Evidence map›Paper›PMID 41406469›Full record

ArticleJournal of medical Internet research2025

An Exploratory Typology of Tobacco-Related Misleading Content on Social Media: Qualitative Analysis of Instagram and TikTok.

Eileen Han, Joanne Chen Lyu, Pamela M Ling

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. When Risk Is Invisible: Alcohol-Cancer Communication on Social Media.Alcohol, clinical & experimental research · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Eileen HanDivision of General Internal Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0002-3443-4240
Joanne Chen LyuTSET Health Promotion Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, University of Oklahoma, Oklahoma City, OK, United States.ORCID https://orcid.org/0000-0002-4178-6746
Pamela M LingDivision of General Internal Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID https://orcid.org/0000-0001-6166-9347

Funding

Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ROBERT S. MANNEL · 2018 to 2026
$27.1M
NCI NIH HHS P30 CA225520
6 · The paper itself

Abstract

backgroundTobacco-related misinformation on social media platforms presents growing challenges to digital health communication and public health. Although prior studies have focused on platform-specific patterns, a unified framework for categorizing and comparing misinformation across platforms is lacking. Such a framework is essential for improving infodemiological surveillance and designing targeted digital interventions.

objectiveThis study was an exploratory analysis aimed to build a cross-platform typology to categorize tobacco-related misinformation.

methodsData from Instagram and TikTok between January 2020 and August 2023 were collected using a third-party data collection platform (CrowdTangle) and the TikTok Research application programming interface (API). We reviewed a total of 4850 Instagram posts using a combination of generative artificial intelligence (AI) and human validation by two independent reviewers. In addition, 719 TikTok videos were reviewed manually using qualitative analysis. We iteratively developed and refined the exploratory typology informed by the literature integrating our prior analysis of Twitter data and these new datasets.

resultsOf the 22 (71%) Instagram posts and 9 (29%) TikTok videos we analyzed closely to classify misinformation, 2 (6.5%) were about cigarettes, 22 (71%) were about electronic cigarettes (e-cigarettes), 1 (3.2%) was about heated tobacco products (HTPs), 2 (6.5%) were about nicotine (not mentioning specific products), and 3 (9.7%) were about cannabidiol (CBD) products. 1 (3.2%) post did not mention any type of products. These categories could overlap in a single post. The resulting typology consisted of five core narrative archetypes: false or misleading health claims (A1), wellness and lifestyle appeal (A2), conspiracy-driven policy agenda (A3), undermining trust in science and medicine (A4), and recreational nicotine use normalization (A5). Each archetype has attributes of false claim types and sources. Among the posts we analyzed, A1 and A2 were most likely to be found on Instagram. A3 was most frequently found on Twitter. A4 was commonly seen on both Twitter and TikTok, and A5 was most frequently found on TikTok. Two additional dimensions-type of falsehood and source-were also added to characterize a given misinformation post. This exploratory typology paved the way for a structured lens to view how misinformation is tailored to digital environments and target audiences.

conclusionsThis cross-platform typology building supports digital health research by integrating AI and qualitative methods to categorize tobacco-related misinformation. It can inform the development of automated misinformation detection models, enhance real-time infodemiological monitoring, and guide digital public health campaigns to build tailored countermessaging.

Indexed as

CommunicationSocial MediaHumansQualitative ResearchTobacco Productse-cigaretteselectronic cigarettesmisinformationsocial mediatobacco control

Identifiers

PMID41406469
PMCPMC12756659

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.