Abstract

BackgroundInformation and emotions towards public health issues could spread widely through online social networks. Although aggregate metrics on the volume of information diffusion are available, we know little about how information spreads on online social networks. Health information could be transmitted from one to many (i.e. broadcasting) or from a chain of individual to individual (i.e. viral spreading). The aim of this study is to examine the spreading pattern of Ebola information on Twitter and identify influential users regarding Ebola messages.MethodsOur data was purchased from GNIP. We obtained all Ebola-related tweets posted globally from March 23, 2014 to May 31, 2015. We reconstructed Ebola-related retweeting paths based on Twitter content and the follower-followee relationships. Social network analysis was performed to investigate retweeting patterns. In addition to describing the diffusion structures, we classify users in the network into four categories (i.e., influential user, hidden influential user, disseminator, common user) based on following and retweeting patterns.ResultsOn average, 91% of the retweets were directly retweeted from the initial message. Moreover, 47.5% of the retweeting paths of the original tweets had a depth of 1 (i.e., from the seed user to its immediate followers). These observations suggested that the broadcasting was more pervasive than viral spreading. We found that influential users and hidden influential users triggered more retweets than disseminators and common users. Disseminators and common users relied more on the viral model for spreading information beyond their immediate followers via influential and hidden influential users.ConclusionsBroadcasting was the dominant mechanism of information diffusion of a major health event on Twitter. It suggests that public health communicators can work beneficially with influential and hidden influential users to get the message across, because influential and hidden influential users can reach more people that are not following the public health Twitter accounts. Although both influential users and hidden influential users can trigger many retweets, recognizing and using the hidden influential users as the source of information could potentially be a cost-effective communication strategy for public health promotion. However, challenges remain due to uncertain credibility of these hidden influential users.

Highlights

  • Information and emotions towards public health issues could spread widely through online social networks

  • The primary purpose of this study is to examine whether the broadcast model or the viral model dominated Ebola information diffusion on Twitter

  • Principal results Our study investigated how Ebola-related information diffused on Twitter using concepts from network analysis

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Summary

Introduction

Information and emotions towards public health issues could spread widely through online social networks. Aggregate metrics on the volume of information diffusion are available, we know little about how information spreads on online social networks. Mathematical models at the aggregate level have been proposed to explain the contagion process of the spread of information on social media [2]. An understanding of how health information diffuses on social media is essential for public health communication. In the pre-social media age, large-scale distribution of health information relied on broadcast media, such as newspaper and television. Mass media or marketing efforts rely on what might be termed a “broadcast” diffusion model, indicating that a large number of individuals receive the information directly from the same source [4]

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