Abstract
The rapid proliferation of digital misinformation across online social networks has fundamentally altered the landscape of public health, presenting unprecedented challenges to global immunization initiatives. Vaccine hesitancy, now recognized as a critical threat to global health security, is increasingly driven by algorithmically amplified exposure to unverified or scientifically inaccurate content. This comprehensive study investigates the intricate relationship between social media misinformation exposure and vaccine hesitancy utilizing an advanced clinical modeling framework. By synthesizing behavioral psychology, digital epidemiology, and computational network analysis, we develop a novel quantitative approach to measure the clinical impact of sustained misinformation exposure. The research utilizes large-scale, anonymized digital trace data alongside clinical psychological evaluations of social media users to model the latency, frequency, and emotional resonance of misinformation encounters. The findings indicate a statistically significant dose-response relationship between the volume of misinformation exposure and elevated hesitancy scores on clinical assessments. Furthermore, the modeling reveals that emotional contagion within echo chambers exacerbates resistance to institutional medical guidance. These insights provide a foundational framework for developing targeted, data-driven public health interventions capable of mitigating the adverse effects of digital misinformation and enhancing overall vaccine confidence in highly networked populations.References
1. U.S. Department of Health and Human Services. The Health Consequences of Smoking: 50 Years of Progress. A Report of the Surgeon General; U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health: Atlanta, GA, USA, 2014.
2. Saad, L. Inflation, Immigration Rank Among Top U.S. Issue Concerns; Gallup: Washington, DC, USA, 2024.
3. Gouthami, S.; Hegde, N.P. Automatic Sentiment Analysis Scalability Prediction for Information Extraction Using SentiStrength Algorithm. In Proceedings of Third International Conference on Advances in Computer Engineering and Communication Systems; Springer: Singapore, 2023; Volume 612, pp. 21–30. ISBN 978-981-19-9228-5.
4. Shao, C.; Ciampaglia, G.L.; Varol, O.; Yang, K.; Flammini, A.; Menczer, F. The Spread of Low-Credibility Content by Social Bots. Nat. Commun. 2018, 9, 4787.
5. Dhamnetiya, D.; Patel, P.; Jha, R.P.; Shri, N.; Singh, M.; Bhattacharyya, K. Trends in incidence and mortality of tuberculosis in India over past three decades: A joinpoint and age-period-cohort analysis. BMC Pulm. Med. 2021, 21, 375.
6. OpenAI. ChatGPT, GPT-4o, GPT-o1 Preview, and GPT-5.5 Pro; Large language model; OpenAI: San Francisco, CA, USA; Available online: https://chatgpt.com/ (accessed on 5 May 2026).
7. Syed, S.; Spruit, M. Full-Text or Abstract? Examining Topic Coherence Scores Using Latent Dirichlet Allocation. In Proceedings of the 2017 International Conference on Data Science and Advanced Analytics (DSAA), Tokyo, Japan, 19-21 October 2017; Institute of Electrical and Electronics Engineers Inc.: New York, NY, USA, 2017; pp. 165–174.
8. Arroyo-Machado, W.; Herrera-Viedma, E.; Torres-Salinas, D. The Botization of Science? Large-Scale Study of the Presence and Impact of Twitter Bots in Science Dissemination. J. Assoc. Inf. Sci. Technol. 2025, 76, 1105–1122.
9. Sakko, Y.; Madikenova, M.; Kim, A.; Syssoyev, D.; Mussina, K.; Gusmanov, A.; Zhakhina, G.; Yerdessov, S.; Semenova, Y.; Crape, B.L.; et al. Epidemiology of tuberculosis in Kazakhstan: Data from the Unified National Electronic Healthcare System 2014–2019. BMJ Open 2023, 13, e074208.
10. Jagger, P.; McCord, R.; Gallerani, A.; Hoffman, I.; Jumbe, C.; Pedit, J.; Phiri, S.; Krysiak, R.; Maleta, K. Household air pollution exposure and risk of tuberculosis: A case-control study of women in Lilongwe, Malawi. BMJ Public Health 2024, 2, e000176.
11. Taylor, A.S. Reanalysing the Authentic in Social Media Practice: Towards a Performative Framework. In Authenticity as Performativity on Social Media; Palgrave Macmillan: Cham, Switzerland, 2022; pp. 1–23. ISBN 978-3-031-12148-7.
12. Krippendorff, K. Content Analysis: An Introduction to Its Methodology; SAGE Publications, Inc.: Thousand Oaks, CA, USA, 2019; ISBN 978-1-0718-7878-1.
13. Fan, A.; Doshi-Velez, F.; Miratrix, L. Prior Matters: Simple and General Methods for Evaluating and Improving Topic Quality in Topic Modeling. arXiv 2017, arXiv:1701.03227.
14. Safaev, K.; Parpieva, N.; Liverko, I.; Yuldashev, S.; Dumchev, K.; Gadoev, J.; Korotych, O.; Harries, A.D. Trends, Characteristics and Treatment Outcomes of Patients with Drug-Resistant Tuberculosis in Uzbekistan: 2013–2018. Int. J. Environ. Res. Public Health 2021, 18, 4663.
15. Zhang, T.; Patil, S.G.; Jain, N.; Shen, S.; Zaharia, M.; Stoica, I.; Gonzalez, J.E. RAFT: Adapting Language Model to Domain Specific RAG. arXiv 2024, arXiv:2403.10131.
16. Egger, R.; Yu, J. A Topic Modeling Comparison Between LDA, NMF, Top2Vec, and BERTopic to Demystify Twitter Posts. Front. Sociol. 2022, 7, 886498.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 Authors
