Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature

Summary: Background: Vaccine hesitancy continues to limit global efforts in combatting the COVID-19 pandemic. Emerging research demonstrates the role of social media in disseminating information and potentially influencing people's attitudes towards public health campaigns. This systematic rev...

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Main Authors: Fidelia Cascini, Ana Pantovic, Yazan A. Al-Ajlouni, Giovanna Failla, Valeria Puleo, Andriy Melnyk, Alberto Lontano, Walter Ricciardi
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:EClinicalMedicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589537022001845
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author Fidelia Cascini
Ana Pantovic
Yazan A. Al-Ajlouni
Giovanna Failla
Valeria Puleo
Andriy Melnyk
Alberto Lontano
Walter Ricciardi
author_facet Fidelia Cascini
Ana Pantovic
Yazan A. Al-Ajlouni
Giovanna Failla
Valeria Puleo
Andriy Melnyk
Alberto Lontano
Walter Ricciardi
author_sort Fidelia Cascini
collection DOAJ
description Summary: Background: Vaccine hesitancy continues to limit global efforts in combatting the COVID-19 pandemic. Emerging research demonstrates the role of social media in disseminating information and potentially influencing people's attitudes towards public health campaigns. This systematic review sought to synthesize the current evidence regarding the potential role of social media in shaping COVID-19 vaccination attitudes, and to explore its potential for shaping public health interventions to address the issue of vaccine hesitancy. Methods: We performed a systematic review of the studies published from inception to 13 of March2022 by searching PubMed, Web of Science, Embase, PsychNET, Scopus, CINAHL, and MEDLINE. Studies that reported outcomes related to coronavirus disease 2019 (COVID-19) vaccine (attitudes, opinion, etc.) gathered from the social media platforms, and those analyzing the relationship between social media use and COVID-19 hesitancy/acceptance were included. Studies that reported no outcome of interest or analyzed data from sources other than social media (websites, newspapers, etc.) will be excluded. The Newcastle Ottawa Scale (NOS) was used to assess the quality of all cross-sectional studies included in this review. This study is registered with PROSPERO (CRD42021283219). Findings: Of the 2539 records identified, a total of 156 articles fully met the inclusion criteria. Overall, the quality of the cross-sectional studies was moderate – 2 studies received 10 stars, 5 studies received 9 stars, 9 studies were evaluated with 8, 12 studies with 7,16 studies with 6, 11 studies with 5, and 6 studies with 4 stars. The included studies were categorized into four categories. Cross-sectional studies reporting the association between reliance on social media and vaccine intentions mainly observed a negative relationship. Studies that performed thematic analyses of extracted social media data, mainly observed a domination of vaccine hesitant topics. Studies that explored the degree of polarization of specific social media contents related to COVID-19 vaccines observed a similar degree of content for both positive and negative tone posted on different social media platforms. Finally, studies that explored the fluctuations of vaccination attitudes/opinions gathered from social media identified specific events as significant cofactors that affect and shape vaccination intentions of individuals. Interpretation: This thorough examination of the various roles social media can play in disseminating information to the public, as well as how individuals behave on social media in the context of public health events, articulates the potential of social media as a platform of public health intervention to address vaccine hesitancy. Funding: None.
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spelling doaj.art-33e80b4c10944403935796176b21e8212022-12-22T00:33:44ZengElsevierEClinicalMedicine2589-53702022-06-0148101454Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literatureFidelia Cascini0Ana Pantovic1Yazan A. Al-Ajlouni2Giovanna Failla3Valeria Puleo4Andriy Melnyk5Alberto Lontano6Walter Ricciardi7Department of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, Italy; Corresponding author.Faculty of Biology, University of Belgrade, Belgrade, SerbiaNew York Medical College, School of Medicine, Valhalla, NY, United StatesDepartment of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, ItalyDepartment of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, ItalyDepartment of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, ItalyDepartment of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, ItalyDepartment of Life Sciences and Public Health, Section of Hygiene and Public Health, Università Cattolica del Sacro Cuore, L.go Francesco Vito 1, Rome 00168, ItalySummary: Background: Vaccine hesitancy continues to limit global efforts in combatting the COVID-19 pandemic. Emerging research demonstrates the role of social media in disseminating information and potentially influencing people's attitudes towards public health campaigns. This systematic review sought to synthesize the current evidence regarding the potential role of social media in shaping COVID-19 vaccination attitudes, and to explore its potential for shaping public health interventions to address the issue of vaccine hesitancy. Methods: We performed a systematic review of the studies published from inception to 13 of March2022 by searching PubMed, Web of Science, Embase, PsychNET, Scopus, CINAHL, and MEDLINE. Studies that reported outcomes related to coronavirus disease 2019 (COVID-19) vaccine (attitudes, opinion, etc.) gathered from the social media platforms, and those analyzing the relationship between social media use and COVID-19 hesitancy/acceptance were included. Studies that reported no outcome of interest or analyzed data from sources other than social media (websites, newspapers, etc.) will be excluded. The Newcastle Ottawa Scale (NOS) was used to assess the quality of all cross-sectional studies included in this review. This study is registered with PROSPERO (CRD42021283219). Findings: Of the 2539 records identified, a total of 156 articles fully met the inclusion criteria. Overall, the quality of the cross-sectional studies was moderate – 2 studies received 10 stars, 5 studies received 9 stars, 9 studies were evaluated with 8, 12 studies with 7,16 studies with 6, 11 studies with 5, and 6 studies with 4 stars. The included studies were categorized into four categories. Cross-sectional studies reporting the association between reliance on social media and vaccine intentions mainly observed a negative relationship. Studies that performed thematic analyses of extracted social media data, mainly observed a domination of vaccine hesitant topics. Studies that explored the degree of polarization of specific social media contents related to COVID-19 vaccines observed a similar degree of content for both positive and negative tone posted on different social media platforms. Finally, studies that explored the fluctuations of vaccination attitudes/opinions gathered from social media identified specific events as significant cofactors that affect and shape vaccination intentions of individuals. Interpretation: This thorough examination of the various roles social media can play in disseminating information to the public, as well as how individuals behave on social media in the context of public health events, articulates the potential of social media as a platform of public health intervention to address vaccine hesitancy. Funding: None.http://www.sciencedirect.com/science/article/pii/S2589537022001845COVID-19 vaccinesVaccine hesitancyPublic healthSocial mediaGlobal healthSystematic review
spellingShingle Fidelia Cascini
Ana Pantovic
Yazan A. Al-Ajlouni
Giovanna Failla
Valeria Puleo
Andriy Melnyk
Alberto Lontano
Walter Ricciardi
Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
EClinicalMedicine
COVID-19 vaccines
Vaccine hesitancy
Public health
Social media
Global health
Systematic review
title Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
title_full Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
title_fullStr Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
title_full_unstemmed Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
title_short Social media and attitudes towards a COVID-19 vaccination: A systematic review of the literature
title_sort social media and attitudes towards a covid 19 vaccination a systematic review of the literature
topic COVID-19 vaccines
Vaccine hesitancy
Public health
Social media
Global health
Systematic review
url http://www.sciencedirect.com/science/article/pii/S2589537022001845
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