The Social Media Industry as a Commercial Determinant of Health

Document Type : Viewpoint

Authors

1 Faculty of Public Health & Policy, London School of Hygiene and Tropical Medicine, London, UK

2 School of Nursing and Health Studies, University of Washington Bothell, Bothell, WA, USA

Keywords


Introduction

Social media has formed a key area of concern for public health. In recent years, elections across the world, the Black Lives Matter protests, and the coronavirus disease 2019 (COVID-19) pandemic have highlighted major social media platforms’ roles in amplifying and inadequately moderating mis/disinformation, racism, sexism, and xenophobia. There is growing attention to vested interests, such as healthharming industries, utilizing social media targeted marketing opportunities to promote their products and shape public and political discourse.1 ...(Read more...

  1. Zenone M, Kenworthy N. Pre-emption strategies to block taxes on sugar-sweetened beverages: a framing analysis of Facebook advertising in support of Washington state initiative-1634. Glob Public Health. 2021:1-14. doi:1080/17441692.2021.1977971
  2. Fioravanti G, Bocci Benucci S, Ceragioli G, Casale S. How the exposure to beauty ideals on social networking sites influences body image: a systematic review of experimental studies. Adolesc Res Rev. 2022. doi:1007/s40894-022-00179-4
  3. Pelley S. Whistleblower: Facebook is misleading the public on progress against hate speech, violence, misinformation. CBS News. October 4, 2021. https://www.cbsnews.com/news/facebook-whistleblower-frances-haugen-misinformation-public-60-minutes-2021-10-03/. Accessed March 14, 2022.
  4. Kickbusch I, Allen L, Franz C. The commercial determinants of health. Lancet Glob Health. 2016;4(12):e895-e896. doi:1016/s2214-109x(16)30217-0
  5. Andersson H. Social media apps are “deliberately” addictive to users. BBC News. July 3, 2018. https://www.bbc.com/news/technology-44640959. Accessed May 27, 2021.
  6. Montag C, Lachmann B, Herrlich M, Zweig K. Addictive features of social media/messenger platforms and freemium games against the background of psychological and economic theories. Int J Environ Res Public Health. 2019;16(14):2612. doi:3390/ijerph16142612
  7. Keles B, McCrae N, Grealish A. A systematic review: the influence of social media on depression, anxiety and psychological distress in adolescents. Int J Adolesc Youth. 2020;25(1):79-93. doi:1080/02673843.2019.1590851
  8. Wells G, Horwitz J, Seetharaman D. Facebook Knows Instagram is Toxic for Teen Girls, Company Documents Show. Wall Street Journal. September 14, 2021. https://www.wsj.com/articles/facebook-knows-instagram-is-toxic-for-teen-girls-company-documents-show-11631620739. Accessed September 23, 2021.
  9. Carlson CR, Rousselle H. Report and repeat: investigating Facebook’s hate speech removal process. First Monday. 2020;25(2). doi:5210/fm.v25i2.10288
  10. Sullivan M. Facebook is harming our society. Here’s a radical solution for reining it in. Washington Post. October 5, 2021. https://www.washingtonpost.com/lifestyle/media/media-sullivan-facebook-whistleblower-haugen/2021/10/04/3461c62e-2535-11ec-8831-a31e7b3de188_story.html. Accessed October 6, 2021.
  11. Cinelli M, De Francisci Morales G, Galeazzi A, Quattrociocchi W, Starnini M. The echo chamber effect on social media. Proc Natl Acad Sci U S A. 2021;118(9):e2023301118. doi:1073/pnas.2023301118
  12. World Health Organization. Managing the COVID-19 Infodemic: Promoting healthy behaviours and mitigating the harm from misinformation and disinformation. https://www.who.int/news/item/23-09-2020-managing-the-covid-19-infodemic-promoting-healthy-behaviours-and-mitigating-the-harm-from-misinformation-and-disinformation. Accessed July 17, 2021.Published September 23, 2020.
  13. Facebook’s Algorithm: A Major Threat to Public Health. August 19, 2020. https://secure.avaaz.org/campaign/en/facebook_threat_health/. Accessed May 17, 2021.
  14. Mozur P. A Genocide Incited on Facebook, with Posts from Myanmar’s Military. The New York Times. October 15, 2018. https://www.nytimes.com/2018/10/15/technology/myanmar-facebook-genocide.html. Accessed March 14, 2022.
  15. Roose K. Here’s a Look Inside Facebook’s Data Wars. The New York Times. October 4, 2021. https://www.nytimes.com/2021/07/14/technology/facebook-data.html. Accessed March 14, 2022.
  16. Edelson L, McCoy D. We Research Misinformation on Facebook. It Just Disabled Our Accounts. The New York Times. August 10, 2021. https://www.nytimes.com/2021/08/10/opinion/facebook-misinformation.html. Accessed September 23, 2021.
  17. Announcing the 2021 recipients of research awards in misinformation and polarization. September 14, 2021. https://research.fb.com/blog/2021/09/announcing-the-2021-recipients-of-research-awards-in-misinformation-and-polarization/. Accessed September 23, 2021.
  18. Steele S, Ruskin G, McKee M, Stuckler D. "Always read the small print": a case study of commercial research funding, disclosure and agreements with Coca-Cola. J Public Health Policy. 2019;40(3):273-285. doi:1057/s41271-019-00170-9
  19. Sacks G, Looi ESY. The advertising policies of major social media platforms overlook the imperative to restrict the exposure of children and adolescents to the promotion of unhealthy foods and beverages. Int J Environ Res Public Health. 2020;17(11):4172. doi:3390/ijerph17114172
  20. Lindeman M, Katainen A, Svensson J, Kauppila E, Hellman M. Compliance with regulations and codes of conduct at social media accounts of Swedish alcohol brands. Drug Alcohol Rev. 2019;38(4):386-390. doi:1111/dar.12928
  21. Rowell A. Big Tobacco wants social media influencers to promote its products – can the platforms stop it? The Conversation. January 23, 2020. http://theconversation.com/big-tobacco-wants-social-media-influencers-to-promote-its-products-can-the-platforms-stop-it-129957. Accessed March 14, 2022.
  22. Reaching Billions of People with COVID-19 Vaccine Information. February 8, 2021. https://about.fb.com/news/2021/02/reaching-billions-of-people-with-covid-19-vaccine-information/. Accessed May 27, 2021.
  23. Graham M, Rodriguez S. Facebook says it will finally ban anti-vaccination ads. CNBC. October 13, 2020. https://www.cnbc.com/2020/10/13/facebook-bans-anti-vax-ads.html. Accessed October 1, 2021.
  24. Nothias T. Access granted: Facebook’s free basics in Africa. Media Cult Soc. 2020;42(3):329-348. doi:1177/0163443719890530
  25. Solon O. “It’s digital colonialism”: how Facebook’s free internet service has failed its users. The Guardian. July 27, 2017. http://www.theguardian.com/technology/2017/jul/27/facebook-free-basics-developing-markets. Accessed May 21, 2021.
  26. Brandom R. Mark Zuckerberg proposes limited 230 reforms ahead of congressional hearing. The Verge. March 24, 2021. https://www.theverge.com/2021/3/24/22348238/zuckerberg-dorsey-pichai-section-230-hearing-misinformation. Accessed July 17, 2021.
  27. Lee K, Freudenberg N, Zenone M, et al. Measuring the commercial determinants of health and disease: a proposed framework. Int J Health Serv. 2022;52(1):115-128. doi:1177/00207314211044992
  28. Room R, O'Brien P. Alcohol marketing and social media: a challenge for public health control. Drug Alcohol Rev. 2021;40(3):420-422. doi:1111/dar.13160
  29. Knai C, Petticrew M, Capewell S, et al. The case for developing a cohesive systems approach to research across unhealthy commodity industries. BMJ Glob Health. 2021;6(2):e003543. doi:1136/bmjgh-2020-003543
  30. Lee K, Freudenberg N. Public health roles in addressing commercial determinants of health. Annu Rev Public Health. 2022;43(1). doi:1146/annurev-publhealth-052220-020447

Articles in Press, Corrected Proof
Available Online from 09 April 2022
  • Receive Date: 07 October 2021
  • Revise Date: 15 March 2022
  • Accept Date: 06 April 2022
  • First Publish Date: 09 April 2022