Cited by 129Social Media in Health EducationHealth Literacy and Information AccessibilityMedia and Digital Communication

The DOI matches its Crossref record; 61 of the 62 references it cites were found in a registry or an index; 1 of the 29 sources its claims cite were checked for support.

Diagnosis Blog: Checking Up on Health Blogs in the Blogosphere

Open access
Miller, Edward Alan, Pole, Antoinette·2010·American Journal of Public Health

Abstract

Objectives. We analyzed the content and characteristics of influential health blogs and bloggers to provide a more thorough understanding of the health blogosphere than was previously available. Methods. We identified, through a purposive–snowball approach, 951 health blogs in 2007 and 2008. All blogs were US focused and updated regularly. We described their features, topics, perspectives, and blogger demographics. Results. Approximately half of the bloggers in our sample were employed in the health field. A majority were female, aged in their 30s, and highly educated. Two thirds posted at least weekly; one quarter accepted advertisements. Most blogs were established after 2004. They typically focused on bloggers' experiences with 1 disease or condition or on the personal experiences of health professionals. Half were written from a professional perspective, one third from a patient–consumer perspective, and a few from the perspective of an unpaid caregiver. Conclusions. Data collected from health blogs could be aggregated for large-scale empirical investigations. Future research should assess the quality of the information posted and identify what blog features and elements best reflect adherence to prevailing norms of conduct.

Overview

AI snapshot

Written from the paper’s full text.

TL;DR

This study systematically cataloged 951 influential US health blogs in 2007–2008, describing their features, topics, perspectives, and blogger demographics. It found that health bloggers were mostly female, highly educated, often health professionals, and that most blogs focused on personal experiences with a disease or condition.

Key findings

  • Of 951 blogs, 49.8% of bloggers worked in health professions; 56.8% were female, average age was 35.8 years, and two thirds held a master’s or doctoral degree.
  • Most blogs were established after 2004 (93.5% from 2004–2008); 63.2% posted at least weekly, 12.5% posted daily, and 28.1% accepted commercial advertising.
  • The most common topic was disease/disability experience (42.6%), followed by health policy/law/business (17.1%) and health research/news (15.1%); perspectives were professional (54.3%), patient–consumer (37.7%), and caregiver (8.0%).
  • Among condition-specific blogs, mental health was most prevalent, mostly autism spectrum disorders (26.6%), bipolar disorder (25.5%), or eating disorders (22.9%); reproduction blogs mostly addressed infertility (81.5%), and chronic disease blogs often dealt with diabetes (41.2%).

Methods

  • The authors used a purposive–snowball sampling approach to identify 951 US-focused, English-language health blogs updated at least once in the 6 months before data collection, during June–July 2007 and April–May 2008.
  • The 2007 sample consisted of 622 blogs identified through search engines, blog aggregators, and blogrolls; the 2008 sample added 329 new eligible blogs from Healthcare 100, plus 114 already identified.
  • Data abstraction coded blog features, topics, perspectives, and blogger demographics; most characteristics were identified through cursory review, with deeper examination of multiple posts when needed.

Limitations

  • Stated: the sampling method had inherent bias because no sampling frame existed, so eligible blogs may have been missed; inactive or dead blogs and less widely linked blogs may have been excluded.
  • Stated: the sample was likely biased toward popular, influential blogs, possibly underrepresenting some topics and overrepresenting others; blogs were sampled during a single year, providing only a snapshot.
  • Stated: comprehensive sociodemographic data were unavailable because many bloggers remained anonymous, and self-reported information such as occupation was unverifiable; evident: the study is descriptive and cross-sectional, and the text does not report inter-coder reliability for the subjective coding.

Model-written summary. Check it against the paper before relying on it.

Integrity signals

Registry

Crossref · 10.2105/ajph.2009.175125

Cites

61 of 61 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

Verification

Claims the paper makes

56 Own result · 17 Not checked yet · 11 Own method · 11 Own interpretation · 5 No basis given · accuracy not yet measured

Verify all 28 references — free account
  • Probably not a substantial claim. 27
  • It may state two separate claims as one. 14
33 of 33
  • The paper relies on this without support.

    There is no known population of health blogs, so a truly random sample cannot be constructed.

    “This sampling approach is appropriate when the absence of a known population renders a truly random sample impossible to construct.”
    “This approach is especially appropriate for studying blogs.”
  • The paper relies on this without support.

    Bloggers' demographic characteristics (gender, age, occupation, education) can be reliably identified from blog content.

    “Demographic information involved the identification of blogger gender, age, occupation, and education.”
    “Most characteristics were readily identifiable through a cursory review of each blog.”
  • The paper relies on this without support.

    The primary perspective of each blogger can be reliably coded from blog descriptions and posts.

    “We also identified topics discussed by reading blog descriptions and posts, and we coded the primary perspective of each blogger.”
  • The paper relies on this without support.

    The sample of 951 blogs is representative of influential health blogs in the United States.

    “We analyzed the content and characteristics of influential health blogs and bloggers to provide a more thorough understanding of the health blogosphere than was previously available.”
    “We systematically cataloged the content and characteristics of the most influential health blogs and bloggers to provide a more thorough understanding of the health blogosphere than has been available to date.”
  • The paper relies on this without support.

    The 2007 and 2008 samples can be combined into a single sample of 951 blogs.

    “We identified health-related blogs during 2 periods: June to July 2007 and April to May 2008.”
    “We analyzed a total of 951 blogs.”
  • The paper relies on this without support.

    Typically health providers are viewed as a trustworthy source.

    “typically health providers are viewed as a trustworthy source.”
  • The paper relies on this without support.

    Many bloggers seek to remain anonymous.

    “Because many bloggers seek to remain anonymous”
  • The paper relies on this without support.

    The number of health blogs is rapidly increasing.

    “The rapid increase in the number of health blogs”
8 of 8

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Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

1 of 1

Citations

Cites

Show all 62 references

Research works printed but not linked: 13

  1. Fox S, 2008, The Engaged E-Patient Population
  2. Lenhart A, 2006, Bloggers: A Portrait of the Internet's New Storytellers
  3. Harrison JP, 2006, Nurs Econ, 24, 283
  4. Harty-Golder B, 2005, MLO Med Lab Obs, 37, 42
  5. Jacobs N, 2007, Profiles Healthc Commun, 23, 9
  6. Blass A, 2007, Diabetes Self Manag, 24, 39
  7. Genes N, 2009, J Emerg Med
  8. Sandars J, Med Teach, 1
  9. Zeng X, 2005, Perspect Health Inf Manag, 2, 6
  10. Karpf D, 2008, Polit Technol Rev, 33
  11. Pole A. Representation and blogs: advertising, credit claiming, and position taking? Paper presented at: American Political Science Association Annual Conference; August 31-September 3, 2006; Philadelphia, PA.
  12. Glaser BG, 1967, The Discovery of Grounded Theory
  13. Fox S, 2006, Online Health Search

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Metadata

Authors
Miller, E. A., & Pole, A.
Affiliations
Montclair State University (US)
Venue
American Journal of Public Health
Published
2010-08
Volume
100
Issue
8
Pages
1514-1519
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2017980577
Cited by
129
References
62
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 7 · 2022: 6 · 2021: 6 · 2020: 7 · 2019: 9 · 2018: 5 · 2017: 13 · 2016: 6 · 2015: 14 · 2014: 15 · 2013: 16 · 2012: 15
FWCI
11.69
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
Brown University
Topics
  • Social Sciences › Health › Social Media in Health Education
  • Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
  • Social Sciences › Communication › Media and Digital Communication
Keywords
health blogs, blogosphere, bloggers, online health information, blog content analysis, patient perspectives, health professionals' experiences, caregiver perspectives, health information quality
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aged, Attitude to Health, Educational Status, Female, Health, Health Personnel, Humans, Male, Middle Aged, Occupations, Patients, Social Support, United States, Caregivers, Consumer Health Information, Young Adult, Blogging

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