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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Aug 6, 2020
Date Accepted: Sep 16, 2020

The final, peer-reviewed published version of this preprint can be found here:

“Down the Rabbit Hole” of Vaccine Misinformation on YouTube: Network Exposure Study

Tang L, Fujimoto K, Amith M(, Cunningham R, Costantini RA, York F, Xiong G, Boom JA, Tao C

“Down the Rabbit Hole” of Vaccine Misinformation on YouTube: Network Exposure Study

J Med Internet Res 2021;23(1):e23262

DOI: 10.2196/23262

PMID: 33399543

PMCID: 7815449

Going Down the Rabbit Hole?: An Exploration of Network Exposure to Vaccine Misinformation on YouTube

  • Lu Tang; 
  • Kayo Fujimoto; 
  • Muhammad (Tuan) Amith; 
  • Rachel Cunningham; 
  • Rebecca A. Costantini; 
  • Felicia York; 
  • Grace Xiong; 
  • Julie A. Boom; 
  • Cui Tao

ABSTRACT

Background:

Social media platforms such as YouTube are hotbeds for the spread of misinformation about vaccines.

Objective:

To explore how individuals are exposed to anti-vaccine misinformation on YouTube.

Methods:

Four networks of videos based on YouTube recommendations were collected in November 2019. Two search networks were created from pro- and anti-vaccine keywords to resemble goal-oriented browsing. Two seed networks were constructed from conspiracy and anti-vaccine expert seed videos to resemble direct navigation. Video contents and network structures were analyzed using the Network Exposure Model.

Results:

Viewers are more likely to encounter anti-vaccine videos through direct navigation starting from an anti-vaccine video than through goal-oriented browsing. In the two seed networks, pro-vaccine videos, anti-vaccine videos, and videos containing health misinformation are all likely to lead to more anti-vaccine videos.

Conclusions:

YouTube has boosted the search rankings of pro-vaccine videos to diminish the influence of anti-vaccine information. However, when viewers are directed to anti-vaccine videos on YouTube from another site, the recommendation algorithm is still likely to expose them to additional anti-vaccine information.


 Citation

Please cite as:

Tang L, Fujimoto K, Amith M(, Cunningham R, Costantini RA, York F, Xiong G, Boom JA, Tao C

“Down the Rabbit Hole” of Vaccine Misinformation on YouTube: Network Exposure Study

J Med Internet Res 2021;23(1):e23262

DOI: 10.2196/23262

PMID: 33399543

PMCID: 7815449

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