%0期刊文章@ 14388871% I JMIR出版公司V 15% 卡塔尔世界杯8强波胆分析N 8% P 177% T地方卫生部门使用Twitter:信息共享、参与和行动分析%A Neiger,Brad L %A Thackeray,Rosemary %A Burton,Scott H %A Thackeray,Callie R %A Reese,Jennifer H %+杨百翰大学健康科学系，302 B Widtsoe大楼，Provo, UT, 84602，美国，1 801 422 3313,neiger@byu.edu %K Twitter %K社交媒体%K参与%K互联网%K受众%D 2013 %7 19.08.2013 %9原创论文%J J医学互联网Res %G英语%X背景:社交媒体为公共卫生提供了前所未有的机会，使受众参与有可能改善健康状况的对话和合作。虽然有一些证据表明，地方卫生部门(LHDs)正在使用社交媒体，特别是Twitter，但很少有人知道LHDs如何使用Twitter，以及他们如何利用Twitter吸引粉丝，而不是传播单向信息。目的:研究lhd如何使用Twitter分享信息，与追随者互动，并促进行动，同时发现不同人口规模的lhd在Twitter使用上的差异。方法:210名lhd患者的Twitter账户根据服务人群的大小被分为三组(少于10万的人群n=69;N =89表示100,000-499,999;50万或以上，N =52)。每个阶层都获得了1000条推文样本，并将其编码为关于组织或个人健康话题。组织的子类别包括信息、参与和行动。 Subcategories for personal health included information and action. Results: Of all LHD tweets (n=3000), 56.1% (1682/3000) related to personal health compared with 39.5% (1186/3000) that were about the organization. Of the personal-health tweets, 58.5% (984/1682) involved factual information and 41.4% (697/1682) encouraged action. Of the organization-related tweets, 51.9% (615/1186) represented one-way communication about the organization and its events and services, 35.0% (416/1186) tried to engage followers in conversation, and 13.3% (158/1186) encouraged action to benefit the organization (eg, attend events). Compared with large LHDs, small LHDs were more likely to post tweets about their organization (Cramer’s V=0.06) but were less likely to acknowledge events and accomplishments of other organizations (χ2=12.83, P=.02, Cramer’s V=0.18). Small LHDs were also less likely to post personal health-related tweets (Cramer’s V=0.08) and were less likely to post tweets containing suggestions to take action to modify their lifestyle. While large LHDs were more likely to post engagement-related tweets about the organization (Cramer’s V=0.12), they were less likely to ask followers to take action that would benefit the organization (χ2=7.59, P=.02. Cramer’s V=0.08). While certain associations were statistically significant, the Cramer’s V statistic revealed weak associations. Conclusions: Twitter is being adopted by LHDs, but its primary use involves one-way communication on personal-health topics as well as organization-related information. There is also evidence that LHDs are starting to use Twitter to engage their audiences in conversations. As public health transitions to more dialogic conversation and engagement, Twitter’s potential to help form partnerships with audiences and involve them as program participants may lead to action for improved health. %M 23958635 %R 10.2196/jmir.2775 %U //www.mybigtv.com/2013/8/e177/ %U https://doi.org/10.2196/jmir.2775 %U http://www.ncbi.nlm.nih.gov/pubmed/23958635