Abstract

Research has revealed both the benefits and harms of social media use, but the public has very little guidance on how best to use social media to maximize the benefits to their health and well-being while minimizing the potential harms. Given that social media is intricately embedded in our lives, and we now have an entire generation of social media natives, the time has come for a public health research agenda to guide not only the public’s use of social media but also the design of social media platforms in ways that improve health and well-being. In this viewpoint we propose such a public health agenda for social media research that is framed around three broad questions: (1) How much social media use is unhealthy and what individual and contextual factors shape that relationship; (2) What are ways social media can be used to improve physical and mental well-being; and (3) How does health (mis)information spread, how does it shape attitudes, beliefs and behavior, and what policies or public health strategies are effective in disseminating legitimate health information while curbing the spread of health misinformation? We also discuss four key challenges that impede progress on this research agenda: negative sentiment about social media among the public and scientific community, a poorly regulated research landscape, poor access to social media data, and the lack of a cohesive academic field. Social media has revolutionized modern communication in ways that bring us closer to a global society, but we currently stand at an inflection point. A public health agenda for social media research will serve as a compass to guide us toward social media becoming a powerful tool for the public good.

Highlights

  • Recent leaks of Facebook Chief Executive Officer (CEO) Mark Zuckerberg warning employees about the implications for Facebook if a top Democratic candidate became president resulted in yet another wave of negative press for the company [1], a continuing backlash initially provoked by a 2014 Facebook research study that manipulated user newsfeeds [2,3]

  • How social media has been used far reflects the full range of human proclivities

  • The field of public health is an obvious leader in the charge to inform the use and design of social media to benefit public good

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Summary

Introduction

Recent leaks of Facebook Chief Executive Officer (CEO) Mark Zuckerberg warning employees about the implications for Facebook if a top Democratic candidate became president resulted in yet another wave of negative press for the company [1], a continuing backlash initially provoked by a 2014 Facebook research study that manipulated user newsfeeds [2,3]. Given that social media are intricately embedded into our lives and we have an entire generation of social media natives, the time has come to create a public health research agenda to guide the use and design of http://www.jmir.org/2019/12/e16661/

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