Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Monday, March 11, 2019 at 4:00 PM to 4:30 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Advertisement

Currently submitted to: JMIR Public Health and Surveillance

Date Submitted: Jul 12, 2019
Open Peer Review Period: Jul 15, 2019 - Jul 29, 2019
(closed for review but you can still tweet)

NOTE: This is an unreviewed Preprint

Warning: This is a unreviewed preprint (What is a preprint?). Readers are warned that the document has not been peer-reviewed by expert/patient reviewers or an academic editor, may contain misleading claims, and is likely to undergo changes before final publication, if accepted, or may have been rejected/withdrawn (a note “no longer under consideration” will appear above).

Peer-review me: Readers with interest and expertise are encouraged to sign up as peer-reviewer, if the paper is within an open peer-review period (in this case, a “Peer-Review Me” button to sign up as reviewer is displayed above). All preprints currently open for review are listed here. Outside of the formal open peer-review period we encourage you to tweet about the preprint.

Citation: Please cite this preprint only for review purposes or for grant applications and CVs (if you are the author).

Final version: If our system detects a final peer-reviewed “version of record” (VoR) published in any journal, a link to that VoR will appear below. Readers are then encourage to cite the VoR instead of this preprint.

Settings: If you are the author, you can login and change the preprint display settings, but the preprint URL/DOI is supposed to be stable and citable, so it should not be removed once posted.

Submit: To post your own preprint, simply submit to any JMIR journal, and choose the appropriate settings to expose your submitted version as preprint.

Am I At Risk of HIV? Demographic Profiles of Faces in HIV Awareness Posts on Instagram

  • Alicia L Nobles; 
  • Eric C Leas; 
  • Seth Noar; 
  • Mark Dredze; 
  • Carl A Latkin; 
  • Steffanie A. Strathdee; 
  • John W Ayers; 

ABSTRACT

Background:

Instagram, a photo- and video-sharing social networking site, is a popular platform for sharing self-described health- and wellness-related content that is searchable by hashtags. People’s perceptions of health risks may be affected by what they view on social media. As a result, it is important to understand how content promoting HIV prevention and treatment on Instagram is establishing norms about risk and prevention.

Objective:

The objective of this study is to examine what social norm messages are potentially conveyed about who is at risk and engaged in protective behaviors when HIV-related images are shared on Instagram.

Methods:

We analyzed public Instagram (January 2017 through July 2018) posts that contained the hashtag “#HIV”. The demographic profile for faces shown in these images was ascertained using automated image recognition and contrasted against known profiles for new HIV diagnoses.

Results:

We discovered 26,766 Instagram posts containing #HIV authored in English. These included 10,036 (37.5%) images with a detectable human face, showing a total of 18,227 faces (mean = 1.8, standard deviation [SD] = 1.7). Faces skewed older (47% vs. 11% were 35-39 years old), more female (41% vs. 19%) and more white (43% vs. 26%) than new HIV diagnoses, with similar results among posts mentioning pre-exposure prophylaxis (PrEP). Racial groups that represent a large proportion of new HIV infections, including African Americans (31% vs 44%) and Hispanics (13% vs 25%), were underrepresented.

Conclusions:

This contrast reveals how norm setting on Instagram does not reflect the demographic profile of the at-risk community leading social media users to potentially misjudge their own HIV risk.


 Citation

Please cite as:

Nobles AL, Leas EC, Noar S, Dredze M, Latkin CA, Strathdee SA, Ayers JW

Am I At Risk of HIV? Demographic Profiles of Faces in HIV Awareness Posts on Instagram

JMIR Preprints. 12/07/2019:15479

DOI: 10.2196/preprints.15479

URL: https://preprints.jmir.org/preprint/15479


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.