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In a rapidly urbanizing world, many people have little contact with natural environments, which may affect health and well-being. Existing reviews generally conclude that residential greenspace is beneficial to health. However, the processes generating these benefits and how they can be best promoted remain unclear.
Background There is currently a lack of information about the uses, benefits, and limitations of social media for health communication among the general public, patients, and health professionals from primary research. Objective To review the current published literature to identify the uses, benefits, and limitations of social media for health communication among the general public, patients, and health professionals, and identify current gaps in the literature to provide recommendations for future health communication research. Methods This paper is a review using a systematic approach. A systematic search of the literature was conducted using nine electronic databases and manual searches to locate peer-reviewed studies published between January 2002 and February 2012. Results The search identified 98 original research studies that included the uses, benefits, and/or limitations of social media for health communication among the general public, patients, and health professionals. The methodological quality of the studies assessed using the Downs and Black instrument was low; this was mainly due to the fact that the vast majority of the studies in this review included limited methodologies and was mainly exploratory and descriptive in nature. Seven main uses of social media for health communication were identified, including focusing on increasing interactions with others, and facilitating, sharing, and obtaining health messages. The six key overarching benefits were identified as (1) increased interactions with others, (2) more available, shared, and tailored information, (3) increased accessibility and widening access to health information, (4) peer/social/emotional support, (5) public health surveillance, and (6) potential to influence health policy. Twelve limitations were identified, primarily consisting of quality concerns and lack of reliability, confidentiality, and privacy. Conclusions Social media brings a new dimension to health care as it offers a medium to be used by the public, patients, and health professionals to communicate about health issues with the possibility of potentially improving health outcomes. Social media is a powerful tool, which offers collaboration between users and is a social interaction mechanism for a range of individuals. Although there are several benefits to the use of social media for health communication, the information exchanged needs to be monitored for quality and reliability, and the users’ confidentiality and privacy need to be maintained. Eight gaps in the literature and key recommendations for future health communication research were provided. Examples of these recommendations include the need to determine the relative effectiveness of different types of social media for health communication using randomized control trials and to explore potential mechanisms for monitoring and enhancing the quality and reliability of health communication using social media. Further robust and comprehensive evaluation and review, using a range of methodologies, are required to establish whether social media improves health communication practice both in the short and long terms.
[1
]Faculty of Medicine Transylvania University Brasov Romania
[2
]Sean N. Parker Center for Allergy and Asthma Research Stanford University Stanford
California USA
[3
]Swiss Institute of Allergy and Asthma Research (SIAF)University Zurich Davos Switzerland
[4
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="6429"></id></idGroup>Center
for Innovation in Global Health Stanford University Stanford California USA
[5
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="8785"></id></idGroup>Department
of Physiology University of California San Francisco San Francisco California USA
[6
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="6429"></id></idGroup>Division
of Pulmonary Allergy and Critical Care Medicine Department of Medicine Stanford University
Stanford California USA
[7
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="6429"></id></idGroup>Division
of Hospital Medicine Stanford University Stanford California USA
[8
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="6429"></id></idGroup>Department
of Internal Medicine Division of Med/Pulmonary and Critical Care Medicine Stanford
University Stanford California USA
[9
]Stanford School of Medicine Stanford California USA
[10
]Stanford Graduate School of Business Stanford California USA
[11
]Department of Clinical Immunology Wroclaw Medical University Wroclaw Poland
[12
]"ALL‐MED" Medical Research Institute Wroclaw Poland
[13
]Atlas Research, LLC Washington District of Columbia USA
[14
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="6429"></id></idGroup>Department
of Pediatrics Division of Infectious Disease Stanford University Stanford California
USA
[15
]Comparative Medicine Interuniversity Messerli Research InstituteUniversity of Veterinary
Medicine/Medical University/University Vienna Vienna Austria
[16
]Institute of Pathophysiology and Allergy Research Center of Pathophysiology, Immunology
and Infectiology Medical University of Vienna Vienna Austria
[17
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="34361"></id></idGroup>Murdoch
Children's Research Institute Parkville Victoria Australia
[18
]Department of Pediatrics University of Melbourne Parkville Victoria Australia
[19
]Royal Children's Hospital Parkville Victoria Australia
[20
]Department of Environmental Medicine Faculty of Medicine University of Augsburg Augsburg
Germany
[21
]Institute of Environmental Medicine Helmholtz Center MunichGerman Research Center
for Environmental Health Augsburg Germany
[22
]My Green Doctor Foundation Jacksonville Florida USA
[23
]<idGroup xmlns="http://www.wiley.com/namespaces/wiley"><id type="ringgold" value="275971"></id></idGroup>Harvard
Global Health Institute Cambridge Massachusetts USA
[24
]Center for Climate Health, and the Global EnvironmentHarvard T H Chan School of Public
Health Boston Massachusetts USA
[25
]Woods Institute for the EnvironmentStanford University Stanford California USA
[26
]Marine Science Institute University of California Santa Barbara Santa Barbara California
USA
[27
]Department of Population Health NYU Grossman School of Medicine NY USA
[28
]London School of Hygiene and Tropical Medicine Centre on Climate Change and Planetary
Health London UK
[29
]Christine Kühne Center for Allergy Research and Education (CK‐CARE) Davos Switzerland
[30
]Institute of Physiology Division of Pneumology Charité‐Universitätsmedizin Berlin
Germany
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