The evolving landscape of health disinformation
insights from recent literature
DOI:
https://doi.org/10.24208/rebecin.v13.433Keywords:
Health desinformation, Public trust, Health literacy, Digital media, MisinformationAbstract
This study addresses health disinformation (HD) as a growing societal issue, fuelled by declining public trust, the widespread use of digital media, and public health crises such as the COVID-19 pandemic. It aims to review literature published between 2013 and 2022, identifying research methods and disciplinary fields, understanding the motivations behind HD creation and dissemination, assessing its negative impacts, and examining proposed responses. A comprehensive literature review was conducted. Strategies to combat HD were categorised into prevention and correction. Among prevention efforts, machine learning algorithms for automated detection show promise, while the effectiveness of media literacy initiatives remains inconsistent. Correction strategies, both direct (explicitly labelling information as false) and indirect (challenging the logic behind HD), produced mixed results, depending on factors such as format, source, and credibility. Trust in professional health institutions (e.g., the CDC and WHO) emerged as crucial for successful interventions. The findings underscore the central role of trust and health literacy in the HD cycle, both of which are shaped by structural inequalities that increase the vulnerability of historically marginalised communities. The study concludes that addressing HD requires a structural and multidisciplinary approach, prioritising trust-building and informational empowerment, particularly in Global South contexts. HD poses an ethical and political challenge demanding critical, transdisciplinary engagement
Downloads
References
AMAZEEN, Michelle A.; KRISHNA, Arunima; ESCHMANN, Robert. Cutting the bunk: comparing the solo and aggregate effects of prebunking and debunking Covid-19 vaccine misinformation. Science Communication, v. 44, n. 4, p. 387-417, 2022. DOI: https://doi.org/10.1177/10755470221111558.
AUSTIN, E. W.; BORAH, P.; DOMGAARD, S. COVID-19 disinformation and political engagement among communities of color: The role of media literacy. Harvard Kennedy School Misinformation Review, Cambridge, v. 1, n. 7, 2021. DOI: 10.37016/mr-2020-58
BIZZOTTO, N.; DE BRUIJN, G.-J.; SCHULZ, P. J. Buffering against exposure to mental health misinformation in online communities on Facebook: The interplay of depression literacy and expert moderation. BMC Public Health, London, v. 23, n. 1, p. 1577, 2023. DOI: 10.1186/s12889-023-16404-1
CAREY, J. M. et al. The effects of corrective information about disease epidemics and outbreaks: Evidence from Zika and yellow fever in Brazil. Science Advances, Washington, v. 6, n. 25, p. eaaw7449, 2020. DOI: DOI: 10.1126/sciadv.aaw7449
CHEN, K. et al. Characteristics of misinformation spreading on social media during the COVID-19 outbreak in China: A descriptive analysis. Risk Management and Healthcare Policy, London, v. 14, p. 1869–1879, 2021. DOI: 10.2147/RMHP.S312327
CHENG, Yang; LUO, Yunjuan. The presumed influence of digital misinformation: examining US public’s support for governmental restrictions versus corrective action in the COVID-19 pandemic. Online Information Review, v. 45, n. 4, p. 834-852, 2021. DOI: https://doi.org/10.1108/OIR-08-2020-0386
FERNÁNDEZ-TORRES, M. J.; ALMANSA-MARTÍNEZ, A.; CHAMIZO-SÁNCHEZ, R. Infodemic and fake news in Spain during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, Basel, v. 18, n. 4, p. 1781, 2021. DOI: 10.3390/ijerph18041781
FEATHERSTONE, J. D.; ZHANG, J. Feeling angry: The effects of vaccine misinformation and refutational messages on negative emotions and vaccination attitude. Journal of Health Communication, London, v. 25, n. 9, p. 692–702, 2020. DOI: 10.1080/10810730.2020.1838671
FENG, X. et al. Health misinformation detection: approaches, challenges and opportunities. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, Chicago, v. 62, p. 1–35, 2025. DOI: 10.1177/00469580251384784.
JAMIL, O. B. K. et al. Medical students in Karachi and COVID-19: Myths and facts. SAGE Open Medicine, London, v. 10, p. 20503121221094208, 2022. DOI: 10.1177/20503121221094208
KARNYOTO, A. S. et al. Transfer learning and GRU-CRF augmentation for COVID-19 fake news detection. Computers in Science and Information Systems, Beograd, v. 19, n. 2, p. 639–658, 2022. DOI: 10.2298/CSIS210501053K
KISA, S.; KISA, A. A comprehensive analysis of COVID-19 misinformation, public health impacts, and communication strategies: Scoping review. Journal of Medical Internet Research, Toronto, v. 26, p. e56931, 2024. DOI: 10.2196/56931
LANCASTER, F. W. Indexação e resumos: teoria e prática. 2. ed. rev. e atual. Brasília: Briquet de Lemos, 2004.
LOTTO, M. et al. Exploring online oral health misinformation: A content analysis. Brazilian Oral Research, São Paulo, v. 37, p. e049, 2023. DOI: 10.1590/1807-3107bor-2023.vol37.0049
LIU, M. et al. Clinical characteristics of 30 medical workers infected with new coronavirus pneumonia. ResearchGate, 2020; 43(3):209-214.
LV, W. et al. New insights into the social rumor characteristics during the COVID-19 pandemic in China. Frontiers in Public Health, Lausanne, v. 10, p. 864955, 2022. DOI: 10.3389/fpubh.2022.864955
SCHILLINGER, D. The intersections between social determinants of health, health literacy, and health disparities. Studies in Health Technology and Informatics, Amsterdam, v. 269, p. 22–41, 2020. DOI: 10.3233/SHTI200020
SOUTHWELL, B. G et al. Misinformation as a misunderstood challenge to public health. American Journal of Preventive Medicine, v. 57, n. 2, p. 282-285, ago. 2019. DOI: https://doi.org/10.1016/j.amepre.2019.03.009
THE LANCET DIGITAL HEALTH. Twitter, public health, and misinformation. The Lancet Digital Health, London, v. 5, n. 6, p. e328, 2023. DOI: 10.1016/S2589-7500(23)00096-1
VASCONCELLOS-SILVA, P. R. O consumismo da desinformação em saúde: Os abjetos objetos do desejo. Ciência e Saúde Coletiva, Rio de Janeiro, v. 28, n. 4, p. 1125–1130, 2023. DOI: 10.1590/1413-81232023284.11752022
VERMA, G. et al. Examining the impact of sharing COVID-19 misinformation online on mental health. Scientific Reports, London, v. 12, n. 1, p. 1-9, 2022. DOI: 10.1038/s41598-022-11488-y
WARNER, E et al. Young adult cancer caregivers' exposure to cancer misinformation on social media. Cancer, v. 127, n. 8, p. 1318-1324, 15 abr. 2021. DOI: https://doi.org/10.1002/cncr.33380
XIAO, D.; SU, J. Retracted article: Macroeconomic lockdown effects of COVID-19 on small business in China: empirical insights from SEM technique. Environmental Science and Pollution Research, v. 29, p. 63344–63356, 2022. DOI: https://doi.org/10.1007/s11356-022-20071-x
ZHAO, Y.; DA, J.; YAN, J. Detecting health misinformation in online health communities: Incorporating behavioral features into machine learning based approaches. Information Processing & Management, [s.l.], v. 58, n. 1, p. 102390, 2021. DOI: 10.1016/j.ipm.2020.102390
ZUCKER, H. A. Tackling online misinformation: A critical component of effective public health response in the 21st century. American Journal of Public Health, Washington, v. 110, p. S269–S270, 2020. DOI: 10.2105/AJPH.2020.305942
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Leonardo Adriano Ragacini, Cibele Araújo Camargo Marques dos Santos, Omar Chávez-Martínez

This work is licensed under a Creative Commons Attribution 4.0 International License.
A REBECIN adota a licença Creative Commons CC-BY 4.0 (https://creativecommons.org/licenses/by/4.0/deed.pt_BR) , a qual permite:
- Compartilhar— copiar e redistribuir o material em qualquer suporte ou formato
- Adaptar— remixar, transformar, e criar a partir do material para qualquer fim, mesmo que comercial.
A REBECIN considera que o autor detém o direito autoral sobre sua produção, porém o autor deve concordar em ceder à revista o direito à primeira publicação. Além disso, o autor deve concordar que:
- em quaisquer publicações em repositórios institucionais, capítulos de livro ou outras produções decorrentes de trabalhos publicados na REBECIN, devem ser dados os devidos créditos à publicação inicial.
- estão autorizados a publicar e distribuir seu trabalho online (ex.: em repositórios institucionais ou na sua página pessoal) a qualquer momento antes ou durante o processo editorial, já que isso pode gerar alterações produtivas, bem como aumentar o impacto e a citação do trabalho publicado pela REBECIN.
Licenciada por