title: Local health department use of twitter to disseminate diabetes information, United States.
abstract: BACKGROUND
  Diabetes may affect one-third of US adults by 2050. Adopting a healthful diet and increasing physical activity are effective in preventing type 2 diabetes and decreasing the severity of diabetes-related complications. Educating and informing the public about health problems is a service provided by local health departments (LHDs). The objective of this study was to examine how LHDs are using social media to educate and inform the public about diabetes.
  
  
  METHODS
  In June 2012 we used NVivo 10 to collect all tweets ever posted from every LHD with a Twitter account and identified tweets about diabetes. We used a 2010 National Association of County and City Health Officials survey to compare characteristics of LHDs that tweeted about diabetes with those that did not. Content analysis was used to classify each tweet topic.
  
  
  RESULTS
  Of 217 LHDs with Twitter accounts, 126 had ever tweeted about diabetes, with 3 diabetes tweets being the median since adopting Twitter. LHDs tweeting about diabetes were in jurisdictions with larger populations and had more staff and higher spending than LHDs not tweeting about diabetes. They were significantly more likely to employ a public information specialist and provide programs in diabetes-related areas. There was also a weak positive association between jurisdiction diabetes rate and the percentage of all tweets that were about diabetes (r = .16; P = .049).
  
  
  CONCLUSIONS
  LHDs are beginning to use social media to educate and inform their constituents about diabetes. An understanding of the reach and effectiveness of social media could enable public health practitioners to use them more effectively.
authors: Brown School, Washington University in St. Louis, One Brookings Dr, St. Louis, MO 63130, USA. harrisj@wustl.edu
authors: Jenine K
authors: JK
authors: Harris
authors: Nancy L
authors: NL
authors: Mueller
authors: Doneisha
authors: D
authors: Snider
authors: Debra
authors: D
authors: Haire-Joshu
mesh_terms: D005260:Female; D006801:Humans; D011247:Pregnancy; D016540:Smoking Cessation
references: Online J Public Health Inform. 2011;3(1):
references: 23569602
references: Diabetes Educ. 2000 Jul-Aug;26(4):645-55
references: 11140073
references: J Med Internet Res. 2009 Nov 27;11(4):e48
references: 19945947
references: J Med Internet Res. 2009 Feb 20;11(1):e4
references: 19275980
references: N Engl J Med. 2002 Feb 7;346(6):393-403
references: 11832527
references: Aust N Z J Public Health. 2012 Feb;36(1):30-2
references: 22313703
references: Prev Chronic Dis. 2011 Nov;8(6):A148
references: 22005641
references: J Public Health Manag Pract. 2004 Sep-Oct;10(5):435-43
references: 15552769
references: Reprod Health Matters. 2011 May;19(37):157-65
references: 21555096
references: J Agromedicine. 2012;17(2):232-9
references: 22490035
references: Dermatol Clin. 2009 Apr;27(2):133-6, vi
references: 19254656
references: Int J Clin Pract Suppl. 2010 Feb;(166):41-6
references: 20377663
references: Healthc Q. 2008;11(1):104-8, 110, 4
references: 18326388
references: Diabetes. 2005 Apr;54(4):1150-6
references: 15793255
references: Am J Public Health. 2013 Sep;103(9):1700-7
references: 23865660
references: Health Prog. 2012 Mar-Apr;93(2):82-3
references: 22423566
references: Am J Community Psychol. 2002 Oct;30(5):637-54
references: 12188054
references: Ann Intern Med. 2005 Mar 1;142(5):381-3
references: 15738457
references: Biometrics. 1977 Mar;33(1):159-74
references: 843571