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Zheng Y, Tian M, Chen J, Zhang L, Gao J, Li X, Wen J, Qu X. Public Attitudes Toward Violence Against Doctors: Sentiment Analysis of Chinese Users. JMIR Med Inform 2025; 13:e63772. [PMID: 40111382 PMCID: PMC11969123 DOI: 10.2196/63772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2024] [Revised: 12/23/2024] [Accepted: 02/04/2025] [Indexed: 03/22/2025] Open
Abstract
BACKGROUND Violence against doctors attracts the public's attention both online and in the real world. Understanding how public sentiment evolves during such crises is essential for developing strategies to manage emotions and rebuild trust. OBJECTIVE This study aims to quantify the difference in public sentiment based on the public opinion life cycle theory and describe how public sentiment evolved during a high-profile crisis involving violence against doctors in China. METHODS This study used the term frequency-inverse document frequency (TF-IDF) algorithm to extract key terms and create keyword clouds from textual comments. The latent Dirichlet allocation (LDA) topic model was used to analyze the thematic trends and shifts within public sentiment. The integrated Chinese Sentiment Lexicon was used to analyze sentiment trajectories in the collected data. RESULTS A total of 12,775 valid comments were collected on Sina Weibo about public opinion related to a doctor-patient conflict. Thematic and sentiment analyses showed that the public's sentiments were highly negative during the outbreak period (disgust: 10,201/30,433, 33.52%; anger: 6792/30,433, 22.32%) then smoothly changed to positive and negative during the spread period (sorrow: 2952/8569, 34.45%; joy: 2782/8569, 32.47%) and tended to be rational and peaceful during the decline period (joy: 4757/14,543, 32.71%; sorrow: 4070/14,543, 27.99%). However, no matter how emotions changed, each period's leading tone contained many negative sentiments. CONCLUSIONS This study simultaneously examined the dynamics of theme change and sentiment evolution in crises involving violence against doctors. It discovered that public sentiment evolved alongside thematic changes, with the dominant negative tone from the initial stage persisting throughout. This finding, distinguished from prior research, underscores the lasting influence of early public sentiment. The results offer valuable insights for medical institutions and authorities, suggesting the need for tailored risk communication strategies responsive to the evolving themes and sentiments at different stages of a crisis.
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Affiliation(s)
- Yuwen Zheng
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Meirong Tian
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Jingjing Chen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Lei Zhang
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Jia Gao
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Xiang Li
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Jin Wen
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
| | - Xing Qu
- Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, China
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Lewis L, Augustson C, De Vries G, Gantseva A, Gao Y, Hay J, Latumahina C, Leslie M, Murtagh K, Prasad N, Olorunnisola TS. An Exploration of Australian Online Government Portals for Women Experiencing Domestic Violence During the COVID-19 Pandemic. Violence Against Women 2024; 30:3272-3296. [PMID: 37282576 PMCID: PMC10251060 DOI: 10.1177/10778012231179209] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Domestic violence against women increased during COVID-19 lockdowns. This inaugural study examined the content of Australian government online portals, for women seeking support and help for domestic violence, during the 2021 COVID-19 pandemic. This mixed methods study incorporated four phases: a search; measurement of portal quality standard using DISCERN; enumeration of portal items; and a qualitative exploration of portal text. Australian governments must continue to work alongside domestic violence services as we found some portals were better than others. Continued review, revision, and funding are needed to meet the demands associated with this evolving public health emergency.
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Affiliation(s)
- Lucy Lewis
- Action Research Centre, Melbourne, Victoria, Australia
- School of Nursing, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia
| | | | | | - Alla Gantseva
- Action Research Centre, Melbourne, Victoria, Australia
| | - Yifan Gao
- Action Research Centre, Melbourne, Victoria, Australia
| | - Jaimee Hay
- Action Research Centre, Melbourne, Victoria, Australia
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Silva M, Anaba U, Jani Tulsani N, Sripad P, Walker J, Aisiri A. Gender-Based Violence Narratives in Internet-Based Conversations in Nigeria: Social Listening Study. J Med Internet Res 2023; 25:e46814. [PMID: 37713260 PMCID: PMC10541644 DOI: 10.2196/46814] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 07/25/2023] [Accepted: 07/26/2023] [Indexed: 09/16/2023] Open
Abstract
BACKGROUND Overcoming gender inequities is a global priority recognized as essential for improved health and human development. Gender-based violence (GBV) is an extreme manifestation of gender inequities enacted in real-world and internet-based environments. In Nigeria, GBV has come to the forefront of attention since 2020, when a state of emergency was declared due to increased reporting of sexual violence. Understanding GBV-related social narratives is important to design public health interventions. OBJECTIVE We explore how gender-related internet-based conversations in Nigeria specifically related to sexual consent (actively agreeing to sexual behavior), lack of consent, and slut-shaming (stigmatization in the form of insults based on actual or perceived sexuality and behaviors) manifest themselves and whether they changed between 2017 and 2022. Additionally, we explore what role events or social movements have in shaping gender-related narratives in Nigeria. METHODS Social listening was carried out on 12,031 social media posts (Twitter, Facebook, forums, and blogs) and almost 2 million public searches (Google and Yahoo search engines) between April 2017 and May 2022. The data were analyzed using natural language processing to determine the most salient conversation thematic clusters, qualitatively analyze time trends in discourse, and compare data against selected key events. RESULTS Between 2017 and 2022, internet-based conversation about sexual consent increased 72,633%, from an average 3 to 2182 posts per month, while slut-shaming conversation (perpetrating or condemning) shrunk by 9%, from an average 3560 to 3253 posts per month. Thematic analysis shows conversation revolves around the objectification of women, poor comprehension of elements of sexual consent, and advocacy for public education about sexual consent. Additionally, posters created space for sexual empowerment and expressions of sex positivity, pushing back against others who weaponize posts in support of slut-shaming narrative. Time trend analysis shows a greater sense of empowerment in advocating for education around the legal age of consent for sexual activity, calling out double standards, and rejecting slut-shaming. However, analysis of emotions in social media posts shows anger was most prominent in sexual consent (n=1213, 73%) and slut-shaming (n=226, 64%) posts. Organic social movements and key events (#ArewaMeToo and #ChurchToo, the #SexforGrades scandal, and the #BBNaija television program) played a notable role in sparking discourse related to sexual consent and slut-shaming. CONCLUSIONS Social media narratives are significantly impacted by popular culture events, mass media programs, social movements, and micro influencers speaking out against GBV. Hashtags, media clips, and other content can be leveraged effectively to spread awareness and spark conversation around evolving gender norms. Public health practitioners and other stakeholders including policymakers, researchers, and social advocates should be prepared to capitalize on social media events and discourse to help shape the conversation in support of a normative environment that rejects GBV in all its forms.
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Affiliation(s)
- Martha Silva
- Department of International Health and Sustainable Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States
| | - Udochisom Anaba
- Department of International Health and Sustainable Development, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, United States
| | | | - Pooja Sripad
- Population Council, Washington, DC, United States
| | | | - Adolor Aisiri
- Department of International Health and Sustainable Development, School of Public Health and Tropical Medicine, Tulane University, Abuja, Nigeria
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Xue J, Zhang B, Zhang Q, Hu R, Jiang J, Liu N, Peng Y, Li Z, Logan J. Using Twitter-Based Data for Sexual Violence Research: Scoping Review. J Med Internet Res 2023; 25:e46084. [PMID: 37184899 PMCID: PMC10227696 DOI: 10.2196/46084] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 03/07/2023] [Accepted: 04/17/2023] [Indexed: 05/16/2023] Open
Abstract
BACKGROUND Scholars have used data from in-person interviews, administrative systems, and surveys for sexual violence research. Using Twitter as a data source for examining the nature of sexual violence is a relatively new and underexplored area of study. OBJECTIVE We aimed to perform a scoping review of the current literature on using Twitter data for researching sexual violence, elaborate on the validity of the methods, and discuss the implications and limitations of existing studies. METHODS We performed a literature search in the following 6 databases: APA PsycInfo (Ovid), Scopus, PubMed, International Bibliography of Social Sciences (ProQuest), Criminal Justice Abstracts (EBSCO), and Communications Abstracts (EBSCO), in April 2022. The initial search identified 3759 articles that were imported into Covidence. Seven independent reviewers screened these articles following 2 steps: (1) title and abstract screening, and (2) full-text screening. The inclusion criteria were as follows: (1) empirical research, (2) focus on sexual violence, (3) analysis of Twitter data (ie, tweets or Twitter metadata), and (4) text in English. Finally, we selected 121 articles that met the inclusion criteria and coded these articles. RESULTS We coded and presented the 121 articles using Twitter-based data for sexual violence research. About 70% (89/121, 73.6%) of the articles were published in peer-reviewed journals after 2018. The reviewed articles collectively analyzed about 79.6 million tweets. The primary approaches to using Twitter as a data source were content text analysis (112/121, 92.5%) and sentiment analysis (31/121, 25.6%). Hashtags (103/121, 85.1%) were the most prominent metadata feature, followed by tweet time and date, retweets, replies, URLs, and geotags. More than a third of the articles (51/121, 42.1%) used the application programming interface to collect Twitter data. Data analyses included qualitative thematic analysis, machine learning (eg, sentiment analysis, supervised machine learning, unsupervised machine learning, and social network analysis), and quantitative analysis. Only 10.7% (13/121) of the studies discussed ethical considerations. CONCLUSIONS We described the current state of using Twitter data for sexual violence research, developed a new taxonomy describing Twitter as a data source, and evaluated the methodologies. Research recommendations include the following: development of methods for data collection and analysis, in-depth discussions about ethical norms, exploration of specific aspects of sexual violence on Twitter, examination of tweets in multiple languages, and decontextualization of Twitter data. This review demonstrates the potential of using Twitter data in sexual violence research.
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Affiliation(s)
- Jia Xue
- Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Bolun Zhang
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Qiaoru Zhang
- Faculty of Arts and Science, University of Toronto, Toronto, ON, Canada
| | - Ran Hu
- Department of Medicine, Center for Gender & Sexual Health Equity, University of British Columbia, Vancouver, BC, Canada
| | - Jielin Jiang
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Nian Liu
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Yingdong Peng
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Ziqian Li
- Faculty of Information, University of Toronto, Toronto, ON, Canada
| | - Judith Logan
- John P Robarts Library, University of Toronto, Toronto, ON, Canada
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He J, Ning P, Schwebel DC, Yang Y, Li L, Cheng P, Rao Z, Hu G. Injury mortality and morbidity changes due to the COVID-19 pandemic in the United States. Front Public Health 2022; 10:1001567. [PMID: 36408028 PMCID: PMC9666887 DOI: 10.3389/fpubh.2022.1001567] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2022] [Accepted: 10/13/2022] [Indexed: 11/07/2022] Open
Abstract
Introduction The COVID-19 pandemic significantly changed society. We aimed to examine the systematic impact of the COVID-19 on injury burden in the United States. Methods We extracted mortality and morbidity data from CDC WONDER and WISQARS. We estimated age-standardized injury mortality rate ratio and morbidity rate ratio (MtRR and MbRR) with 95% confidence interval (95% CI) for all injuries, all unintentional injuries, homicide/assault by all methods, suicide/self-harm by all methods, as well as other 11 specific unintentional or intentional injury categories. Injury rate ratios were compared for 2020 vs. 2019 to those of 2019 vs. 2018 to demonstrate the influence of the COVID-19 pandemic on fatal and nonfatal injury burden. The ratio of MtRRs (RMtRR) and the ratio of MbRRs (RMbRR) with 95% CI between 2020 vs. 2019 and 2019 vs. 2018 were calculated separately. Results The COVID-19 pandemic was associated with an increase in injury mortality (RMtRR = 1.12, 95% CI: 1.11, 1.13) but injury morbidity decreased (RMbRR = 0.88, 95% CI: 0.88, 0.89) when the changes of these rates from 2019 to 2020 were compared to those from 2018 to 2019. Mortality disparities between the two time periods were primarily driven by greater mortality during the COVID-influenced 2020 vs. 2019 from road traffic crashes (particularly motorcyclist mortality), drug poisoning, and homicide by firearm. Similar patterns were not present from 2019 vs. 2018. There were morbidity reductions from road traffic crashes (particularly occupant and pedestrian morbidity from motor vehicle crashes), unintentional falls, and self-harm by suffocation from 2019 to 2020 compared to the previous period. Change patterns in sexes and age groups were generally similar, but exceptions were observed for some injury types. Conclusions The COVID-19 pandemic significantly changed specific injury burden in the United States. Some discrepancies also existed across sex and age groups, meriting attention of injury researchers and policymakers to tailor injury prevention strategies to particular populations and the environmental contexts citizens face.
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Affiliation(s)
- Jieyi He
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
| | - Peishan Ning
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
| | - David C. Schwebel
- Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Yang Yang
- Department of Statistics, Franklin College of Arts and Sciences, University of Georgia, Athens, GA, United States
| | - Li Li
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
| | - Peixia Cheng
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
| | - Zhenzhen Rao
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
| | - Guoqing Hu
- Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China
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Gregory S, Holt S, Barter C, Christofides N, Maremela O, Mwanda Motjuwadi N, Humphreys C, Elliffe R, Stanley N. Public Health Directives in a Pandemic: Paradoxical Messages for Domestic Abuse Victims in Four Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:14148. [PMID: 36361029 PMCID: PMC9655031 DOI: 10.3390/ijerph192114148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Revised: 10/24/2022] [Accepted: 10/27/2022] [Indexed: 06/16/2023]
Abstract
When the COVID-19 pandemic manifested urgent concerns were raised around the globe about the increased risk that public health restrictions could pose for victims of domestic abuse. Governments, NGOs and community services swiftly responded to convey the message that services for victims were operational and restrictions did not apply to those fleeing harm. This paper reports on the various approaches used to communicate this public health messaging during COVID-19, further highlighting strengths and learning which could inform future crises messaging. It utilises data gathered through a rapid review and mapping of policy and practice initiatives across 4 high-middle income countries: UK, Australia, South Africa and Ireland. Four themes were identified: (1) Top-down: National media messaging; (2) Top-down: Political leadership; (3) Traditional media vs. social media and (4) Bottom-up messaging: Localised, community-based messaging. It was found that a strong, clear top-down stance on domestic abuse was perceived as beneficial during COVID-19. However, a stronger focus on evaluation, reach and impact, particularly for minority groups may be required. Newer forms of media were shown to have potential in conveying messaging to minority groups. Community and grassroots organizations demonstrated their experiential knowledge in reaching target audiences. Harnessing this expertise for future crises messaging may be valuable.
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Affiliation(s)
- Soma Gregory
- School of Social Work and Social Policy, Trinity College, University of Dublin, D02 PN40 Dublin, Ireland
| | - Stephanie Holt
- School of Social Work and Social Policy, Trinity College, University of Dublin, D02 PN40 Dublin, Ireland
| | - Christine Barter
- School of Social Work, Care and Community, University of Central Lancashire, Preston PR1 2HE, UK
| | - Nicola Christofides
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2000, South Africa
| | - Ogopoleng Maremela
- School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg 2000, South Africa
| | | | - Cathy Humphreys
- Department of Social Work, University of Melbourne, Victoria 3010, Australia
| | - Ruth Elliffe
- School of Social Work and Social Policy, Trinity College, University of Dublin, D02 PN40 Dublin, Ireland
| | - Nicky Stanley
- School of Social Work, Care and Community, University of Central Lancashire, Preston PR1 2HE, UK
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Zhao Y, Zhu S, Wan Q, Li T, Zou C, Wang H, Deng S. Understanding How and by Whom COVID-19 Misinformation is Spread on Social Media: Coding and Network Analyses. J Med Internet Res 2022; 24:e37623. [PMID: 35671411 PMCID: PMC9217148 DOI: 10.2196/37623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Revised: 05/10/2022] [Accepted: 06/07/2022] [Indexed: 11/17/2022] Open
Abstract
Background During global health crises such as the COVID-19 pandemic, rapid spread of misinformation on social media has occurred. The misinformation associated with COVID-19 has been analyzed, but little attention has been paid to developing a comprehensive analytical framework to study its spread on social media. Objective We propose an elaboration likelihood model–based theoretical model to understand the persuasion process of COVID-19–related misinformation on social media. Methods The proposed model incorporates the central route feature (content feature) and peripheral features (including creator authority, social proof, and emotion). The central-level COVID-19–related misinformation feature includes five topics: medical information, social issues and people’s livelihoods, government response, epidemic spread, and international issues. First, we created a data set of COVID-19 pandemic–related misinformation based on fact-checking sources and a data set of posts that contained this misinformation on real-world social media. Based on the collected posts, we analyzed the dissemination patterns. Results Our data set included 11,450 misinformation posts, with medical misinformation as the largest category (n=5359, 46.80%). Moreover, the results suggest that both the least (4660/11,301, 41.24%) and most (2320/11,301, 20.53%) active users are prone to sharing misinformation. Further, posts related to international topics that have the greatest chance of producing a profound and lasting impact on social media exhibited the highest distribution depth (maximum depth=14) and width (maximum width=2355). Additionally, 97.00% (2364/2437) of the spread was characterized by radiation dissemination. Conclusions Our proposed model and findings could help to combat the spread of misinformation by detecting suspicious users and identifying propagation characteristics.
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Affiliation(s)
- Yuehua Zhao
- School of Information Management, Nanjing University, 163 Xianlin Road, Qixia District, Nanjing, CN.,Jiangsu Key Laboratory of Data Engineering and Knowledge Service, Nanjing, CN
| | - Sicheng Zhu
- School of Information Management, Nanjing University, No.163, Xianlin Road, Nanjing, CN
| | - Qiang Wan
- School of Information Management, Nanjing University, No.163, Xianlin Road, Nanjing, CN
| | - Tianyi Li
- School of Information Management, Nanjing University, No.163, Xianlin Road, Nanjing, CN
| | - Chun Zou
- School of Information Management, Nanjing University, No.163, Xianlin Road, Nanjing, CN
| | - Hao Wang
- School of Information Management, Nanjing University, 163 Xianlin Road, Qixia District, Nanjing, CN.,Jiangsu Key Laboratory of Data Engineering and Knowledge Service, Nanjing, CN
| | - Sanhong Deng
- School of Information Management, Nanjing University, 163 Xianlin Road, Qixia District, Nanjing, CN.,Jiangsu Key Laboratory of Data Engineering and Knowledge Service, Nanjing, CN
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