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DeVerna MR, Pierri F, Ahn YY, Fortunato S, Flammini A, Menczer F. Modeling the amplification of epidemic spread by individuals exposed to misinformation on social media. NPJ COMPLEXITY 2025; 2:11. [PMID: 40190382 PMCID: PMC11964913 DOI: 10.1038/s44260-025-00038-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/30/2024] [Accepted: 02/28/2025] [Indexed: 04/09/2025]
Abstract
Understanding how misinformation affects the spread of disease is crucial for public health, especially given recent research indicating that misinformation can increase vaccine hesitancy and discourage vaccine uptake. However, it is difficult to investigate the interaction between misinformation and epidemic outcomes due to the dearth of data-informed holistic epidemic models. Here, we employ an epidemic model that incorporates a large, mobility-informed physical contact network as well as the distribution of misinformed individuals across counties derived from social media data. The model allows us to simulate various scenarios to understand how epidemic spreading can be affected by misinformation spreading through one particular social media platform. Using this model, we compare a worst-case scenario, in which individuals become misinformed after a single exposure to low-credibility content, to a best-case scenario where the population is highly resilient to misinformation. We estimate the additional portion of the U.S. population that would become infected over the course of the COVID-19 epidemic in the worst-case scenario. This work can provide policymakers with insights about the potential harms of exposure to online vaccine misinformation.
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Affiliation(s)
- Matthew R. DeVerna
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN USA
| | - Francesco Pierri
- Department of Electronics, Information and Bioengineering, Politecnico di Milano, Milano, Italy
| | - Yong-Yeol Ahn
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN USA
| | - Santo Fortunato
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN USA
| | - Alessandro Flammini
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN USA
| | - Filippo Menczer
- Luddy School of Informatics, Computing, and Engineering, Indiana University, Bloomington, IN USA
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John JN, Gorman S, Scales D. Understanding Interventions to Address Infodemics Through Epidemiological, Socioecological, and Environmental Health Models: Framework Analysis. JMIR INFODEMIOLOGY 2025; 5:e67119. [PMID: 40127460 PMCID: PMC11957468 DOI: 10.2196/67119] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2024] [Revised: 02/05/2025] [Accepted: 02/06/2025] [Indexed: 03/26/2025]
Abstract
Background The COVID-19 pandemic was accompanied by a barrage of false, misleading, and manipulated information that inhibited effective pandemic response and led to thousands of preventable deaths. Recognition of the urgent public health threat posed by this infodemic led to the development of numerous infodemic management interventions by a wide range of actors. The need to respond rapidly and with limited information sometimes came at the expense of strategy and conceptual rigor. Given limited funding for public health communication and growing politicization of countermisinformation efforts, responses to future infodemics should be informed by a systematic and conceptually grounded evaluation of the successes and shortcomings of existing interventions to ensure credibility of the field and evidence-based action. objectives This study sought to identify gaps and opportunities in existing infodemic management interventions and to assess the use of public health frameworks to structure responses to infodemics. Methods We expanded a previously developed dataset of infodemic management interventions, spanning guidelines, policies, and tools from governments, academic institutions, nonprofits, media companies, and other organizations, with 379 interventions included in total. We applied framework analysis to describe and interpret patterns within these interventions through their alignment with codes derived from 3 frameworks selected for their prominence in public health and infodemic-related scholarly discourse: the epidemiological model, the socioecological model, and the environmental health framework. Results The epidemiological model revealed the need for rigorous, transparent risk assessments to triage misinformation. The socioecological model demonstrated an opportunity for greater coordination across levels of influence, with only 11% of interventions receiving multiple socioecological codes, and more robust partnerships with existing organizations. The environmental health framework showed that sustained approaches that comprehensively address all influences on the information environment are needed, representing only 19% of the dataset. Conclusions Responses to future infodemics would benefit from cross-sector coordination, adoption of measurable and meaningful goals, and alignment with public health frameworks, which provide critical conceptual grounding for infodemic response approaches and ensure comprehensiveness of approach. Beyond individual interventions, a funded coordination mechanism can provide overarching strategic direction and promote collaboration.
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Affiliation(s)
- Jennifer N John
- Perelman School of Medicine, Penn Medical Communication Research Institute, University of Pennsylvania, Smilow Center for Translational Research Room 12-136, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, United States, 1 (215) 573-5359
- Critica, Bronx, NY, United States
| | | | - David Scales
- Critica, Bronx, NY, United States
- Department of Medicine, Division of General Internal Medicine, Weill Cornell Medicine, Cornell University, New York, NY, United States
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Purnat TD, Clark J. Oversimplified efforts to counter health misinformation are missing the mark. BMJ 2025; 388:r393. [PMID: 40015733 DOI: 10.1136/bmj.r393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/01/2025]
Affiliation(s)
- Tina D Purnat
- TH Chan School of Public Health, Harvard University, Boston, USA
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4
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Shay LA, McKenzie A, Avshman E, Savas LS, Shegog R. HPV vaccine-related articles shared on Facebook from 2019 to 2021: Did COVID make a difference? PEC INNOVATION 2024; 4:100301. [PMID: 38962500 PMCID: PMC11219959 DOI: 10.1016/j.pecinn.2024.100301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Revised: 05/31/2024] [Accepted: 06/03/2024] [Indexed: 07/05/2024]
Abstract
Objective HPV vaccination is recommended for children beginning at age 9 to prevent several types of cancer. Many parents turn to Facebook for health information. This study describes changes in HPV vaccine-related articles shared on Facebook amidst the COVID-19 pandemic. Methods HPV-related articles shared on Facebook (2019-2021) were collected using Buzzsumo, a social media analytics tool and analyzed using content analysis. Articles were categorized by valence, misinformation, evidence types, persuasive tactics, and framing. We quantified these data and tested for difference by article year. Results Of the 138 included articles, 51% had positive valence towards the vaccine and 36% had negative valence. In 2021, there was a significant increase in positive messaging (72% vs. 44% in 2019/2020; p < 0.01) and misinformation decreased from 50% in 2019 to 24% in 2021 (p = 0.04). Persuasive strategies were more common in 2019 than in later years. Conclusion Despite decreased engagement in 2021, more positive HPV vaccine messaging was observed, although a quarter of articles still contained misinformation. Our results can inform strategies for communicating with parents about the HPV vaccine. Innovation Our study is the first to analyze HPV-related articles linked on Facebook and to assess for differences during the pandemic.
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Affiliation(s)
- L. Aubree Shay
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, 7411 John Smith Dr., Suite 1110, San Antonio, TX 78229, USA
| | - Ashley McKenzie
- Department of Communication, Clemson University, Clemson, SC 29634, USA
| | - Elaine Avshman
- School of Medicine, Texas A&M University, Bryan, TX 77807, USA
| | - Lara S. Savas
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA
| | - Ross Shegog
- Department of Health Promotion and Behavioral Sciences, UTHealth Houston School of Public Health, Center for Health Promotion and Prevention Research, Houston, TX, USA
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Winter K, Hornsey MJ, Pummerer L, Sassenberg K. Public agreement with misinformation about wind farms. Nat Commun 2024; 15:8888. [PMID: 39406698 PMCID: PMC11480317 DOI: 10.1038/s41467-024-53278-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2023] [Accepted: 10/04/2024] [Indexed: 10/19/2024] Open
Abstract
Misinformation campaigns target wind farms, but levels of agreement with this misinformation among the broader public are unclear. Across six nationally quota-based samples in the United States, United Kingdom, and Australia (total N = 6008), over a quarter of respondents agree with half or more of contrarian claims about wind farms. Agreement with diverse claims is highly correlated, suggesting an underlying belief system directed at wind farm rejection. Consistent with this, agreement is best predicted (positively) by a conspiracist worldview (i.e., the general tendency to believe in conspiracy theories; explained variance ΔR² = 0.11-0.20) and (negatively) by a pro-ecological worldview (ΔR² = 0.04-0.13). Exploratory analyses show that agreement with contrarian claims is associated with lower support for pro-wind policies and greater intentions to protest against wind farms. We conclude that wind farm contrarianism is a mainstream phenomenon, rooted in people's worldviews and that poses a challenge for communicators and institutions committed to accelerating the energy transition.
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Affiliation(s)
- Kevin Winter
- University of Hohenheim, Stuttgart, Germany.
- Leibniz-Institut für Wissensmedien, Tübingen, Germany.
| | | | - Lotte Pummerer
- Leibniz-Institut für Wissensmedien, Tübingen, Germany
- University of Bremen, Bremen, Germany
| | - Kai Sassenberg
- Leibniz-Institut für Wissensmedien, Tübingen, Germany
- Leibniz Institute for Psychology, Trier, Germany
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McCabe SD, Ferrari D, Green J, Lazer DMJ, Esterling KM. Post-January 6th deplatforming reduced the reach of misinformation on Twitter. Nature 2024; 630:132-140. [PMID: 38840016 DOI: 10.1038/s41586-024-07524-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Accepted: 05/06/2024] [Indexed: 06/07/2024]
Abstract
The social media platforms of the twenty-first century have an enormous role in regulating speech in the USA and worldwide1. However, there has been little research on platform-wide interventions on speech2,3. Here we evaluate the effect of the decision by Twitter to suddenly deplatform 70,000 misinformation traffickers in response to the violence at the US Capitol on 6 January 2021 (a series of events commonly known as and referred to here as 'January 6th'). Using a panel of more than 500,000 active Twitter users4,5 and natural experimental designs6,7, we evaluate the effects of this intervention on the circulation of misinformation on Twitter. We show that the intervention reduced circulation of misinformation by the deplatformed users as well as by those who followed the deplatformed users, though we cannot identify the magnitude of the causal estimates owing to the co-occurrence of the deplatforming intervention with the events surrounding January 6th. We also find that many of the misinformation traffickers who were not deplatformed left Twitter following the intervention. The results inform the historical record surrounding the insurrection, a momentous event in US history, and indicate the capacity of social media platforms to control the circulation of misinformation, and more generally to regulate public discourse.
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Affiliation(s)
- Stefan D McCabe
- Institute for Data, Democracy & Politics, George Washington University, Washington, DC, USA
| | - Diogo Ferrari
- Department of Political Science, University of California, Riverside, Riverside, CA, USA
| | - Jon Green
- Department of Political Science, Duke University, Durham, NC, USA
| | - David M J Lazer
- Network Science Institute, Northeastern University, Boston, MA, USA.
- Institute for Quantitative Social Science, Harvard University, Cambridge, MA, USA.
| | - Kevin M Esterling
- Department of Political Science, University of California, Riverside, Riverside, CA, USA
- School of Public Policy, University of California, Riverside, Riverside, CA, USA
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Baqir A, Galeazzi A, Zollo F. News and misinformation consumption: A temporal comparison across European countries. PLoS One 2024; 19:e0302473. [PMID: 38717975 PMCID: PMC11078435 DOI: 10.1371/journal.pone.0302473] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 04/04/2024] [Indexed: 05/12/2024] Open
Abstract
The Internet and social media have transformed the information landscape, democratizing content access and production. While making information easily accessible, these platforms can also act as channels for spreading misinformation, posing crucial societal challenges. To address this, understanding news consumption patterns and unraveling the complexities of the online information environment are essential. Previous studies highlight polarization and misinformation in online discussions, but many focus on specific topics or contexts, often overlooking comprehensive cross-country and cross-topic analyses. However, the dynamics of debates, misinformation prevalence, and the efficacy of countermeasures are intrinsically tied to socio-cultural contexts. This work aims to bridge this gap by exploring information consumption patterns across four European countries over three years. Analyzing the Twitter activity of news outlets in France, Germany, Italy, and the UK, this study seeks to shed light on how topics of European significance resonate across these nations and the role played by misinformation sources. The results spotlight that while reliable sources predominantly shape the information landscape, unreliable content persists across all countries and topics. Though most users favor trustworthy sources, a small percentage predominantly consumes content from questionable sources, with even fewer maintaining a mixed information diet. The cross-country comparison unravels disparities in audience overlap among news sources, the prevalence of misinformation, and the proportion of users relying on questionable sources. Such distinctions surface not only across countries but also within various topics. These insights underscore the pressing need for tailored studies, crucial in designing targeted and effective countermeasures against misinformation and extreme polarization in the digital space.
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Affiliation(s)
- Anees Baqir
- Department of Environmental Sciences, Informatics and Statistics, Ca’ Foscari University of Venice, Venice, Italy
| | - Alessandro Galeazzi
- Department of Environmental Sciences, Informatics and Statistics, Ca’ Foscari University of Venice, Venice, Italy
| | - Fabiana Zollo
- Department of Environmental Sciences, Informatics and Statistics, Ca’ Foscari University of Venice, Venice, Italy
- The New Institute Centre for Environmental Humanities, Venice, Italy
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Bergenfeld I. What can public health communicators learn from Reddit? A perspective for the next pandemic. Front Public Health 2024; 12:1348095. [PMID: 38651132 PMCID: PMC11033353 DOI: 10.3389/fpubh.2024.1348095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Accepted: 03/22/2024] [Indexed: 04/25/2024] Open
Affiliation(s)
- Irina Bergenfeld
- Hubert Department of Global Health, Emory University, Atlanta, GA, United States
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9
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Dong E, Nixon K, Gardner LM. A population level study on the determinants of COVID-19 vaccination rates at the U.S. county level. Sci Rep 2024; 14:4277. [PMID: 38383706 PMCID: PMC10881504 DOI: 10.1038/s41598-024-54441-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 02/13/2024] [Indexed: 02/23/2024] Open
Abstract
Multiple COVID-19 vaccines were proven to be safe and effective in curbing severe illness, but despite vaccine availability, vaccination rates were relatively low in the United States (U.S.). To better understand factors associated with low COVID-19 vaccine uptake in the U.S., our study provides a comprehensive, data-driven population-level statistical analysis at the county level. We find that political affiliation, as determined by the proportion of votes received by the Republican candidate in the 2020 presidential election, has the strongest association with our response variable, the percent of the population that received no COVID-19 vaccine. The next strongest association was median household income, which has a negative association. The percentage of Black people and the average number of vehicles per household are positively associated with the percent unvaccinated. In contrast, COVID-19 infection rate, percentage of Latinx people, postsecondary education percentage, median age, and prior non-COVID-19 childhood vaccination coverage are negatively associated with percent unvaccinated. Unlike previous studies, we do not find significant relationships between cable TV news viewership or Twitter misinformation variables with COVID-19 vaccine uptake. These results shed light on some factors that may impact vaccination choice in the U.S. and can be used to target specific populations for educational outreach and vaccine campaign strategies in efforts to increase vaccination uptake.
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Affiliation(s)
- Ensheng Dong
- Department of Civil and Systems Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA.
- Center for Systems Science and Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA.
| | - Kristen Nixon
- Department of Civil and Systems Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA
- Center for Systems Science and Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA
| | - Lauren M Gardner
- Department of Civil and Systems Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA
- Center for Systems Science and Engineering, Johns Hopkins University, Baltimore, MD, 21218, USA
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA
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Larson HJ, Lin L. Generative artificial intelligence can have a role in combating vaccine hesitancy. BMJ 2024; 384:q69. [PMID: 38228351 PMCID: PMC10789191 DOI: 10.1136/bmj.q69] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/18/2024]
Affiliation(s)
- Heidi J Larson
- London School of Hygiene and Tropical Medicine, London, UK
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | - Leesa Lin
- London School of Hygiene and Tropical Medicine, London, UK
- Laboratory of Data Discovery for Health, Science Park, Hong Kong
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11
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Broniatowski DA, Greene KT, Pisharody N, Rogers DJ, Shapiro JN. Measuring the monetization strategies of websites with application to pro- and anti-vaccine communities. Sci Rep 2023; 13:15964. [PMID: 37749294 PMCID: PMC10520039 DOI: 10.1038/s41598-023-43061-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 09/19/2023] [Indexed: 09/27/2023] Open
Abstract
Anti-vaccine content and other kinds of misinformation are hypothesized to be more heavily monetized than other kinds of online content. We test this hypothesis by applying several novel and scalable measures of website monetization strategies to more than 400,000 links shared by 261 anti-vaccine Facebook pages and 190 pro-vaccine ones. Contrary to expectations, websites promoted in pro-vaccine venues do more to monetize attention than those promoted in anti-vaccine venues. This is a consequence of how intensely monetized news websites are-pro-vaccine venues share more links to news. The specific news sites shared by anti-vaccine venues are rated less credible by fact-checking organizations, but we find little substantive difference in their monetization strategies. These results emphasize the need to interpret measures of monetization within the context of the broader "attention economy".
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