Social Media, Public Health, and Community Mitigation of COVID-19: Challenges, Risks, and Benefits

New evidence on the real role of digital economy in influencing public health efficiency

In recent years, the rapid advancement of digital technology has supported the growth of the digital economy. The transformation towards digitization in the public health sector serves as a key indicator of this economic shift. Understanding how the digital economy continuously improves the efficiency of public health services and its various pathways of influence has become increasingly important. It is essential to clarify the impact mechanism of the digital economy on public health services to optimize health expenditures and advance digital economic construction. This study investigates the impact of digital economic development on the efficiency of public health services from a novel perspective, considering social media usage and urban-rural healthcare disparities while constructing a comprehensive index of digital economic development. The findings indicate that the digital economy reduces the efficiency of public health services primarily through two transmission mechanisms: the promotion of social media usage and the widening urban-rural healthcare gap. Moreover, these impacts and transmission pathways exhibit spatial heterogeneity. This study unveils the intrinsic connection and mechanisms of interaction between digital economic development and the efficiency of public health services, providing a theoretical basis and reference for government policy formulation. However, it also prompts further considerations on achieving synergy and interaction between the digital economy and public health services.

Most liked #monkeypox videos on TikTok: Implications for infection control

This cross-sectional study describes the content of the 100 most liked videos on TikTok using the hashtag #monkeypox. The videos in the sample received 472,866,669 views and 56,434,700 likes. Most (67%) of the videos were created by consumers. Mentions or suggestions of exposure were the only content characteristic included in a majority of the videos (N = 54). Over a third of the sample used parody, memes, or satire (38%), which were derogatory.

Determinants of COVID-19 immunisation uptake in a country with high mortality and a low vaccination rate

BACKGROUND

Research concerned with attitudes towards COVID-19 vaccination in upper middle-income countries such as Bosnia and Herzegovina (B&H) is scarce. Currently, B&H has the lowest number of fully vaccinated adults in Europe, and the highest cumulative number of COVID-19 deaths and SARS-CoV-2 infected individuals. The aim of our study was to examine the factors associated with COVID-19 vaccination status in B&H.

METHODS

An online survey among 1304 B&H adults was conducted in October 2021 evaluating vaccine acceptance, together with socio-demographic variables, attitudes and beliefs related to COVID-19 vaccination.

RESULTS

The results from a binary logistic regression indicate that those who believed that the COVID-19 vaccine was effective were 45 times more likely to be vaccinated compared to those who did not. We also show that those who had received childhood immunisations were 41 times more likely to be vaccinated against COVID-19 compared to those who had never been previously immunised. Other significant factors were related to respondents' trust in government institutions and healthcare policymakers as well as trust in public healthcare workers.

CONCLUSION

We suggest that future vaccination campaigns should be aimed at educating the public regarding the importance and safety of vaccines, together with strengthening trust in the public health system.

The Medical Community's Role in Communication Strategies during Health Crises-Perspective from European Union of Medical Specialists (UEMS)

The COVID-19 pandemic was complicated by the spread of false information leading to what became widely called an "infodemic". The present opinion paper was written by an ad hoc international team united under the European Union of Medical Specialists (UEMS) umbrella and reflects the organizations' effort to contribute to the resolution of these issues, by highlighting and reflecting on them and by suggesting the medical community's necessary activities resulting in the formulation of effective future communication strategies. The importance of physicians' and other health workers' role and mission as educators and leaders in communities in critical situations should be reassessed and upgraded. We need to equip future doctors with strong and sustainable leadership and communication skills through relevant undergraduate and postgraduate education programs, in order that compliance with preventive medical advice is increased. To avoid possible politically and otherwise biased communication in health crises of the future, European nations should establish independent advisory bodies providing evidence-based advice and participate in communication campaigns. Medical and other health professional organizations should build organizational and personal capacities of their members to enable them to reliably inform and adequately educate governments, populations, civic society, employers' and employees' organizations, schools and universities, and other stakeholders.

The Correlation between Altmetric Attention Score and Traditional Bibliometrics in Top Nursing Journal Articles

Background. Altmetric Attention Score (AAS) is a quantitative measurement of the online impact of research and has a potential correlation with traditional bibliometrics. However, the correlation for nursing journal articles is still unknown. The objective of the study was to analyze the correlation between AAS and traditional bibliometrics in the top nursing journal articles. Materials and Methods. Articles published in top nursing journals (the journals with the top 20 5-year impact factors) from 2010 to 2019 were included. The correlations between AAS and citations, AAS and Relative Citation Ratio (RCR) score, AAS and Category Normalized Citation Impact (CNCI) value, and AAS and impact factors were analyzed. Statistical analyses were performed using Stata 25.0 software. Results. A total of 15,212 journal articles were included in the study. Very weak correlations were found between AASs and citations [0.124 (95% CI, 0.108–0.14)], AASs and RCRs [0.26 (95% CI, 0.244–0.275)], and AASs and CNCIs [0.207 (95% CI, 0.192–0.223)]. The weak correlations were also found between AASs and impact factors in several journals. The weak correlations between AASs and citations, AASs and CNCIs, and AASs and RCRs were also found for most journals based on subgroup analysis. Conclusions. There is very weak correlations between AASs and traditional bibliometrics in top nursing journal articles. More studies should be conducted to assess how AAS influence bibliometrics, and how they can help manage nursing journal articles and research.

How public health agencies communicate with the public on TikTok under the normalization of COVID-19: A case of 2022 Shanghai's outbreak

Objective

As life with COVID-19 became a norm in 2022, the public's demand for and perception of COVID-19-related information has changed. This study analyzed the performance and responses of Healthy China and the public at various stages of COVID-19 normalization using the crisis and emergency risk communication (CERC) theory.

Methods

This study was based on the 2022 Shanghai COVID-19 outbreak and data from "Healthy China," the official TikTok account of the National Health Commission of the People's Republic of China (NHCC). First, we divided the Shanghai lockdown into five stages in accordance with the CERC. Second, the videos released by Healthy China were open-coded. Third, to understand the distribution of strategies across the stages, we used counts and percentages to summarize the categorical variables. Fourth, we investigated the distribution of public participation indicators using descriptive statistical analysis. Finally, the relationship between stage and communication strategy was examined using the chi-square test and negative binomial regression.

Results

(1) Healthy China adopted a more flexible approach to communication strategies; (2) new cases per day was the commonly used substrategy for uncertainty reduction; (3) there was a significant difference in the strategies used by Healthy China at different stages; (4) public participation was highest in the pre-crisis period; and (5) the stage had a significant positive impact on the number of views, favorites, likes, and shares.

Conclusions

This research provides insight into effective communication strategies for the government or public health agencies to employ during COVID-19 normalization.

Support for mask use as a COVID-19 public health measure among a large sample of Canadian secondary school students

BACKGROUND

Youth voice has been largely absent from deliberations regarding public health measures intended to prevent SARS-CoV-2 transmission, despite being one of the populations most impacted by school-based policies. To inform public health strategies and messages, we examined the level of student support of mask use in public spaces and school mask requirements, as well as factors associated with students' perspectives.

METHODS

We used cross-sectional survey data from 42,767 adolescents attending 133 Canadian secondary schools that participated in the COMPASS study during the 2020/2021 school year. Multinomial regression models assessed support for i) wearing a mask in indoor public spaces and ii) schools requiring students to wear masks, in association with COVID-19 knowledge, concerns, and perceived risk.

RESULTS

Wearing masks in indoor public spaces was supported by 81.9% of students; 8.7% were unsupportive and 9.4% were neutral/undecided. School mask requirements were supported by 67.8%, with 23.1% neutral and 9.1% unsupportive. More females supported mask wearing in public spaces (83.9% vs. 79.1%) and school mask requirements (70.8% vs. 63.5%) than males. Students had increased odds of supporting mask use in public spaces and school mask requirements if they reported concerns about their own or their family's health, had discussions regarding ways to prevent infection, perceived COVID-19 to be a risk to young people, and knew that signs are not always present in COVID-19 cases and that masks prevent SARS-CoV-2 transmission if someone coughs.

CONCLUSIONS

During the year following the beginning of the pandemic, most students supported the required use of masks in schools and wearing masks in indoor public spaces. Improving knowledge around the effectiveness of masks appears likely to have the largest impact on mask support in adolescent populations among the factors studied.