Abstract:Cancer-related discussions on social media provide an important space for information exchange and peer support, but also facilitate the spread of misinformation that may influence prevention, screening, and treatment decisions. Existing research on cancer misinformation often relies on narrow definitions, small-scale datasets, or binary labeling frameworks. We introduce a multi-dimensional taxonomy for characterizing cancer misinformation in Reddit discussions of breast, lung, colon, and prostate cancer. The taxonomy captures seven dimensions, including misinformation presence, information type, risk level, stance, and topical focus. Using expert-annotated data, we evaluate multiple large language models (LLMs) for scalable misinformation annotation and analyze cancer misinformation across Reddit communities. Our results show that cancer-related misinformation constitutes approximately 6\% of Reddit cancer discussions, with substantial variation across communities and misinformation topics. Few-shot prompting substantially improves classification performance, particularly for nuanced taxonomy dimensions. We additionally identify recurring misinformation narratives centered on unsupported treatments, distrust of conventional medicine, and misleading claims about diagnosis and screening. Our taxonomy, dataset, and findings provide a foundation for multi-dimensional modeling of online cancer misinformation.
Abstract:The 2022 U.S. Supreme Court decision in Dobbs v. Jackson Women's Health Organization reshaped the reproductive rights landscape, introducing new uncertainty and barriers to abortion access. We present a large-scale computational analysis of abortion discourse on Reddit, examining how barriers to access are articulated across information-seeking and information-sharing behaviors, different stages of abortion (before, during, after), and three phases of the Dobbs decision in 2022. Drawing on more than 17,000 posts from four abortion-related subreddits, we employed a multi-step pipeline to classify posts by information type, abortion stage, barrier category, and expressed emotions. Using a codebook of eight barrier types, including legal, financial, emotional, and social obstacles, we analyzed their associations with emotions and information behaviors. Topic modeling of model-generated barrier rationales further revealed how discourse evolved in response to shifting legal and cultural contexts. Our findings show that emotional and psychological barriers consistently dominate abortion narratives online, with emotions such as nervousness, confusion, fear, and sadness prevalent across discourse. By linking information behaviors, barriers, emotions, and temporal dynamics, this study provides a multi-dimensional account of how abortion is navigated in online communities.