Evaluation of consumer health information about monkeypox on X (formerly Twitter)
摘要
This study evaluated X (formerly Twitter) as a source of health information (quality and reliability) on Mpox.
Subject and methodsFive search terms (#Mpox, #Monkeypox, #Mpoxvaccine, #MpoxOutbreak, and #MonkeypoxVaccine) were searched on X on a single day in November 2024, with 279 final tweets retrieved. Using the World Health Organization and Centers for Disease Control and Prevention fact sheets, a questionnaire was designed to evaluate these posts for accuracy. The reliability and quality of the posts were then evaluated using the modified DISCERN and the Global Quality Scale (GQS) scores, respectively, by two independent reviewers. Descriptive and statistical analyses were performed using IBM SPSS Statistics 25.0 with significance set at p < 0.05.
ResultsMost of the posts were made by non-health professionals (69.2%). About 45.2% of the tweets had below 100 retweets. One-third (30%) were rated as very low quality, while only 11.8% were rated as very high quality. The posts by health professionals had the highest quality (mean GQS [mGQS] = 2.82 ± 1.33), compared to the lowest by individuals (mGQS = 2.35 ± 1.28); however, this was not significant (p = 0.154). Almost half of the posts (45.2%) had very low to low reliability. Posts with higher engagement had low GQS (r = −1.57, p = 0.009) and DISCERN scores (r = −1.57, p = 0.005).
ConclusionThe quality and reliability of Mpox-related health information available on X is low and generally not acceptable. As misinformation spreads faster, public health bodies, healthcare providers, and social media platforms must work together to develop effective ways of promoting reliable information on X and other social media platforms.