The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.
Public Health and Online Misinformation: Challenges and Recommendations
Open accessAbstract
The internet has become a popular resource to learn about health and to investigate one's own health condition. However, given the large amount of inaccurate information online, people can easily become misinformed. Individuals have always obtained information from outside the formal health care system, so how has the internet changed people's engagement with health information? This review explores how individuals interact with health misinformation online, whether it be through search, user-generated content, or mobile apps. We discuss whether personal access to information is helping or hindering health outcomes and how the perceived trustworthiness of the institutions communicating health has changed over time. To conclude, we propose several constructive strategies for improving the online information ecosystem. Misinformation concerning health has particularly severe consequences with regard to people's quality of life and even their risk of mortality; therefore, understanding it within today's modern context is an extremely important task.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“These changes include new social norms (e.g. social distancing), potential exacerbation of healthcare inequalities, and dissemination of public health misinformation. 1,2”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [2]
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
1 retracted
Wakefield, A., Murch, S., Anthony, A., Linnell, J., Casson, D., Malik, M., Berelowitz, M., Dhillon, A., Thomson, M., Harvey, P., et al. (1998) · The Lancet · doi:10.1016/s0140-6736(97)11096-0 · Cited by 3,006
RetractedThe spread of true and false news online
Vosoughi, S., Roy, D., & Aral, S. (2018) · Science · doi:10.1126/science.aap9559 · Cited by 8,847 · cited 1×
“that although antivaccine content was uncommon, there was a clear separation between the 438 Swire-Thompson Lazer vaccine-hesitant and mainstream”
BackgroundEstimating the reproducibility of psychological science
Open Science Collaboration (2015) · Science · doi:10.1126/science.aac4716 · Cited by 8,515 · cited 1×
“In addition, other tools can communicate health advice in real time.”
BackgroundLow Health Literacy and Health Outcomes: An Updated Systematic Review
Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011) · Annals of Internal Medicine · doi:10.7326/0003-4819-155-2-201107190-00005 · Cited by 5,505
What Makes Online Content Viral?
Berger, J., & Milkman, K. L. (2012) · Journal of Marketing Research · doi:10.1509/jmr.10.0353 · Cited by 3,178 · cited 1×
“that although antivaccine content was uncommon, there was a clear separation between the 438 Swire-Thompson Lazer vaccine-hesitant and mainstream”
BackgroundMisinformation and Its Correction: Continued Influence and Successful Debiasing
Lewandowsky, S., Ecker, U. K. H., Seifert, C. M., Schwarz, N., & Cook, J. (2012) · Psychological Science in the Public Interest · doi:10.1177/1529100612451018 · Cited by 2,920
eHEALS: The eHealth Literacy Scale
Norman, C. D., & Skinner, H. A. (2006) · Journal of Medical Internet Research · doi:10.2196/jmir.8.4.e27 · Cited by 2,680
The Persuasiveness of Source Credibility: A Critical Review of Five Decades' Evidence
Pornpitakpan, C. (2004) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2004.tb02547.x · Cited by 2,205
Internet encyclopaedias go head to head
Giles, J. (2005) · Nature · doi:10.1038/438900a · Cited by 1,978
Eysenbach, G., Powell, J., Kuss, O., & Sa, E.-R. (2002) · JAMA · doi:10.1001/jama.287.20.2691 · Cited by 1,871
Research works printed but not linked: 114
- 10.1016/j.amepre.2010.10.032 · DOI · Paper page
- 10.1098/rsos.180593 · DOI
- 10.4236/ce.2015.64045 · DOI
- 10.1177/074391568300200102 · DOI
- 10.1136/bmjopen-2018-024791 · DOI
- ASCO (Am. Soc. Clin. Oncol.), 2018, National Cancer Opinion Survey, Harris poll on behalf of ASCO, 2018
- 10.1093/her/cym084 · DOI
- 10.1177/1075547010386972 · DOI
- 10.1016/j.socscimed.2016.11.016 · DOI · Paper page
- 10.1111/jcom.12166 · DOI
- 10.1046/j.1365-2753.2001.00284.x · DOI · Paper page
- Brashier NM, Curr. Dir. Psychol. Sci., 2020
- Brenan M., 2018, Gallup
- Cancer Inst. UK, 2015, Cancer Research UK
- 10.1001/jama.2018.16865 · DOI
- City N. Y., 2019, De Blasio Administration's Health Department declares public health emergency due to measles crisis
- Clark County Public Health, 2019, County declares public health emergency due to measles outbreak
- Clement J., 2019, Statista
- 10.1177/0963662511401782 · DOI
- 10.1016/j.socscimed.2004.02.020 · DOI
- 10.1001/jama.287.21.2869 · DOI
- Eagly AH, 1993, The Psychology of Attitudes
- 10.1016/j.jarmac.2017.01.014 · DOI
- 10.3758/s13423-011-0065-1 · DOI
- 10.1080/10410236.2017.1351278 · DOI
- Edelman, 2018, 2018 Edelman trust barometer. Annual global study
- Engstrand-Neacsu A, 2009, Through albino eyes: the plight of albino people in Africa's Great Lakes region and a Red Cross response
- 10.1079/BJN20061707 · DOI
- Fischer S., 2018, Axios
- Fox S, 2013, Health online 2013
- 10.1542/peds.2010-1722P · DOI
- Funk C, 2019, Public confidence in scientists has remained stable for decades
- 10.1177/1090198117739673 · DOI
- 10.1111/j.1539-6053.2008.00033.x · DOI · Paper page
- Goel S, 2016, Manag. Sci., 62, 180, 10.1287/mnsc.2015.2158 · DOI
- Goldacre B., 2010, Bad Science: Quacks, Hacks, and Big Pharma Flacks
- 10.1126/science.aau2706 · DOI · Paper page
- 10.1126/sciadv.aau4586 · DOI · Paper page
- Guess A, 2018, Avoiding the echo chamber about echo chambers: why selective exposure to like-minded political news is less prevalent than you think
- 10.1016/j.vaccine.2015.08.064 · DOI
- 10.2196/jmir.6.3.e36 · DOI · Paper page
- 10.1016/j.stemcr.2019.05.009 · DOI
- 10.1037/0022-3514.81.6.1028 · DOI · Paper page
- 10.2196/jmir.1589 · DOI
- 10.1007/s10869-017-9527-4 · DOI
- 10.1186/2049-3258-73-3 · DOI
- 10.2217/mmt.14.6 · DOI
- Jacobs W, 2017, Cogent. Soc. Sci., 3, 1302785
- 10.1037/0278-7393.20.6.1420 · DOI · Paper page
- 10.1093/jnci/djx145 · DOI
- 10.1001/jamainternmed.2016.5394 · DOI
- Kennedy B., 2016, Most Americans trust the military and scientists to act in the public's interest
- 10.1371/journal.pone.0177546 · DOI
- 10.1080/10408399609527717 · DOI
- Kutner M, 2006, The health literacy of America's adults: results from the 2003 National Assessment of Adult Literacy
- 10.1038/d41586-018-07034-4 · DOI · Paper page
- 10.1136/jamia.2010.004507 · DOI
- Levin L., 2018, Google Off. Blog
- 10.1007/s11673-013-9430-2 · DOI
- 10.1016/j.eururo.2018.10.056 · DOI
- Lui K., 2017, Time Magazine
- 10.3758/BF03193260 · DOI
- 10.1056/NEJM196707272770405 · DOI
- 10.1177/014616728063023 · DOI
- 10.1016/j.pec.2005.10.006 · DOI · Paper page
- 10.1177/0033688214555356 · DOI
- Miller M., 2013, Herald Sun
- 10.1177/109019810102800304 · DOI
- Murphy PW, 1993, J. Read., 37, 124
- 10.1037/1089-2680.2.2.175 · DOI · Paper page
- NIH (Natl. Inst. Health), NCI (Natl. Cancer Inst.), 2016, Surveillance, Epidemiology, and End Results Program
- 10.1371/journal.pone.0161485 · DOI
- 10.1007/BF02640361 · DOI
- 10.1002/ejsp.523 · DOI
- Pew Res. Cent, 2015, Most view the CDC favorably; VA's image slips
- 10.1016/j.vaccine.2010.02.052 · DOI
- 10.1016/j.chb.2016.12.032 · DOI
- 10.1089/bsp.2012.0048 · DOI
- Ramaswami P., 2015, Google Off. Blog
- 10.18356/6a0d7402-en · DOI
- Rennis L, 2015, Coll. Stud. J., 49, 414
- 10.1145/3308558.3313688 · DOI
- Schilder E, 2016, J. Media Lit. Educ., 8, 32
- 10.3389/fpsyg.2014.00336 · DOI
- 10.3945/ajcn.112.047142 · DOI
- 10.2105/AJPH.2014.302437 · DOI
- 10.1038/s41467-018-06930-7 · DOI · Paper page
- 10.4103/jrms.JRMS_237_17 · DOI
- 10.1177/0003122410388488 · DOI
- Siegel J., 2018, Soc. Educ., 82, 242
- 10.1080/19325037.2018.1473178 · DOI
- 10.1186/1471-2296-8-47 · DOI · Paper page
- 10.2307/j.ctv8xnhtd · DOI
- 10.1186/s12889-018-6268-x · DOI
- Swift A., 2016, Gallup News
- 10.1098/rsos.160802 · DOI
- Swire B, 2018, Misinformation and Mass Audiences, 195, 10.7560/314555-013 · DOI · Paper page
- 10.1037/xlm0000422 · DOI
- 10.1111/pops.12586 · DOI
- 10.1016/S0140-6736(99)01239-8 · DOI · Paper page
- Temgoua MN, 2018, Clin. Res. Obstet. Gynecol., 1, 1
- Thoman E, 2005, Literacy for the 21st century: an overview and orientation guide to media literacy education
- Tucker JA, 2018, Social media, political polarization, and political disinformation: a review of the scientific literature
- 10.1002/bies.200900103 · DOI
- 10.1002/bdrc.21096 · DOI · Paper page
- Vernon JA, 2007, Low health literacy: implications for national health policy
- 10.3109/15563658108990043 · DOI
- 10.1177/1075547017731776 · DOI
- Wardle C., 2017, First Draft News
- 10.1002/asi.20016 · DOI
- WebMD, 2019, WebMD
- WHO (World Health Organ.), 2019, European Region loses ground in effort to eliminate measles
- 10.1016/j.ypmed.2019.105751 · DOI
- 10.1002/asi.23311 · DOI
Cited by
Sorted by citations
The psychological drivers of misinformation belief and its resistance to correction
Ecker, U. K. H., Lewandowsky, S., Cook, J., Schmid, P., Fazio, L. K., Brashier, N., Kendeou, P., Vraga, E. K., & Amazeen, M. A. (2022) · Nature Reviews Psychology · doi:10.1038/s44159-021-00006-y · Cited by 1,372
Understanding and Responding to Health Literacy as a Social Determinant of Health
Nutbeam, D., & Lloyd, J. E. (2021) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-090419-102529 · Cited by 1,178
Lockyer, B., Islam, S., Rahman, A., Dickerson, J., Pickett, K., Sheldon, T., Wright, J., McEachan, R., Sheard, L., & the Bradford Institute for Health Research Covid‐19 Scientific Advisory Group (2021) · Health Expectations · doi:10.1111/hex.13240 · Cited by 281
European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
Mentzelopoulos, S. D., Couper, K., Voorde, P. V. D., Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.017 · Cited by 246
“healthcare inequalities, and dissemination of public health misinformation.(1,2)”
BackgroundSundar, S. S., Molina, M. D., & Cho, E. (2021) · Journal of Computer-Mediated Communication · doi:10.1093/jcmc/zmab010 · Cited by 212
Metadata
- Authors
- Swire-Thompson, B., & Lazer, D.
- Affiliations
- Network Science Institute, Northeastern University, Boston, Massachusetts 02115, USA;,
- Northeastern University (US)
- ORCID
- Lazer, David
- Venue
- Annual Review of Public Health
- Publisher
- Annual Reviews
- Published
- 2020-04-02
- Volume
- 41
- Issue
- 1
- Pages
- 433-451
- ISSN
- 0163-7525 (ISSN-L)
- 1545-2093
- OpenAlex
- W2997474044
- Cited by
- 1,170
- References
- 20
- Citations by year
- 2026: 182 · 2025: 237 · 2024: 284 · 2023: 149 · 2022: 160 · 2021: 118 · 2020: 39
- FWCI
- 20.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Annual Review of Public Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Misinformation and Its Impacts
- Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
- Social Sciences › Health › Social Media in Health Education
- Keywords
- health misinformation, online health information, user-generated content, mobile health apps, trust in health institutions, health outcomes, mortality risk
- MeSH terms
- Data Accuracy, Adult, Aged, Aged, 80 and over, Communication, Female, Humans, Male, Middle Aged, Public Health, Internet, Information Dissemination, Information Literacy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
How to cite
Cite CoChat for the checks on this page, and the paper for its own findings.
- This page
- CoChat. (2026). Citation check: Public Health and Online Misinformation: Challenges and Recommendations. https://app.cochat.ai/papers/10.1146/annurev-publhealth-040119-094127
- The paper
- Swire-Thompson, B., & Lazer, D. (2020). Public Health and Online Misinformation: Challenges and Recommendations. Annual Review of Public Health. https://doi.org/10.1146/annurev-publhealth-040119-094127