Abstract
BackgroundNew media changes the dissemination of public health information and misinformation. During a guest appearance on the Today Show, US Representative Michele Bachmann claimed that human papillomavirus (HPV) vaccines could cause “mental retardation”.ObjectiveThe purpose of this study is to explore how new media influences the type of public health information users access, as well as the impact to these platforms after a major controversy. Specifically, this study aims to examine the similarities and differences in the dissemination of news articles related to the HPV vaccination between Google News and Twitter, as well as how the content of news changed after Michele Bachmann’s controversial comment.MethodsThis study used a purposive sampling to draw the first 100 news articles that appeared on Google News and the first 100 articles that appeared on Twitter from August 1-October 31, 2011. Article tone, source, topics, concerns, references, publication date, and interactive features were coded. The intercoder reliability had a total agreement of .90.ResultsResults indicate that 44.0% of the articles (88/200) about the HPV vaccination had a positive tone, 32.5% (65/200) maintained a neutral tone, while 23.5% (47/200) presented a negative tone. Protection against diseases 82.0% (164/200), vaccine eligibility for females 75.5% (151/200), and side effects 59.0% (118/200) were the top three topics covered by these articles. Google News and Twitter articles significantly differed in article tone, source, topics, concerns covered, types of sources referenced in the article, and uses of interactive features. Most notably, topic focus changed from public health information towards political conversation after Bachmann’s comment. Before the comment, the HPV vaccine news talked more often about vaccine dosing (P<.001), duration (P=.005), vaccine eligibility for females (P=.03), and protection against diseases (P=.04) than did the later pieces. After the controversy, the news topic shifted towards politics (P=.01) and talked more about HPV vaccine eligibility for males (P=.01).ConclusionsThis longitudinal infodemiology study suggests that new media influences public health communication, knowledge transaction, and poses potential problems in the amount of misinformation disseminated during public health campaigns. In addition, the study calls for more research to adopt an infodemiology approach to explore relationships between online information supply and public health decisions.
Highlights
The dissemination of health communication has undergone dramatic changes as digital distribution and social media transfer considerable power to users and enhance opportunities for asynchronous mass delivery
Results indicate that 44.0% of the articles (88/200) about the human papillomavirus (HPV) vaccination had a positive tone, 32.5% (65/200) maintained a neutral tone, while 23.5% (47/200) presented a negative tone
This longitudinal infodemiology study suggests that new media influences public health communication, knowledge transaction, and poses potential problems in the amount of misinformation disseminated during public health campaigns
Summary
The dissemination of health communication has undergone dramatic changes as digital distribution and social media transfer considerable power to users and enhance opportunities for asynchronous mass delivery. This study examines how digital distribution and social media impact the diversity of the public health information gathering and dissemination process. Through an investigation of a specific public health initiative—the human papillomavirus (HPV) vaccination—a better understanding is gained of how online health news is presented, as well as the influence that structure has on information dissemination. The Food and Drug Administration (FDA) approved vaccinations that prevent certain HPV infections and reduce the incident of cervical cancer and other anogenital cancers. Since its introduction, dialogue surrounding the HPV vaccination has raised concerns due to its recommended administration to young girls, making it a highly controversial public health debate. During a guest appearance on the Today Show, US Representative Michele Bachmann claimed that human papillomavirus (HPV) vaccines could cause “mental retardation”
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