International Journal of Health Management and Tourism 2458-9608 Dilaver TENGİLİMOĞLU 10.31201/ijhmt.1744269 Digital Health Health Care Administration Health Management Dijital Sağlık Sağlık Kurumları Yönetimi Sağlık Yönetimi Presentation of Health on Social Media: A Systematic Review Sağlığın Sosyal Medyada Sunumu: Bir Sistematik Derleme https://orcid.org/0000-0002-2805-1921 Atalay Havva Nur BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ https://orcid.org/0000-0002-8667-4473 Arslan Saleem Dilara BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ https://orcid.org/0000-0001-6292-2332 Aslan Yasemin BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ https://orcid.org/0000-0003-0697-5899 Sevim Ekrem BANDIRMA ONYEDİ EYLÜL ÜNİVERSİTESİ 11 25 2025 10 3 346 372 07 16 2025 10 24 2025 Copyright © 2016, International Journal of Health Management and Tourism 2016 International Journal of Health Management and Tourism

Aim: The purpose of the study is to conduct a systematic evaluation of research on the presentation of health on social media. Methods: A qualitative research design using a systematic review method has been employed in the study. The Web of Science, Science Direct, and Scopus databases were searched using the keywords "social media" and "health," resulting in access to a total of 2,615 articles. The search was conducted between April 25 and April 30, 2022. After applying inclusion and exclusion criteria, a total of 466 articles were included. Studies involving social media platforms such as WhatsApp, Facebook, Twitter, Instagram, and YouTube were encompassed, ultimately leading to the examination of a total of 38 articles. Results: It was found that most studies were conducted in 2021 and focused on the promotion and improvement of health, as well as public health issues. It has been determined that Facebook is the most widely used social media platform, and most studies are conducted primarily using qualitative methods. Conclusion: When the countries where the studies were conducted are grouped, it has been observed that countries classified in the high-income group are predominantly at the forefront. Therefore, future studies should adopt a more inclusive and diverse approach.

Aim: The purpose of the study is to conduct a systematic evaluation of research on the presentation of health on social media. Methods: A qualitative research design using a systematic review method has been employed in the study. The Web of Science, Science Direct, and Scopus databases were searched using the keywords "social media" and "health," resulting in access to a total of 2,615 articles. The search was conducted between April 25 and April 30, 2022. After applying inclusion and exclusion criteria, a total of 466 articles were included. Studies involving social media platforms such as WhatsApp, Facebook, Twitter, Instagram, and YouTube were encompassed, ultimately leading to the examination of a total of 38 articles. Results: It was found that most studies were conducted in 2021 and focused on the promotion and improvement of health, as well as public health issues. It has been determined that Facebook is the most widely used social media platform, and most studies are conducted primarily using qualitative methods. Conclusion: When the countries where the studies were conducted are grouped, it has been observed that countries classified in the high-income group are predominantly at the forefront. Therefore, future studies should adopt a more inclusive and diverse approach.

 Social Media Health Services Presentation of Health Systematic Review Sosyal medya Sağlık Hizmetleri Sağlığın Sunumu Sistemetik Derleme Acha-Anyi, A., Acha-Anyi, P. N., Asongu, S. A., & Tchamyou, V. S. (2020). Social media for health promotion: A visual analysis of “TB proof” South Africa’s Facebook page. Technology in Society, 63, 101386. https://doi.org/10.1016/j.techsoc.2020.101386 Al Mamun, M., Ibrahim, H. M., & Turin, T. C. (2015). Social Media in Communicating Health Information: An Analysis of Facebook Groups Related to Hypertension. Preventing Chronic Disease, 12. https://doi.org/10.5888/pcd12.140265 Albalawi, Y., Nikolov, N. S., & Buckley, J. (2019). Trustworthy Health-Related Tweets on Social Media in Saudi Arabia: Tweet Metadata Analysis. Journal of Medical Internet Research, 21(10), e14731. https://doi.org/10.2196/14731 Antheunis, M. L., Tates, K., & Nieboer, T. E. (2013). Patients’ and health professionals’ use of social media in health care: Motives, barriers and expectations. Patient Education and Counseling, 92(3), 426–431. https://doi.org/10.1016/j.pec.2013.06.020 Asubiaro, T., Badmus, O., Ikenyei, U., Popoola, B., & Igwe, E. (2021). Exploring Sub-Saharan Africa’s Communication of COVID-19-Related Health Information on Social Media. Libri, 71(2), 123–139. https://doi.org/10.1515/libri-2020-0097 Batta, H. E., & Iwokwagh, N. S. (2015). Optimising the Digital Age Health-wise: Utilisation of New/Social Media by Nigerian Teaching Hospitals. Procedia - Social and Behavioral Sciences, 176, 175–185. https://doi.org/10.1016/j.sbspro.2015.01.459 Bhattacharya, S., Srinivasan, P., & Polgreen, P. (2017). Social media engagement analysis of U.S. Federal health agencies on Facebook. BMC Medical Informatics and Decision Making, 17(1). https://doi.org/10.1186/s12911-017-0447-z Booth, R. G., Allen, B. N., Bray Jenkyn, K. M., Li, L., & Shariff, S. Z. (2018). Youth Mental Health Services Utilization Rates After a Large-Scale Social Media Campaign: Population-Based Interrupted Time-Series Analysis. JMIR Mental Health, 5(2), e27. https://doi.org/10.2196/mental.8808 Bora, K., Pagdhune, A., Patgiri, S. J., Barman, B., Das, D., & Borah, P. (2022). Does social media provide adequate health education for prevention of COVID-19? A case study of YouTube videos on social distancing and hand-washing. Health Education Research, 36(4), 398–411. https://doi.org/10.1093/her/cyab028 Bozzola, E., Staiano, A. M., Spina, G., Zamperini, N., Marino, F., Roversi, M., Corsello, G., The Italian Paediatric Society Executive Board, Villani, A., Agostiniani, R., Memo, L., Peroni, D., Banderali, G., Turra, R., Romeo, N., Chiara, A., Antonio, D. V., Indinnimeo, L., & Ferrara, P. (2021). Social media use to improve communication on children and adolescent’s health: The role of the Italian Paediatric Society influencers. Italian Journal of Pediatrics, 47(1). https://doi.org/10.1186/s13052-021-01111-7 Brooks, R. A., Swendeman, D., & Hannay, J. (2020). Special Projects of National Significance Social Media Initiative: Improving Health Outcomes Along the HIV Care Continuum in Youth and Young Adults Living With HIV. Health Promotion Practice, 21(5), 690–692. https://doi.org/10.1177/1524839920944806 Carrotte, E. R., Vella, A. M., & Lim, M. S. (2015). Predictors of “Liking” Three Types of Health and Fitness-Related Content on Social Media: A Cross-Sectional Study. Journal of Medical Internet Research, 17(8), e205. https://doi.org/10.2196/jmir.4803 Chipidza, W., Akbaripourdibazar, E., Gwanzura, T., & Gatto, N. M. (2022). Topic Analysis of Traditional and Social Media News Coverage of the Early COVID-19 Pandemic and Implications for Public Health Communication. Disaster Medicine and Public Health Preparedness, 16(5), 1881–1888. https://doi.org/10.1017/dmp.2021.65 Costa-Sánchez, C., & Míguez-González, M.-I. (2018). Use of social media for health education and corporate communication of hospitals. El Profesional de La Información, 27(5), 1145. https://doi.org/10.3145/epi.2018.sep.18 Crilly, P., Hassanali, W., Khanna, G., Matharu, K., Patel, D., Patel, D., Rahman, F., & Kayyali, R. (2019). Community pharmacist perceptions of their role and the use of social media and mobile health applications as tools in public health. Research in Social and Administrative Pharmacy, 15(1), 23–30. https://doi.org/10.1016/j.sapharm.2018.02.005 DeAndrea, D. C., & Vendemia, M. A. (2016). How Affiliation Disclosure and Control Over User-Generated Comments Affects Consumer Health Knowledge and Behavior: A Randomized Controlled Experiment of Pharmaceutical Direct-to-Consumer Advertising on Social Media. Journal of Medical Internet Research, 18(7), e189. https://doi.org/10.2196/jmir.5972 Dimanlig-Cruz, S., Han, A., Lancione, S., Dewidar, O., Podinic, I., OPH-SEPH Collaborative (OSC) Working Group, Haqani, B., Haug, J., Leonard, L., Medline, E., Patey, A., Presseau, J., Thompson, E., Kent, M. P., & Brouwers, M. (2021). Physical distancing messages targeting youth on the social media accounts of Canadian public health entities and the use of behavioral change techniques. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11659-y Farrokhi, F., Ghorbani, Z., Farrokhi, F., Namdari, M., & Salavatian, S. (2023). Social media as a tool for oral health promotion: A systematic review. PLOS ONE, 18(12), e0296102. https://doi.org/10.1371/journal.pone.0296102 Fuentes, A., & Peterson, J. V. (2021). Social media and public perception as core aspect of public health: The cautionary case of @realdonaldtrump and COVID-19. PLOS ONE, 16(5), e0251179. https://doi.org/10.1371/journal.pone.0251179 Gabarron, E., Dorronzoro, E., Bradway, M., Rivera-Romero, O., Wynn, R., & Årsand, E. (2018). Preferences and interests of diabetes social media users regarding a health-promotion intervention. Patient Preference and Adherence, Volume 12, 2499–2506. https://doi.org/10.2147/ppa.s184369 Goodyear, V., Andersson, J., Quennerstedt, M., & Varea, V. (2022). #Skinny girls: Young girls’ learning processes and health-related social media. Qualitative Research in Sport, Exercise and Health, 14(1), 1–18. https://doi.org/10.1080/2159676x.2021.1888152 Grant, M. J., & Booth, A. (2009). A typology of reviews: An analysis of 14 review types and associated methodologies. Health Information & Libraries Journal, 26(2), 91–108. https://doi.org/10.1111/j.1471-1842.2009.00848.x Hassan, L., Nenadic, G., & Tully, M. P. (2021). A Social Media Campaign (#datasaveslives) to Promote the Benefits of Using Health Data for Research Purposes: Mixed Methods Analysis. Journal of Medical Internet Research, 23(2), e16348. https://doi.org/10.2196/16348 Herrera-Peco, I., Jiménez-Gómez, B., Peña Deudero, J. J., Benitez De Gracia, E., & Ruiz-Núñez, C. (2021). Healthcare Professionals’ Role in Social Media Public Health Campaigns: Analysis of Spanish Pro Vaccination Campaign on Twitter. Healthcare, 9(6), 662. https://doi.org/10.3390/healthcare9060662 Ho, Y.-X., O’Connor, B. H., & Mulvaney, S. A. (2014). Features of Online Health Communities for Adolescents With Type 1 Diabetes. Western Journal of Nursing Research, 36(9), 1183–1198. https://doi.org/10.1177/0193945913520414 Ittefaq, M., & Iqbal, A. (2018). Digitization of the health sector in Pakistan: Challenges and opportunities to online health communication: A case study of MARHAM social and mobile media. DIGITAL HEALTH, 4. https://doi.org/10.1177/2055207618789281 Jawad, M., Abass, J., Hariri, A., & Akl, E. A. (2015). Social Media Use for Public Health Campaigning in a Low Resource Setting: The Case of Waterpipe Tobacco Smoking. BioMed Research International, 2015, 1–4. https://doi.org/10.1155/2015/562586 Kamasz, E. (2021). Nfz health academy – approaches used by the national health fund (Nfz) to promote healthy lifestyle and physical activity among poles via web and social media during the COVID-19 pandemic. Journal of Physical Education and Sport, 21(2), 1064–1070. https://doi.org/10.7752/jpes.2021.s2133 Klassen, K. M., Borleis, E. S., Brennan, L., Reid, M., McCaffrey, T. A., & Lim, M. S. (2018). What People “Like”: Analysis of Social Media Strategies Used by Food Industry Brands, Lifestyle Brands, and Health Promotion Organizations on Facebook and Instagram. Journal of Medical Internet Research, 20(6), e10227. https://doi.org/10.2196/10227 Kothari, A., Foisey, L., Donelle, L., & Bauer, M. (2021). How do Canadian public health agencies respond to the COVID-19 emergency using social media: A protocol for a case study using content and sentiment analysis. BMJ Open, 11(4), e041818. https://doi.org/10.1136/bmjopen-2020-041818 Lister, C., Royne, M., Payne, H. E., Cannon, B., Hanson, C., & Barnes, M. (2015). The Laugh Model: Reframing and Rebranding Public Health Through Social Media. American Journal of Public Health, 105(11), 2245–2251. https://doi.org/10.2105/ajph.2015.302669 Lutkenhaus, R. O., Jansz, J., & Bouman, M. P. (2019). Tailoring in the digital era: Stimulating dialogues on health topics in collaboration with social media influencers. DIGITAL HEALTH, 5. https://doi.org/10.1177/2055207618821521 Macias, W., Lewis, L. S., & Smith, T. L. (2005). Health-Related Message Boards/Chat Rooms on the Web: Discussion Content and Implications for Pharmaceutical Sponsorships. Journal of Health Communication, 10(3), 209–223. https://doi.org/10.1080/10810730590934235 Maitra, C., & Rowley, J. (2022). Using a social media based intervention to enhance eye health awareness of members of a deprived community in India. Information Development, 38(3), 438–451. https://doi.org/10.1177/02666669211013450 Marocolo, M., Meireles, A., De Souza, H. L. R., Mota, G. R., Oranchuk, D. J., Arriel, R. A., & Leite, L. H. R. (2021). Is Social Media Spreading Misinformation on Exercise and Health in Brazil? International Journal of Environmental Research and Public Health, 18(22), 11914. https://doi.org/10.3390/ijerph182211914 Martini, T., Czepielewski, L. S., Baldez, D. P., Gliddon, E., Kieling, C., Berk, L., Berk, M., & Kauer-Sant’Anna, M. (2018). Mental health information online: What we have learned from social media metrics in BuzzFeed’s Mental Health Week. Trends in Psychiatry and Psychotherapy, 40(4), 326–336. https://doi.org/10.1590/2237-6089-2018-0023 McCrae, N., Blackstock, M., & Purssell, E. (2015). Eligibility criteria in systematic reviews: A methodological review. International Journal of Nursing Studies, 52(7), 1269–1276. https://doi.org/10.1016/j.ijnurstu.2015.02.002 Melchior, C., & Oliveira, M. (2022). Health-related fake news on social media platforms: A systematic literature review. New Media & Society, 24(6), 1500–1522. https://doi.org/10.1177/14614448211038762 Nasaru, J. (2025). Systematic Literature Review (SLR): Utilization of Social Media as a Health Promotion Tool. 667–675. https://proceeding.unnes.ac.id/icohespe/article/view/4140 Ndumbe-Eyoh, S., & Mazzucco, A. (2016). Social media, knowledge translation, and action on the social determinants of health and health equity: A survey of public health practices. Journal of Public Health Policy, 37(S2), 249–259. https://doi.org/10.1057/s41271-016-0042-z Popay, J., Roberts, H., Sowden, A., Petticrew, M., Arai, L., Rodgers, M., Britten, N., Roen, K., & Duffy, S. (2006). Guidance on the conduct of narrative synthesis in systematic reviews: A product from the ESRC Methods Programme. Lancaster University. https://doi.org/10.13140/2.1.1018.4643 Recro Digital Marketing. (2023, May 20). Dünyada ve Türkiye’de internet-sosyal medya kullanımı. Recro Digital Marketing. https://recrodigital.com/dunyada-ve-turkiyede-internet-sosyal-medya-kullanimi-2022/ Reuter, K., Wilson, M. L., Moran, M., Le, N., Angyan, P., Majmundar, A., Kaiser, E. M., & Unger, J. B. (2021). General Audience Engagement With Antismoking Public Health Messages Across Multiple Social Media Sites: Comparative Analysis. JMIR Public Health and Surveillance, 7(2), e24429. https://doi.org/10.2196/24429 Rivas, R., Sadah, S. A., Guo, Y., & Hristidis, V. (2020). Classification of Health-Related Social Media Posts: Evaluation of Post Content–Classifier Models and Analysis of User Demographics. JMIR Public Health and Surveillance, 6(2), e14952. https://doi.org/10.2196/14952 Rupert, D. J., Moultrie, R. R., Read, J. G., Amoozegar, J. B., Bornkessel, A. S., O’Donoghue, A. C., & Sullivan, H. W. (2014). Perceived healthcare provider reactions to patient and caregiver use of online health communities. Patient Education and Counseling, 96(3), 320–326. https://doi.org/10.1016/j.pec.2014.05.015 Sandoval-Almazan, R., & Valle-Cruz, D. (2021). Social media use in government health agencies: The COVID-19 impact. Information Polity, 26(4), 459–475. https://doi.org/10.3233/ip-210326 Shibasaki, S., Gardner, K., & Sibthorpe, B. (2016). Using Knowledge Translation to Craft “Sticky” Social Media Health Messages That Provoke Interest, Raise Awareness, Impart Knowledge, and Inspire Change. JMIR mHealth and uHealth, 4(4), e115. https://doi.org/10.2196/mhealth.5987 Smailhodzic, E., Hooijsma, W., Boonstra, A., & Langley, D. J. (2016). Social media use in healthcare: A systematic review of effects on patients and on their relationship with healthcare professionals. BMC Health Services Research, 16(1). https://doi.org/10.1186/s12913-016-1691-0 Statista. (2023, May 20). Social media and user-generated content. https://www.statista.com/statistics/272014/global-social-networks-ranked-by-number-of-users/#:~:text=In%202022%2C%20Social%20networking%20sites,traction%20in%20previously%20underserved%20markets Tosyalı, H., & Sütçü, C. S. (2016). Sağlık iletişiminde sosyal medya kullanımının bireyler üzerindeki etkileri. Maltepe Üniversitesi İletişim Fakültesi Dergisi, 3(2), 3–22. Vardarlier, P., & Öztürk, C. (2020). Sağlık İletişiminde Sosyal Medya Kullanımının Rolü. Sosyolojik Düşün, 5(1), 1–18. https://doi.org/10.37991/sosdus.730815 Vedel, I., Ramaprasad, J., & Lapointe, L. (2020). Social Media Strategies for Health Promotion by Nonprofit Organizations: Multiple Case Study Design. Journal of Medical Internet Research, 22(4), e15586. https://doi.org/10.2196/15586 Young, S. D., Zhang, Q., Zeng, D. D., Zhan, Y., & Cumberland, W. (2022). Social Media Images as an Emerging Tool to Monitor Adherence to COVID-19 Public Health Guidelines: Content Analysis. Journal of Medical Internet Research, 24(3), e24787. https://doi.org/10.2196/24787