Guy Harling's Avatar

Guy Harling

@harlingg.bsky.social

Epidemiologist @uclglobalhealth.bsky.social & @ahri-news.bsky.social. Focus on data collection, social networks & health (HIV, mental health, caregiving, vaccines). Mostly in southern Africa.

154 Followers  |  259 Following  |  81 Posts  |  Joined: 10.02.2025
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Posts by Guy Harling (@harlingg.bsky.social)

Since neither axis is time the lines (which represent linear time) can double back if the % of grads drops over time (eg if lower educated immigrants outstrip new grads)

20.02.2026 13:10 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Will your favourite open source software tools soon be closed off? Freely available software relies on credit. AI is destroying that.

New post, on how AI is coming for open source software: kucharski.substack.com/p/will-your-...

14.01.2026 19:34 β€” πŸ‘ 40    πŸ” 22    πŸ’¬ 3    πŸ“Œ 4
Global Mental Health MSc
YouTube video by UCLGlobalHealth Global Mental Health MSc

Do you want to learn about global mental health? At @uclglobalhealth.bsky.social in London? With global experts like @thewrittenro.bsky.social and Kelly Rose-Clarke?

Here's a 2 minute video about our brand new one-year MSc, do reach out to Rochelle or Kelly learn more!

#globalhealth #mentalhealth

08.01.2026 15:11 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Design of egocentric network-based studies to estimate causal effects under interference Many public health interventions are conducted in settings where individuals are connected to one another and the intervention assigned to randomly selected individuals may spill over to other individ...

The detailed stats are, as noted, above my paygrade. But great to see there are methods specific to network studies that give us some great estimands at low marginal cost. Exciting times!

And since the journal article is paywalled, here's the arXiv version

19.12.2025 13:10 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Sage Journals: Discover world-class research Subscription and open access journals from Sage, the world's leading independent academic publisher.

I was lucky to chat with Laura Forastiere @yalesph.bsky.social recently - a v nerdy discussion of networks & interventions - and stats that are well above my paygrade

Which sent me off to read her latest methods paper on how to estimate causal effects in cRCTs using egonet contacts as controls

19.12.2025 13:10 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Also, maybe consider modelling network dependencies using ALAAMs or similar.

(I know, I only have one tune these days, but its a cool option when you have true sociocentric data)

19.12.2025 12:54 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

For me this begs for longitudinal +/- qual data to see unpack whether this is homphily (knowledgeable people are friends) or influence (friends teaching friends). Or even if nurses at clinics are teaching friends jointly?

So hopefully lots more work to come!

19.12.2025 12:54 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

Just read this new paper from Alison Comfort et al, incl @drdrtsai.bsky.social as senior author. Great evidence of clustering of knowlege (about getting your baby tested for HIV if you are living with HIV) on networks!

19.12.2025 12:54 β€” πŸ‘ 1    πŸ” 1    πŸ’¬ 1    πŸ“Œ 0

Authors suggest this reversal may be driven by e.g. women who have been attacked by their husbands (who have pro-IPVAW attitudes) then reacting to be more negative

Another great use of ALAAM modelling to unpack social clustering/influence/contagion in a principled way!

19.12.2025 10:41 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Gender-biased clustering of attitudes towards physical intimate partner violence: A social network analysis in south-central Ethiopia Abstract. Changing social norms, shared beliefs about what is acceptable, is a key focus of global health campaigns aimed at ending intimate partner violen

Another great paper using social network data from >5000 Ethiopians by @drsarahmyers.bsky.social, @danielredhead.bsky.social et al.

They show how attitudes towards IPV against women cluster socially on gender-homphilous ties. But opposite-gender ties actually predict *reverse* IPVAW attitudes
‬

19.12.2025 10:41 β€” πŸ‘ 6    πŸ” 3    πŸ’¬ 1    πŸ“Œ 0

The vaccine paper was led by Steven Wilson at University of South Florida - I don't immediately see the authors on here.

And sadly it is behind a paywall, so far as I can tell.

19.12.2025 10:32 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Normative Rhetorical Theory A detailed statement of the model can be found in my 2004 book, Communicating Social Support (Cambridge). I apply the model in my research on Heart-healthy Lifestyle Changes and Couple Communicatio…

The paper uses Daena Goldsmith's Normative Rhetorical Theory (new to me), with its focus on how your words are interpretted by those hearing them, and how this interpretation is filtered through the tasks, identities and relationships involved (this is my first very surface read of the theory)

19.12.2025 10:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

4 key dilemmas raised by respondents:
(a) I want to use facts, but they don’t trust the facts
(b) I want to respect but challenge their views
(c) I want to push hard enough without pushing too hard
(d) I want to respect their right to choose while guiding them to the β€œright” choice

19.12.2025 10:32 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Difficult Health Conversations: Dilemmas That Vaccinated People in the United States Experienced When Discussing COVID-19 Vaccination with Hesitant Family Members During the rollout of COVID-19 vaccines, public health officials in the United States called upon vaccinated individuals to encourage reluctant family members to get vaccinated. Due in part to the ...

How do people negotiate discussions around vaccines with close contacts, as reported by 100 US residents around Covid

Respondents suggest ways of handling complex conversations:
- Reframing diffs of opinion as caring
- Focusing on personal experince not science
- Build from shared moral viewpoints

19.12.2025 10:32 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
A poster reading β€œI kissed a koala and I like it”

A poster reading β€œI kissed a koala and I like it”

Excellent marketing for this Kiss the Koala cafe. Terrible public health messaging

14.12.2025 10:56 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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A handy translation guide for non-academic speakers.

13.11.2025 14:19 β€” πŸ‘ 56    πŸ” 15    πŸ’¬ 0    πŸ“Œ 5

We think this was due to some combination of:

1) insufficient training of interviewers (squarely on me)
2) non-comprehension of reverse-coded questions (low education attainment)
3) non-transferability of scale items to these communities

14.11.2025 06:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

The scales from elsewhere did not cohere in a very poor rural setting. Respondents appeared not to 'get' the prompts leading to terrible internal validity and test-retest reliability

14.11.2025 06:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Validating the Balanced Inventory of Desirable Reporting in a low literacy adolescent population in Burkina Faso - Scientific Reports Scientific Reports - Validating the Balanced Inventory of Desirable Reporting in a low literacy adolescent population in Burkina Faso

Second, work led by (then medical student) Karolin Kirchgaesser. We evaluated if the BIDR scale developed in high-income settings could identify which Burkinabe adolescents are more likely to (intentionally or unintentionally) mis-report in favour of socially desirable answers

Reader, we can not

14.11.2025 06:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Reducing response bias in reports of trauma and posttraumatic stress disorder: An application of the nonverbal response card in a survey of youth in Burkina Faso Response bias for sensitive questions in face-to-face interviewer-administered surveys is a common problem. Our objective was to evaluate the effectiveness of the nonverbal response card (NVRC) in so....

First up, with David Lindstrom @brownsociology.bsky.social we show that using non-verbal response cards (so interviewers don't know what answer respondents give), increases reporting of sensitive experiences. In this case #trauma & #ptsd in rural Burkinabe teens

Msg: Privacy in interviews matters

14.11.2025 06:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0

🚨 New methods papers 🚨

I'm delighted to report we have two papers out this week that try and improve how we collect and analyse survey data

Colleagues are probably bored of me saying it, but an interview is a dyadic process & we should always consider the effect of both parties & their interaction

14.11.2025 06:58 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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On Tuesday, we hosted Jane Greve (VIVE – Danish Centre for Social Science Research) for a fascinating seminar on β€œFamily Spillovers of Dementia.” Using 20 years of Danish register data, she explored how parental dementia affects adult children’s lives.

06.11.2025 14:22 β€” πŸ‘ 2    πŸ” 2    πŸ’¬ 1    πŸ“Œ 0

This is all part of our wider mixed-methods investigation of rural informal caregiving:

05.11.2025 14:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

In-depth ethnography highlighted that our surveys - one part of a wider quantitative questionnaire, one during the ethnographic process - missed key aspects of health limitations. Esp about functional limitations vs diagnosed disease

Tl; dr We needed to do better scoping these survey questions

05.11.2025 14:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Variation in Health Status Reports: Triangulating Mixed Methods Data to Assess the Health and Wellbeing of Primary Caregivers to Older Rural South Africans - Journal of Cross-Cultural Gerontology Caregivers’ health status is important, given its importance for their own wellbeing and capacity to provide quality care. While single item self-rated health questions in surveys are an efficient mea...

🚨 New paper 🚨

We have a lovely mixed-methods paper highlighting how method of data collection *strongly* affects what you find

In the context of informal caregiving for older persons in rural South Africa

Work led by Michelle Brear and Lenore Manderson

05.11.2025 14:14 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0
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Network Interventions | Engaging Social Networks to Accelerate Diffusi Social networks are important sources of influence on many personal, organizational, community, and societal behaviors. Network interventions (NIs) are

For anyone interested in social networks and interventions, this new book (out at the end of Nov) by Tom Valente is self-recommending and likely to be the bible for some time to come

#networks #interventions #socialnetworks

05.11.2025 07:07 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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The case of the disappearing teaspoons: longitudinal cohort study of the displacement of teaspoons in an Australian research institute Objectives To determine the overall rate of loss of workplace teaspoons and whether attrition and displacement are correlated with the relative value of the teaspoons or type of tearoom. Design Longi...

Was this a follow-up study from:

04.11.2025 11:26 β€” πŸ‘ 2    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
Leveraging Injection Networks to Prevent HIV and Other Blood Borne Infections Among People Who Inject Drugs in Kenya: Design and Rationale BackgroundHIV and Hepatitis C (HCV) are blood borne infections (BBIs) that remain a significant cause of global morbidity and mortality among people who inject drugs (PWID). UNAIDS and WHO have set go...

Interesting (pre-print) protocol for a study @bristoluni.bsky.social @einsteinmededu.bsky.social & Kenya MOH & AIDS/STI Control Programmestudy to link behaviour & phylogenetics around blood-borne & sexually transmitted infections in Kenya. With the plan of modelling interventions to reduce BBI

14.10.2025 16:13 β€” πŸ‘ 0    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0

I probably skimmed this article too fast, but would have loved to see this work in disucssion with past literature on fixed choice designs

14.10.2025 16:03 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 0    πŸ“Œ 0
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Validity of a Brief Egocentric Social Network Assessment in Adults with Alcohol Use Disorder: Direct Comparison of 5-Alter and 20-Alter Versions Social network analysis offers a high-resolution framework for understanding social influences on alcohol use, but full-length assessments confer significant burden, giving rise to brief measures. How...

Nice work by Kyla Belisario, @allan-clifton.bsky.social, James MacKillop ++ @mcmasteruniversity.bsky.social showing strengths/weaknesses of limiting alters (5 vs 20) when assessing network predictors of harmful alcohol use

14.10.2025 16:03 β€” πŸ‘ 1    πŸ” 0    πŸ’¬ 1    πŸ“Œ 0