Identifying and Classifying COVID-19 Stigma on Social Media

Since the introduction of COVID-19 in early 2020, COVID-19 stigma has persisted on social media. Stigma, a social process where individuals or groups are labeled, stereotyped, and separated, can result in misinformation, discrimination, and violence. The body of research on COVID-19 stigma is growing, but addressing stigma on social media remains challenging because of the enormous volume and diversity of rapidly changing content. This three-part methodology offers a standardized approach for generating (1) a relevant and manageable social media sample for stigma identification and research, (2) a categorization process to organize the sample, and (3) a systematic coding method for classifying stigma within the sample. An application of the methodology generated a curated sample of 138,998 posts from Twitter and Reddit, organized according to key stigma domain, key terms, frequency of terms, and hashtag occurrence. A subset of 711 posts were selected for the content analysis and analyzed based on the key stigma domains, distinguishing between intentional and unintentional stigma. This methodology has the potential to facilitate comprehensive social media stigma research through simplified sample generation and stigma identification processes and offers the possibility of adaptation to address other types of social media stigma, beyond COVID-19.

[1]  T. Zhu,et al.  Stigma toward Wuhan people during the COVID-19 epidemic: an exploratory study based on social media , 2021, BMC Public Health.

[2]  Ling Zhang,et al.  COVID-19-related stigma and its sociodemographic correlates: a comparative study , 2021, Globalization and Health.

[3]  L. Nyblade,et al.  Stigma reduction: an essential ingredient to ending AIDS by 2030. , 2021, The lancet. HIV.

[4]  S. Z. Hossain,et al.  Rumour and social stigma as barriers to the prevention of coronavirus disease (COVID-19): What solutions to consider? , 2020 .

[5]  S. Weaver,et al.  Constructing and Communicating COVID-19 Stigma on Twitter: A Content Analysis of Tweets during the Early Stage of the COVID-19 Outbreak , 2020, International journal of environmental research and public health.

[6]  C. Logie Lessons learned from HIV can inform our approach to COVID‐19 stigma , 2020, Journal of the International AIDS Society.

[7]  Henna Budhwani,et al.  Creating COVID-19 Stigma by Referencing the Novel Coronavirus as the “Chinese virus” on Twitter: Quantitative Analysis of Social Media Data , 2020, Journal of Medical Internet Research.

[8]  D. Azim,et al.  COVID-19 as a psychological contagion: A new Pandora’s box to close? , 2020, Infection Control & Hospital Epidemiology.

[9]  D. Taussky,et al.  Twitter , 2020, American journal of clinical oncology.

[10]  M. Moradi-Lakeh,et al.  Stigma in COVID-19: A barrier to seek medical care and family support , 2020, Medical journal of the Islamic Republic of Iran.

[11]  V. Suárez-Lledó,et al.  Prevalence of Health Misinformation on Social Media: Systematic Review , 2019, Journal of medical Internet research.

[12]  Bruce G. Link,et al.  Media language preferences and mental illness stigma among Latinx adolescents , 2019, Social Psychiatry and Psychiatric Epidemiology.

[13]  M. Mckee,et al.  Systematic Literature Review on the Spread of Health-related Misinformation on Social Media , 2019, Social Science & Medicine.

[14]  Tamara Taggart,et al.  HIV testing barriers and intervention strategies among men, transgender women, female sex workers and incarcerated persons in the Caribbean: a systematic review , 2019, Sexually Transmitted Infections.

[15]  E. Wouters,et al.  Stigma in health facilities: why it matters and how we can change it , 2019, BMC Medicine.

[16]  J. Dovidio,et al.  The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas , 2019, BMC Medicine.

[17]  B. Pescosolido,et al.  Challenges and opportunities in examining and addressing intersectional stigma and health , 2019, BMC Medicine.

[18]  M. Ekstrand,et al.  HIV stigma is a barrier to achieving 90-90-90 in India. , 2018, The lancet. HIV.

[19]  S. Baral,et al.  Stigma as a barrier to health care utilization among female sex workers and men who have sex with men in Burkina Faso. , 2017, Annals of epidemiology.

[20]  H. Gesesew,et al.  Significant association between perceived HIV related stigma and late presentation for HIV/AIDS care in low and middle-income countries: A systematic review and meta-analysis , 2017, PloS one.

[21]  Qiyun Shi,et al.  Examining the associations between HIV-related stigma and health outcomes in people living with HIV/AIDS: a series of meta-analyses , 2016, BMJ Open.

[22]  Bruce G. Link,et al.  Stigma as a fundamental cause of population health inequalities. , 2013, American journal of public health.

[23]  Janet M. Turan,et al.  HIV-related Stigma as a Barrier to Achievement of Global PMTCT and Maternal Health Goals: A Review of the Evidence , 2013, AIDS and Behavior.

[24]  Sian Churcher Stigma related to HIV and AIDS as a barrier to accessing health care in Thailand: a review of recent literature , 2013, WHO South-East Asia journal of public health.

[25]  I. Birdthistle,et al.  Barriers and facilitating factors to the uptake of antiretroviral drugs for prevention of mother-to-child transmission of HIV in sub-Saharan Africa: a systematic review , 2013, Journal of the International AIDS Society.

[26]  H. Canton,et al.  International Federation of Red Cross and Red Crescent Societies , 2009, Permanent Missions to the United Nations, No. 309.

[27]  Stephenie R. Chaudoir,et al.  From Conceptualizing to Measuring HIV Stigma: A Review of HIV Stigma Mechanism Measures , 2009, AIDS and Behavior.