{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T13:36:44Z","timestamp":1758807404879,"version":"3.41.2"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T00:00:00Z","timestamp":1741651200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>During the coronavirus disease 2019 (COVID\u201019) pandemic, the infodemic has been highly visible. Vaccine\u2010related advice and evidence\u2010based guidelines for breastfeeding women have lagged, and, at times have been contradictory and confusing. Breastfeeding is an important public health issue with long\u2010lasting health benefits for infants and mothers. This online social listening study aimed to understand breastfeeding\u2010related narratives on social media during the early stages of the Australian COVID\u201019 vaccine roll\u2010out.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Public content about breastfeeding and COVID\u201019 vaccines from Facebook pages with Australian\u2010based administrators were accessed via the CrowdTangle platform. All related content posted between 1 December 2020\u201331 December 2021 was included. Content (<jats:italic>n<\/jats:italic>\u2009=\u200929\u2009567) was coded to an adapted vaccine narrative typology, and emergent themes were inductively identified.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most posts were promoting, sharing or discussing reliable information. However, the comments responding to these posts varied more widely. Several consistent questions, concerns, and information voids were evident, and misinformation and conflicting information contributed to confusion and challenges with decision\u2010making.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings highlight the complexities associated with decision\u2010making. Pregnant and breastfeeding women continue to be a priority group for vaccination, yet there were gaps in data, evidence and information. Incorporating social listening and infodemic management into public health work is important.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>Information voids, when identified early, can help inform public health messaging. Increasing social listening and infodemic training and skills in the health promotion workforce can help build future capacity and give insight into optimising public health communication and addressing misinformation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.946","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T06:53:05Z","timestamp":1741762385000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u2018I'm glad my baby has weaned so I don't need to make that decision.\u2019 Understanding breastfeeding\u2010related <scp>COVID<\/scp>\u201019 vaccine narratives on social media"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3234-1742","authenticated-orcid":false,"given":"Becky K.","family":"White","sequence":"first","affiliation":[{"name":"Reach Health Promotion Innovations  Perth Western Australia Australia"},{"name":"School of Population Health Curtin University  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1551-2805","authenticated-orcid":false,"given":"Sharyn K.","family":"Burns","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Perth Western Australia Australia"},{"name":"Collaboration for Evidence, Research and Impact in Public Health Curtin University  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5294-7536","authenticated-orcid":false,"given":"Jennie","family":"Carson","sequence":"additional","affiliation":[{"name":"Telethon Kids Institute  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0765-9054","authenticated-orcid":false,"given":"Jane A.","family":"Scott","sequence":"additional","affiliation":[{"name":"School of Population Health Curtin University  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,3,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-27789-4_1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.2196\/37367"},{"key":"e_1_2_11_4_1","unstructured":"ChaneySC BenjaminP MechaelP.Finding the signal through the noise. GAVI UNICEF WHO VDH Health Enabled 2021 accessed March 1 2023 https:\/\/www.gavi.org\/sites\/default\/files\/2021-06\/Finding-the-Signal-Through-the-Noise.pdf."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13690-023-01230-z"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fimmu.2022.910138"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-022-30052-w"},{"volume-title":"Behavioural and social drivers of vaccination: tools and practical guidance for achieving high uptake","year":"2022","author":"World Health Organization","key":"e_1_2_11_8_1"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13102"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.729"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-004206"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/s1744133121000244"},{"key":"e_1_2_11_14_1","unstructured":"SmithR CubbonS WardleC.Under the surface: Covid\u201019 vaccine narratives misinformation and data deficits on social media. First Draft.2020 accessed March 1 2023 https:\/\/firstdraftnews.org\/long\u2010form\u2010article\/under\u2010the\u2010surface\u2010covid\u201019\u2010vaccine\u2010narratives\u2010misinformation\u2010and\u2010data\u2010deficits\u2010on\u2010social\u2010media\/"},{"volume-title":"National Statement on ethical conduct in human research","year":"2023","author":"National Health and Medical Research Council, Australian Research Council","key":"e_1_2_11_15_1"},{"key":"e_1_2_11_16_1","unstructured":"FranzkeAS BechmannA ZimmerM EssC.Internet research: ethical guidelines 3.0. Association of Internet Researchers.2020 accessed March 1 2023 https:\/\/aoir.org\/reports\/ethics3.pdf"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2021.04.227"},{"key":"e_1_2_11_18_1","unstructured":"Yellow Pages.Yellow social media report 2020. Yellow Pages.2020 accessed March 1 2023 https:\/\/www.yellow.com.au\/social-media-report\/"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.2196\/23805"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/hpja.644"},{"key":"e_1_2_11_21_1","doi-asserted-by":"crossref","unstructured":"World Health Organization.The Ottawa Charter for health promotion.1986 accessed March 1 2023http:\/\/www.who.int\/healthpromotion\/conferences\/previous\/ottawa\/en\/","DOI":"10.1093\/heapro\/1.4.405"},{"volume-title":"How to build an infodemic insights report in 6 steps","year":"2023","author":"World Health Organization","key":"e_1_2_11_22_1"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1080\/09581596.2023.2245964"}],"container-title":["Health Promotion Journal of Australia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpja.946","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T02:24:08Z","timestamp":1745547848000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hpja.946"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,11]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/hpja.946"],"URL":"https:\/\/doi.org\/10.1002\/hpja.946","archive":["Portico"],"relation":{},"ISSN":["1036-1073","2201-1617"],"issn-type":[{"type":"print","value":"1036-1073"},{"type":"electronic","value":"2201-1617"}],"subject":[],"published":{"date-parts":[[2025,3,11]]},"assertion":[{"value":"2024-03-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e946"}}