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The Network of Web 2.0 Connections Among State Health Departments: New Pathways for Dissemination

Harris, Jenine K. PhD

Journal of Public Health Management and Practice: May/June 2013 - Volume 19 - Issue 3 - p E20–E24
doi: 10.1097/PHH.0b013e318268ae36
Original Articles

Most state health departments (SHDs) have adopted and are using Facebook and/or Twitter. Among the friends and followers of SHD Facebook and Twitter pages are other SHDs. These connections form networks with the potential to facilitate dissemination of evidence around effective public health practice among health departments nationwide. To better understand the composition and structure of these networks, Facebook and Twitter connections between SHDs were collected and examined. More SHDs were connected to each other on Twitter (n = 37) than on Facebook (n = 24). The Twitter network was denser (d Twitter = 0.06; d Facebook = 0.01) with more clustering (C Twitter = 0.06; C Facebook = 0.01). Larger health departments were more central in the Facebook network, whereas health departments with a longer social media presence were central on Twitter. Health departments on Twitter were also more likely to be following other health departments in the same geographic region, whereas the same was not true on Facebook. California and Florida were central in the Facebook network, whereas Minnesota, Missouri, Louisiana, and Rhode Island were central on Twitter. Overall, the Twitter network demonstrated greater potential to disseminate information quickly to a larger group of SHDs. More information is needed on the feasibility and effectiveness of using Web 2.0 for dissemination and other public health activities.

This article discusses the potential of Web 2.0 as a dissemination tool within the public health system. This pilot study uses a network approach to examine existing Web 2.0 connections among state health departments to identify pathways that may facilitate dissemination among health departments.

Brown School, Washington University in St Louis, St Louis, Missouri

Correspondence: Jenine K. Harris, PhD, Brown School, Washington University in St Louis, St Louis, MO 63130 (

The author declares no conflicts of interest.

© 2013 Lippincott Williams & Wilkins, Inc.