL MEDIA AND 

4278
02:45:01,403 --> 02:45:01,637
STUFF. 

4279
02:45:01,637 --> 02:45:03,506
THE FIRST QUESTION IS WHY SHOULD

4280
02:45:03,506 --> 02:45:05,107
WE STUDY OLD RIDDLES?  

4281
02:45:05,107 --> 02:45:06,642
WHAT IS THE NEED?  

4282
02:45:06,642 --> 02:45:10,913
AS WE ALL KNOW, THERE IS A HEAVY

4283
02:45:10,913 --> 02:45:13,082
DEMOGRAPHIC SHIFT GOING ON IN US

4284
02:45:13,082 --> 02:45:15,251
ALONE WE HAVE ALMOST 56 MILLION 

4285
02:45:15,251 --> 02:45:17,453
OLD RIDDLES AND STARTING ABOUT 

4286
02:45:17,453 --> 02:45:19,722
OLD RIDDLES GIVING DIFFERENT 

4287
02:45:19,722 --> 02:45:20,890
INFORMATION ABOUT LIKE WE CAN 

4288
02:45:20,890 --> 02:45:22,691
COME UP WITH NEW POLICIES AND 

4289
02:45:22,691 --> 02:45:25,628
NEW TECHNOLOGIES AND WE CAN HELP

4290
02:45:25,628 --> 02:45:29,198
THEM TO KEEP THEM ENGAGED NO THE

4291
02:45:29,198 --> 02:45:31,967
TO MAKE THEM FEEL ISOLATED AND 

4292
02:45:31,967 --> 02:45:34,103
HELP THEM HAVE BETTER MENTAL 

4293
02:45:34,103 --> 02:45:35,771
HEALTH AND WELLBEING AND ALSO ON

4294
02:45:35,771 --> 02:45:38,140
THE OTHER SIDE SOCIAL MEDIA OR 

4295
02:45:38,140 --> 02:45:39,742
DIGITAL PLATFORMS CAN BE 

4296
02:45:39,742 --> 02:45:41,710
[INDISCERNIBLE] FROM THIS THING 

4297
02:45:41,710 --> 02:45:43,178
AND WHEREIN AGAIN COME IN WITH 

4298
02:45:43,178 --> 02:45:45,180
NEW TOOLS OR PORTALS AND 

4299
02:45:45,180 --> 02:45:47,783
WHATEVER IT IS THAT IS TO MAKE 

4300
02:45:47,783 --> 02:45:50,286
LIFE OF OLD RIDDLES EASIER TO 

4301
02:45:50,286 --> 02:45:51,287
COME UP AND [INDISCERNIBLE] OR 

4302
02:45:51,287 --> 02:45:52,755
WHOEVER IT IS THAT CAN COME UP 

4303
02:45:52,755 --> 02:45:54,957
WITH BETTER POLICIES AND BETTER 

4304
02:45:54,957 --> 02:45:57,293
RECOMMENDATIONS TO MAKE LIVES OF

4305
02:45:57,293 --> 02:46:00,596
OLD RIDDLES BETTER AND MATERIALS

4306
02:46:00,596 --> 02:46:02,464
AND METHODS. 

4307
02:46:02,464 --> 02:46:07,336
HERE WE USED ABOUT HINTS 20202 

4308
02:46:07,336 --> 02:46:09,672
DATA ACROSS CROSS-SECTIONAL DATA

4309
02:46:09,672 --> 02:46:11,574
AND SURVEY FIELDED FROM MARCH TO

4310
02:46:11,574 --> 02:46:14,944
NOVEMBER OF 2022 INCLUDING 6 

4311
02:46:14,944 --> 02:46:21,717
THOUSAND 244 RESPONDENTS AND 

4312
02:46:21,717 --> 02:46:22,184
28.1%. 

4313
02:46:22,184 --> 02:46:23,552
IN THIS PARTICULAR RESEARCH WE 

4314
02:46:23,552 --> 02:46:26,121
HAVE FULL SAMPLE THAT CONSISTS 

4315
02:46:26,121 --> 02:46:29,325
OF 6 THOUSAND 252 RESPONSES. 

4316
02:46:29,325 --> 02:46:31,894
OUT OF WHICH ONLY 4 THOUSAND 415

4317
02:46:31,894 --> 02:46:34,396
ARE DAILY SOCIAL MEDIA USERS 

4318
02:46:34,396 --> 02:46:37,967
THAT WE DIDN'T INCLUDE OTHER 

4319
02:46:37,967 --> 02:46:39,902
18-27 PEOPLE AS THEY DIDN'T USE 

4320
02:46:39,902 --> 02:46:42,504
SOCIAL MEDIA ON A DAILY BASIS 

4321
02:46:42,504 --> 02:46:44,106
AND THOUGHT MAYBE IT IS NOT 

4322
02:46:44,106 --> 02:46:49,712
RELATABLE TO RESEARCH WE HAVE 

4323
02:46:49,712 --> 02:46:50,646
DONE27 PEOPLE AS THEY DIDN'T US 

4324
02:46:50,646 --> 02:46:51,246
SOCIAL MEDIA ON A DAILY BASIS 

4325
02:46:51,246 --> 02:46:51,814
AND THOUGHT MAYBE IT IS NOT 

4326
02:46:51,814 --> 02:46:53,716
RELATABLE TO RESEARCH WE HAVE 

4327
02:46:53,716 --> 02:46:55,017
DONE1827 PEOPLE AS THEY DIDN'T  

4328
02:46:55,017 --> 02:46:55,618
SOCIAL MEDIA ON A DAILY BASIS 

4329
02:46:55,618 --> 02:46:56,185
AND THOUGHT MAYBE IT IS NOT 

4330
02:46:56,185 --> 02:46:56,785
RELATABLE TO RESEARCH WE HAVE 

4331
02:46:56,785 --> 02:46:59,388
DO

4332
02:46:59,388 --> 02:47:00,623
DONE. 

4333
02:47:00,623 --> 02:47:04,860
WE ANALYZED 3 THOUSAND,499 RESP 

4334
02:47:04,860 --> 02:47:08,731
THIS STUDY AND WILL COME BACK TO

4335
02:47:08,731 --> 02:47:10,866
RESPONSES AND ANALYZED FOUR MAIN

4336
02:47:10,866 --> 02:47:14,603
ITEMS BEING ASKED.  ONE IS IF 

4337
02:47:14,603 --> 02:47:17,139
THEY ARE DAILY SOCIAL MEDIA 

4338
02:47:17,139 --> 02:47:21,343
USERS OR NOT AND HEALTH RELATED 

4339
02:47:21,343 --> 02:47:22,211
FALSEHOODS AND HEALTH 

4340
02:47:22,211 --> 02:47:23,712
INFORMATION YOU SEE ON SOCIAL 

4341
02:47:23,712 --> 02:47:26,148
MEDIA DO YOU THINK IS FALSE OR 

4342
02:47:26,148 --> 02:47:27,883
MISLEADING AND DISCUSSIONS OF 

4343
02:47:27,883 --> 02:47:29,418
SOCIAL MEDIA WITH MEDICAL 

4344
02:47:29,418 --> 02:47:30,819
PROVIDERS ON LEVEL OF AGREEMENT 

4345
02:47:30,819 --> 02:47:33,055
WITH ITEM AND I USE INFORMATION 

4346
02:47:33,055 --> 02:47:34,890
FROM SOCIAL MEDIA IN DISCUSSIONS

4347
02:47:34,890 --> 02:47:38,927
WITH HEALTHCARE PROVIDERS AND 

4348
02:47:38,927 --> 02:47:42,698
LIKE REGARDING ANALYSIS AND 

4349
02:47:42,698 --> 02:47:44,033
RESOURCES AFTER CHARACTERIZING 

4350
02:47:44,033 --> 02:47:45,601
SAMPLE BY EXAMINING FREQUENCIES 

4351
02:47:45,601 --> 02:47:48,237
AND PROPORTIONS WE HAVE 

4352
02:47:48,237 --> 02:47:50,606
ESTIMATED 8 BINARY LOGIC 

4353
02:47:50,606 --> 02:47:53,075
REGRESSIONS TO UNDERSTAND HOW 

4354
02:47:53,075 --> 02:47:54,877
RESPONDENTS AGE IS ASSOCIATED 

4355
02:47:54,877 --> 02:48:02,885
WITH OUTCOMES OF INTEREST. 

4356
02:48:02,885 --> 02:48:04,386
OKAY.  SORRY. 

4357
02:48:04,386 --> 02:48:08,157
IF YOU CAN SEE HERE OUT OF THE 

4358
02:48:08,157 --> 02:48:10,759
SAMPLE, WE HAVE 18 TO 30 AGE 

4359
02:48:10,759 --> 02:48:12,394
GROUP THAT HAS MORE LIKE -- 

4360
02:48:12,394 --> 02:48:14,496
ALMOST 85% OF THEM ARE DAILY 

4361
02:48:14,496 --> 02:48:19,802
SOCIAL MEDIA USERS. 

4362
02:48:19,802 --> 02:48:23,472
AGE GROUP 31 TO 50 WE HAVE 

4363
02:48:23,472 --> 02:48:24,740
ALMOST 70% AND [INDISCERNIBLE] 

4364
02:48:24,740 --> 02:48:28,811
IS MORE OR LESS THE SAME AND 

4365
02:48:28,811 --> 02:48:31,180
COMING TO 65 AND 74 AND WE HAVE 

4366
02:48:31,180 --> 02:48:33,716
ALMOST AROUND 60% OF THEM ARE 

4367
02:48:33,716 --> 02:48:36,385
DAILY SOCIAL MEDIA USE HERBS AND

4368
02:48:36,385 --> 02:48:41,724
OUT OF THESE PEOPLE OUT OF THEM 

4369
02:48:41,724 --> 02:48:45,461
LIKE THE OLD THER ARE IT DOES 

4370
02:48:45,461 --> 02:48:50,299
NOT AGREE TO DISCUSS WHATEVER 

4371
02:48:50,299 --> 02:48:51,800
INFORMATION THEY SEE ON SOERNL 

4372
02:48:51,800 --> 02:48:55,270
MEDIA WITH MEDICAL PROFESSIONALS

4373
02:48:55,270 --> 02:48:57,473
AND SELF-REPORTING AND AGING 

4374
02:48:57,473 --> 02:49:01,176
75 + DID NOT MENTION THEY COME 

4375
02:49:01,176 --> 02:49:06,248
ACROSS MORE FALSE RELATED 

4376
02:49:06,248 --> 02:49:07,549
MISINFORMATION ONLINE AND 

4377
02:49:07,549 --> 02:49:11,587
BECAUSE FACT OLD RIDDLES CAN'T 

4378
02:49:11,587 --> 02:49:15,557
DISTINGUISH WHAT IS TRUE AND 

4379
02:49:15,557 --> 02:49:20,162
MISINFORMATION AND IF YOU CAN 

4380
02:49:20,162 --> 02:49:25,467
SEE BINARY LOGIC RESGREGS 

4381
02:49:25,467 --> 02:49:28,670
EVERYONE WILL HAVE DIFFERENT 

4382
02:49:28,670 --> 02:49:32,141
PERCEPTIONS AND IDEAS HERE AND 

4383
02:49:32,141 --> 02:49:37,679
FEW MENTIONED NEWS MEDIA AND 

4384
02:49:37,679 --> 02:49:39,414
SOCIAL MEDIA PLATFORMS AND 

4385
02:49:39,414 --> 02:49:43,152
SURVEY DONE IN 2022 PEER 

4386
02:49:43,152 --> 02:49:49,691
RESEARCH IN WHICH RIDDLES 

4387
02:49:49,691 --> 02:49:51,126
MENTIONED LEAST LIKELY TO HAVE 

4388
02:49:51,126 --> 02:49:56,198
SOCIAL MEDIA PLATFORMS AND WE 

4389
02:49:56,198 --> 02:50:00,335
CAN'T REALLY BELIEVE THAT 

4390
02:50:00,335 --> 02:50:10,779
RIDDLES IN THIS SURVEY NO 

4391
02:50:11,046 --> 02:50:12,748
RELATION AND IT KEPT INCREASING 

4392
02:50:12,748 --> 02:50:17,486
AS AGE INCREASES AND SO HERE WE 

4393
02:50:17,486 --> 02:50:19,588
CAN SEE THAT EMPHASIS THUS FAR 

4394
02:50:19,588 --> 02:50:22,858
HAS BEEN ON SOCIAL MEDIA REFORMS

4395
02:50:22,858 --> 02:50:24,259
REGULATING BY FINDINGS THAT 

4396
02:50:24,259 --> 02:50:26,762
SUGGEST AN ALTERNATIVE OR 

4397
02:50:26,762 --> 02:50:27,863
ALTERNATE OPPORTUNITIES TO FIX 

4398
02:50:27,863 --> 02:50:29,698
THIS ISSUE FOR OLD RIDDLES THAT 

4399
02:50:29,698 --> 02:50:32,067
IS FOCUSING ON MEDICAL PROVIDERS

4400
02:50:32,067 --> 02:50:35,871
AND AS WE HAVE LIMITED RESEARCH 

4401
02:50:35,871 --> 02:50:38,106
OR LIMITED EQUATIONS BEING ASKED

4402
02:50:38,106 --> 02:50:40,642
IN THE SURVEY, WE NEVER KNOW 

4403
02:50:40,642 --> 02:50:43,979
WHAT EXACTLY OLD RIDDLES NEED.  

4404
02:50:43,979 --> 02:50:46,348
INSTEAD MAYBE IF THERE IS A WHY 

4405
02:50:46,348 --> 02:50:48,517
OPTION INCLUDED IN CASE WHOEVER 

4406
02:50:48,517 --> 02:50:49,351
HAS SELECTED ANY PARTICULAR 

4407
02:50:49,351 --> 02:50:51,954
OPTION IF THERE IS A DEPENDENT 

4408
02:50:51,954 --> 02:50:53,689
WHY QUESTION THAT WE CAN SERVE 

4409
02:50:53,689 --> 02:50:56,491
THEN MAYBE WE CAN GET A BETTER 

4410
02:50:56,491 --> 02:50:58,160
PERSPECTIVE WHAT EXACTLY OLD 

4411
02:50:58,160 --> 02:51:01,396
RIDDLES OR AGE GROUP THAT PEOPLE

4412
02:51:01,396 --> 02:51:04,833
PREFER AND CURRENT SOCIAL MEDIA 

4413
02:51:04,833 --> 02:51:06,368
USERS PREVENTING INSIGHTS TO 

4414
02:51:06,368 --> 02:51:08,537
[INDISCERNIBLE] NONUSERS WHO MAY

4415
02:51:08,537 --> 02:51:11,473
ADOPT IT LATER AND SURVEY IS 

4416
02:51:11,473 --> 02:51:14,376
CONDUCTS ONLY ENGLISH AND 

4417
02:51:14,376 --> 02:51:16,178
SPANISH IGNORING OTHER LANGUAGES

4418
02:51:16,178 --> 02:51:18,280
THAT MIGHT BE PEOPLE COMING FROM

4419
02:51:18,280 --> 02:51:21,450
DIFFERENT LANGUAGES AND A FEW 

4420
02:51:21,450 --> 02:51:22,684
THINGS MIGHT GET LOST IN 

4421
02:51:22,684 --> 02:51:23,952
TRANSLATION AND BETTER TO HAVE 

4422
02:51:23,952 --> 02:51:26,088
MAYBE MORE THAN TWO LANGUAGES 

4423
02:51:26,088 --> 02:51:27,723
INCLUDING FRENCH OR WHATEVER 

4424
02:51:27,723 --> 02:51:29,725
LANGUAGE IS MOST SPOKEN HERE IN 

4425
02:51:29,725 --> 02:51:32,194
AMERICA THAT MIGHT GIVE A NEW 

4426
02:51:32,194 --> 02:51:35,163
PERSPECTIVE POLICY IMPLICATIONS 

4427
02:51:35,163 --> 02:51:37,199
LIKE AFTER CONNECTING THIS STUDY

4428
02:51:37,199 --> 02:51:40,035
DESPITE LIMITATIONS STUDY 

4429
02:51:40,035 --> 02:51:43,405
FINDING SHED LIGHT ON TARGETED 

4430
02:51:43,405 --> 02:51:45,374
INTERVENTIONS ASSISTING OLD 

4431
02:51:45,374 --> 02:51:46,441
RIDDLES AND [INDISCERNIBLE] 

4432
02:51:46,441 --> 02:51:49,711
COUNTER ON SOCIAL MEDIA AND 

4433
02:51:49,711 --> 02:51:50,913
PLATFORMS HAVE SOUGHT FALSEHOOD 

4434
02:51:50,913 --> 02:51:53,015
IMPLEMENTING ALGORITHMS AND 

4435
02:51:53,015 --> 02:51:54,149
DIFFERENT MODERATION TEAMS AND 

4436
02:51:54,149 --> 02:51:56,518
OPTIONS FOR USERS TO REPORT 

4437
02:51:56,518 --> 02:51:57,786
[INDISCERNIBLE] AND FALSEHOOD 

4438
02:51:57,786 --> 02:52:00,088
STILL PERSISTS AND FEW PEOPLE 

4439
02:52:00,088 --> 02:52:01,690
REPORTED DISCUSSING WHAT THEY 

4440
02:52:01,690 --> 02:52:03,025
FOUND ON SOCIAL MEDIA WITH 

4441
02:52:03,025 --> 02:52:07,362
MEDICAL PROVIDERS AS CLINICAL 

4442
02:52:07,362 --> 02:52:09,698
VISITS ARE KIND OF TIME MEDICAL 

4443
02:52:09,698 --> 02:52:11,400
PROVIDERS ALL PATIENTS NEED TO 

4444
02:52:11,400 --> 02:52:12,901
HAVE MORE TIME WITH EACH TO 

4445
02:52:12,901 --> 02:52:14,603
DISCUSS THESE THINGS AND AS 

4446
02:52:14,603 --> 02:52:18,173
FIRST OPTION IS NOT KIND OF 

4447
02:52:18,173 --> 02:52:20,142
FEASIBLE SECOND IS MEDICAL 

4448
02:52:20,142 --> 02:52:21,710
PROVIDERS ENTERING ON SOCIAL 

4449
02:52:21,710 --> 02:52:24,212
MEDIA FOR EXAMPLE IF ANY NEW OR 

4450
02:52:24,212 --> 02:52:28,383
PRIOR TO COVID-19 THAT IS ONE 

4451
02:52:28,383 --> 02:52:29,451
SUCH SITUATION THAT HAS MADE 

4452
02:52:29,451 --> 02:52:32,154
EVERYONE REALIZE THAT 

4453
02:52:32,154 --> 02:52:33,722
CIRCULATING FALSE INFORMATION 

4454
02:52:33,722 --> 02:52:37,659
OVER SOCIAL MEDIA IS A THREAT TO

4455
02:52:37,659 --> 02:52:40,595
SOCIETY AND MEDICAL PROVIDERS 

4456
02:52:40,595 --> 02:52:41,930
WOULD HAVE VOLUNTARIED 

4457
02:52:41,930 --> 02:52:46,335
THEMSELVES TO BE HANDLED IN 

4458
02:52:46,335 --> 02:52:48,670
BETTER WAY MAYBE AND I'M A UK 

4459
02:52:48,670 --> 02:52:50,305
DESIGNER AND MAYBE WE CAN COME 

4460
02:52:50,305 --> 02:52:53,308
UP WITH NEW TECHNOLOGICAL TOOLS 

4461
02:52:53,308 --> 02:52:55,143
KEEPING IN MIND WITH OLD RIDDLES

4462
02:52:55,143 --> 02:52:57,279
AND BUILDING OR DEVELOPING OR 

4463
02:52:57,279 --> 02:52:59,314
DESIGNING SUCH TOOLS MAYBE 

4464
02:52:59,314 --> 02:53:00,983
CONDUCT MUCH MORE SERIOUS 

4465
02:53:00,983 --> 02:53:03,051
SERVICE ABOUT ONLY TO OLD 

4466
02:53:03,051 --> 02:53:05,153
RIDDLES THAT WAY WE MAYBE KIND 

4467
02:53:05,153 --> 02:53:11,326
OF AT LEAST RESTRICT SPREAD 

4468
02:53:11,326 --> 02:53:12,361
OFHOOF 

4469
02:53:12,361 --> 02:53:13,929
FALSEHOODS WE ARE SEEING TODAY 

4470
02:53:13,929 --> 02:53:16,164
AND I WOULD LIKE TO THANK MY 

4471
02:53:16,164 --> 02:53:18,367
PROFESSOR WHO HAS ADVISED AND 

4472
02:53:18,367 --> 02:53:21,837
HELPED ME TO STEER MY RESEARCH 

4473
02:53:21,837 --> 02:53:24,373
IN THIS DIRECTION AND ELYSE AND 

4474
02:53:24,373 --> 02:53:26,008
MY COLLEAGUES SO THAT IS IT 

4475
02:53:26,008 --> 02:53:29,644
ABOUT -- FROM MY END.  THANK 

4476
02:53:29,644 --> 02:53:34,216
YOU.  

4477
02:53:34,216 --> 02:53:35,884
>> THANK YOU SO MUCH TO
ALL OF 

4478
02:53:35,884 --> 02:53:38,153
THE SPEAKERS FOR A WONDERFUL SET

4479
02:53:38,153 --> 02:53:39,688
OF PRESENTATIONS AND I WELCOME 

4480
02:53:39,688 --> 02:53:47,295
PEOPLE WITH QUESTIONS TO COME

4481
02:53:47,295 --> 02:53:47,629
UP. 

4482
02:53:47,629 --> 02:53:49,564
AS A WAY TO START PLEASE LINE 

4483
02:53:49,564 --> 02:53:51,266
UP.  NO RUSH.  I HAVE A QUESTION

4484
02:53:51,266 --> 02:53:52,968
THAT IS REALLY I THINK THERE IS 

4485
02:53:52,968 --> 02:53:57,039
A LOT OF INTEREST IN SORT OF 

4486
02:53:57,039 --> 02:54:01,043
PERCEPTIONS AND AWARENESS OF 

4487
02:54:01,043 --> 02:54:01,710
MISINFORMATION AND INFORMATION 

4488
02:54:01,710 --> 02:54:03,612
OF MIXED QUALITY ONLINE AND WE 

4489
02:54:03,612 --> 02:54:05,480
HAVE AN IDEA THAT HEALTHY 

4490
02:54:05,480 --> 02:54:08,150
SKEPTICISM WOULD BE GOOD; RIGHT?

4491
02:54:08,150 --> 02:54:09,918
PEOPLE SHOULD HAVE A SENSE OR 

4492
02:54:09,918 --> 02:54:11,920
SLIGHTLY WEARY OF WHAT THEY SEE.

4493
02:54:11,920 --> 02:54:17,125
BUT, I THINK IT IS A SLIPPERY 

4494
02:54:17,125 --> 02:54:20,228
SLOPE.  WE ALSO WANT CERTAIN 

4495
02:54:20,228 --> 02:54:21,430
INSTITUTIONS AND TYPES OF 

4496
02:54:21,430 --> 02:54:23,165
INFORMATION TO BE TRUSTED AND 

4497
02:54:23,165 --> 02:54:25,700
DON'T WANT SO MUCH SKEPTICISM IT

4498
02:54:25,700 --> 02:54:28,303
BECOMES APATHY OR CONFUSION OR I

4499
02:54:28,303 --> 02:54:30,172
JUST DON'T KNOW WHO TO TRUST 

4500
02:54:30,172 --> 02:54:32,140
ANYMORE AND WONDER IF ANY OF YOU

4501
02:54:32,140 --> 02:54:34,810
HAVE IN YOUR RESEARCH SORT OF 

4502
02:54:34,810 --> 02:54:36,178
THOUGHT ABOUT THIS BALANCING 

4503
02:54:36,178 --> 02:54:38,346
ACT.  I THINK WE ARE AWARE THAT 

4504
02:54:38,346 --> 02:54:40,549
THERE ARE LIMITATIONS FOR HOW WE

4505
02:54:40,549 --> 02:54:42,617
CAN MEASURE THESE THINGS THROUGH

4506
02:54:42,617 --> 02:54:43,952
SELF-REPORTED SURVEY THAT I 

4507
02:54:43,952 --> 02:54:45,387
THINK WILL BE A POINT PROBABLY 

4508
02:54:45,387 --> 02:54:48,790
THAT EVERYONE AGREES ON. 

4509
02:54:48,790 --> 02:54:51,159
JUST IN TERMS OF CREDIBILITY 

4510
02:54:51,159 --> 02:54:52,527
ASSESSMENT AND SKEPTICISM AND 

4511
02:54:52,527 --> 02:54:56,098
TRUST IF ANYBODY HAS ANY 

4512
02:54:56,098 --> 02:54:56,364
THOUGHTS. 

4513
02:54:56,364 --> 02:54:57,032
>> OKAY. 

4514
02:54:57,032 --> 02:54:58,366
>> PLEASE, ANNA.  

4515
02:54:58,366 --> 02:54:59,101
>> HELLO?  

4516
02:54:59,101 --> 02:54:59,434
>> YES. 

4517
02:54:59,434 --> 02:55:02,037
>> OKAY.  THIS IS NOT FROM
MY 

4518
02:55:02,037 --> 02:55:04,272
RESEARCH BUT FROM SOMEONE ELSE'S

4519
02:55:04,272 --> 02:55:05,440
RESEARCH THAT I WILL JUST STEAL 

4520
02:55:05,440 --> 02:55:05,974
WHAT THEY SAID. 

4521
02:55:05,974 --> 02:55:07,809
THERE WAS A PRESENTATION THAT I 

4522
02:55:07,809 --> 02:55:09,778
SAW A COUPLE OF MONTHS AGO WHERE

4523
02:55:09,778 --> 02:55:12,881
THE PRESENTER WAS MAKING THE 

4524
02:55:12,881 --> 02:55:17,686
POINT THAT ADDRESSING 

4525
02:55:17,686 --> 02:55:21,256
MISINFORMATION WOULD HAVE A VERY

4526
02:55:21,256 --> 02:55:22,557
SMALL EFFECT ON OVERAULT 

4527
02:55:22,557 --> 02:55:24,126
PEOPLE'S ATTITUDES OR HEALTH 

4528
02:55:24,126 --> 02:55:26,561
BELIEFS OR BEHAVIORS WHEREAS 

4529
02:55:26,561 --> 02:55:27,696
GETTING PEOPLE TO BELIEVE TRUE 

4530
02:55:27,696 --> 02:55:29,598
INFORMATION WOULD HAVE A MUCH 

4531
02:55:29,598 --> 02:55:31,333
GREATER EFFECT ON OVERALL HEALTH

4532
02:55:31,333 --> 02:55:33,702
AND WELLBEING.  

4533
02:55:33,702 --> 02:55:36,371
THIS POINT OF SKEPTICISM IS -- 

4534
02:55:36,371 --> 02:55:41,042
IS YOU KNOW A VERY IMPORTANT 

4535
02:55:41,042 --> 02:55:41,576
ONE. 

4536
02:55:41,576 --> 02:55:43,778
ALTHOUGH WE DO PROBABLY WANT 

4537
02:55:43,778 --> 02:55:45,413
PEOPLE TO BE SKEPTICAL OF 

4538
02:55:45,413 --> 02:55:46,815
INFORMATION THEY FIND ON SOCIAL 

4539
02:55:46,815 --> 02:55:48,950
MEDIA PEOPLE ARE SKEPTICAL OF 

4540
02:55:48,950 --> 02:55:49,751
INFORMATION COMING FROM 

4541
02:55:49,751 --> 02:55:53,555
LEGITIMATE SOURCES AND PROVIDERS

4542
02:55:53,555 --> 02:55:57,692
AND NEWS SOURCES AND JOURNALISTS

4543
02:55:57,692 --> 02:55:59,394
AND REALLY BECAUSE OF COVID-19 

4544
02:55:59,394 --> 02:56:01,696
THERE HAS BEEN A LOT OF 

4545
02:56:01,696 --> 02:56:03,165
ATTENTION ON MISINFORMATION AND 

4546
02:56:03,165 --> 02:56:05,200
ON SOCIAL MEDIA BUT HASN'T BEEN 

4547
02:56:05,200 --> 02:56:06,301
A LOT OF ATTENTION BEING PAID TO

4548
02:56:06,301 --> 02:56:10,071
THE FACT THAT PEOPLE ARE NOT 

4549
02:56:10,071 --> 02:56:10,939
TRUST 

4550
02:56:10,939 --> 02:56:13,108
TRUSTING ACCURATE INFORMATION 

4551
02:56:13,108 --> 02:56:15,010
THAT IS A FLIPSIDE OF THE COIN 

4552
02:56:15,010 --> 02:56:16,611
AND THEIR PRESENTATION WAS 

4553
02:56:16,611 --> 02:56:19,347
SAYING THAT YOU KNOW INCREASING 

4554
02:56:19,347 --> 02:56:20,815
TRUST AND TRUE INFORMATION WOULD

4555
02:56:20,815 --> 02:56:23,385
ACTUALLY BE A POSSIBLY MORE 

4556
02:56:23,385 --> 02:56:24,352
EFFECTIVE WAY TO HANDLE THIS 

4557
02:56:24,352 --> 02:56:27,789
SITUATION THAN JUST TRYING TO 

4558
02:56:27,789 --> 02:56:32,594
REDUCE BELIEF IN FALSE 

4559
02:56:32,594 --> 02:56:32,928
INFORMATION. 

4560
02:56:32,928 --> 02:56:35,997
>> THANK YOU, ANNA. 

4561
02:56:35,997 --> 02:56:39,734
>> I WATCHED THE SAME TALK
AND 

4562
02:56:39,734 --> 02:56:41,369
THOUGHT THAT RESEARCHER WAS 

4563
02:56:41,369 --> 02:56:43,605
MAKING VALID POINTS THAT TO YOUR

4564
02:56:43,605 --> 02:56:45,874
POINT OF SKEPTICISM, THAT IS 

4565
02:56:45,874 --> 02:56:47,742
SOMETHING THAT MY CURRENT 

4566
02:56:47,742 --> 02:56:49,945
INTERVIEWS ARE ALSO IT IS A 

4567
02:56:49,945 --> 02:56:53,715
THEME THAT IS COMING UP WHEN WE 

4568
02:56:53,715 --> 02:56:56,851
TALK TO LATINA HEALTH EDUCATORS 

4569
02:56:56,851 --> 02:56:59,387
AND CANCER SURVIVORS ABOUT HOW 

4570
02:56:59,387 --> 02:57:03,058
THEY ARE NAVIGATING WHATSAPP AND

4571
02:57:03,058 --> 02:57:05,193
FACEBOOK INFORMATION RELATED TO 

4572
02:57:05,193 --> 02:57:07,362
CANCER AND COVID ON THESE SPACES

4573
02:57:07,362 --> 02:57:09,164
AND THERE IS HEALTHY LEVEL OF 

4574
02:57:09,164 --> 02:57:11,933
SKEPTICISM IT HAS EMERGING IN 

4575
02:57:11,933 --> 02:57:12,601
SOME OF THOSE CONVERSATIONS THAT

4576
02:57:12,601 --> 02:57:16,204
WE ARE ACTUALLY CURRENTLY 

4577
02:57:16,204 --> 02:57:18,506
STARTING TO EXPLORE HOW THAT 

4578
02:57:18,506 --> 02:57:21,409
RELATES MAYBE TO HOW THEY ARE 

4579
02:57:21,409 --> 02:57:23,845
DISSEMINATING AND IF THEY ARE 

4580
02:57:23,845 --> 02:57:24,579
DISSEMINATING THE CONTENT MORE 

4581
02:57:24,579 --> 02:57:26,715
AND ROLE IT IS PLAYING AND I 

4582
02:57:26,715 --> 02:57:27,849
DON'T HAVE ANSWERS BUT IS 

4583
02:57:27,849 --> 02:57:28,817
SOMETHING THAT I THINK IS 

4584
02:57:28,817 --> 02:57:31,953
IMPORTANT TO THINK ABOUT WHEN WE

4585
02:57:31,953 --> 02:57:33,888
THINK OF WHO PEOPLE TRUST AND 

4586
02:57:33,888 --> 02:57:37,359
HOW DIFFERENT GROUPS TRUST 

4587
02:57:37,359 --> 02:57:40,262
DIFFERENT INDIVIDUALS AND HOW TO

4588
02:57:40,262 --> 02:57:42,864
BETTER TOOEZ IT OUT TO LEVERAGE 

4589
02:57:42,864 --> 02:57:45,834
THAT INFORMATION GOING FORWARD. 

4590
02:57:45,834 --> 02:57:47,102
>> THANK YOU. 

4591
02:57:47,102 --> 02:57:51,106
>> I THINK WE CAN AGREE I
USED 

4592
02:57:51,106 --> 02:57:52,874
TO BE POLITICAL INFORMATION 

4593
02:57:52,874 --> 02:57:54,809
RESEARCH AND TALKING ABOUT 

4594
02:57:54,809 --> 02:57:57,712
CYNICISM AND HOW DO WE ADDRESS 

4595
02:57:57,712 --> 02:58:00,348
CYNICISM?  ONE SOLUTION IS TO 

4596
02:58:00,348 --> 02:58:00,815
CULTIVATE SKEPTICISM. 

4597
02:58:00,815 --> 02:58:01,116
>> YEAH. 

4598
02:58:01,116 --> 02:58:03,952
>> EXACTLY.  BUT I THINK
THAT AT

4599
02:58:03,952 --> 02:58:07,522
LEAST AT THIS PHASE A MORE 

4600
02:58:07,522 --> 02:58:10,859
IMPORTANT ISSUE IS A LOT OF WORK

4601
02:58:10,859 --> 02:58:13,094
WE DO IS ASKING PEOPLE TO BE 

4602
02:58:13,094 --> 02:58:15,397
MORE CRITICAL AND BY DEFAULT WE 

4603
02:58:15,397 --> 02:58:16,965
ARE COGNITIVE MISERS AND MOST OF

4604
02:58:16,965 --> 02:58:19,367
US DON'T TAKE TIME TO EVALUATE 

4605
02:58:19,367 --> 02:58:20,335
EVERY PIECE OF INFORMATION WE 

4606
02:58:20,335 --> 02:58:22,070
GET AND THAT EXTREME WE ARE 

4607
02:58:22,070 --> 02:58:23,972
TALKING ABOUT HERE AND MORE 

4608
02:58:23,972 --> 02:58:25,407
IMPORTANTLY WE LOOK AT WHETHER 

4609
02:58:25,407 --> 02:58:28,376
PEOPLE START TO VERIFY 

4610
02:58:28,376 --> 02:58:30,545
INFORMATION WE NOTICE DIFFERENT 

4611
02:58:30,545 --> 02:58:32,580
MOTIVATIONS AND DUE PROCESSING 

4612
02:58:32,580 --> 02:58:34,082
MODEL THAT OFTEN TIMES PEOPLE 

4613
02:58:34,082 --> 02:58:36,384
RELY ON HEURISTICS AND OFTEN 

4614
02:58:36,384 --> 02:58:38,253
TIMES PEOPLE RELY ON HEURISTICS 

4615
02:58:38,253 --> 02:58:39,554
WHEN THEY SHOULD BE MORE 

4616
02:58:39,554 --> 02:58:41,823
CRITICAL AND WHEREAS FOR OTHER 

4617
02:58:41,823 --> 02:58:44,092
SOURCES IF WE TRUST A SOURCE AND

4618
02:58:44,092 --> 02:58:45,794
AUTHORITY OF SOURCE THAT NEED TO

4619
02:58:45,794 --> 02:58:47,962
BE CRITICAL MORE AND BE KIND OF 

4620
02:58:47,962 --> 02:58:49,464
LAID BACK AND NOT JUST ONE 

4621
02:58:49,464 --> 02:58:50,532
[INDISCERNIBLE] AND DUE 

4622
02:58:50,532 --> 02:58:52,367
PROCESSING MODEL AND IMPORTANT 

4623
02:58:52,367 --> 02:58:54,669
THING IS WHEN SHOULD PEOPLE BE 

4624
02:58:54,669 --> 02:58:56,738
MORE CRITICAL GIVEN RESOURCES WE

4625
02:58:56,738 --> 02:58:58,740
HAVE AND TRUSTWORTHY SOURCES 

4626
02:58:58,740 --> 02:59:00,475
THAT COULD BE LAID BACK AND 

4627
02:59:00,475 --> 02:59:03,411
THINK THAT IT MAY BE MORE 

4628
02:59:03,411 --> 02:59:05,680
NUANCED THAT WAY AND FOR DEFAULT

4629
02:59:05,680 --> 02:59:08,350
WE DON'T REALLY WANT TO BE 

4630
02:59:08,350 --> 02:59:09,250
SKEPTICAL AND THINK THAT 

4631
02:59:09,250 --> 02:59:11,453
INTERESTING WORK WE DO IS TO 

4632
02:59:11,453 --> 02:59:13,188
ENCOURAGE PEOPLE TO BE SKEPTICAL

4633
02:59:13,188 --> 02:59:15,090
AND MORE WHEN THEY SHOULD BE 

4634
02:59:15,090 --> 02:59:15,390
SKEPTICAL. 

4635
02:59:15,390 --> 02:59:17,325
>> SKEPTICAL AND NOT
CYNICAL. 

4636
02:59:17,325 --> 02:59:17,592
>> YES. 

4637
02:59:17,592 --> 02:59:19,427
>> YES.  WE HAVE ABOUT
THREE 

4638
02:59:19,427 --> 02:59:21,196
MINUTES AND WOULD LOVE FOR 

4639
02:59:21,196 --> 02:59:22,530
PEOPLE TO GET AT LEAST A CHANCE 

4640
02:59:22,530 --> 02:59:24,699
TO MAKE A COMMENT IF WE CAN'T 

4641
02:59:24,699 --> 02:59:25,600
FULLY ADDRESS QUESTIONS. 

4642
02:59:25,600 --> 02:59:27,335
>> THANK YOU ALL FOR
TACKLING 

4643
02:59:27,335 --> 02:59:30,305
THIS IMPORTANT TOPIC THAT MAKES 

4644
02:59:30,305 --> 02:59:34,309
ME FEEL OLD AND OUT OF TOUCH.  I

4645
02:59:34,309 --> 02:59:36,778
HAVE NO IDEA WHAT WHATSAPP IS 

4646
02:59:36,778 --> 02:59:39,914
AND QUESTION IS FOR DR. WANG AND

4647
02:59:39,914 --> 02:59:41,683
YOU ARE STUDYING [INDISCERNIBLE]

4648
02:59:41,683 --> 02:59:44,419
AND YOUR DEPENDENT VARIABLE IS 

4649
02:59:44,419 --> 02:59:50,392
NOT PERCEIVED ECIG HARM BUT 

4650
02:59:50,392 --> 02:59:53,128
RELATION TO E-CIGARETTES THEY 

4651
02:59:53,128 --> 02:59:55,230
COULD BE HARMFUL BUT ANSWER IS 

4652
02:59:55,230 --> 02:59:57,198
NOT MORE HARMFUL MAKE SENSE?  

4653
02:59:57,198 --> 02:59:59,067
WANT YOUR THOUGHTS AND HOW IT 

4654
02:59:59,067 --> 03:00:01,269
MIGHT IMPACT YOUR ANALYSIS FACT 

4655
03:00:01,269 --> 03:00:05,707
IT IS NOT ACTUALLY ECIG HARM BUT

4656
03:00:05,707 --> 03:00:07,175
IN RELATION TO E-CIGARETTE 

4657
03:00:07,175 --> 03:00:07,442
SMOKING. 

4658
03:00:07,442 --> 03:00:10,912
>> WE LOOKED AT THIS
RELATED TO 

4659
03:00:10,912 --> 03:00:13,381
OTHER RESEARCH WHAT IS ROLE OF 

4660
03:00:13,381 --> 03:00:15,216
PERCEPTIONS AND THIS DATA SET 

4661
03:00:15,216 --> 03:00:17,152
DIDN'T REALLY GIVE US AND WAY OF

4662
03:00:17,152 --> 03:00:19,154
NOT LOOKING AT KIND OF IT IS NOT

4663
03:00:19,154 --> 03:00:23,191
REALLY PERCEIVED BUT IT IS MAYBE

4664
03:00:23,191 --> 03:00:26,828
THE ACTUAL HARM.  

4665
03:00:26,828 --> 03:00:29,063
I THINK THERE IS A DIFFERENCE 

4666
03:00:29,063 --> 03:00:29,998
THERE AND OPPORTUNITY TO LOOK 

4667
03:00:29,998 --> 03:00:38,206
MORE INTO DATA AND NOW MEASURES 

4668
03:00:38,206 --> 03:00:40,875
LOOKING AT IN STUDY ARE THESE 

4669
03:00:40,875 --> 03:00:43,311
AND THERE ARE MORE VARIABLES IN 

4670
03:00:43,311 --> 03:00:45,079
DATA SET WE COULD LOOK AT MORE 

4671
03:00:45,079 --> 03:00:46,314
AND IS A GOOD SUGGESTION. 

4672
03:00:46,314 --> 03:00:47,682
>> THANKS SO MUCH. 

4673
03:00:47,682 --> 03:00:53,488
>> MORE COMMENTS FROM
THAT?  

4674
03:00:53,488 --> 03:00:54,622
PLEASE GO AHEAD. 

4675
03:00:54,622 --> 03:00:57,759
>> IN RELATION TO
E-CIGARETTES 

4676
03:00:57,759 --> 03:01:00,762
AND WAY TO SPEAK TO YOUTH ABOUT 

4677
03:01:00,762 --> 03:01:02,964
POTENTIAL HARM, I WANT YOUR 

4678
03:01:02,964 --> 03:01:04,833
THOUGHTS ABOUT LESSONS LEARNED 

4679
03:01:04,833 --> 03:01:06,267
FROM THE D.A.R.E. PROGRAM THAT 

4680
03:01:06,267 --> 03:01:09,504
IS A FAMOUS FAILURE TO EDUCATE 

4681
03:01:09,504 --> 03:01:12,774
YOUTH ABOUT POTENTIAL HARM AND 

4682
03:01:12,774 --> 03:01:14,042
DANGERS OF SUBSTANCE ABUSE AND 

4683
03:01:14,042 --> 03:01:16,211
HOW IT MIGHT BE APPLIED AS WE 

4684
03:01:16,211 --> 03:01:19,681
TRY TO DISSEMINATE PUBLIC HEALTH

4685
03:01:19,681 --> 03:01:21,082
INFORMATION ABOUT E-CIGARETTES? 

4686
03:01:21,082 --> 03:01:25,086
>> THERE IS A LOT OF
LESSONS 

4687
03:01:25,086 --> 03:01:28,957
LEARNED FROM THAT WE LEARNED TO 

4688
03:01:28,957 --> 03:01:34,095
ENGAGE MORE WITH YOUTH FROM THAT

4689
03:01:34,095 --> 03:01:36,464
CAMPAIGN AND MORE TO BE TAILORED

4690
03:01:36,464 --> 03:01:38,733
TO YOUTH AND SOURCES THAT THEY 

4691
03:01:38,733 --> 03:01:41,636
TRUST AND FORMS THEY USE MOST 

4692
03:01:41,636 --> 03:01:43,605
OFTEN.  WE ALSO FIND THAT WITH 

4693
03:01:43,605 --> 03:01:45,840
KIND OF WITH E-CIGARETTES, THERE

4694
03:01:45,840 --> 03:01:47,442
ARE UNIQUE CHARACTERISTICS. 

4695
03:01:47,442 --> 03:01:49,844
ONE THING WE ARE LOOKING AT IS 

4696
03:01:49,844 --> 03:01:53,081
FLAVORS THAT I THINK IS WITH 

4697
03:01:53,081 --> 03:01:54,782
PREVIOUS CAMPAIGNS AND LOOKING 

4698
03:01:54,782 --> 03:01:56,184
AT OTHER SIDE THAT IS 

4699
03:01:56,184 --> 03:01:59,521
[INDISCERNIBLE] STARTS TO TALK 

4700
03:01:59,521 --> 03:02:01,089
ABOUT E-CIGARETTE USE AND TALK 

4701
03:02:01,089 --> 03:02:04,292
ABOUT SUBSTANCE ANDIN TRAEGS 

4702
03:02:04,292 --> 03:02:06,294
PEOPLE AND WE CAN SEE WITH 

4703
03:02:06,294 --> 03:02:10,465
E-CIGARETTES TOO WE ARE 

4704
03:02:10,465 --> 03:02:12,467
STRUGGLING TO TALK ABOUT FLAVORS

4705
03:02:12,467 --> 03:02:14,435
AND WANT TO PERSUADE PEOPLE NOT 

4706
03:02:14,435 --> 03:02:17,238
TO USE E-CIGARETTES BUT FLAVORS 

4707
03:02:17,238 --> 03:02:18,339
PEOPLE START TO GET INTERESTED 

4708
03:02:18,339 --> 03:02:21,609
AND ENGAGED IN IT.  WE HAVE THAT

4709
03:02:21,609 --> 03:02:23,578
ISSUE WITH HEALTH COMMUNICATION 

4710
03:02:23,578 --> 03:02:24,679
CAMPAIGNS THAT HAVE DONE BEFORE 

4711
03:02:24,679 --> 03:02:26,147
AND HOW TO DEAL WITH THOSE 

4712
03:02:26,147 --> 03:02:29,284
ISSUES WHEN WE NEED TO TALK 

4713
03:02:29,284 --> 03:02:30,585
ABOUT TALKING ABOUT RISKY 

4714
03:02:30,585 --> 03:02:32,120
BEHAVIOR AND INTRODUCING TYPES 

4715
03:02:32,120 --> 03:02:35,156
OF PRODUCTS GETTING SOME PEOPLE 

4716
03:02:35,156 --> 03:02:36,124
INTRIGUED AND INTERESTED AND 

4717
03:02:36,124 --> 03:02:40,862
THERE ARE LESSONS THERE AND NEW 

4718
03:02:40,862 --> 03:02:44,165
TOPICS AND PHENOMENON WITH NEW 

4719
03:02:44,165 --> 03:02:45,767
E-CIGARETTES AND DIFFERENT TYPES

4720
03:02:45,767 --> 03:02:47,435
OF HEALTH CAMPAIGNS. 

4721
03:02:47,435 --> 03:02:48,069
>> THANK YOU. 

4722
03:02:48,069 --> 03:02:54,876
>> THANK YOU.  LAST
QUESTION. 

4723
03:02:54,876 --> 03:02:56,611
>> THESE WERE GREAT 

4724
03:02:56,611 --> 03:02:58,146
PRESENTATIONS AND I HEARD 

4725
03:02:58,146 --> 03:03:00,148
INCREASED SOCIAL MEDIA USE AND 

4726
03:03:00,148 --> 03:03:02,383
SPECIFIC DEMOGRAPHIC GROUPS AND 

4727
03:03:02,383 --> 03:03:04,552
CREATE LACK OF AWARENESS AND 

4728
03:03:04,552 --> 03:03:05,620
PERCEPTIONS OF MISINFORMATION 

4729
03:03:05,620 --> 03:03:08,856
AND INCREASEDUTE LIZ DECISION OF

4730
03:03:08,856 --> 03:03:10,558
SOCIAL MEDIA AND HEALTH RELATED 

4731
03:03:10,558 --> 03:03:12,860
DECISION MAKING AND WANTED TO 

4732
03:03:12,860 --> 03:03:16,030
THINK ABOUT IN TERMS OF 

4733
03:03:16,030 --> 03:03:17,031
TRANSLATING EVIDENCE IN 

4734
03:03:17,031 --> 03:03:19,534
INTERVENTIONS AND PROGRAMS THAT 

4735
03:03:19,534 --> 03:03:20,868
HEALTHCARE PROVIDERS WHILE YOU 

4736
03:03:20,868 --> 03:03:22,770
KNOW HOPING TO ACT ALWAYS IN 

4737
03:03:22,770 --> 03:03:25,506
BEST INTENTIONS OF PATIENTS AND 

4738
03:03:25,506 --> 03:03:28,576
THEY THEMSELVES PERHAPS BEING 

4739
03:03:28,576 --> 03:03:30,345
CREDIBLE AND ABLE TO DISCERN 

4740
03:03:30,345 --> 03:03:32,447
MISINFORMATION AND CONSUMERS OF 

4741
03:03:32,447 --> 03:03:35,416
CREDIBLE INFORMATION MIGHT BE 

4742
03:03:35,416 --> 03:03:36,517
ILL-EQUIPPED TO COMBAT 

4743
03:03:36,517 --> 03:03:37,719
MISINFORMATION AND TO MY 

4744
03:03:37,719 --> 03:03:39,487
KNOWLEDGE IS NOT SOMETHING THEY 

4745
03:03:39,487 --> 03:03:41,489
ARE TEACHING IN MEDICAL SCHOOL 

4746
03:03:41,489 --> 03:03:42,890
CURRENTLY AND TALKING ABOUT 

4747
03:03:42,890 --> 03:03:44,525
AWARENESS OF INITIATIVES AND HOW

4748
03:03:44,525 --> 03:03:48,730
TO THINK ABOUT TRANSLATING THIS 

4749
03:03:48,730 --> 03:03:50,498
INTO INTERVENTIONS TARGETED 

4750
03:03:50,498 --> 03:03:53,234
TOWARDS HEALTHCARE PROVIDERS 

4751
03:03:53,234 --> 03:03:55,203
LEVERAGING PATIENT PROVIDER 

4752
03:03:55,203 --> 03:03:57,705
RELATIONSHIP TO BE BETTER ABLE 

4753
03:03:57,705 --> 03:03:58,473
TO COMBAT MISINFORMATION AND 

4754
03:03:58,473 --> 03:04:00,575
EITHER INITIATIVES AND WHAT 

4755
03:04:00,575 --> 03:04:04,846
TOOLS PROVIDERS MIGHT NEED TO DO

4756
03:04:04,846 --> 03:04:11,786
THIS WORK.  THANKS. 

4757
03:04:11,786 --> 03:04:14,155
>> THIS IS NOT SOCIAL
MEDIA 

4758
03:04:14,155 --> 03:04:17,692
SPECIFIC AND IN SOME WORK WE ARE

4759
03:04:17,692 --> 03:04:21,796
DOG LOOKING AT PROVIDER 

4760
03:04:21,796 --> 03:04:23,297
REACTIONS BRINGING IN ONLINE 

4761
03:04:23,297 --> 03:04:24,866
INFORMATION AND REACTIONS WAY 

4762
03:04:24,866 --> 03:04:27,301
THEY ADDRESS IT TENDS TO BE 

4763
03:04:27,301 --> 03:04:28,936
DISMISSIVE AND DON'T KNOW IF IT 

4764
03:04:28,936 --> 03:04:32,507
IS SUPER HELPFUL AND IT MAKES 

4765
03:04:32,507 --> 03:04:33,708
PEOPLE NOT -- IT DOESN'T STOP 

4766
03:04:33,708 --> 03:04:35,443
PEOPLE NECESSARILY FROM LOOKING 

4767
03:04:35,443 --> 03:04:36,944
OR USING THAT INFORMATION BUT 

4768
03:04:36,944 --> 03:04:38,379
MAKES THEM MORE HESITANT TO GO 

4769
03:04:38,379 --> 03:04:40,815
TO THEIR PROVIDER TO GET ADVISE 

4770
03:04:40,815 --> 03:04:42,216
OR VERIFY THAT INFORMATION. 

4771
03:04:42,216 --> 03:04:47,355
I DO THINK THAT RIGHT NOW EVEN 

4772
03:04:47,355 --> 03:04:49,390
THOUGH WE SAW IN THE LAST 

4773
03:04:49,390 --> 03:04:50,058
PRESENTATION THAT PEOPLE THINK 

4774
03:04:50,058 --> 03:04:52,427
THAT PROVIDERS ARE BEST PEOPLE 

4775
03:04:52,427 --> 03:04:54,228
TO ADDRESS MISINFORMATION 

4776
03:04:54,228 --> 03:04:54,495
PROBLEMS. 

4777
03:04:54,495 --> 03:04:55,997
THEY ARE MAYBE NOT DOING IT IN 

4778
03:04:55,997 --> 03:04:58,166
THE BEST WAY RIGHT NOW. 

4779
03:04:58,166 --> 03:05:00,168
THEY ARE EITHER IGNORING IT OR 

4780
03:05:00,168 --> 03:05:02,170
PEOPLE BRINGING IT UP AND SOCIAL

4781
03:05:02,170 --> 03:05:03,571
MEDIA TALKING ABOUT THIS AND 

4782
03:05:03,571 --> 03:05:05,640
DON'T LOOK AT IT.  I THINK THAT 

4783
03:05:05,640 --> 03:05:07,608
MAYBE INTERVENTIONS TO TEACH 

4784
03:05:07,608 --> 03:05:13,681
PROVIDERS HOW TO SORT OF 

4785
03:05:13,681 --> 03:05:15,883
RESPECTFULLY ACCEPT THAT PEOPLE 

4786
03:05:15,883 --> 03:05:17,285
ARE BRINGING INFORMATION TO THEM

4787
03:05:17,285 --> 03:05:19,620
AND ARE FINDING HOW TO SORT OF 

4788
03:05:19,620 --> 03:05:20,788
BEST NAVIGATE PEOPLE THROUGH 

4789
03:05:20,788 --> 03:05:23,357
THAT, THAT COULD BE HELPFUL. 

4790
03:05:23,357 --> 03:05:25,827
>> PLEASE JOIN ME IN
THANKING 

4791
03:05:25,827 --> 03:05:29,931
SPEAKERS FOR A GREAT PANEL.  

4792
03:05:29,931 --> 03:05:31,799
AND BY THE NEXT AND LAST PANEL 

4793
03:05:31,799 --> 03:05:34,202
ON DISPARITIES AND HEALTH 

4794
03:05:34,202 --> 03:05:38,172
OUTCOMES REALLY AND ALL OF THE 

4795
03:05:38,172 --> 03:05:48,349
SPEAKERS. 

4796
03:06:37,398 --> 03:06:39,534
>> VARIETY OF DIFFERENT
HEALTH 

4797
03:06:39,534 --> 03:06:40,835
OUTCOMES ACROSS THE CONTINUUM 

4798
03:06:40,835 --> 03:06:43,805
AND EVERYTHING FROM PREVENTIVE 

4799
03:06:43,805 --> 03:06:44,972
BEHAVIORS ROUTINE SKIN CHECKS 

4800
03:06:44,972 --> 03:06:47,108
AND GUIDELINES TO DELAYS IN 

4801
03:06:47,108 --> 03:06:50,978
MEDICAL CARE AND WOULD LIKE TO 

4802
03:06:50,978 --> 03:07:01,522
INVITE DR. ADAEZE FROM SLIPPERY 

4803
03:07:01,756 --> 03:07:04,759
ROCK UNIVERSITY TO GIVE HER 

4804
03:07:04,759 --> 03:07:05,092
PRESENTATION. 

4805
03:07:05,092 --> 03:07:07,461
>> HELLO, EVERYONE.  IT IS
GOOD 

4806
03:07:07,461 --> 03:07:10,064
TO BE HERE. 

4807
03:07:10,064 --> 03:07:12,667
TODAY, WE WILL BE TALKING ABOUT 

4808
03:07:12,667 --> 03:07:15,069
THE ROLE OF SOCIAL DETERMINANCE 

4809
03:07:15,069 --> 03:07:17,705
OF HEALTH ON SCREENING 

4810
03:07:17,705 --> 03:07:20,174
GUIDELINES FOR WOMEN AGE 21 TO 

4811
03:07:20,174 --> 03:07:22,176
64 YEARS. 

4812
03:07:22,176 --> 03:07:29,684
WE USE DATA FROM HAYNES 22 

4813
03:07:29,684 --> 03:07:30,785
SURVEY.  

4814
03:07:30,785 --> 03:07:32,787
WE KNOW CANCER IS A SECOND 

4815
03:07:32,787 --> 03:07:36,023
LEADING CAUSE OF DEATH OF WOMEN 

4816
03:07:36,023 --> 03:07:37,859
IN THE US. 

4817
03:07:37,859 --> 03:07:44,332
FOR 2023 THERE IS EXPECTED 

4818
03:07:44,332 --> 03:07:49,704
13,960 NEW CASES OF CANCER IN US

4819
03:07:49,704 --> 03:07:53,241
AND 4,310 DEATHS OF 

4820
03:07:53,241 --> 03:07:54,041
[INDISCERNIBLE] IN THE UNITED 

4821
03:07:54,041 --> 03:07:57,912
STATES.  

4822
03:07:57,912 --> 03:08:02,783
[INDISCERNIBLE] IS FREQUENTLY 

4823
03:08:02,783 --> 03:08:04,252
DIAGNOSED [INDISCERNIBLE] 

4824
03:08:04,252 --> 03:08:07,455
CERVICAL CANCER IS HIGHLY 

4825
03:08:07,455 --> 03:08:08,856
PREVENTABLE AND WOMEN NOT UP TO 

4826
03:08:08,856 --> 03:08:12,059
DATE WITH SCREENING GUIDELINES 

4827
03:08:12,059 --> 03:08:17,531
HEALTH 2023 TARGETS SET CERVICAL

4828
03:08:17,531 --> 03:08:26,674
CANCER SCREENING FOR WOMEN AND 

4829
03:08:26,674 --> 03:08:27,708
CURRENTLICENING IS -- 

4830
03:08:27,708 --> 03:08:31,545
WHAT IS THE PROBLEM?  

4831
03:08:31,545 --> 03:08:36,484
PROBLEM IS SOCIAL DETERMINANCES 

4832
03:08:36,484 --> 03:08:41,122
OF HEALTH HAVE BEEN INFLUENCE 

4833
03:08:41,122 --> 03:08:43,524
ADHERENCE TO CERVICAL CANCER 

4834
03:08:43,524 --> 03:08:46,727
SCREENING GUIDELINES. 

4835
03:08:46,727 --> 03:08:49,697
UNFORTUNATELY, FORMER RESEARCH 

4836
03:08:49,697 --> 03:08:51,632
OR PREVIOUS RESEARCH HAVEN'T 

4837
03:08:51,632 --> 03:08:54,168
BEEN ABLE TO STAND OUT WHICH ARE

4838
03:08:54,168 --> 03:08:55,069
DOMAINS OF SOCIAL DETERMINANCE 

4839
03:08:55,069 --> 03:08:58,739
OF HEALTH.  WE CAN'T LUMP 

4840
03:08:58,739 --> 03:09:00,374
EVERYTHING TOGETHER BUT KNOW 

4841
03:09:00,374 --> 03:09:02,977
WHICH PARTICULAR DOMAIN SOCIAL 

4842
03:09:02,977 --> 03:09:05,279
DETERMINANTS OF HEALTH WE ARE 

4843
03:09:05,279 --> 03:09:07,148
TARGETING AS RESEARCHERS. 

4844
03:09:07,148 --> 03:09:09,850
THIS IS THE FOCUS OF OUR STUDY 

4845
03:09:09,850 --> 03:09:12,853
TO FIND OUT IMPACT OF SOCIAL 

4846
03:09:12,853 --> 03:09:14,355
DETERMINANCE OF HEALTH ON 

4847
03:09:14,355 --> 03:09:15,823
SCREENING ADHERENCE AND FIND OUT

4848
03:09:15,823 --> 03:09:21,062
WHICH OF THE DOMAINS THAT IS OR 

4849
03:09:21,062 --> 03:09:24,332
INFLUENCES CERVICAL CANCER 

4850
03:09:24,332 --> 03:09:25,099
SCREENING IN WOMEN. 

4851
03:09:25,099 --> 03:09:28,035
AMERICAN CANCER SOCIETY HAS FIVE

4852
03:09:28,035 --> 03:09:29,704
DOMAINS OF SOCIAL DETERMINANTS 

4853
03:09:29,704 --> 03:09:32,340
OF HEALTH TO CLASSIFY ON 

4854
03:09:32,340 --> 03:09:34,208
ECONOMIC STABILITY THAT MEASURES

4855
03:09:34,208 --> 03:09:36,377
EMPLOYMENT STATUS FOR SECURITY 

4856
03:09:36,377 --> 03:09:40,681
AND INCOME STATUS EDUCATIONAL 

4857
03:09:40,681 --> 03:09:43,217
LEVEL HEALTH CARE ACCESS BUILT 

4858
03:09:43,217 --> 03:09:44,585
ENVIRONMENT SOCIAL COMMUNITY 

4859
03:09:44,585 --> 03:09:46,887
CONTEXT AND LOTS OF PEOPLE LOOK 

4860
03:09:46,887 --> 03:09:50,191
AT SOCIAL SUPPORT AND SOCIAL 

4861
03:09:50,191 --> 03:09:55,296
COMMUNITY CONTEXT. 

4862
03:09:55,296 --> 03:09:59,567
OUR METHODS WE -- SAMPLE 

4863
03:09:59,567 --> 03:10:02,870
CONSISTS OF 200,337 RESPONDENTS 

4864
03:10:02,870 --> 03:10:05,439
WOMEN AGE 21 TO 64 YEARS MEAN 

4865
03:10:05,439 --> 03:10:10,644
AGE IS 43.5 AND MEASURES WE 

4866
03:10:10,644 --> 03:10:19,887
LOOKED AT WAS CERVICAL CANCER 

4867
03:10:19,887 --> 03:10:22,556
CO-VARIATES AGE BMI MARITAL 

4868
03:10:22,556 --> 03:10:25,993
STATUS KNOWLEDGE OF CERVICAL 

4869
03:10:25,993 --> 03:10:27,695
CANCER AND [INDISCERNIBLE] WE 

4870
03:10:27,695 --> 03:10:31,132
USED WEIGHTED MULTIVARIATE 

4871
03:10:31,132 --> 03:10:33,067
LOGISTIC REGRESSION AND 

4872
03:10:33,067 --> 03:10:34,201
EXAMINING RELATIONSHIP BETWEEN 

4873
03:10:34,201 --> 03:10:36,704
[INDISCERNIBLE] DOMAINS AND 

4874
03:10:36,704 --> 03:10:41,242
ADHERENCE TO CANCER -- CERVICAL 

4875
03:10:41,242 --> 03:10:44,211
CANCER SCREENING. 

4876
03:10:44,211 --> 03:10:50,017
SO, IN OUR ANALYSIS, CO-VARIATES

4877
03:10:50,017 --> 03:10:53,054
WERE NOT -- DIDN'T HAVE POSITIVE

4878
03:10:53,054 --> 03:10:55,956
-- NEGATIVE INFLUENCE ON 

4879
03:10:55,956 --> 03:11:00,194
CERVICAL CANCER SCREENING AND 

4880
03:11:00,194 --> 03:11:01,796
FOLLOWING -- THE FOLLOWING 

4881
03:11:01,796 --> 03:11:04,098
SOCIAL DETERMINELENANTS OF 

4882
03:11:04,098 --> 03:11:05,699
HEALTH DOMAIN ACTUALLY HAD 

4883
03:11:05,699 --> 03:11:07,501
POSITIVE OR NEGATIVE INFLUENCE 

4884
03:11:07,501 --> 03:11:11,939
ON CERVICAL CANCER SCREENING. 

4885
03:11:11,939 --> 03:11:14,041
ONE, EMPLOYMENT.  WHICH SHOWED 

4886
03:11:14,041 --> 03:11:17,344
THAT PEOPLE THAT WERE 

4887
03:11:17,344 --> 03:11:19,780
UNDEREMPLOYED ACTUALLY HAS MORE 

4888
03:11:19,780 --> 03:11:23,117
ODDS OF NOT BEING ADHERIENT TO 

4889
03:11:23,117 --> 03:11:24,118
CERVICAL CANCER SCREENING AND 

4890
03:11:24,118 --> 03:11:26,087
THOSE THAT LIVED ALONE AND 

4891
03:11:26,087 --> 03:11:28,289
WASN'T CLASSIFIED IN ANY OTHER 

4892
03:11:28,289 --> 03:11:30,691
DOMAINS BUT WAS INTERESTING TO 

4893
03:11:30,691 --> 03:11:32,526
SEE THAT SOCIALIZATION AMONG 

4894
03:11:32,526 --> 03:11:34,862
FIVE DOMAINS AND SOCIAL 

4895
03:11:34,862 --> 03:11:36,997
ISOLATION AND EMPLOYMENT STATUS 

4896
03:11:36,997 --> 03:11:39,266
HAD MOST ODDS OF INFLUENCING 

4897
03:11:39,266 --> 03:11:41,735
PEOPLE AND NOT BEING ADHERIENT 

4898
03:11:41,735 --> 03:11:46,207
TO CERVICAL CANCER SCREENING. 

4899
03:11:46,207 --> 03:11:49,376
SO, WHAT IS THE IMPLICATION OF 

4900
03:11:49,376 --> 03:11:52,847
THIS STUDY?  

4901
03:11:52,847 --> 03:11:54,882
PREVIOUSLY SOCIAL ISOLATION HAD 

4902
03:11:54,882 --> 03:11:57,485
BEEN LINKED TO HAVE DISEASE AND 

4903
03:11:57,485 --> 03:11:59,487
MEVEN TAL HEALTH ISSUES AND 

4904
03:11:59,487 --> 03:12:01,689
INTERESTINGLY IN STUDY WE ARE 

4905
03:12:01,689 --> 03:12:05,626
FINDING OUT SOCIAL ISOLATION IS 

4906
03:12:05,626 --> 03:12:07,661
RELATED TO NOT BEING ADHERIENT 

4907
03:12:07,661 --> 03:12:09,196
TO CERVICAL CANCER SCREENING AND

4908
03:12:09,196 --> 03:12:11,365
WHY IS THIS INTERESTING?  SOCIAL

4909
03:12:11,365 --> 03:12:13,367
ISOLATION IS ACTUALLY ON 

4910
03:12:13,367 --> 03:12:14,568
INCREASE IN THE UNITED STATES. 

4911
03:12:14,568 --> 03:12:16,570
THIS CALLS FOR MORE ATTENTION. 

4912
03:12:16,570 --> 03:12:19,306
WHAT WE ARE LOOKING AT OR 

4913
03:12:19,306 --> 03:12:23,377
ADVOCATING IS TO LOOK AT NEW 

4914
03:12:23,377 --> 03:12:25,679
SURGEON GENERAL'S FRAMEWORK THAT

4915
03:12:25,679 --> 03:12:29,683
HAS SIX CONCEPTS.  ONE, STRENGEN

4916
03:12:29,683 --> 03:12:31,418
SOCIAL INFRASTRUCTURE AND 

4917
03:12:31,418 --> 03:12:34,321
CONNECTION OF PUBLIC POLICIES 

4918
03:12:34,321 --> 03:12:36,123
MOBILIZING HEALTH SECTOR 

4919
03:12:36,123 --> 03:12:38,058
REFORMING DIGITAL ENVIRONMENTS 

4920
03:12:38,058 --> 03:12:39,793
AND KNOWLEDGE TO CULTIVATE A 

4921
03:12:39,793 --> 03:12:41,061
CULTURE OF CONNECTION.  WHY DO 

4922
03:12:41,061 --> 03:12:42,463
WE NEED TO DO THIS?  

4923
03:12:42,463 --> 03:12:43,931
BECAUSE IF YOU LOOK AT WHAT IS 

4924
03:12:43,931 --> 03:12:46,734
GOING ON IN THE US, LOTS OF 

4925
03:12:46,734 --> 03:12:48,169
PEOPLE NOW ARE FEELING 

4926
03:12:48,169 --> 03:12:49,670
DISCONNECTED WITH THEIR 

4927
03:12:49,670 --> 03:12:51,172
COMMUNITIES AND DISCONNECTED 

4928
03:12:51,172 --> 03:12:53,541
WITH HEALTH SYSTEMS AND IS 

4929
03:12:53,541 --> 03:12:56,243
REALLY PLACING A LOT OF STRESS 

4930
03:12:56,243 --> 03:12:58,579
ON PEOPLE BEING ADHERIENT TO 

4931
03:12:58,579 --> 03:13:02,249
CERVICAL CANCER NOT ONLY 

4932
03:13:02,249 --> 03:13:03,751
CERVICAL CANCER SCREENING BUT IS

4933
03:13:03,751 --> 03:13:06,987
GOOD TO LOOK AT OTHER TYPES OF 

4934
03:13:06,987 --> 03:13:09,290
CANCERS OR HEALTH SCREENINGS. 

4935
03:13:09,290 --> 03:13:11,392
WHAT WE CAN DO AS HEALTH 

4936
03:13:11,392 --> 03:13:13,227
EDUCATORS OR HEALTH RESEARCHERS 

4937
03:13:13,227 --> 03:13:16,430
IS MIGHT NOT BE ABLE TO EFFECT 

4938
03:13:16,430 --> 03:13:18,132
SOCIAL INFRASTRUCTURE RIGHT AWAY

4939
03:13:18,132 --> 03:13:21,502
BUT CAN START TO CREATE 

4940
03:13:21,502 --> 03:13:23,404
AWARENESS EVEN IN IMMEDIATE 

4941
03:13:23,404 --> 03:13:26,640
COMMUNITIES ABOUT SOCIAL 

4942
03:13:26,640 --> 03:13:27,007
CONNECTEDNESS. 

4943
03:13:27,007 --> 03:13:29,043
WE CAN ALSO START TO EDUCATE 

4944
03:13:29,043 --> 03:13:33,681
HEALTH CARE PROVIDERS ON HOW TO 

4945
03:13:33,681 --> 03:13:35,783
DETERMINE SOCIAL DISCONNECT IN 

4946
03:13:35,783 --> 03:13:37,885
PATIENTS WHO COME IN AND MAKE 

4947
03:13:37,885 --> 03:13:40,120
THEM FEEL AWARE OF WHERE TO GET 

4948
03:13:40,120 --> 03:13:43,357
THIS SCREENING AND ALL THAT.  

4949
03:13:43,357 --> 03:13:52,199
THANK YOU.  

4950
03:13:52,199 --> 03:13:54,969
>> THANK YOU.  OUR NEXT 

4951
03:13:54,969 --> 03:13:57,938
PRESENTER IS JEREMY MARTINA FROM

4952
03:13:57,938 --> 03:13:59,807
HARVARD MEDICAL SCHOOL 

4953
03:13:59,807 --> 03:14:03,544
PRESENTING ON -- UNDERGOING 

4954
03:14:03,544 --> 03:14:07,214
ROUTINE SKIN CHECKS. 

4955
03:14:07,214 --> 03:14:09,116
>> THANK YOU FOR THAT. 
BRIEFLY 

4956
03:14:09,116 --> 03:14:11,252
BEFORE I GET STARTED ON THIS 

4957
03:14:11,252 --> 03:14:14,154
TALK ABOUT LANGUAGE FLUENCY AND 

4958
03:14:14,154 --> 03:14:16,523
ASPECTS OF ACCESSIBILITY QUICK 

4959
03:14:16,523 --> 03:14:18,959
MOMENT TO ACKNOWLEDGE THE ASL 

4960
03:14:18,959 --> 03:14:21,528
INTERPRETERS WHO DO A FANTASTIC 

4961
03:14:21,528 --> 03:14:23,030
JOB NOT JUST HOW IMPRESSIVE IT 

4962
03:14:23,030 --> 03:14:24,965
IS TO SEE BUT AS FAR AS WHAT 

4963
03:14:24,965 --> 03:14:27,468
THEY DO FOR EQUITY AND 

4964
03:14:27,468 --> 03:14:27,835
ACCESSIBILITY. 

4965
03:14:27,835 --> 03:14:29,837
THANK YOU FOR THAT.  

4966
03:14:29,837 --> 03:14:33,240
SO, I'M JEREMY MARTINEZ AND 

4967
03:14:33,240 --> 03:14:36,810
TITLE OF PRESENTATION IS ENGLISH

4968
03:14:36,810 --> 03:14:39,046
PROFICIENCY AND SOCIO 

4969
03:14:39,046 --> 03:14:41,715
DEMOGRAPHIC PREDICTOR OF 

4970
03:14:41,715 --> 03:14:44,218
UNDERGOING SKIN CANCER 

4971
03:14:44,218 --> 03:14:47,087
SCREENING.  BACKGROUND, SKIN 

4972
03:14:47,087 --> 03:14:49,623
CANCER IS MOST PREVALENT 

4973
03:14:49,623 --> 03:14:50,891
MALIGNANCY IN UNITED STATES AND 

4974
03:14:50,891 --> 03:14:52,793
SKIN CANCER HAS BEEN INCREASING 

4975
03:14:52,793 --> 03:14:54,695
IN RECENT YEARS AND SIGNIFICANT 

4976
03:14:54,695 --> 03:14:58,766
SOCIO DEMOGRAPHIC DISPARITIES 

4977
03:14:58,766 --> 03:15:01,702
EXIST WITH REGARDS -- HEALTH 

4978
03:15:01,702 --> 03:15:03,337
LITERACY AND CANCER PROGNOSIS 

4979
03:15:03,337 --> 03:15:07,241
AND THESE DISPARITIES EXTEND 

4980
03:15:07,241 --> 03:15:08,842
INTO THE FIELD OF DERMATOLOGY AS

4981
03:15:08,842 --> 03:15:11,111
WELL AND LINGUISTIC DISPARITIES 

4982
03:15:11,111 --> 03:15:13,747
ARE OFTEN OVERLOOKED AND NOT 

4983
03:15:13,747 --> 03:15:15,215
CAPTURED BY RACIAL/ETHNIC 

4984
03:15:15,215 --> 03:15:18,852
IDENTIFIERS WE FOCUS ON IN 

4985
03:15:18,852 --> 03:15:20,688
LARGE-SCALE DATA SETS AND SKIN 

4986
03:15:20,688 --> 03:15:23,824
EXAMS ARE PRIMARY METHOD OF SKIN

4987
03:15:23,824 --> 03:15:27,828
CANCER DETECTION AND EARLY 

4988
03:15:27,828 --> 03:15:30,230
INTERVENTION IS CRITICAL FOR 

4989
03:15:30,230 --> 03:15:31,932
MORBIDITY AND MORTALITY AND GOAL

4990
03:15:31,932 --> 03:15:33,534
OF STUDY FIRST TO 

4991
03:15:33,534 --> 03:15:34,568
[INDISCERNIBLE] ASSOCIATION 

4992
03:15:34,568 --> 03:15:36,837
ENGLISH PROFICIENCY AND 

4993
03:15:36,837 --> 03:15:37,705
UNDERGOING ROUTINE SKIN CHECK 

4994
03:15:37,705 --> 03:15:40,808
AND SECONDARY WILL I TO ATTEMPT 

4995
03:15:40,808 --> 03:15:42,609
TO RECOVER A POSSIBLE CAUSAL 

4996
03:15:42,609 --> 03:15:47,881
EFFECT OF LIMITED ENGLISH 

4997
03:15:47,881 --> 03:15:48,782
PROFICIENCY UNDERGOING ROUTINE 

4998
03:15:48,782 --> 03:15:50,818
SKIN CHECKS AND DATA I USED YOU 

4999
03:15:50,818 --> 03:15:53,687
ARE FAMILIAR WITH AT THIS POINT 

5000
03:15:53,687 --> 03:15:55,989
HEALTH INFORMATION NATIONAL 

5001
03:15:55,989 --> 03:15:57,524
TREND SURVEY NATIONAL 

5002
03:15:57,524 --> 03:15:59,093
REPRESENTED SURVEY YOU KNOW AND 

5003
03:15:59,093 --> 03:16:01,328
PURPOSES OF THIS STUDY USED 

5004
03:16:01,328 --> 03:16:03,997
HINTS 5 CYCLE 1 AND 2017 VERSION

5005
03:16:03,997 --> 03:16:06,900
I DUG INTO ARCHIVES A BIT AND 

5006
03:16:06,900 --> 03:16:08,235
SIMPLE REASON BEING THAT IS ONLY

5007
03:16:08,235 --> 03:16:11,505
ONE I FOUND WITH RELEVANT 

5008
03:16:11,505 --> 03:16:12,673
QUESTIONS ABOUT SKIN CANCER. 

5009
03:16:12,673 --> 03:16:15,109
AS FAR AS METHODS AS YOU KNOW 

5010
03:16:15,109 --> 03:16:18,746
THIS IS A COMPLEX SURVEY THAT 

5011
03:16:18,746 --> 03:16:20,781
HINTS DATASET AND HAD TO 

5012
03:16:20,781 --> 03:16:22,082
INCORPORATE KNACK KNIFE 

5013
03:16:22,082 --> 03:16:23,917
REPLICATE WEIGHTS TO DRAW 

5014
03:16:23,917 --> 03:16:27,054
INFERENTIAL STATISTICS AND USED 

5015
03:16:27,054 --> 03:16:28,622
MULTIVARIABLE LOGISTIC 

5016
03:16:28,622 --> 03:16:29,823
REGRESSION ASSOCIATED FOR 

5017
03:16:29,823 --> 03:16:32,793
DEMOGRAPHIC CHARACTERISTICS WITH

5018
03:16:32,793 --> 03:16:34,695
PRIMARY ONE BEING THAT I CREATED

5019
03:16:34,695 --> 03:16:35,996
THAT WAS PROFICIENT AND TOOK ON 

5020
03:16:35,996 --> 03:16:40,501
A VALUE OF 1 IF RESPONDENTS 

5021
03:16:40,501 --> 03:16:42,836
LISTING HIGHEST LEVEL ENGLISH 

5022
03:16:42,836 --> 03:16:44,605
PROFICIENCY AND ZERO OTHERWISE 

5023
03:16:44,605 --> 03:16:46,306
AND OUTCOME WAS SKIN CHECK AND 

5024
03:16:46,306 --> 03:16:48,876
IS A VARIABLE I CREATED BINARY 

5025
03:16:48,876 --> 03:16:51,812
TAKING ON VALUE OF 1 IF SOMEBODY

5026
03:16:51,812 --> 03:16:53,013
REPORTED HAVING REGULAR SKIN 

5027
03:16:53,013 --> 03:16:56,150
CHECKS PERFORMED AND ZERO 

5028
03:16:56,150 --> 03:16:56,984
OTHERWISE AND CO-VARIATES ARE 

5029
03:16:56,984 --> 03:16:59,086
CORRECTED FOR STANDARD SOCIO 

5030
03:16:59,086 --> 03:17:00,654
DEMOGRAPHIC CHARACTERISTICS WE 

5031
03:17:00,654 --> 03:17:02,489
LOOK AT COMMONLY THAT INCLUDE 

5032
03:17:02,489 --> 03:17:05,159
THINGS LIKE AGE, INSURANCE 

5033
03:17:05,159 --> 03:17:09,763
STATUS GENDER EDUCATION RACE 

5034
03:17:09,763 --> 03:17:12,199
ETHNICITY US RESIDENT AND INCOME

5035
03:17:12,199 --> 03:17:13,700
AND PERFORMED LOGISTIC 

5036
03:17:13,700 --> 03:17:16,270
REGRESSION ANALYSIS UTILIZING 

5037
03:17:16,270 --> 03:17:20,374
PROPENSITY SCORE MATCH COHORT 

5038
03:17:20,374 --> 03:17:22,576
DONE TO DRAW CAUSAL EFFECT FROM 

5039
03:17:22,576 --> 03:17:25,145
THIS RELATIONSHIP USING 

5040
03:17:25,145 --> 03:17:26,413
SPECIFICALLY ONE TO ONE OPTIMAL 

5041
03:17:26,413 --> 03:17:28,515
MATCHING THAT IS A NICE AND 

5042
03:17:28,515 --> 03:17:30,551
CLEAN WAY TO SAY MATCHING 

5043
03:17:30,551 --> 03:17:34,288
PROCEDURE WAS CRAFTED SUCH 

5044
03:17:34,288 --> 03:17:35,889
MINIMIZING SUM OF PAIRWISE 

5045
03:17:35,889 --> 03:17:37,591
DISTANCES BETWEEN MATCHING 

5046
03:17:37,591 --> 03:17:40,360
COHORTS AND FELL INTO SIMPLE 

5047
03:17:40,360 --> 03:17:42,062
LOGISTIC REGRESSION WITHOUT 

5048
03:17:42,062 --> 03:17:44,231
ADJUSTING ADDITIONAL CO-VARIATES

5049
03:17:44,231 --> 03:17:47,301
NO THE A DOUBLY ROBUST ANALYSIS.

5050
03:17:47,301 --> 03:17:50,237
AND METHODS USED I USED R 

5051
03:17:50,237 --> 03:17:53,040
VERSION 4.2 THAT IS REALLY FUN 

5052
03:17:53,040 --> 03:17:54,908
FOR INSTRUCTIONS OF R WERE 

5053
03:17:54,908 --> 03:17:59,146
LISTED ON THE WEBSITE FOR HINTS 

5054
03:17:59,146 --> 03:18:00,647
BUT SHOULD BE EASIER AND PACKAGE

5055
03:18:00,647 --> 03:18:02,149
USED WAS TIDY VERSE NICE WAY TO 

5056
03:18:02,149 --> 03:18:04,151
WORK WITH R THAT IS EASIER TO 

5057
03:18:04,151 --> 03:18:06,286
READ AND SURVEY PACKAGE USED FOR

5058
03:18:06,286 --> 03:18:08,555
COMPLEX SURVEY DESIGNS SURVEYOR 

5059
03:18:08,555 --> 03:18:11,492
THAT IS A NICE PACKAGE TO ALLOW 

5060
03:18:11,492 --> 03:18:16,196
TO USE DEPLIER OR TIDY VERSE 

5061
03:18:16,196 --> 03:18:18,365
SYNTAX WORKING WITH POWERFUL 

5062
03:18:18,365 --> 03:18:21,201
SURVEY DATA PACKAGE GT SUMMARY 

5063
03:18:21,201 --> 03:18:22,269
RESPONSIBLE FOR NICE PLOTS YOU 

5064
03:18:22,269 --> 03:18:24,171
WILL SEE AND MATCH IT WHICH IS 

5065
03:18:24,171 --> 03:18:28,275
WHAT I USE FOR PROPENSITY SCORE 

5066
03:18:28,275 --> 03:18:29,676
MATCHING PROCEDURE. 

5067
03:18:29,676 --> 03:18:31,712
SOMETHING INTERESTING TO NOTE IS

5068
03:18:31,712 --> 03:18:32,446
BASELINE CHARACTERISTICS BETWEEN

5069
03:18:32,446 --> 03:18:35,549
TWO GROUPS WERE VERY DIFFERENT. 

5070
03:18:35,549 --> 03:18:37,684
ACTUALLY, IN EVERY ONE OF THE 

5071
03:18:37,684 --> 03:18:39,620
CO-VARIATES I LOOKED AT WITH 

5072
03:18:39,620 --> 03:18:41,555
EXCEPTION BEING US REGION THAT 

5073
03:18:41,555 --> 03:18:44,558
IS COMPARE ENGLISH PROFICIENT TO

5074
03:18:44,558 --> 03:18:46,493
ENGLISH NONPROFICIENT GROUPS AND

5075
03:18:46,493 --> 03:18:48,529
INCOME AND INSURANCE STATUS AND 

5076
03:18:48,529 --> 03:18:51,231
SEX AND AGE GROUP AND 

5077
03:18:51,231 --> 03:18:52,399
EDUCATIONAL ATTAINMENT 

5078
03:18:52,399 --> 03:18:55,869
RACE/ETHNICITY AND HISPANIC 

5079
03:18:55,869 --> 03:18:57,504
IDENTITY, ALL THESE WERE 

5080
03:18:57,504 --> 03:18:58,171
SIGNIFICANTLY DIFFERENT ACROSS 

5081
03:18:58,171 --> 03:19:01,074
TWO GROUPS INDICATED BY P VALUE 

5082
03:19:01,074 --> 03:19:04,344
OF LESS THAN .5 AND THIS IS NOT 

5083
03:19:04,344 --> 03:19:08,215
CASE FOR REGION WITH P VALUE OF 

5084
03:19:08,215 --> 03:19:08,582
.2.  

5085
03:19:08,582 --> 03:19:10,651
FOR ONE-TO-ONE MATCH COHORT I 

5086
03:19:10,651 --> 03:19:12,319
CREATED WE CAN SEE THAT AFTER 

5087
03:19:12,319 --> 03:19:16,890
THE MATCHING PROCEDURE WE HAVE A

5088
03:19:16,890 --> 03:19:17,524
SIGNIFICANTLY MORE COMPARABLE 

5089
03:19:17,524 --> 03:19:20,227
GROUP OF ENGLISH PROFICIENT AND 

5090
03:19:20,227 --> 03:19:23,463
ENGLISH NONPROFICIENT SUBGROUPS 

5091
03:19:23,463 --> 03:19:26,400
THAT THAT IS SHOWN WITH BLUE 

5092
03:19:26,400 --> 03:19:29,069
DOTS BEING ASKED FOR MATCHING 

5093
03:19:29,069 --> 03:19:30,270
PROCEDURE AND BLUE DOTS BEFORE 

5094
03:19:30,270 --> 03:19:33,073
AND RESULTS WE CAN SEE THAT IN 

5095
03:19:33,073 --> 03:19:34,541
UNADJUSTED MODEL AND AGAIN 

5096
03:19:34,541 --> 03:19:36,476
SIMPLE LOGISTIC REGRESSION 

5097
03:19:36,476 --> 03:19:38,412
LOOKING AT ENGLISH PROFICIENCY 

5098
03:19:38,412 --> 03:19:42,349
AS A PREDICTOR ODDS RATIO 

5099
03:19:42,349 --> 03:19:45,586
UNDERGOING SKIN ROUTINE CHECKS 

5100
03:19:45,586 --> 03:19:48,221
-- WITH 90% CONFIDENCE INTERVAL 

5101
03:19:48,221 --> 03:19:50,924
LISTED IN ROW BELOW THAT DOESN'T

5102
03:19:50,924 --> 03:19:52,159
CONTAIN 1 THAT SUGGESTS 

5103
03:19:52,159 --> 03:19:53,327
SIGNIFICANT ASSOCIATION AND 

5104
03:19:53,327 --> 03:19:57,297
IMPORTANTLY WHEN WE ADJUST FOR 

5105
03:19:57,297 --> 03:19:59,232
COMMON SOCIO OR COMMON 

5106
03:19:59,232 --> 03:20:00,634
CO-VARIATES I LISTED BEFORE WE 

5107
03:20:00,634 --> 03:20:03,036
SEE IT DROPS AND IS SIGNIFICANT 

5108
03:20:03,036 --> 03:20:05,138
AT 3.24. 

5109
03:20:05,138 --> 03:20:07,274
AGAIN, 95% CONFIDENCE INTERVAL 

5110
03:20:07,274 --> 03:20:11,612
DOESN'T CONTAIN ONE SIGNIFYING A

5111
03:20:11,612 --> 03:20:13,413
STATISTICALLY SIGNIFICANT 

5112
03:20:13,413 --> 03:20:13,880
ASSOCIATION. 

5113
03:20:13,880 --> 03:20:16,817
MATCHED MODEL WE SEE THERE IS 

5114
03:20:16,817 --> 03:20:19,519
MAYBE EVIDENCE OF INCREASED ODDS

5115
03:20:19,519 --> 03:20:23,256
RATIO UNDERGOING SKIN ROUTINE 

5116
03:20:23,256 --> 03:20:24,324
CHECKS AMONG SUFFICIENT SUBJECTS

5117
03:20:24,324 --> 03:20:26,259
AND [INDISCERNIBLE] AND THIS 95%

5118
03:20:26,259 --> 03:20:29,696
CONFIDENCE INTERVALE IS WIDE 

5119
03:20:29,696 --> 03:20:31,732
0.55 TO 5.4 AND CONTAINING ONE 

5120
03:20:31,732 --> 03:20:33,900
AND LIMITING HOW MUCH STOCK WE 

5121
03:20:33,900 --> 03:20:38,538
CAN PUT INTO THAT ANALYSIS. 

5122
03:20:38,538 --> 03:20:41,508
AGAIN, IN SUMMARY ENGLISH 

5123
03:20:41,508 --> 03:20:43,176
PROFICIENCIES ASSOCIATED WITH 

5124
03:20:43,176 --> 03:20:45,612
3.24 TIMES HIGHER ODDS 

5125
03:20:45,612 --> 03:20:47,147
UNDERGOING SKIN ROUTINE CHECKS 

5126
03:20:47,147 --> 03:20:49,650
THAT IS STATISTICALLY 

5127
03:20:49,650 --> 03:20:51,852
SIGNIFICANT AND PROPENSITY 

5128
03:20:51,852 --> 03:20:53,687
ANALYSIS -- LANGUAGE PROFICIENCY

5129
03:20:53,687 --> 03:20:56,089
AND UNDERGOING ROUTINE SKIN 

5130
03:20:56,089 --> 03:20:56,990
CHECKS THAT IS IMPORTANT TO 

5131
03:20:56,990 --> 03:20:58,925
THINK ABOUT IN CONTEXT OF 

5132
03:20:58,925 --> 03:21:01,561
LIMITATIONS IN MY STUDY AND FOR 

5133
03:21:01,561 --> 03:21:02,829
ONE, UNOBSERVED CONFOUNDING IS 

5134
03:21:02,829 --> 03:21:05,632
SOMETHING WE COULD NEVER SORT OF

5135
03:21:05,632 --> 03:21:08,201
ACCOUNT FOR HAVING CORRECTED 

5136
03:21:08,201 --> 03:21:08,402
FOR. 

5137
03:21:08,402 --> 03:21:09,770
THERE WAS ALSO SIGNIFICANT LACK 

5138
03:21:09,770 --> 03:21:12,439
OF STATISTICAL POWER AFTER THE 

5139
03:21:12,439 --> 03:21:13,607
MATCHING PROCEDURE BECAUSE OF 

5140
03:21:13,607 --> 03:21:16,877
WAY IT WORKS IS THAT YOU NEED TO

5141
03:21:16,877 --> 03:21:18,679
FIND ONE TO ONE PERFECT MATCHES 

5142
03:21:18,679 --> 03:21:20,213
AND YOU END UP THROWING AWAY 

5143
03:21:20,213 --> 03:21:21,782
LOTS OF DATA POINTS. 

5144
03:21:21,782 --> 03:21:24,651
NEXT STEPS COULD BE USEFUL TO 

5145
03:21:24,651 --> 03:21:27,454
CONSIDER INSTEAD USING INVERSE 

5146
03:21:27,454 --> 03:21:29,356
PROPENSITY SCORE WEIGHTING THAT 

5147
03:21:29,356 --> 03:21:31,124
IS ANOTHER WAY TO MATCH TWO 

5148
03:21:31,124 --> 03:21:32,025
GROUPS TOGETHER AND WOULD GIVE 

5149
03:21:32,025 --> 03:21:35,162
ME A LITTLE BIT OF A BOOST IN 

5150
03:21:35,162 --> 03:21:36,263
STATISTICAL POWER FOR SIMPLE 

5151
03:21:36,263 --> 03:21:39,766
REASON WE HAVE MORE DATA YOU TO 

5152
03:21:39,766 --> 03:21:41,401
WORK WITH. 

5153
03:21:41,401 --> 03:21:48,341
THANK YOU ALL FOR YOUR ATTEN

5154
03:21:48,341 --> 03:21:48,642
ATTENTION. 

5155
03:21:48,642 --> 03:21:50,644
>> THANK YOU JEREMY.  LAST

5156
03:21:50,644 --> 03:21:55,315
PRESENTER IS DR. MARK PI ELA WHO

5157
03:21:55,315 --> 03:21:57,217
WILL PRESENT ON ASSOCIATIONS 

5158
03:21:57,217 --> 03:21:58,652
BETWEEN DISCRIMINATION MEDICAL 

5159
03:21:58,652 --> 03:22:00,320
MISTRUST AND DELAYING NEEDED 

5160
03:22:00,320 --> 03:22:00,887
CARE. 

5161
03:22:00,887 --> 03:22:01,888
>> THANKS FOR STICKING
THROUGH 

5162
03:22:01,888 --> 03:22:03,156
WITH US, GUYS. 

5163
03:22:03,156 --> 03:22:05,492
WE ARE ALMOST DONE AND FEELS 

5164
03:22:05,492 --> 03:22:06,226
LIKE GRADUATION DAY OR 

5165
03:22:06,226 --> 03:22:06,526
SOMETHING. 

5166
03:22:06,526 --> 03:22:08,295
ALL RIGHT.  

5167
03:22:08,295 --> 03:22:10,297
SO, BEFORE WE JUMP INTO MY 

5168
03:22:10,297 --> 03:22:11,965
DISCUSSION, I THINK IT IS 

5169
03:22:11,965 --> 03:22:12,766
IMPORTANT WE DISCUSS WHAT 

5170
03:22:12,766 --> 03:22:14,367
MEDICAL MISTRUST IS.  IT IS A 

5171
03:22:14,367 --> 03:22:17,637
CONSTRUCT THAT WE ALL HAVE A 

5172
03:22:17,637 --> 03:22:19,172
PICTURE OF BUT CAN'T REALLY 

5173
03:22:19,172 --> 03:22:21,074
DEFINE AND I WON'T DO A GOOD JOB

5174
03:22:21,074 --> 03:22:23,877
IN NEXT TWO MINUTES DEFINING IT 

5175
03:22:23,877 --> 03:22:25,445
ANYWAY AND AT LEAST WE CAN GET 

5176
03:22:25,445 --> 03:22:27,180
ON SAME PAGE AND THINGS TO 

5177
03:22:27,180 --> 03:22:30,817
CONSIDER IS WELL, WHAT IS IT?  

5178
03:22:30,817 --> 03:22:32,986
IF I WAS TO DIVE INTO LITERATURE

5179
03:22:32,986 --> 03:22:34,721
AND TRY TO GIVE THIS A JUST 

5180
03:22:34,721 --> 03:22:36,923
ANSWER WE WOULD BE HERE FOR THE 

5181
03:22:36,923 --> 03:22:38,225
NEXT SEVERAL HOURS AND SUGGEST 

5182
03:22:38,225 --> 03:22:40,994
THAT YOU GO DOWN THAT RABBIT 

5183
03:22:40,994 --> 03:22:44,064
HOLE IF YOU HAVE INTEREST.  

5184
03:22:44,064 --> 03:22:44,698
LITERATURE DISTINGUISHES BETWEEN

5185
03:22:44,698 --> 03:22:46,199
MEDICAL MISTRUST THAT IS A 

5186
03:22:46,199 --> 03:22:49,102
GENERAL MISTRUST OF THE HEALTH 

5187
03:22:49,102 --> 03:22:50,670
CARE SYSTEM VERSUS INTERPERSONAL

5188
03:22:50,670 --> 03:22:53,073
DISTRUST THAT IS MORE DISTRUST 

5189
03:22:53,073 --> 03:22:55,008
WITH PROVIDERS OR SPECIFIC 

5190
03:22:55,008 --> 03:22:57,110
PROVIDER AND THINGS LIKE 

5191
03:22:57,110 --> 03:22:58,478
CONSPIRACY THEORIES ARE 

5192
03:22:58,478 --> 03:23:00,247
TECHNICALLY A DIFFERENT PART OF 

5193
03:23:00,247 --> 03:23:01,448
MEDICAL MISTRUST AND FOR 

5194
03:23:01,448 --> 03:23:04,718
PURPOSES OF THIS ONE I SAID 

5195
03:23:04,718 --> 03:23:06,186
MEDICAL MISTRUST THAT IS GENERAL

5196
03:23:06,186 --> 03:23:07,954
MISTRUST IN THE HEALTHCARE 

5197
03:23:07,954 --> 03:23:09,589
SYSTEM. 

5198
03:23:09,589 --> 03:23:12,926
SO, WHO IS SUSCEPTIBLE TO IT?  

5199
03:23:12,926 --> 03:23:15,395
DR. CASTILLO'S DATA SHOWED 

5200
03:23:15,395 --> 03:23:16,963
EARLIER THAT HISTORICALLY WE 

5201
03:23:16,963 --> 03:23:19,733
THOUGHT OF IT TO BE MARGINALIZED

5202
03:23:19,733 --> 03:23:21,001
GROUPS AND PEOPLE LIKE 

5203
03:23:21,001 --> 03:23:24,538
RACIAL/ETHNIC MINORITIES AND 

5204
03:23:24,538 --> 03:23:27,741
LGBTQ INDIVIDUALS AND PEOPLE 

5205
03:23:27,741 --> 03:23:32,979
FROM RURAL RESIDENTS AS DATA 

5206
03:23:32,979 --> 03:23:35,715
SHOWED US AND LOTS OF FAMILY AND

5207
03:23:35,715 --> 03:23:37,717
FRIEND'S FACEBOOK PAGES OVER THE

5208
03:23:37,717 --> 03:23:40,287
PANDEMIC SHOWED US FACE OF 

5209
03:23:40,287 --> 03:23:43,924
MEDICAL MISTRUST IS CHANGING 

5210
03:23:43,924 --> 03:23:44,257
TODAY. 

5211
03:23:44,257 --> 03:23:48,595
IN REALITY ANYBODY COULD BE 

5212
03:23:48,595 --> 03:23:49,930
SUSCEPTIBLE TO IT.  PEOPLE ARE 

5213
03:23:49,930 --> 03:23:51,565
MORE LIKELY TO EXPERIENCE IT. 

5214
03:23:51,565 --> 03:23:53,733
WHAT CAUSES IT?  I HOPE TO SHOW 

5215
03:23:53,733 --> 03:23:57,704
TODAY THAT SOME OF IT IS RELATED

5216
03:23:57,704 --> 03:23:59,406
TO DISCRIMINATION IN THE 

5217
03:23:59,406 --> 03:24:00,407
HEALTHCARE SYSTEM THAT IS ALSO 

5218
03:24:00,407 --> 03:24:02,442
THINGS RELATED TO, YOU KNOW, 

5219
03:24:02,442 --> 03:24:04,878
THINGS PASSED ON TO YOU BY 

5220
03:24:04,878 --> 03:24:07,013
EXPERIENCES BY FAMILY FRIENDS 

5221
03:24:07,013 --> 03:24:11,585
AND HISTORICAL CONTEXTS OF 

5222
03:24:11,585 --> 03:24:13,854
ATROCITIES THAT HEALTHCARE 

5223
03:24:13,854 --> 03:24:15,088
SYSTEM HAS CAUSED CERTAIN PEOPLE

5224
03:24:15,088 --> 03:24:19,826
THAT SEEMS TO BE A VERY COMPLEX 

5225
03:24:19,826 --> 03:24:21,061
MATTER. 

5226
03:24:21,061 --> 03:24:24,564
AND NOT ONE OR EVEN A HANDFUL OF

5227
03:24:24,564 --> 03:24:25,765
INDIVIDUAL CAUSES. 

5228
03:24:25,765 --> 03:24:28,768
WHAT ARE NEGATIVE EFFECTS?  

5229
03:24:28,768 --> 03:24:31,304
MEDICAL MISTRUST IN A VACUUM 

5230
03:24:31,304 --> 03:24:33,006
DOESN'T MEAN ANYTHING AND YOU 

5231
03:24:33,006 --> 03:24:35,041
DON'T TRUST HEALTHCARE SYSTEM 

5232
03:24:35,041 --> 03:24:37,244
AND NOTHING HAPPENS, WHY DOES 

5233
03:24:37,244 --> 03:24:40,814
THAT REALLY MATTER?  

5234
03:24:40,814 --> 03:24:42,682
WHAT HAPPENS IS PEOPLE WITH LESS

5235
03:24:42,682 --> 03:24:44,384
TRUST IN MEDICAL SYSTEM ARE LESS

5236
03:24:44,384 --> 03:24:47,420
LIKELY TO USE IT AND GET 

5237
03:24:47,420 --> 03:24:49,923
PREVENTIVE CARE AND DELAYED CARE

5238
03:24:49,923 --> 03:24:52,659
THEY NEED AND HAVE WORSENED 

5239
03:24:52,659 --> 03:24:54,861
HEALTH OUTCOMES AND THAT IS WHAT

5240
03:24:54,861 --> 03:24:55,996
OF MEDICAL MISTRUST WE ARE 

5241
03:24:55,996 --> 03:24:58,932
TRYING TO ALLEVIATE. 

5242
03:24:58,932 --> 03:25:01,401
HISTORICALLY AS I SAID WE HAVE 

5243
03:25:01,401 --> 03:25:03,203
TENDED TO LOOK AT MARGINALIZED 

5244
03:25:03,203 --> 03:25:05,705
GROUPS AS BEING A CAUSE OF 

5245
03:25:05,705 --> 03:25:08,275
MEDICAL MISTRUST.  REALLY, IT IS

5246
03:25:08,275 --> 03:25:15,282
AN ASSOCIATION BETWEEN THE TWO. 

5247
03:25:15,282 --> 03:25:20,253
AS THIS MODEL DEPICTS THAT 

5248
03:25:20,253 --> 03:25:23,590
RESULTS IN DELAYED CARE. 

5249
03:25:23,590 --> 03:25:26,593
WHAT I HAVE INTEREST IN AND 

5250
03:25:26,593 --> 03:25:29,462
SHOWED TODAY IS PERSONAL HISTORY

5251
03:25:29,462 --> 03:25:31,865
OF DISCRIMINATION MIGHT MEDIATE 

5252
03:25:31,865 --> 03:25:36,503
THAT RELATIONSHIP BETWEEN 

5253
03:25:36,503 --> 03:25:40,140
MINORITY RAISED MEDICAL MISTRUST

5254
03:25:40,140 --> 03:25:42,609
AND ON THIS VALUE SEEMS 

5255
03:25:42,609 --> 03:25:44,644
SELF-EVIDENT AND HAS BEEN TESTED

5256
03:25:44,644 --> 03:25:47,580
IN LITERATURE AND MOST DATA SETS

5257
03:25:47,580 --> 03:25:49,616
DON'T INCLUDE CONSTRUCTS IN ONE 

5258
03:25:49,616 --> 03:25:52,786
SIMPLE DATA SET TO TEST 

5259
03:25:52,786 --> 03:25:55,055
HYPOTHESISES LIKE THIS AND NOT 

5260
03:25:55,055 --> 03:25:57,157
MENTIONING VARIOUS CO-VARIATES 

5261
03:25:57,157 --> 03:25:59,092
THAT MIGHT IMPACT THIS 

5262
03:25:59,092 --> 03:26:00,460
RELATIONSHIP ALSO.  THIS IS AN 

5263
03:26:00,460 --> 03:26:01,761
OPPORTUNITY WHERE YOU COME 

5264
03:26:01,761 --> 03:26:04,531
ACROSS A GREAT RESEARCH QUESTION

5265
03:26:04,531 --> 03:26:10,337
BY EXTENT.  ACTUALLY IN HINT'S 

5266
03:26:10,337 --> 03:26:12,706
DATA SET I'M A PRIOR USER AS 

5267
03:26:12,706 --> 03:26:14,641
WELL AND PULLING DATA FROM 

5268
03:26:14,641 --> 03:26:16,276
POSTER PRESENTATION THAT I 

5269
03:26:16,276 --> 03:26:19,379
PRESENTED LAST NIGHT AND SAW 

5270
03:26:19,379 --> 03:26:22,182
THESE THREE QUESTIONS IN SAME 

5271
03:26:22,182 --> 03:26:24,884
DATA SET AND SECTION OF THE 

5272
03:26:24,884 --> 03:26:26,586
SURVEY AND OKAY THEY ARE 

5273
03:26:26,586 --> 03:26:29,155
AVAILABLE.  I CAN ANSWER THIS 

5274
03:26:29,155 --> 03:26:30,757
QUESTION I'M VERY INTERESTED IN.

5275
03:26:30,757 --> 03:26:33,326
AS FAR AS MEDICAL MISTRUST AS A 

5276
03:26:33,326 --> 03:26:35,228
VARIABLE ASKING HOW MUCH DO YOU 

5277
03:26:35,228 --> 03:26:37,397
TRUST HEALTHCARE SYSTEM 

5278
03:26:37,397 --> 03:26:39,099
HOSPITALS AND PHARMACIES AND 

5279
03:26:39,099 --> 03:26:41,434
ORGANIZATIONS INVOLVED IN 

5280
03:26:41,434 --> 03:26:43,069
HEALTHCARE WITH LIKERT SCALE 

5281
03:26:43,069 --> 03:26:45,839
FROM NOT AT ALL TO A LOT AND 

5282
03:26:45,839 --> 03:26:46,706
VARIABLE REGARDING 

5283
03:26:46,706 --> 03:26:48,208
DISCRIMINATION YES OR NO.  THERE

5284
03:26:48,208 --> 03:26:50,543
IS A VARIABLE WHETHER OR NOT YOU

5285
03:26:50,543 --> 03:26:52,579
DELAYED MEDICAL CARE IN THE PAST

5286
03:26:52,579 --> 03:26:53,646
12 MONTHS ALSO. 

5287
03:26:53,646 --> 03:26:56,883
THESE WERE USED FOR THESE 

5288
03:26:56,883 --> 03:26:57,150
ANALYSIS. 

5289
03:26:57,150 --> 03:27:03,656
THIS USED 2022 WAVE 6 OF HINTS 

5290
03:27:03,656 --> 03:27:05,625
AND HAD TO EXCLUDE INDIVIDUALS 

5291
03:27:05,625 --> 03:27:07,527
INCLUDING INCOMPLETE SURVEYS AND

5292
03:27:07,527 --> 03:27:09,295
PEOPLE WITH MISSING RACE OR 

5293
03:27:09,295 --> 03:27:13,733
ETHNICITY THIS IS PRIMARY AND 

5294
03:27:13,733 --> 03:27:16,302
INDEPENDENT VARIABLE AND WERE 

5295
03:27:16,302 --> 03:27:18,471
SOME MISSING DATA POINTS AND 6% 

5296
03:27:18,471 --> 03:27:20,874
OF CASES HAD NO DATA REGARDING 

5297
03:27:20,874 --> 03:27:22,042
MEDICAL MISTRUST THAT WERE 

5298
03:27:22,042 --> 03:27:23,843
DROPPED FROM THAT ANALYSIS. 

5299
03:27:23,843 --> 03:27:28,381
ON -- IN MODELS OF DELAYED 

5300
03:27:28,381 --> 03:27:31,785
MEDICAL CARE ABOUT 14% OF CASES 

5301
03:27:31,785 --> 03:27:33,720
WERE DROPPED FROM THAT AND MOST 

5302
03:27:33,720 --> 03:27:37,624
NOT MISSING DATA AND MOST PEOPLE

5303
03:27:37,624 --> 03:27:39,359
DIDN'T NEED HEALTHCARE IN PAST 

5304
03:27:39,359 --> 03:27:41,494
12 MONTHS THAT COULD BE INCLUDED

5305
03:27:41,494 --> 03:27:46,866
IN ANALYSIS AND USED 

5306
03:27:46,866 --> 03:27:49,702
MULTIVARIABLE LOGISTIC 

5307
03:27:49,702 --> 03:27:52,105
REGRESSION ANALYSIS AND SAAS AND

5308
03:27:52,105 --> 03:27:54,207
SHOWING DATA REGARDING TRUST IN 

5309
03:27:54,207 --> 03:27:56,142
HEALTHCARE SYSTEM BY RACE. 

5310
03:27:56,142 --> 03:28:00,080
WHAT WE SEE IS THAT ONLY ABOUT 

5311
03:28:00,080 --> 03:28:01,281
40% OF INDIVIDUALS REPORTED A 

5312
03:28:01,281 --> 03:28:03,283
LOT OF TRUST IN THE HEALTHCARE 

5313
03:28:03,283 --> 03:28:05,718
SYSTEM THAT SEEMED TO BE RELATED

5314
03:28:05,718 --> 03:28:09,556
WITH RACE MEANING 41% OF 

5315
03:28:09,556 --> 03:28:12,058
NON-HISPANIC WHITE COMPARED TO 

5316
03:28:12,058 --> 03:28:14,260
36% OF AFRICAN AMERICAN OR BLACK

5317
03:28:14,260 --> 03:28:19,299
AND TLE 3% OF HISPANIC AND 38% 

5318
03:28:19,299 --> 03:28:20,500
OF OTHER. 

5319
03:28:20,500 --> 03:28:25,238
I DEFINED ANYTHING THAT IS NOT A

5320
03:28:25,238 --> 03:28:28,875
LOT AS MEDICAL MIS TRTRUST. 

5321
03:28:28,875 --> 03:28:32,278
LOOKING AT A LITTLE OR NOT AT 

5322
03:28:32,278 --> 03:28:33,913
ALL, WE SEE DISPARITY 

5323
03:28:33,913 --> 03:28:35,882
DIFFERENCES BASED ON 

5324
03:28:35,882 --> 03:28:36,249
CATEGORIZATION. 

5325
03:28:36,249 --> 03:28:39,252
AT END OF THE DAY WHETHER OR NOT

5326
03:28:39,252 --> 03:28:41,688
YOU CONSIDER MEDICAL MISTRUST 

5327
03:28:41,688 --> 03:28:43,323
SOMEWHAT VERSUS A LITTLE I THINK

5328
03:28:43,323 --> 03:28:45,458
IS YOU KNOW A LITTLE THAT WE CAN

5329
03:28:45,458 --> 03:28:48,261
ALL QUIBBLE ABOUT THAT.  TO ME, 

5330
03:28:48,261 --> 03:28:49,896
I COULDN'T COMPREHEND DIFFERENCE

5331
03:28:49,896 --> 03:28:52,165
BETWEEN A LITTLE AND SOMEWHAT IF

5332
03:28:52,165 --> 03:28:53,366
ANSWERING THAT QUESTION AND WHY 

5333
03:28:53,366 --> 03:28:55,768
BOTH WERE INCLUDED IN DEFINITION

5334
03:28:55,768 --> 03:28:57,470
OF MEDICAL MISTRUST. 

5335
03:28:57,470 --> 03:28:59,072
ONE POINT OF CONTENTION MAYBE 

5336
03:28:59,072 --> 03:29:02,075
FOR THIS ANALYSIS IS I LUMPED 

5337
03:29:02,075 --> 03:29:03,743
ALL RACIAL AND ETHNIC MINORITIES

5338
03:29:03,743 --> 03:29:06,179
TOGETHER FOR SAKE OF ANALYSIS TO

5339
03:29:06,179 --> 03:29:06,513
SIMPLIFY IT. 

5340
03:29:06,513 --> 03:29:10,450
BECAUSE OF ASSOCIATION THAT HAS 

5341
03:29:10,450 --> 03:29:11,985
RACE AND MEDICAL MISTRUST THAT 

5342
03:29:11,985 --> 03:29:14,821
SEEMS TO BE FAIRLY EQUAL AMONG 

5343
03:29:14,821 --> 03:29:20,260
GROUPS AND OBVIOUSLY WILL BE 

5344
03:29:20,260 --> 03:29:22,362
INTRAGROUP HETEROGENEITY THAT 

5345
03:29:22,362 --> 03:29:23,730
WOULD COME TO PLAY AND WHEN I 

5346
03:29:23,730 --> 03:29:27,333
DID THIS THERE WAS 41% HAVING NO

5347
03:29:27,333 --> 03:29:29,269
MEDICAL MISTRUST AMONG 

5348
03:29:29,269 --> 03:29:33,706
NON-HISPANIC WHITE COMPARED TO 

5349
03:29:33,706 --> 03:29:33,907
35%. 

5350
03:29:33,907 --> 03:29:36,176
JUSTING AT BIVARIATE 

5351
03:29:36,176 --> 03:29:37,510
CHARACTERISTICS BY RACE AND 

5352
03:29:37,510 --> 03:29:40,747
ETHNICITY GROUP, WHAT WE SEE IS 

5353
03:29:40,747 --> 03:29:43,249
THAT MINORITY PARTICIPANTS WERE 

5354
03:29:43,249 --> 03:29:43,583
YOUNGER.  

5355
03:29:43,583 --> 03:29:46,119
THEY WERE MORE LIKELY TO BE 

5356
03:29:46,119 --> 03:29:48,221
FEMALE AND WERE LESS LIKELY TO 

5357
03:29:48,221 --> 03:29:50,190
HAVE COLLEGE DEGREE AND MORE 

5358
03:29:50,190 --> 03:29:51,524
LIKELY TO HAVE HOUSEHOLD INCOME 

5359
03:29:51,524 --> 03:29:53,760
OF LESS THAN 50,000 AND LESS 

5360
03:29:53,760 --> 03:29:55,562
LIKELY TO HAVE HEALTH INSURANCE 

5361
03:29:55,562 --> 03:29:57,730
AND MORE LIKELY TO REPORT 

5362
03:29:57,730 --> 03:30:00,366
DISCRIMINATION BASED ON RACE AND

5363
03:30:00,366 --> 03:30:02,669
HEALTHCARE SYSTEM AND SLIGHTLY 

5364
03:30:02,669 --> 03:30:05,171
MORE LIKELY TO REPORT DELAY IN 

5365
03:30:05,171 --> 03:30:09,442
MEDICAL CARE AND SAME THING WHEN

5366
03:30:09,442 --> 03:30:12,245
YOU BREAK DOWN BY THOSE WITH 

5367
03:30:12,245 --> 03:30:13,980
MEDICAL MISTRUST VERSUS THOSE 

5368
03:30:13,980 --> 03:30:15,682
WITHOUT WE SEE SAME TREND THAT 

5369
03:30:15,682 --> 03:30:18,918
THESE ARE OVERLAPPING 

5370
03:30:18,918 --> 03:30:19,953
CONSTRUCTS. 

5371
03:30:19,953 --> 03:30:22,455
SO, IF IN THE MEDIATION 

5372
03:30:22,455 --> 03:30:24,424
ANALYSIS, FIRST THING THAT I DID

5373
03:30:24,424 --> 03:30:26,426
WAS LOOK AT RELATIONSHIP THAT 

5374
03:30:26,426 --> 03:30:28,661
WAS BETWEEN BEING A MINORITY 

5375
03:30:28,661 --> 03:30:31,064
RACE AND ETHNICITY AND MISTRUST 

5376
03:30:31,064 --> 03:30:34,434
AND CONTROLLING FOR CO-VARIATES 

5377
03:30:34,434 --> 03:30:36,736
AGE GENDER AND SOCIOECONOMIC 

5378
03:30:36,736 --> 03:30:39,205
STATUS THAT IS INCOME AND 

5379
03:30:39,205 --> 03:30:40,173
EDUCATION LEVEL AS WELL PEOPLE 

5380
03:30:40,173 --> 03:30:43,910
THAT WERE MINORITIES WERE AT -- 

5381
03:30:43,910 --> 03:30:48,581
SORRY 14% MORE LIKELY TO REPORT 

5382
03:30:48,581 --> 03:30:49,315
MEDICAL MISTRUST AND WERE OVER 

5383
03:30:49,315 --> 03:30:51,951
FIVE TIMES MORE LIKELY TO REPORT

5384
03:30:51,951 --> 03:30:53,286
DISCRIMINATION IN THE HEALTHCARE

5385
03:30:53,286 --> 03:30:55,455
SYSTEM AS WELL. 

5386
03:30:55,455 --> 03:30:57,724
WE LOOKED AT DISCRIMINATION IN 

5387
03:30:57,724 --> 03:30:59,993
THE HEALTHCARE SYSTEM AND THOSE 

5388
03:30:59,993 --> 03:31:01,694
REPORTING THAT WERE OVER 3 TIMES

5389
03:31:01,694 --> 03:31:06,199
AS LIKELY TO REPORT MEDICAL 

5390
03:31:06,199 --> 03:31:06,599
MISTRUST. 

5391
03:31:06,599 --> 03:31:11,004
WHEN YOU DO MEDIATION ANALYSIS I

5392
03:31:11,004 --> 03:31:14,073
FOUND THAT THERE WAS NO LONGER 

5393
03:31:14,073 --> 03:31:15,775
STATISTICALLY SIGNIFICANT 

5394
03:31:15,775 --> 03:31:17,977
ASSOCIATION BETWEEN RACE MEDICAL

5395
03:31:17,977 --> 03:31:19,912
MISTRUST THAT COMPLETELY 

5396
03:31:19,912 --> 03:31:23,616
ATTENUATED THIS RELATIONSHIP AND

5397
03:31:23,616 --> 03:31:26,719
MEDIATED IT. 

5398
03:31:26,719 --> 03:31:27,954
I WILL ALLOW CHANGE OVER HERE 

5399
03:31:27,954 --> 03:31:33,326
AND LOOKING AT HOW IT RELATES TO

5400
03:31:33,326 --> 03:31:36,229
DELAYED CARE AND AGAIN IS DATA 

5401
03:31:36,229 --> 03:31:37,697
SHOWING ASSOCIATION BETWEEN RACE

5402
03:31:37,697 --> 03:31:39,899
ETHNICITY AND MEDICAL MISTRUST 

5403
03:31:39,899 --> 03:31:43,936
AND THE ODDS RATIO IS SLIGHTLY 

5404
03:31:43,936 --> 03:31:45,838
DIFFERENT BECAUSE OF DIFFERENT 

5405
03:31:45,838 --> 03:31:47,774
SAMPLE SIZE AND SAME TREND HERE 

5406
03:31:47,774 --> 03:31:50,877
AND WE SEE MEDICAL MISTRUST IS 

5407
03:31:50,877 --> 03:31:52,945
ASSOCIATED WITH TWICE AS 

5408
03:31:52,945 --> 03:31:55,214
LIKELIHOOD TO DELAY MEDICAL CARE

5409
03:31:55,214 --> 03:31:56,916
AND INTERESTINGLY I FOUND NO 

5410
03:31:56,916 --> 03:31:58,651
ASSOCIATION BETWEEN RACE AND 

5411
03:31:58,651 --> 03:32:03,122
ETHNICITY IN DELAYING MEDICAL 

5412
03:32:03,122 --> 03:32:03,323
CARE. 

5413
03:32:03,323 --> 03:32:06,225
DOING MEDIATION ANALYSIS I FOUND

5414
03:32:06,225 --> 03:32:07,827
ACTUALLY RACIAL AND ETHNIC 

5415
03:32:07,827 --> 03:32:10,863
MINORITIES WERE LESS LIKELY TO 

5416
03:32:10,863 --> 03:32:12,465
DELAY MEDICAL CARE THAN WHITE 

5417
03:32:12,465 --> 03:32:15,101
PEERS AND IS ACTUALLY MEDICAL 

5418
03:32:15,101 --> 03:32:17,403
MISTRUST THAT MAKES IT NOT 

5419
03:32:17,403 --> 03:32:18,037
STATISTICALLY SIGNIFICANT. 

5420
03:32:18,037 --> 03:32:21,708
THERE IS STILL A MEDIATION GOING

5421
03:32:21,708 --> 03:32:25,678
THERE BUT NO THE IN MANNER THAT 

5422
03:32:25,678 --> 03:32:27,980
I EXPECTED IT TO BE AND OBVIOUS 

5423
03:32:27,980 --> 03:32:30,116
LIMITATIONS AND MEASURES I USED 

5424
03:32:30,116 --> 03:32:33,219
AND MEDICAL MISTRUST AND USED A 

5425
03:32:33,219 --> 03:32:35,121
SINGLE VARIABLE THAT IS COMPLETE

5426
03:32:35,121 --> 03:32:40,593
MMPI AND IT IS A MEASURE THAT IS

5427
03:32:40,593 --> 03:32:42,595
USED FOR MEDICAL MISTRUST 

5428
03:32:42,595 --> 03:32:43,963
SPECIFICALLY AND USING THAT 

5429
03:32:43,963 --> 03:32:46,332
WOULD HAVE FOUND DIFFERENT 

5430
03:32:46,332 --> 03:32:47,867
RESULTS AND OPERATIONAL 

5431
03:32:47,867 --> 03:32:49,702
DEFINITIONS I USED AGAIN AND 

5432
03:32:49,702 --> 03:32:52,739
LOOKED AT A LOT OF TRUST VERSUS 

5433
03:32:52,739 --> 03:32:54,073
ANYTHING ELSE AND COULD DEFINE 

5434
03:32:54,073 --> 03:32:57,343
AS A LOT OR SOMEWHAT VERSUS NOT 

5435
03:32:57,343 --> 03:33:00,880
A LOT AND COULD CHANGE MY RESULT

5436
03:33:00,880 --> 03:33:04,550
AS WELL WHICH IS FAIRLY SMALL 

5437
03:33:04,550 --> 03:33:07,587
THAN LESS THAN 1% OF EVERY OTHER

5438
03:33:07,587 --> 03:33:10,189
VARIABLE OTHER THAN RACE WHICH 

5439
03:33:10,189 --> 03:33:11,758
IS 6%. 

5440
03:33:11,758 --> 03:33:14,260
KEY TAKEAWAYS, FIRST OFF, LESS 

5441
03:33:14,260 --> 03:33:16,496
THAN 40% OF PARTICIPANTS 

5442
03:33:16,496 --> 03:33:18,798
REPORTED A LOT OF TRUST IN THE 

5443
03:33:18,798 --> 03:33:20,533
HEALTH CARE SYSTEM THAT IS 

5444
03:33:20,533 --> 03:33:23,936
MINDBLOWING TO ME AND THOUGHT IT

5445
03:33:23,936 --> 03:33:26,739
WOULD BE MUCH HIGHER THAT IS A 

5446
03:33:26,739 --> 03:33:28,775
PRECEDENT FOR THAT AND STUDY 

5447
03:33:28,775 --> 03:33:31,110
ONGOING SINCE 1972 THAT IS 50 

5448
03:33:31,110 --> 03:33:34,313
YEARS OF DATE THAW IS SHOWING 

5449
03:33:34,313 --> 03:33:36,416
THAT A VERY SIMILAR QUESTION 

5450
03:33:36,416 --> 03:33:38,317
THAT PEOPLE ASK I WILL NAME 

5451
03:33:38,317 --> 03:33:41,220
INSTITUTIONS IN COUNTRY AS FAR 

5452
03:33:41,220 --> 03:33:43,990
AS PEOPLE RUNNING INSTITUTIONS 

5453
03:33:43,990 --> 03:33:46,292
ARE CONCERNED WOULD YOU SAY 

5454
03:33:46,292 --> 03:33:47,460
GREAT DEAL OF CONFIDENCE SOME 

5455
03:33:47,460 --> 03:33:48,261
CONFIDENCE OR HARDLY ANY 

5456
03:33:48,261 --> 03:33:49,962
CONFIDENCE AT ALL AND THIS IS 

5457
03:33:49,962 --> 03:33:53,699
FOR HEALTHCARE SYSTEM AND SEE IN

5458
03:33:53,699 --> 03:33:58,271
70S IT PEAKED ABOUT 60% AND 

5459
03:33:58,271 --> 03:34:00,306
DECLINING AND LESS THAN 40% IN 

5460
03:34:00,306 --> 03:34:01,474
RECENT YEARS THAT IS SURPRISING 

5461
03:34:01,474 --> 03:34:04,143
TO ME AND TO SOME OF YOU MIGHT 

5462
03:34:04,143 --> 03:34:05,978
BE PRECEDENT TO IT.  

5463
03:34:05,978 --> 03:34:08,281
SECONDLY MINORITY PATIENTS MORE 

5464
03:34:08,281 --> 03:34:10,516
LIKELY TO REPORT MEDICAL 

5465
03:34:10,516 --> 03:34:11,751
MISTRUST IN THE HEALTHCARE 

5466
03:34:11,751 --> 03:34:16,088
SYSTEM AND MEDIATED BY PERSONAL 

5467
03:34:16,088 --> 03:34:17,256
[INDISCERNIBLE] IN HEAL J CARE 

5468
03:34:17,256 --> 03:34:19,792
SYSTEM THAT IS CONSISTENT WITH 

5469
03:34:19,792 --> 03:34:21,727
SOME CONCEPTUAL MODELS OF 

5470
03:34:21,727 --> 03:34:27,667
MEDICAL MISTRUST BUT NOT ALWAYS.

5471
03:34:27,667 --> 03:34:32,171
THEY WERE LOOKING AT MEDICAL 

5472
03:34:32,171 --> 03:34:33,873
MISTRUST AND CONCEPTUALIZATIONS 

5473
03:34:33,873 --> 03:34:36,142
WHETHER RELATIONSHIP WAS 

5474
03:34:36,142 --> 03:34:37,410
BIDIRECTIONAL UNIDIRECTIONAL AND

5475
03:34:37,410 --> 03:34:39,879
WHICH WAY IT POINTED AND IS UP 

5476
03:34:39,879 --> 03:34:41,747
TO DEBATE DEFINITELY AND IS 

5477
03:34:41,747 --> 03:34:43,683
ANOTHER STAGE RECENTLY LOOKING 

5478
03:34:43,683 --> 03:34:46,586
AT AND THEY SAW THESE AT TWO 

5479
03:34:46,586 --> 03:34:47,887
CONCEPTUALLY DIFFERENT 

5480
03:34:47,887 --> 03:34:48,187
CONSTRUCTS. 

5481
03:34:48,187 --> 03:34:56,629
AND NOT EVEN RELATED AT ALL.  

5482
03:34:56,629 --> 03:35:00,600
TAKE AWAY NO. 3 MINORITY 

5483
03:35:00,600 --> 03:35:01,834
PATIENTS [INDISCERNIBLE] AND 

5484
03:35:01,834 --> 03:35:03,236
NON-HISPANIC WHITES NOT 

5485
03:35:03,236 --> 03:35:05,271
SOMETHING I SUSPECTED BUT SEEMS 

5486
03:35:05,271 --> 03:35:07,773
TO BE CONSISTENT WITH DATA OUT 

5487
03:35:07,773 --> 03:35:11,210
THERE AND PARTICULARLY OVER THE 

5488
03:35:11,210 --> 03:35:13,679
COVID PANDEMIC IF YOU LOOK AT 

5489
03:35:13,679 --> 03:35:17,717
THOSE DELAYING MEDICAL CARE FROM

5490
03:35:17,717 --> 03:35:20,052
2020 ONWARDS IT HAS BEEN MORE 

5491
03:35:20,052 --> 03:35:22,221
LIKELY TO BE NON-HISPANIC WHITE 

5492
03:35:22,221 --> 03:35:25,458
PEOPLE AND DUE TO CONCERNS 

5493
03:35:25,458 --> 03:35:29,328
RELATED TO COVID OR OTHER 

5494
03:35:29,328 --> 03:35:30,463
MEASURES THERE. 

5495
03:35:30,463 --> 03:35:36,235
THANK YOU FOR ALL OF YOU FOR 

5496
03:35:36,235 --> 03:35:45,678
STICKING AROUND. 

5497
03:35:45,678 --> 03:35:47,179
>> THANK YOU TO
PRESENTERS.  

5498
03:35:47,179 --> 03:35:50,349
GOOD NEWS WE HAVE QUESTIONS AND 

5499
03:35:50,349 --> 03:35:52,785
FOR QUESTIONS FOR EITHER OR 

5500
03:35:52,785 --> 03:35:54,720
SPECIFIC PRESENTERS TO PLEASE 

5501
03:35:54,720 --> 03:36:01,694
COME TO THE MIC.  PLEASE GO 

5502
03:36:01,694 --> 03:36:11,837
AHEAD.  

5503
03:36:17,843 --> 03:36:21,380
MAYBE IF YOU CAN PROJECT I CAN 

5504
03:36:21,380 --> 03:36:25,718
REPEAT THE QUESTION FOR THOSE ON

5505
03:36:25,718 --> 03:36:35,861
ZOOM.  

5506
03:36:49,909 --> 03:36:51,911
THE OTHER QUESTION TO REPEAT FOR

5507
03:36:51,911 --> 03:36:54,180
THOSE ON ZOOM IS FOR THE LAST 

5508
03:36:54,180 --> 03:36:55,915
PRESENTER THAT IS REGARDING 

5509
03:36:55,915 --> 03:36:57,183
CONSIDERATIONS OF CONSIDERING 

5510
03:36:57,183 --> 03:36:59,185
GENDER IDENTITY AS A MODERATOR 

5511
03:36:59,185 --> 03:37:01,520
RATHER THAN A CONFOUNDER TO BE 

5512
03:37:01,520 --> 03:37:04,090
ABLE TO LOOK AT EXPERIENCES OF 

5513
03:37:04,090 --> 03:37:05,324
MEDICAL MISTRUST BY RACE 

5514
03:37:05,324 --> 03:37:07,693
ETHNICITY AND GENDER IDENTITY.  

5515
03:37:07,693 --> 03:37:10,763
>> AS I DISCUSSED, THERE
IS MANY

5516
03:37:10,763 --> 03:37:17,236
WAYS TO CONCEPTUALIZE THAT IS 

5517
03:37:17,236 --> 03:37:19,772
VERY IMPORTANT AND OPAQUE 

5518
03:37:19,772 --> 03:37:21,273
CONCEPTUAL MODEL AND DIDN'T FIND

5519
03:37:21,273 --> 03:37:24,710
THAT GENDER WAS ASSOCIATED WITH 

5520
03:37:24,710 --> 03:37:27,780
MEDICAL MISTRUST IN THIS.  I 

5521
03:37:27,780 --> 03:37:31,651
DON'T KNOW THAT INCLUDING IT AS 

5522
03:37:31,651 --> 03:37:33,719
A MODIFIER WOULD HAVE MADE A 

5523
03:37:33,719 --> 03:37:34,887
DIFFERENCE AND SOMETHING TO LOOK

5524
03:37:34,887 --> 03:37:39,825
AT, YEAH.  WHETHER OR NOT THAT 

5525
03:37:39,825 --> 03:37:40,359
DO

5526
03:37:40,359 --> 03:37:40,559
DOES. 

5527
03:37:40,559 --> 03:37:43,095
THE DATA IS PRETTY SCANT 

5528
03:37:43,095 --> 03:37:45,031
REGARDING GENDER AND 

5529
03:37:45,031 --> 03:37:46,699
RELATIONSHIP WITH RESPECT TO 

5530
03:37:46,699 --> 03:37:48,434
MEDICAL MISTRUST AND WOULD BE 

5531
03:37:48,434 --> 03:37:50,302
HAPPY TO HEAR YOUR 

5532
03:37:50,302 --> 03:37:51,470
CONCEPTUALIZATION OF THAT.  I 

5533
03:37:51,470 --> 03:37:52,672
DIDN'T CHECK IT BECAUSE I DIDN'T

5534
03:37:52,672 --> 03:37:57,243
HAVE DATA TO SUPPORT THAT. 

5535
03:37:57,243 --> 03:38:00,813
IT WASN'T PART OF MY CONCEPTUAL 

5536
03:38:00,813 --> 03:38:01,047
MODEL. 

5537
03:38:01,047 --> 03:38:02,682
>> WE WILL ALTERNATE MICS.

5538
03:38:02,682 --> 03:38:08,320
IF YOU CAN GO AHEAD WITH YOUR 

5539
03:38:08,320 --> 03:38:10,723
QUEST

5540
03:38:10,723 --> 03:38:10,990
QUESTION. 

5541
03:38:10,990 --> 03:38:13,526
>> I WILL START WITH 

5542
03:38:13,526 --> 03:38:18,030
[INDISCERN

5543
03:38:18,030 --> 03:38:18,431
[INDISCERNIBLE]. 

5544
03:38:18,431 --> 03:38:18,898
>> [INDISCERNIBLE]. 

5545
03:38:18,898 --> 03:38:22,768
>> I WAS ATTENDING 

5546
03:38:22,768 --> 03:38:25,571
[INDISCERNIBLE] MEETING AND ALL 

5547
03:38:25,571 --> 03:38:28,207
OF A SUDDEN I SAW COMING DOWN 

5548
03:38:28,207 --> 03:38:29,742
HEALTH AND DISPARITY TO YOUR 

5549
03:38:29,742 --> 03:38:31,911
KNOWLEDGE I WORK WITH HEALTH AND

5550
03:38:31,911 --> 03:38:34,013
HEALTH DISPARITY WITH AFRICAN 

5551
03:38:34,013 --> 03:38:36,549
AMERICANS FOR LAST 15 YEARS AND 

5552
03:38:36,549 --> 03:38:39,885
GIVEN A TASK BY NIH TO SEE WHAT 

5553
03:38:39,885 --> 03:38:41,987
IS HAPPENING IN LOCAL AFRICAN 

5554
03:38:41,987 --> 03:38:45,191
AMERICANS AND WHAT IS REASON 

5555
03:38:45,191 --> 03:38:48,461
THAT BELIEFS ARE HIGH AND I'M 

5556
03:38:48,461 --> 03:38:51,063
NOT SOCIAL EPIGENETICS PEOPLE 

5557
03:38:51,063 --> 03:38:53,299
AND CLINICAL SCIENTIST AND 

5558
03:38:53,299 --> 03:38:55,167
LOOKING AT GENE TRANSCRIPTION 

5559
03:38:55,167 --> 03:38:59,271
AND GETTING WORSE AND WITH MY 

5560
03:38:59,271 --> 03:39:03,075
EXPERIENCE I SEE THAT DISPARITY 

5561
03:39:03,075 --> 03:39:05,745
IN MY EYES THAT I CAN'T EXPLAIN 

5562
03:39:05,745 --> 03:39:10,282
PROPERLY AND NOT IN MY AREA AND 

5563
03:39:10,282 --> 03:39:13,319
QUESTION FROM LEARNED PRESENTERS

5564
03:39:13,319 --> 03:39:17,957
AND I'M SEEING KEY QUESTIONS AND

5565
03:39:17,957 --> 03:39:19,458
EDUCATION AND SMOKING IS 

5566
03:39:19,458 --> 03:39:20,359
IMPORTANT AND NEED TO CONNECT 

5567
03:39:20,359 --> 03:39:24,497
WITH DISEASES OUTCOME AND 

5568
03:39:24,497 --> 03:39:26,265
TRANSCRIPT I'M TALKING ABOUT.  

5569
03:39:26,265 --> 03:39:29,468
WHAT IS YOUR ADVICE TO ME AS A 

5570
03:39:29,468 --> 03:39:31,971
CLINICAL RESEARCHER AND WHICH 

5571
03:39:31,971 --> 03:39:34,006
AREA REALLY ASKING TO SOCIAL 

5572
03:39:34,006 --> 03:39:36,242
DETERMINANTS OF HEALTH IN 

5573
03:39:36,242 --> 03:39:38,677
AFRICAN AMERICANS OR HEALTH OR 

5574
03:39:38,677 --> 03:39:41,747
DESPAIRED PEOPLE AND WHICH AREA 

5575
03:39:41,747 --> 03:39:48,087
SHOULD I CONSENT MORE TO CONNECT

5576
03:39:48,087 --> 03:39:55,861
DISEASE OUTCOME?  

5577
03:39:55,861 --> 03:39:57,963
>> IT SAID INDICATION AND
SOCIAL

5578
03:39:57,963 --> 03:39:59,632
LIFESTYLE WHATEVER YOU WANT ME 

5579
03:39:59,632 --> 03:39:59,865
TO. 

5580
03:39:59,865 --> 03:40:02,067
>> FROM MY EXPERIENCE I
WOULD 

5581
03:40:02,067 --> 03:40:05,704
SAY DON'T CONCENTRATE ON JUST 

5582
03:40:05,704 --> 03:40:11,977
ONE ASPECT.  WHAT WE SAW DOING 

5583
03:40:11,977 --> 03:40:14,180
ANALYSIS AND IF YOU GROUP THEM 

5584
03:40:14,180 --> 03:40:17,383
AS SOCIAL DETERMINANCE OF HEALTH

5585
03:40:17,383 --> 03:40:18,918
GROUPING THEM AND SOMETIMES THEY

5586
03:40:18,918 --> 03:40:20,252
DON'T GIVE YOU ANSWERS WHAT YOU 

5587
03:40:20,252 --> 03:40:21,654
ARE LOOKING FOR.  WHAT YOU DO 

5588
03:40:21,654 --> 03:40:23,189
AND WHAT WE HAVE DONE IS LOOKING

5589
03:40:23,189 --> 03:40:26,826
AT THESE DOMAINS THAT I WOULD 

5590
03:40:26,826 --> 03:40:29,695
SAY FROM MY EXPERIENCE NOW, TAKE

5591
03:40:29,695 --> 03:40:35,501
A SERIOUS LOOK AT THE SOCIAL 

5592
03:40:35,501 --> 03:40:36,669
CONNECTION AND SOCIAL ISOLATION 

5593
03:40:36,669 --> 03:40:40,840
BECAUSE RECENTLY WE ARE SEEING 

5594
03:40:40,840 --> 03:40:42,474
THAT PEOPLE LOOK AT JUST 

5595
03:40:42,474 --> 03:40:45,711
EDUCATION AND EMPLOYMENT AND ALL

5596
03:40:45,711 --> 03:40:46,545
THAT.  

5597
03:40:46,545 --> 03:40:48,581
PEOPLE, WE ARE NOT LOOKING SO 

5598
03:40:48,581 --> 03:40:49,748
MUCH INTO THE CONNECTEDNESS OF 

5599
03:40:49,748 --> 03:40:53,719
THE COMMUNITIES AND HOW DO WE 

5600
03:40:53,719 --> 03:40:57,189
SUPPORT PEOPLE WHO ARE THE 

5601
03:40:57,189 --> 03:41:04,663
BOTTOM TO GET HEALTHCARE HELP 

5602
03:41:04,663 --> 03:41:06,665
THAT THEY NEED?  

5603
03:41:06,665 --> 03:41:08,334
SOMETIMES MEDICAL CARE THEY NEED

5604
03:41:08,334 --> 03:41:11,437
AND SOCIAL SUPPORT IS THE AREA 

5605
03:41:11,437 --> 03:41:13,072
THAT THEY DEFINE THEMSELVES AND 

5606
03:41:13,072 --> 03:41:15,007
IN THE ENVIRONMENT THAT THEY 

5607
03:41:15,007 --> 03:41:17,943
DEFINE THEMSELVES AND WE PROVIDE

5608
03:41:17,943 --> 03:41:19,845
THESE THINGS TO COME WHEN WE 

5609
03:41:19,845 --> 03:41:22,181
PROVIDE THESE THINGS TALKING 

5610
03:41:22,181 --> 03:41:23,883
ABOUT MEDICAL MISTRUST DO THEY 

5611
03:41:23,883 --> 03:41:26,418
TRUST US MEDICAL PROVIDERS DO 

5612
03:41:26,418 --> 03:41:29,455
THEY TRUST US WELL ENOUGH TO 

5613
03:41:29,455 --> 03:41:30,990
COME SEEK HELP THEY NEED THAT IS

5614
03:41:30,990 --> 03:41:33,125
A MULTIDIMENSIONAL THEME YOU 

5615
03:41:33,125 --> 03:41:36,729
SHOULD LOOK AT.  IF YOU LOOK AT 

5616
03:41:36,729 --> 03:41:37,663
MULTIDIMENSIONAL THING AND STICK

5617
03:41:37,663 --> 03:41:39,732
TAKE THEM APART ONE-BY-ONE AND 

5618
03:41:39,732 --> 03:41:41,267
SEE WHICH OF THOSE. 

5619
03:41:41,267 --> 03:41:42,801
DON'T JUST LOOK AT EDUCATION OR 

5620
03:41:42,801 --> 03:41:46,739
JUST EMPLOYMENT.  YOU KNOW, LOOK

5621
03:41:46,739 --> 03:41:51,944
AT DIFFERENT ALL TOGETHER AND 

5622
03:41:51,944 --> 03:41:56,081
WHAT WE SAID ABOUT LANGUAGE.  

5623
03:41:56,081 --> 03:42:00,619
YOU KNOW?  

5624
03:42:00,619 --> 03:42:02,154
THAT COULD BE SOMETHING TO 

5625
03:42:02,154 --> 03:42:03,022
INTEREST YOU. 

5626
03:42:03,022 --> 03:42:05,324
>> MY EXPERIENCE IN LAST
20 

5627
03:42:05,324 --> 03:42:08,360
YEARS AND MY UNIVERSITY AND 

5628
03:42:08,360 --> 03:42:10,629
HARVARD UNIVERSITY, 15 YEARS AGO

5629
03:42:10,629 --> 03:42:15,000
WAS 100% BLACK THE OUTPATIENT 

5630
03:42:15,000 --> 03:42:18,404
AND NOW IS BECOMING 64.  I SAW 

5631
03:42:18,404 --> 03:42:19,872
LOCAL ADULTS AROUND COMMUNITY IS

5632
03:42:19,872 --> 03:42:22,074
CHANGED AND IS ALL ECONOMICS AND

5633
03:42:22,074 --> 03:42:24,443
SOCIAL AND HOW IT CONNECTS DOT 

5634
03:42:24,443 --> 03:42:26,612
AND IT IS VERY WHAT IS IT 

5635
03:42:26,612 --> 03:42:28,614
CALLED?  A VERY TOUGH JOB.  I 

5636
03:42:28,614 --> 03:42:30,215
NEED MORE PEOPLE LIKE YOU BEHIND

5637
03:42:30,215 --> 03:42:32,918
ME TO SUPPORT MY CONCEPT AND 

5638
03:42:32,918 --> 03:42:35,788
FIND THE CLUE.  THINGS ARE GOING

5639
03:42:35,788 --> 03:42:37,256
BETTER TO MY EXPERIENCE AND 

5640
03:42:37,256 --> 03:42:39,892
SHOULD HAVE GONE BETTER BY THE 

5641
03:42:39,892 --> 03:42:41,160
TIME THAT WE INTERVENE OR LOOK 

5642
03:42:41,160 --> 03:42:42,761
AT THE MATTER. 

5643
03:42:42,761 --> 03:42:45,197
DEFINITELY THERE IS SOME MISSING

5644
03:42:45,197 --> 03:42:46,932
DOTS THAT WE CAN CONNECT. 

5645
03:42:46,932 --> 03:42:47,499
>> YES. 

5646
03:42:47,499 --> 03:42:50,169
>> THAT COULD BE A -- I
MEAN, 

5647
03:42:50,169 --> 03:42:51,704
KEY TO SUCCESS MAYBE ARE GETTING

5648
03:42:51,704 --> 03:42:52,471
OUT OF THAT. 

5649
03:42:52,471 --> 03:42:54,173
>> THANK YOU. 

5650
03:42:54,173 --> 03:42:55,474
>> THANK YOU FOR YOUR
ADVICE.  

5651
03:42:55,474 --> 03:42:56,608
THANK YOU. 

5652
03:42:56,608 --> 03:42:57,409
>> THANK YOU.  

5653
03:42:57,409 --> 03:43:00,012
>> MY QUESTION IS FOR THE
LAST 

5654
03:43:00,012 --> 03:43:04,717
PRESENTER THAT PIGGYBACKS ON THE

5655
03:43:04,717 --> 03:43:05,417
FIRST PRESENTER QUESTION. 

5656
03:43:05,417 --> 03:43:07,987
I DON'T KNOW IF YOU ARE FAMILIAR

5657
03:43:07,987 --> 03:43:10,689
WITH DAVID WILL &S EVERY DAY

5658
03:43:10,689 --> 03:43:11,423
DISCRIMINATION SCALE AND CURIOUS

5659
03:43:11,423 --> 03:43:13,425
IN YOUR ANALYSIS IN ADDITION TO 

5660
03:43:13,425 --> 03:43:16,695
LOOKING AT GENDER IF YOU CONTROL

5661
03:43:16,695 --> 03:43:19,965
FOR OBESITY AND OTHER THINGS IN 

5662
03:43:19,965 --> 03:43:20,599
EVERY DAY DISCRIMINATION SCALE 

5663
03:43:20,599 --> 03:43:22,968
IT ASKS BASICALLY WERE YOU 

5664
03:43:22,968 --> 03:43:24,536
DISCRIMINATED IN VARIOUS 

5665
03:43:24,536 --> 03:43:26,105
CONTEXTS AND PEOPLE'S PERCEPTION

5666
03:43:26,105 --> 03:43:28,073
OF WHY AND RACE IS ONE OF THEM. 

5667
03:43:28,073 --> 03:43:30,309
IT IS ALSO GENDER AND OBESITY 

5668
03:43:30,309 --> 03:43:31,810
AND OTHER THINGS AND CURIOUS IF 

5669
03:43:31,810 --> 03:43:33,812
YOU CAN'T REALLY DUPLICATE IT.  

5670
03:43:33,812 --> 03:43:35,981
QUESTIONS ARE NOT ASKED IN 

5671
03:43:35,981 --> 03:43:36,215
HINTS. 

5672
03:43:36,215 --> 03:43:38,484
COULD YOU KIND OF LOOK AT OTHER 

5673
03:43:38,484 --> 03:43:39,952
FACTORS FROM THAT PARTICULAR 

5674
03:43:39,952 --> 03:43:42,654
SCALE AS PROXIES TO HELP MAYBE 

5675
03:43:42,654 --> 03:43:45,557
EXPLAIN THE MEDICAL MISTRUST?  

5676
03:43:45,557 --> 03:43:47,126
>> VERY GOOD QUESTION.  

5677
03:43:47,126 --> 03:43:51,030
AGAIN, WE ARE KIND OF LIMITED TO

5678
03:43:51,030 --> 03:43:53,198
VARIABLES IN THERE AND VARIABLES

5679
03:43:53,198 --> 03:43:54,166
SPECIFICALLY WERE YOU 

5680
03:43:54,166 --> 03:43:55,401
DISCRIMINATED ON BASED ON YOUR 

5681
03:43:55,401 --> 03:43:58,337
RACE THAT IS SURPRISING THAT 3% 

5682
03:43:58,337 --> 03:43:59,671
OF WHITE PEOPLE ACTUALLY 

5683
03:43:59,671 --> 03:44:03,976
REPORTED YES TO THAT.  SO, YEAH.

5684
03:44:03,976 --> 03:44:06,311
IT IS NOT GENERAL DISCRIMINATION

5685
03:44:06,311 --> 03:44:09,715
THAT WOULD BE DEFINITELY MORE 

5686
03:44:09,715 --> 03:44:10,015
MISLEADING. 

5687
03:44:10,015 --> 03:44:10,315
>> RIGHT. 

5688
03:44:10,315 --> 03:44:12,418
>> IF THAT IS HOW VARIABLE
IS 

5689
03:44:12,418 --> 03:44:12,718
LAID OUT. 

5690
03:44:12,718 --> 03:44:14,353
>> YEAH.  I UNDERSTAND
THAT IS 

5691
03:44:14,353 --> 03:44:15,521
THE ACTUAL QUESTION AND JUST 

5692
03:44:15,521 --> 03:44:17,256
WONDERING IF YOU WERE ABLE TO 

5693
03:44:17,256 --> 03:44:19,158
CONTROL FOR IT AND OTHER THINGS 

5694
03:44:19,158 --> 03:44:21,760
THAT COULD POTENTIALLY GO ON TO 

5695
03:44:21,760 --> 03:44:24,496
THAT LIKE OBESITY AND AGAIN AS 

5696
03:44:24,496 --> 03:44:26,265
CONTROLLED FACTORS, I GUESS. 

5697
03:44:26,265 --> 03:44:29,435
>> I DIDN'T BECAUSE YOU
KNOW I 

5698
03:44:29,435 --> 03:44:31,804
ALWAYS START WITH CONCEPTUAL 

5699
03:44:31,804 --> 03:44:32,471
MODEL. 

5700
03:44:32,471 --> 03:44:35,040
SO, IF IT DOESN'T FIT MY MODEL 

5701
03:44:35,040 --> 03:44:38,811
IT DOESN'T GO INTO MY STATS 

5702
03:44:38,811 --> 03:44:41,713
PROGRAM IS MY RULE. 

5703
03:44:41,713 --> 03:44:43,315
QUESTION SPECIFICALLY BASED ON 

5704
03:44:43,315 --> 03:44:45,084
RACE AND MEDICAL MISTRUST THERE 

5705
03:44:45,084 --> 03:44:47,519
IS NOT A LINK TO ME FOR OBESITY.

5706
03:44:47,519 --> 03:44:49,588
I WOULDN'T CONTROL FOR IT.  YOU 

5707
03:44:49,588 --> 03:44:53,492
COULD ARGUE THERE IS.  AND 

5708
03:44:53,492 --> 03:44:54,960
CERTAINLY THAT IS OPEN FOR 

5709
03:44:54,960 --> 03:44:57,029
DEBATE AND WHY I DIDN'T CONTROL 

5710
03:44:57,029 --> 03:44:59,364
FOR OTHER FACTORS RELATED TO 

5711
03:44:59,364 --> 03:45:01,433
THIS AND HOW VARIABLES WERE LAID

5712
03:45:01,433 --> 03:45:03,769
OUT AND CONCEPTUALLY, YOU WOULD 

5713
03:45:03,769 --> 03:45:05,704
ONLY CONTROL FOR THEM IF THEY 

5714
03:45:05,704 --> 03:45:07,673
WERE ASSOCIATED WITH THE OUTCOME

5715
03:45:07,673 --> 03:45:12,077
AND THE INDEPENDENT VARIABLE. 

5716
03:45:12,077 --> 03:45:14,480
>> >> HI. 

5717
03:45:14,480 --> 03:45:16,615
>> YES.  GO AHEAD. 

5718
03:45:16,615 --> 03:45:19,351
>> MY QUESTION IS FOR THE
FIRST 

5719
03:45:19,351 --> 03:45:19,651
PRESENTER. 

5720
03:45:19,651 --> 03:45:21,687
I THINK I SAW CORRECTLY THAT 

5721
03:45:21,687 --> 03:45:24,156
YOUR ANALYSIS FOUND THAT LIVING 

5722
03:45:24,156 --> 03:45:26,024
ALONE WAS STATISTICALLY A 

5723
03:45:26,024 --> 03:45:28,127
SIGNIFICANT PREDICTOR BUT NOT 

5724
03:45:28,127 --> 03:45:30,829
THE PERCEIVED SELF-REPORTED 

5725
03:45:30,829 --> 03:45:31,897
SOCIAL ISOLATION AND I'M CURIOUS

5726
03:45:31,897 --> 03:45:34,600
AND WOULD LOVE FOR YOU TO -- DI 

5727
03:45:34,600 --> 03:45:36,568
INTERPRET IT CORRECTLY FROM YOUR

5728
03:45:36,568 --> 03:45:36,835
SLIDE?  

5729
03:45:36,835 --> 03:45:37,836
>> SAY THAT AGAIN. 

5730
03:45:37,836 --> 03:45:40,572
>> I SAW THAT LIVING ALONE
WAS A

5731
03:45:40,572 --> 03:45:42,641
PREDICTOR OF YOUR OUTCOME BUT 

5732
03:45:42,641 --> 03:45:45,177
NOT SELF-REPORT OF SOCIAL 

5733
03:45:45,177 --> 03:45:47,713
ISOLATION THAT WAS MEASURED IN. 

5734
03:45:47,713 --> 03:45:51,483
>> THAT IS NOT A PREDICTOR
OF 

5735
03:45:51,483 --> 03:45:52,518
SELF-ISOLATION AND LIVING ALONE 

5736
03:45:52,518 --> 03:45:56,321
IS NOT A DOMAIN OF SOCIAL 

5737
03:45:56,321 --> 03:46:00,292
DETERMINANTS OF HEALTH THAT WE 

5738
03:46:00,292 --> 03:46:03,328
PUT THERE TO SEE VARIABLES THAT 

5739
03:46:03,328 --> 03:46:06,198
WOULD PREDICT YOUR ADHERENCE TO 

5740
03:46:06,198 --> 03:46:06,999
CERVICAL CANCER SCREENING AND 

5741
03:46:06,999 --> 03:46:10,536
WHAT WE USE FOR SOCIAL ISOLATION

5742
03:46:10,536 --> 03:46:12,738
IS [INDISCERNIBLE] IS WHAT WE 

5743
03:46:12,738 --> 03:46:13,071
USED. 

5744
03:46:13,071 --> 03:46:13,705
>> RIGHT. 

5745
03:46:13,705 --> 03:46:14,973
>> TO DETERMINE SOCIAL
ISOLATION

5746
03:46:14,973 --> 03:46:16,808
FOR THIS STUDY, ACTUALLY. 

5747
03:46:16,808 --> 03:46:20,479
SO, THE LIVING ALONE IS ACTUALLY

5748
03:46:20,479 --> 03:46:21,446
UNDER MARITAL STATUS. 

5749
03:46:21,446 --> 03:46:21,813
>> RIGHT. 

5750
03:46:21,813 --> 03:46:23,749
>> IT SHOWED BUT WAS NOT
PART OF

5751
03:46:23,749 --> 03:46:25,450
THE DOMAINS.  OKAY?  

5752
03:46:25,450 --> 03:46:27,619
WE HAD TO INCLUDE IT IN THE 

5753
03:46:27,619 --> 03:46:27,853
RESULT. 

5754
03:46:27,853 --> 03:46:28,987
>> WHAT I WOULD LOVE TO
HEAR 

5755
03:46:28,987 --> 03:46:31,123
MORE ABOUT IS WHAT YOU THINK 

5756
03:46:31,123 --> 03:46:32,991
THOSE DIFFERENT WAYS OF KIND OF 

5757
03:46:32,991 --> 03:46:36,495
MEASURING OR THINKING ABOUT OR 

5758
03:46:36,495 --> 03:46:38,397
ASSESSING SOCIAL ISOLATION 

5759
03:46:38,397 --> 03:46:40,465
SUGGEST FOR HOW WE INTERVENE TO 

5760
03:46:40,465 --> 03:46:43,101
SUPPORT PEOPLE WHO ARE 

5761
03:46:43,101 --> 03:46:45,437
EXPERIENCING IT.  IF YOU COULD. 

5762
03:46:45,437 --> 03:46:49,474
>> SORRY COULD YOU
REPHRASE THE 

5763
03:46:49,474 --> 03:46:50,042
QUESTION AGAIN?  

5764
03:46:50,042 --> 03:46:52,377
>> SO, THE -- SORRY. 

5765
03:46:52,377 --> 03:46:52,844
>> UH-HUH. 

5766
03:46:52,844 --> 03:46:54,513
>> IT SEEMS AS THOUGH
THERE ARE 

5767
03:46:54,513 --> 03:46:56,882
DIFFERENT WAYS OF ASSESSING 

5768
03:46:56,882 --> 03:46:57,883
SOCIAL ISOLATION. 

5769
03:46:57,883 --> 03:46:58,784
>> YES. 

5770
03:46:58,784 --> 03:47:00,953
>> OBJECTIVE MEASURES AND
LIVING

5771
03:47:00,953 --> 03:47:03,355
ALONE AND MARITAL STATUS AND 

5772
03:47:03,355 --> 03:47:05,424
MORE SUBJECTIVE EXPERIENCE 

5773
03:47:05,424 --> 03:47:07,993
MEASURES AND PROMISE SCALE OF 

5774
03:47:07,993 --> 03:47:08,860
SELF-REPORTED AND SOCIAL 

5775
03:47:08,860 --> 03:47:10,429
ISOLATION AND WOULD LOVE TO HEAR

5776
03:47:10,429 --> 03:47:13,665
MORE ABOUT THOUGHTS ABOUT HOW 

5777
03:47:13,665 --> 03:47:15,734
POTENTIALLY DIFFERENT 

5778
03:47:15,734 --> 03:47:16,401
ASSOCIATIONS OF LIKE THESE 

5779
03:47:16,401 --> 03:47:18,704
DIFFERENT WAYS OF MEASURING 

5780
03:47:18,704 --> 03:47:19,671
SOCIAL ISOLATION COULD HAVE 

5781
03:47:19,671 --> 03:47:21,373
DIFFERENT ASSOCIATIONS WITH 

5782
03:47:21,373 --> 03:47:22,808
OUTCOMES WE CARE ABOUT AND WHAT 

5783
03:47:22,808 --> 03:47:24,710
IT MEANS HOW TO INTERVENE TO 

5784
03:47:24,710 --> 03:47:26,278
SUPPORT PEOPLE THAT ARE 

5785
03:47:26,278 --> 03:47:27,479
EXPERIENCING SOCIAL ISOLATION. 

5786
03:47:27,479 --> 03:47:29,014
>> IF I UNDERSTAND YOUR 

5787
03:47:29,014 --> 03:47:31,083
QUESTION, YOU ARE SAYING WHAT IS

5788
03:47:31,083 --> 03:47:34,353
THE IMPLICATION AND HOW DO WE 

5789
03:47:34,353 --> 03:47:37,322
INTERVENE ON THE SOCIAL 

5790
03:47:37,322 --> 03:47:39,157
ISOLATION NOW NOT LIKE ON LIVING

5791
03:47:39,157 --> 03:47:41,727
ALONE VARIABLE.  IS THAT WHAT 

5792
03:47:41,727 --> 03:47:42,961
YOU ARE ASKING?  

5793
03:47:42,961 --> 03:47:47,633
>> DEPENDING HOW WE 

5794
03:47:47,633 --> 03:47:48,634
CONCEPTUALIZE SOCIAL ISOLATION 

5795
03:47:48,634 --> 03:47:50,469
THROUGH OBJECTIVE MEASURES 

5796
03:47:50,469 --> 03:47:53,405
LIVING ALONE IN MARITAL STATUS 

5797
03:47:53,405 --> 03:47:55,040
AND SUBJECTIVE MEASURES LIVING 

5798
03:47:55,040 --> 03:47:57,376
IN USE OF PROMISE SCALE AND HOW 

5799
03:47:57,376 --> 03:47:59,511
WE MEASURE SOCIAL ISOLATION THAT

5800
03:47:59,511 --> 03:48:00,946
INFLUENCES HOW WE SHOULD 

5801
03:48:00,946 --> 03:48:01,713
INTERVENE ON IT. 

5802
03:48:01,713 --> 03:48:03,215
>> OKAY.  YOU KNOW THAT
THERE 

5803
03:48:03,215 --> 03:48:05,584
ARE VARIOUS WAYS TO LOOK AT 

5804
03:48:05,584 --> 03:48:08,387
SOCIAL ISOLATION AND LOOKING AT 

5805
03:48:08,387 --> 03:48:10,188
ONE SOCIAL SUPPORT AND MARITAL 

5806
03:48:10,188 --> 03:48:13,091
STATUS ON LIVING ALONE CAN ALSO 

5807
03:48:13,091 --> 03:48:15,294
BE PART OF YOUR WHAT IS IT 

5808
03:48:15,294 --> 03:48:15,794
CALLED?  

5809
03:48:15,794 --> 03:48:17,562
SOCIAL SUPPORT; RIGHT?  

5810
03:48:17,562 --> 03:48:21,700
WAY THAT WE LOOKED AT IT WE ARE 

5811
03:48:21,700 --> 03:48:25,270
LOOKING AT IT MORE FROM A 

5812
03:48:25,270 --> 03:48:28,473
COMMUNITY LEVEL AND WHO IN YOUR 

5813
03:48:28,473 --> 03:48:31,109
COMMUNITY OR HOW DOES YOUR 

5814
03:48:31,109 --> 03:48:34,212
COMMUNITY HELP YOU OR HOW 

5815
03:48:34,212 --> 03:48:39,718
CONNECTED DO YOU FEEL IN YOUR 

5816
03:48:39,718 --> 03:48:40,752
COMMUNITY?  

5817
03:48:40,752 --> 03:48:43,422
>> I WOULD SAY IF YOU WANT
TO --

5818
03:48:43,422 --> 03:48:47,059
I WOULD SAY OR SUGGEST THAT IN 

5819
03:48:47,059 --> 03:48:48,460
YOUR INTERVENTION I WOULD LOOK 

5820
03:48:48,460 --> 03:48:52,097
AT REALLY NOT DIRECTLY ON FAMILY

5821
03:48:52,097 --> 03:48:54,633
LEVEL NOW GO BEYOND THE FAMILY 

5822
03:48:54,633 --> 03:48:57,703
LEVEL AND MAKING PEOPLE AWARE 

5823
03:48:57,703 --> 03:48:59,938
BECAUSE SOMETIMES PEOPLE ARE NOT

5824
03:48:59,938 --> 03:49:02,474
AWARE THEY ARE SOCIALLY ISOLATED

5825
03:49:02,474 --> 03:49:04,309
AND MAKE PEOPLE AWARE WHAT IS 

5826
03:49:04,309 --> 03:49:06,378
GOING ON AROUND THEM.  OKAY?  

5827
03:49:06,378 --> 03:49:09,948
MAKE THE MEDICAL PRACTITIONERS 

5828
03:49:09,948 --> 03:49:11,783
AWARE TO CHECK WHEN PEOPLE COME 

5829
03:49:11,783 --> 03:49:16,021
IN OR YOU ARE TALKING TO PEOPLE 

5830
03:49:16,021 --> 03:49:17,889
ABOUT SCREENING ARE THEY AWARE 

5831
03:49:17,889 --> 03:49:19,958
THEY ARE DISCONNECTED FROM WHAT 

5832
03:49:19,958 --> 03:49:21,259
IS HAPPENING IN THEIR IMMEDIATE 

5833
03:49:21,259 --> 03:49:23,195
COMMUNITY?  

5834
03:49:23,195 --> 03:49:23,595
OKAY?  

5835
03:49:23,595 --> 03:49:25,564
ARE THERE SOCIAL OUT THERE 

5836
03:49:25,564 --> 03:49:26,631
INFRASTRUCTURE THAT HELP PEOPLE 

5837
03:49:26,631 --> 03:49:31,336
LOOK AT -- WE LOOK AT THIS NOT 

5838
03:49:31,336 --> 03:49:32,437
FROM THE PERSONAL PERSPECTIVE 

5839
03:49:32,437 --> 03:49:36,775
BUT LOOKING AT IT FROM THE 

5840
03:49:36,775 --> 03:49:38,343
COMMUNITY AND POLICY PERSPECTIVE

5841
03:49:38,343 --> 03:49:40,779
AND FROM A LARGER PICTURE.  YOU 

5842
03:49:40,779 --> 03:49:41,146
KNOW?  

5843
03:49:41,146 --> 03:49:42,147
>> THANK YOU. 

5844
03:49:42,147 --> 03:49:44,449
>> THAT IS THE WAY I WOULD
LOOK 

5845
03:49:44,449 --> 03:49:46,284
AT IT. 

5846
03:49:46,284 --> 03:49:50,222
>> THANK YOU.  

5847
03:49:50,222 --> 03:49:53,658
>> I HAVE A QUESTION FOR
ALL OF 

5848
03:49:53,658 --> 03:49:56,261
THE PRESENTERS AND GREAT TO SEE 

5849
03:49:56,261 --> 03:50:00,031
DIFFERENT CONCEPTUAL MODELS AND 

5850
03:50:00,031 --> 03:50:02,067
DIFFERENT DOMAINS AND LEVELS OF 

5851
03:50:02,067 --> 03:50:04,336
INFLUENCE AND INCORPORATING 

5852
03:50:04,336 --> 03:50:07,272
SOCIAL AND CULTURAL FACTORS AND 

5853
03:50:07,272 --> 03:50:08,407
STRUCTURAL DETERMINANCE AND 

5854
03:50:08,407 --> 03:50:09,975
THINK IN ONE OF THE 

5855
03:50:09,975 --> 03:50:11,276
OPPORTUNITIES AND CHALLENGE WITH

5856
03:50:11,276 --> 03:50:13,211
DOING WORK AND SECONDARY DATA 

5857
03:50:13,211 --> 03:50:14,413
ANALYSIS IS THAT PERHAPS THERE 

5858
03:50:14,413 --> 03:50:18,817
ARE ALWAYS SOME QUESTIONS THAT 

5859
03:50:18,817 --> 03:50:21,353
YOU JUST WISH THAT HINTS WHO 

5860
03:50:21,353 --> 03:50:23,422
HAVE HAD TO ADVANCE YOUR 

5861
03:50:23,422 --> 03:50:24,289
RESEARCH QUESTIONS AND IN 

5862
03:50:24,289 --> 03:50:26,091
THINKING ABOUT THE WORK AND NEXT

5863
03:50:26,091 --> 03:50:28,593
STEPS IF YOU COULD PINPOINT IF 

5864
03:50:28,593 --> 03:50:30,796
THERE HAD JUST BEEN A QUESTION 

5865
03:50:30,796 --> 03:50:32,063
OR ANOTHER DOMAIN THAT WAS 

5866
03:50:32,063 --> 03:50:33,698
REALLY TIED INTO THE QUESTION 

5867
03:50:33,698 --> 03:50:36,435
THAT YOUR RESEARCH QUESTION AND 

5868
03:50:36,435 --> 03:50:38,236
WHAT YOU WOULD HAVE WANTED THAT 

5869
03:50:38,236 --> 03:50:39,070
TO BE. 

5870
03:50:39,070 --> 03:50:43,475
WE WILL START.  JEREMY?  

5871
03:50:43,475 --> 03:50:44,876
>> I WILL ANSWER THIS WITH
A 

5872
03:50:44,876 --> 03:50:48,146
SORT OF BIAS THAT I'M APPLYING 

5873
03:50:48,146 --> 03:50:49,381
TO DERMATOLOGY AND MEDICAL 

5874
03:50:49,381 --> 03:50:50,549
SCHOOL NOW AND MENTIONING 

5875
03:50:50,549 --> 03:50:52,784
DIGGING BACK TO 2017 TO FIND 

5876
03:50:52,784 --> 03:50:54,019
ANYTHING ABOUT SKIN CANCER AND 

5877
03:50:54,019 --> 03:50:56,455
IS SOMETHING THAT I HOLD VERY 

5878
03:50:56,455 --> 03:50:58,857
SERIOUSLY.  SKIN CANCER RISK OF 

5879
03:50:58,857 --> 03:51:01,827
SKIN CANCER DISPARITIES AND 

5880
03:51:01,827 --> 03:51:04,229
REGARDING SKIN CANCER MORTALITY.

5881
03:51:04,229 --> 03:51:07,766
QUESTIONS KIND OF COUCHED IN 

5882
03:51:07,766 --> 03:51:10,168
DERMATOLOGY WOULD HAVE BEEN 

5883
03:51:10,168 --> 03:51:10,969
HELPFUL FOR ME. 

5884
03:51:10,969 --> 03:51:15,540
I WILL SAY I REALLY APPRECIATE 

5885
03:51:15,540 --> 03:51:17,709
THE FACT THAT LINGUISTIC 

5886
03:51:17,709 --> 03:51:20,479
DIVERSITY OR QUESTIONS REGARDING

5887
03:51:20,479 --> 03:51:23,048
LINGUISTIC DIVERSITY CAN BE 

5888
03:51:23,048 --> 03:51:24,249
ANSWERED THROUGH HINTS DATASET 

5889
03:51:24,249 --> 03:51:25,784
THAT IS SOMETHING I COULDN'T 

5890
03:51:25,784 --> 03:51:29,688
FIND IN SEVERAL OTHERS AND I 

5891
03:51:29,688 --> 03:51:33,058
REALLY APPRECIATE THAT. 

5892
03:51:33,058 --> 03:51:36,828
>> I THINK WE WILL NEED A
BETTER

5893
03:51:36,828 --> 03:51:38,964
WAY TO MEASURE THE CONCEPT OF 

5894
03:51:38,964 --> 03:51:40,899
SOCIAL DETERMINANTS OF HEALTH 

5895
03:51:40,899 --> 03:51:43,635
AND THINGS LIKE SOCIAL ISOLATION

5896
03:51:43,635 --> 03:51:47,806
THAT WASN'T VERY EASY TO JUST 

5897
03:51:47,806 --> 03:51:49,241
THERE WERE THINGS COULDN'T 

5898
03:51:49,241 --> 03:51:50,742
MEASURE USING [INDISCERNIBLE] 

5899
03:51:50,742 --> 03:51:55,547
AND ALL THAT THAT WOULD HAVE 

5900
03:51:55,547 --> 03:51:59,150
BEEN GOOD TO ASK MAYBE MORE OPEN

5901
03:51:59,150 --> 03:52:01,920
QUESTIONS ON LIKE, YOU KNOW, 

5902
03:52:01,920 --> 03:52:04,222
SOCIAL SUPPORT YOU KNOW LIKE 

5903
03:52:04,222 --> 03:52:07,058
COMMUNITY SUPPORT AND ALL THAT. 

5904
03:52:07,058 --> 03:52:07,292
YEAH.  

5905
03:52:07,292 --> 03:52:09,694
>> MINE WAS ACTUALLY A
SUCCESS 

5906
03:52:09,694 --> 03:52:11,863
STORY.  I WROTE A PAPER ABOUT A 

5907
03:52:11,863 --> 03:52:17,702
YEAR OR TWO AGO RELATING TO 

5908
03:52:17,702 --> 03:52:19,838
MEDICAL MISTRUST USING HINTS 

5909
03:52:19,838 --> 03:52:21,706
DATA AND TRUSTED INFORMATION 

5910
03:52:21,706 --> 03:52:23,275
ABOUT CANCER AND INTERPERSONAL 

5911
03:52:23,275 --> 03:52:25,110
TRUST AND WISH THEY WOULD ASK 

5912
03:52:25,110 --> 03:52:28,213
MORE SPECIFIC QUESTIONS ABOUT 

5913
03:52:28,213 --> 03:52:29,114
MEDICAL MISTRUST AND NEXT WAY 

5914
03:52:29,114 --> 03:52:30,515
SURE ENOUGH THEY DID AND DIDN'T 

5915
03:52:30,515 --> 03:52:32,350
KNOW WHAT WOULD BE ON THERE 

5916
03:52:32,350 --> 03:52:34,886
UNTIL I RAN ACROSS IT. 

5917
03:52:34,886 --> 03:52:36,288
CERTAINLY MORE -- I'M INTERESTED

5918
03:52:36,288 --> 03:52:39,257
IN SOCIOECONOMIC STATUS AND VERY

5919
03:52:39,257 --> 03:52:40,292
IMPORTANT CONSTRUCT IN MOST OF 

5920
03:52:40,292 --> 03:52:41,793
MY RESEARCH THAT IS ANOTHER ONE 

5921
03:52:41,793 --> 03:52:43,762
OF THE CONSTRUCTS WE KNOW WHAT 

5922
03:52:43,762 --> 03:52:46,398
IT IS AND NO ONE KNOWS WHAT IT 

5923
03:52:46,398 --> 03:52:48,767
MEANS AND YOU KNOW WE USE 

5924
03:52:48,767 --> 03:52:50,502
EDUCATION AND INCOME AS PROXIES 

5925
03:52:50,502 --> 03:52:52,504
AND AREA-BASED INFORMATION I 

5926
03:52:52,504 --> 03:52:54,940
THINK IS REALLY HELPFUL FOR 

5927
03:52:54,940 --> 03:52:56,875
THAT.  DATA LINKAGE THAT IS IN 

5928
03:52:56,875 --> 03:52:59,945
THE PRIOR WAVE.  ONCE THAT GETS 

5929
03:52:59,945 --> 03:53:01,746
INTEGRATED AND MAYBE IF A PLEA 

5930
03:53:01,746 --> 03:53:03,915
TO GIVE IT BELOW A COUNTY LEVEL 

5931
03:53:03,915 --> 03:53:06,117
AND COUNTY THAT I LIVE IN IS 

5932
03:53:06,117 --> 03:53:07,686
SUCH -- IT HAS SO MUCH 

5933
03:53:07,686 --> 03:53:09,321
DISPARITIES IN IT AND GET IT HAS

5934
03:53:09,321 --> 03:53:11,523
TO DO WITH STATES AND STUFF AND 

5935
03:53:11,523 --> 03:53:13,525
MOST STATE DATA COMES FROM THE 

5936
03:53:13,525 --> 03:53:14,960
COUNTY LEVEL AND IN MY COUNTY 

5937
03:53:14,960 --> 03:53:17,696
THAT I LIVE IN, I HAVE MILLION 

5938
03:53:17,696 --> 03:53:19,731
DOLLAR HOMES AND HALF OF THE 

5939
03:53:19,731 --> 03:53:22,500
COUNTY LIVES BELOW THE POVERTY 

5940
03:53:22,500 --> 03:53:25,236
THAT GETS MUTED OUT LOOKING AT 

5941
03:53:25,236 --> 03:53:27,072
DATA AT THE COUNTY LEVEL. 

5942
03:53:27,072 --> 03:53:29,207
I UNDERSTAND LIMITATIONS.  

5943
03:53:29,207 --> 03:53:31,009
PLEASE, IF POSSIBLE, SOMETHING 

5944
03:53:31,009 --> 03:53:37,716
THAT IS BELOW COUNTY-LEVEL DATA.

5945
03:53:37,716 --> 03:53:40,085
>> WE WILL THANK PANELISTS
FOR 

5946
03:53:40,085 --> 03:53:43,021
REALLY EXCITING PRESENTATIONS TO

5947
03:53:43,021 --> 03:53:45,790
WRAP UP THIS CONFERENCE. 

5948
03:53:45,790 --> 03:53:48,660
I WOULD LIKE TO INVITE KELLY 

5949
03:53:48,660 --> 03:53:51,596
BLAKE TO GIVE CLOSING REMARKS 

5950
03:53:51,596 --> 03:53:55,967
AND ANNOUNCE TRAINEE AWARDS.  

5951
03:53:55,967 --> 03:53:59,871
VERY EXCITING. 

5952
03:53:59,871 --> 03:54:06,645
>> THANK YOU, MARLENE AND
SYLVIA

5953
03:54:06,645 --> 03:54:08,146
FOR THE GREAT PANELS.

5954
03:54:08,146 --> 03:54:11,282
FUNNY STORY.  I HAVE BEEN THE 

5955
03:54:11,282 --> 03:54:12,784
HINTS DIRECTOR FOR FOUR YEARS 

5956
03:54:12,784 --> 03:54:15,854
NOW AND BEEN INVOLVED WITH HINTS

5957
03:54:15,854 --> 03:54:18,523
SINCE ITS INCEPTION AND WILLIAMS

5958
03:54:18,523 --> 03:54:19,691
EVERY-DAY DISCRIMINATION SCALE I

5959
03:54:19,691 --> 03:54:22,494
HAVE TRIED TO DO ON THE SURVEY 

5960
03:54:22,494 --> 03:54:24,696
FOR THE PAST THREE ITERATIONS 

5961
03:54:24,696 --> 03:54:27,332
AND DESPITE IT BEING A VALIDATED

5962
03:54:27,332 --> 03:54:29,067
SCALE WE CAN'T GET IT OUT OF 

5963
03:54:29,067 --> 03:54:30,835
COGNITIVE TESTING AND I CAN'T 

5964
03:54:30,835 --> 03:54:33,204
GET MY ITEMS OUT OF HINTS AND 

5965
03:54:33,204 --> 03:54:35,807
THOSE WISHING TO HAVE ITEMS ON 

5966
03:54:35,807 --> 03:54:36,975
OR PARTICULAR RESPONSE OPTION ON

5967
03:54:36,975 --> 03:54:39,244
AN ITEM, PLEASE AT LEAST TAKE 

5968
03:54:39,244 --> 03:54:41,646
THAT, YOU KNOW, WITH SOME 

5969
03:54:41,646 --> 03:54:43,515
COMFORT THAT I EVEN HAVE TROUBLE

5970
03:54:43,515 --> 03:54:48,153
GETTING ITEMS ON HIPTS. 

5971
03:54:48,153 --> 03:54:52,023
I WILL START WITH SOME AWARDS.  

5972
03:54:52,023 --> 03:54:54,159
AT THE LAST HINTS MEETING THAT 

5973
03:54:54,159 --> 03:54:57,062
WAS FIVE YEARS AGO WE 

5974
03:54:57,062 --> 03:54:59,297
ESTABLISHED W BRADFORD 

5975
03:54:59,297 --> 03:55:01,700
COMMENDATION FOR OUTSTANDING 

5976
03:55:01,700 --> 03:55:02,634
STUDENT ABSTRACT AND HAVE 

5977
03:55:02,634 --> 03:55:03,702
[INDISCERNIBLE] IN THE AUDIENCE 

5978
03:55:03,702 --> 03:55:07,472
THAT I WOULD LIKE HIM TO COME 

5979
03:55:07,472 --> 03:55:08,106
UP. 

5980
03:55:08,106 --> 03:55:10,809
BRAD WAS ONE OF THREE NOW HINTS 

5981
03:55:10,809 --> 03:55:13,011
DIRECTORS IN SO FAR THE LONGEST 

5982
03:55:13,011 --> 03:55:15,513
STANDING ONE 12 OR 13 YEARS OF 

5983
03:55:15,513 --> 03:55:18,550
PAST 20 YEARS THAT WE 

5984
03:55:18,550 --> 03:55:20,452
ESTABLISHED THIS AWARD BEFORE 

5985
03:55:20,452 --> 03:55:24,155
BRAD RETIRED IN RECOGNITION OF 

5986
03:55:24,155 --> 03:55:26,791
STEADFAST COMMITMENT TO TRAINEES

5987
03:55:26,791 --> 03:55:29,828
AND JUNIOR INVESTIGATORS AND 

5988
03:55:29,828 --> 03:55:31,830
STUDENTS THAT USE HINTS.  WE ARE

5989
03:55:31,830 --> 03:55:34,532
AWARDING TWO STUDENTS WITH THIS 

5990
03:55:34,532 --> 03:55:36,634
COMMENDATION THIS YEAR AND PAID 

5991
03:55:36,634 --> 03:55:39,170
FOR THEIR TRAVEL TO THE 

5992
03:55:39,170 --> 03:55:40,972
CONFERENCE AND HAVE NICE PLAQUES

5993
03:55:40,972 --> 03:55:41,873
FOR THEM AND [INDISCERNIBLE] 

5994
03:55:41,873 --> 03:55:43,541
COULDN'T STAY WITH US THIS 

5995
03:55:43,541 --> 03:55:44,876
AFTERNOON.  WE WILL MAIL HIS 

5996
03:55:44,876 --> 03:55:47,912
CERTIFICATE TO HIM.  HE WAS PART

5997
03:55:47,912 --> 03:55:49,481
OF THE FIRST PANEL YESTERDAY AND

5998
03:55:49,481 --> 03:55:51,483
OTHER PRESENTER THIS AFTERNOON 

5999
03:55:51,483 --> 03:55:53,518
IT WAS HIS FIRST CONFERENCE 

6000
03:55:53,518 --> 03:55:55,954
PRESENTATION.  WE ARE THRILL 

6001
03:55:55,954 --> 03:55:57,689
TODAY BE ABLE TO GIVE HIM THIS 

6002
03:55:57,689 --> 03:56:01,593
AWARD AND WOULD LIKE TO CALL UP 

6003
03:56:01,593 --> 03:56:05,063
KRISTEN FROM UNIVERSITY OF 

6004
03:56:05,063 --> 03:56:07,065
TENNESSEE WHO IS ALSO GETTING 

6005
03:56:07,065 --> 03:56:09,467
THIS AWARD FOR HER ABSTRACT AND 

6006
03:56:09,467 --> 03:56:12,804
PRESENTATION ON DIFFERENCES ON 

6007
03:56:12,804 --> 03:56:16,141
TRUST SOURCES AND VIRALITY.  IF 

6008
03:56:16,141 --> 03:56:17,375
YOU CAN SHAKE [INDISCERNIBLE]'S 

6009
03:56:17,375 --> 03:56:20,011
HAND I WILL GIVE YOU YOUR 

6010
03:56:20,011 --> 03:56:20,245
PLAQUE. 

6011
03:56:20,245 --> 03:56:21,679
>> NICE TO MEET YOU. 

6012
03:56:21,679 --> 03:56:24,549
>> CONGRATULATIONS. 

6013
03:56:24,549 --> 03:56:34,793
>> THANK YOU. 

6014
03:56:37,128 --> 03:56:40,999
>> ALSO, NOT HERE WITH US
TODAY 

6015
03:56:40,999 --> 03:56:43,501
IS DR. GORDON WILLIS WHO IS 

6016
03:56:43,501 --> 03:56:45,870
RECEIVING THIS YEAR'S 2023 

6017
03:56:45,870 --> 03:56:49,707
OUTSTANDING SERVICE AWARD FOR 

6018
03:56:49,707 --> 03:56:50,942
VALUED CONTRIBUTIONS TO HINTS 

6019
03:56:50,942 --> 03:56:53,044
MANAGEMENT TEAM BEFORE HIS 

6020
03:56:53,044 --> 03:56:55,280
RETIREMENT AND LAST YEAR MANY 

6021
03:56:55,280 --> 03:56:58,550
KNOW GORDON ALONG WITH PAUL 

6022
03:56:58,550 --> 03:57:00,185
BEATTY ON THE PANEL YESTERDAY 

6023
03:57:00,185 --> 03:57:01,820
WROTE THE BOOK ON COGNITIVE 

6024
03:57:01,820 --> 03:57:03,988
TESTING THAT WAS AN INSTRUMENTAL

6025
03:57:03,988 --> 03:57:05,824
PART OF HINTS MANAGEMENT TEAM 

6026
03:57:05,824 --> 03:57:08,026
FOR MANY YEARS AND WILL MAIL HIS

6027
03:57:08,026 --> 03:57:10,428
PLAQUE TO HIM WHERE HE IS 

6028
03:57:10,428 --> 03:57:13,031
RETIRED IN FLORIDA.  

6029
03:57:13,031 --> 03:57:14,666
CONGRATULATIONS TO GORDON.  

6030
03:57:14,666 --> 03:57:16,434
THEN I WANT TO JUST THANK ALL OF

6031
03:57:16,434 --> 03:57:18,036
YOU FOR STICKING WITH US FOR THE

6032
03:57:18,036 --> 03:57:19,404
LAST TWO DAYS. 

6033
03:57:19,404 --> 03:57:21,573
I WANT TO EXPRESS GRATITUDE FOR 

6034
03:57:21,573 --> 03:57:22,507
EVERYONE INVOLVED IN THIS 

6035
03:57:22,507 --> 03:57:26,477
CONFERENCE AND ALSO IN HINTS. 

6036
03:57:26,477 --> 03:57:31,282
AGAIN, ANNA SINGLE-HANDEDLY 

6037
03:57:31,282 --> 03:57:32,617
PLANNED THIS MEETING. 

6038
03:57:32,617 --> 03:57:35,820
LET'S THANK ANNA AND STAFF NIH 

6039
03:57:35,820 --> 03:57:36,754
EVENTS MANAGEMENT STAFF AND 

6040
03:57:36,754 --> 03:57:39,791
DIVISION OF AMENITIES AND 

6041
03:57:39,791 --> 03:57:41,226
TRANSPORTATION SERVICES AND 

6042
03:57:41,226 --> 03:57:43,828
WONDERFUL ASL INTERPRETERS THAT 

6043
03:57:43,828 --> 03:57:46,998
THE SPEAKER ACKNOWLEDGED EARLIER

6044
03:57:46,998 --> 03:57:50,768
AND ICS STAFF THAT WAS HERE 

6045
03:57:50,768 --> 03:57:52,604
EARLIER AND WHAT YOU SEE ON 

6046
03:57:52,604 --> 03:57:55,573
WEBSITE CODE MERGING TOOLS AND 

6047
03:57:55,573 --> 03:57:57,108
BRIEFS AND THOSE MATERIALS COME 

6048
03:57:57,108 --> 03:57:59,844
FROM ICF AND BRIAN'S TEAM.  

6049
03:57:59,844 --> 03:58:01,179
REALLY THANK THEM.  I FEEL WE 

6050
03:58:01,179 --> 03:58:04,716
HAVE BEEN REMISED AT THIS 

6051
03:58:04,716 --> 03:58:06,050
CONFERENCE TO ACKNOWLEDGE WESTAT

6052
03:58:06,050 --> 03:58:07,919
STAFF AND WANT TO DO THAT.  

6053
03:58:07,919 --> 03:58:11,089
DAVID AND TERRY AND ANDREW AND 

6054
03:58:11,089 --> 03:58:13,591
LLOYD HICKS AND OTHERS WHO YOU 

6055
03:58:13,591 --> 03:58:16,127
KNOW ARE THE BREAD AND BUTTER OF

6056
03:58:16,127 --> 03:58:17,428
HINTS WHO HAVE BEEN WITH US 

6057
03:58:17,428 --> 03:58:19,430
SINCE THE BEGINNING AND THEY ARE

6058
03:58:19,430 --> 03:58:21,666
ONES THAT ADMINISTER THE SURVEY 

6059
03:58:21,666 --> 03:58:23,568
AND IS THEIR BRAINS THAT PUT THE

6060
03:58:23,568 --> 03:58:25,703
SURVEY OUT AND GET DATA TO US. 

6061
03:58:25,703 --> 03:58:27,872
I CAN'T THANK THEM ENOUGH FOR 20

6062
03:58:27,872 --> 03:58:32,110
YEARS OF SERVICE TO HINTS. 

6063
03:58:32,110 --> 03:58:35,380
I WANT TO ALSO THANK MY HINTS 

6064
03:58:35,380 --> 03:58:38,483
MANAGEMENT TEAM AND RICK AND 

6065
03:58:38,483 --> 03:58:42,787
HEATHER AND ROBIN AND DCCPS 

6066
03:58:42,787 --> 03:58:44,489
LEADERSHIP AND CATRINA GODDARD 

6067
03:58:44,489 --> 03:58:47,492
THAT CONTINUES TO SUPPORT HINTS 

6068
03:58:47,492 --> 03:58:48,526
SURVEY AND [INDISCERNIBLE] WHO 

6069
03:58:48,526 --> 03:58:50,228
SERVED ADS WONDERFUL CONFERENCE 

6070
03:58:50,228 --> 03:58:53,231
CHAIR FOR THE CONFERENCE AND 

6071
03:58:53,231 --> 03:58:54,966
MODERATORS BRAD AND MICHELE AND 

6072
03:58:54,966 --> 03:58:58,770
SYLVIA AND OTHERS AND TO YOU OUR

6073
03:58:58,770 --> 03:59:00,438
HINTS DATA USERS.  THANK YOU.  

6074
03:59:00,438 --> 03:59:02,140
WE HOPE TO HAVE ANOTHER 

6075
03:59:02,140 --> 03:59:04,108
CONFERENCE IN FIVE YEARS AND 

6076
03:59:04,108 --> 03:59:05,510
DON'T HESITATE TO REACH OUT TO 

6077
03:59:05,510 --> 03:59:07,145
ANY OF US WITH QUESTIONS. 

6078
03:59:07,145 --> 03:59:10,848
WE HOPE NOT TO BE, YOU KNOW, A 

6079
03:59:10,848 --> 03:59:12,784
WHITE IVORY TOWER BUREAUCRACY 

6080
03:59:12,784 --> 03:59:14,619
THAT WE WANT TO BE REALLY 

6081
03:59:14,619 --> 03:59:15,887
ACCESSIBLE TO ALL OF YOU FOR 

6082
03:59:15,887 --> 03:59:17,722
YOUR QUESTIONS AND PLEASE REACH 

6083
03:59:17,722 --> 03:59:28,099
OUT.  THANK YOU, ALL!