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The Measles Vaccination Narrative in Twitter: A Quantitative Analysis

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dc.contributor.author Radzikowski, Jacek
dc.contributor.author Stefanidis, Anthony
dc.contributor.author Jacobsen, Kathryn
dc.contributor.author Croitoru, Arie
dc.contributor.author Crooks, Andrew
dc.contributor.author Delamater, Paul L.
dc.date.accessioned 2016-08-25T15:42:50Z
dc.date.available 2016-08-25T15:42:50Z
dc.date.issued 2016-04-01
dc.identifier.citation Radzikowski J, Stefanidis A, Jacobsen KH, Croitoru A, Crooks A, Delamater PL. The Measles Vaccination Narrative in Twitter: A Quantitative Analysis. JMIR Public Health Surveill 2016; 2(1):e1. en_US
dc.identifier.uri https://hdl.handle.net/1920/10350
dc.description.abstract Background: The emergence of social media is providing an alternative avenue for information exchange and opinion formation on health-related issues. Collective discourse in such media leads to the formation of a complex narrative, conveying public views and perceptions. Objective: This paper presents a study of Twitter narrative regarding vaccination in the aftermath of the 2015 measles outbreak, both in terms of its cyber and physical characteristics. We aimed to contribute to the analysis of the data, as well as presenting a quantitative interdisciplinary approach to analyze such open-source data in the context of health narratives. Methods: We collected 669,136 tweets referring to vaccination from February 1 to March 9, 2015. These tweets were analyzed to identify key terms, connections among such terms, retweet patterns, the structure of the narrative, and connections to the geographical space. Results: The data analysis captures the anatomy of the themes and relations that make up the discussion about vaccination in Twitter. The results highlight the higher impact of stories contributed by news organizations compared to direct tweets by health organizations in communicating health-related information. They also capture the structure of the antivaccination narrative and its terms of reference. Analysis also revealed the relationship between community engagement in Twitter and state policies regarding child vaccination. Residents of Vermont and Oregon, the two states with the highest rates of non-medical exemption from school-entry vaccines nationwide, are leading the social media discussion in terms of participation. Conclusions: The interdisciplinary study of health-related debates in social media across the cyber-physical debate nexus leads to a greater understanding of public concerns, views, and responses to health-related issues. Further coalescing such capabilities shows promise towards advancing health communication, thus supporting the design of more effective strategies that take into account the complex and evolving public views of health issues.
dc.description.sponsorship We acknowledge the support of the Office of the Provost of George Mason University, through a Multidisciplinary Research Initiation award. Publication of this article was funded in part by the George Mason University Libraries Open Access Publishing Fund. en_US
dc.language.iso en_US en_US
dc.publisher JMIR Publications en_US
dc.subject Social media en_US
dc.subject Health narrativew en_US
dc.subject Geographic characteristics en_US
dc.subject Data analysis en_US
dc.subject Health informatics en_US
dc.subject Geographic information systems en_US
dc.title The Measles Vaccination Narrative in Twitter: A Quantitative Analysis en_US
dc.type Article en_US
dc.identifier.doi http://dx.doi.org/10.2196/publichealth.5059


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