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	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher-id">REDC</journal-id>
			<journal-title-group>
				<journal-title>Revista Espa&#xf1;ola de Documentaci&#xf3;n Cient&#xed;fica</journal-title>
				<abbrev-journal-title abbrev-type="publisher">Rev. esp. doc. cient.</abbrev-journal-title>
			</journal-title-group>
			<issn publication-format="print">0210-0614</issn>
			<issn publication-format="electronic">1988-4621</issn>
			<issn-l>0210-0614</issn-l>
			<publisher>
				<publisher-name>Consejo Superior de Investigaciones Cient&#xed;ficas</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="publisher-id">redc.2022.4.1928</article-id>
			<article-id pub-id-type="doi">10.3989/redc.2022.4.1928</article-id>
			<article-categories>
				<subj-group subj-group-type="heading">
					<subject>Estudios / Research Studies</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>PubMed based Bibliometric Analysis of Health Information Available in Social Media: an Indian Study</article-title>
				<trans-title-group xml:lang="es">
					<trans-title>An&#xe1;lisis bibliom&#xe9;trico de informaci&#xf3;n en salud basado en PubMed disponible en las redes sociales: un estudio de La India</trans-title>
				</trans-title-group>
			</title-group>
			<contrib-group>
				<contrib contrib-type="author" corresp="yes">
					<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8839-0140</contrib-id>
					<name>
						<surname>Kumar Mukherjee</surname>
						<given-names>Samrat</given-names>
					</name>
					<email xlink:href="s.mukherjee@rediffmail.com">s.mukherjee@rediffmail.com</email>
					<aff id="aff1"><institution content-type="department">Dept of Management Studies</institution>, <institution>Sikkim Manipal Institute of Technology</institution>, <addr-line>Majitar, Sikkim</addr-line> (<country>India</country>)</aff>
				</contrib>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0167-0738</contrib-id>
					<name>
						<surname>Kumar</surname>
						<given-names>Jitendra</given-names>
					</name>
					<email xlink:href="jitendra.k@smit.smu.edu.in">jitendra.k@smit.smu.edu.in</email>
					<aff id="aff2"><institution content-type="department">Dept of Management Studies</institution>, <institution>Sikkim Manipal Institute of Technology</institution>, <addr-line>Majitar, Sikkim</addr-line> (<country>India</country>)</aff>
				</contrib>
				<contrib contrib-type="author">
					<contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0491-5008</contrib-id>
					<name>
						<surname>Jha</surname>
						<given-names>Ajeya</given-names>
					</name>
					<email xlink:href="ajeya611@yahoo.com">ajeya611@yahoo.com</email>
					<aff id="aff3"><institution content-type="department">Dept of Management Studies</institution>, <institution>Sikkim Manipal Institute of Technology</institution>, <addr-line>Majitar, Sikkim</addr-line> (<country>India</country>)</aff>
				</contrib>
			</contrib-group>
			<pub-date pub-type="epub">
				<day>11</day>
				<month>10</month>
				<year>2022</year>
			</pub-date>
			<pub-date pub-type="collection">
				<month>12</month>
				<year>2022</year>
			</pub-date>
			<volume>45</volume>
			<issue>4</issue>
			<elocation-id>e343</elocation-id>
			<history>
				<date date-type="received">
					<day>28</day>
					<month>09</month>
					<year>2021</year>
				</date>
				<date date-type="rev-recd">
					<day>08</day>
					<month>12</month>
					<year>2021</year>
				</date>
				<date date-type="accepted">
					<day>18</day>
					<month>01</month>
					<year>2022</year>
				</date>
				<date date-type="pub">
					<day>25</day>
					<month>10</month>
					<year>2022</year>
				</date>
			</history>
			<permissions>
				<copyright-statement>&#xa9;2022 CSIC</copyright-statement>
				<copyright-year>2022</copyright-year>
				<license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
					<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) License.</license-p>
				</license>
			</permissions>
			<self-uri xlink:href="http://redc.revistas.csic.es/index.php/redc/article/view/XXXX/XXXX"/>
			<abstract>
				<title>Abstract</title>
				<p>Social networks have long been used to disseminate health-related information and help, and this use has increased with the emergence of online social media. The goal of this study is to conduct a bibliometric analysis of health information in the context of India. The literature available in PubMed is the source of the study. The objective of this paper is to develop a better insight into the literature on social media-based health information using bibliometric analysis in the context of India. The software used for bibliometric analysis is profile research networking software from Harvard University and Vosviewer. From the study, it is clear that social media is important in the context of public health. We also found out that although the number of publications in journals is highest but video-audio content has been cited more. Although there is a significant increase in publication during 2020, but number of researchers are still very few. It is clear that social media is of greater importance for marginalized people; health care providers and regulators must take precautions to avoid possible negative outcomes.</p>
			</abstract>
			<trans-abstract xml:lang="es">
				<title>Resumen</title>
				<p>Las redes sociales se han utilizado durante mucho tiempo para difundir informaci&#xf3;n y ayuda relacionadas con la salud, y este uso ha aumentado con la aparici&#xf3;n de las redes sociales en l&#xed;nea. El objetivo de este estudio es realizar un an&#xe1;lisis bibliom&#xe9;trico de la informaci&#xf3;n sanitaria en el contexto de la India. La literatura disponible en PubMed es la fuente del estudio. El objetivo de este art&#xed;culo es desarrollar una mejor comprensi&#xf3;n de la literatura sobre la informaci&#xf3;n de salud basada en las redes sociales utilizando el an&#xe1;lisis bibliom&#xe9;trico en el contexto de la India. El software utilizado para el an&#xe1;lisis bibliom&#xe9;trico es un software de redes de investigaci&#xf3;n de perfiles de la Universidad de Harvard y Vosviewer. Del estudio, queda claro que las redes sociales son importantes en el contexto de la salud p&#xfa;blica. Tambi&#xe9;n descubrimos que aunque el n&#xfa;mero de publicaciones en revistas es mayor, se ha citado m&#xe1;s contenido de video-audio. Aunque hay un aumento significativo de la publicaci&#xf3;n durante 2020, el n&#xfa;mero de investigadores sigue siendo muy reducido. Est&#xe1; claro que las redes sociales son de mayor importancia para las personas marginadas. Los proveedores de atenci&#xf3;n m&#xe9;dica y los reguladores deben tomar precauciones para evitar posibles resultados negativos.</p>
			</trans-abstract>
			<kwd-group>
				<kwd>bibliometric analysis</kwd>
				<kwd>social media</kwd>
				<kwd>India</kwd>
				<kwd>health</kwd>
				<kwd>health communication</kwd>
				<kwd>Vosviewer</kwd>
				<kwd>profiles research networking software</kwd>
			</kwd-group>
			<kwd-group xml:lang="es">
				<kwd>an&#xe1;lisis bibliom&#xe9;trico</kwd>
				<kwd>redes sociales</kwd>
				<kwd>India</kwd>
				<kwd>salud</kwd>
				<kwd>comunicaci&#xf3;n en salud</kwd>
				<kwd>Vosviewer</kwd>
				<kwd>software de redes de investigaci&#xf3;n de perfiles</kwd>
			</kwd-group>
			<counts>
				<fig-count count="5"/>
				<table-count count="6"/>
				<equation-count count="0"/>
				<ref-count count="66"/>
				<page-count count="13"/>
			</counts>
		</article-meta>
	</front>
	<body>
		<sec id="sec1" sec-type="intro">
			<label>1.</label>
			<title>Introduction</title>
			<p>It is a normal human tendency to form social groups to interchange ideas, share understandings, and offer support (<xref ref-type="bibr" rid="B5">Anglade et al. , 2019</xref>). As the Internet has evolved and developed, new networks have sprouted up to address the population&#x2019;s requirements (<xref ref-type="bibr" rid="B25">Erfani &amp; Abedin, 2018</xref>).</p>
			<p>During recent times, online social media have become a key node for individuals to collaborate and communicate, (<xref ref-type="bibr" rid="B42">Penni, 2017</xref>) share views with other people on ideas and content (<xref ref-type="bibr" rid="B6">Anwar et al. , 2019</xref>; <xref ref-type="bibr" rid="B14">Body and Ellison, 2007</xref>). The competitive design of these platforms, which has helped to develop user relationships (<xref ref-type="bibr" rid="B53">Tajeuna et al. , 2018</xref>; <xref ref-type="bibr" rid="B24">Elbanna et al. , 2019</xref>), has led to their exponential growth and the stability of these media. While people often use those networks to meet new people, people who have common aspirations or interests appear to communicate with each other even when strangers (<xref ref-type="bibr" rid="B21">Dokuka et al. , 2017</xref>). Disease states and medication bring unknown people together on social media.</p>
			<p>An important motivation for these emerging social networks is to understand people&#x2019;s or societies&#x2019; well-being (<xref ref-type="bibr" rid="B45">Romano et al. , 2018</xref>). Netizens are both active and passive players in these digitally interconnected networks (<xref ref-type="bibr" rid="B19">Cohen et al. , 2018</xref>). Depression and other mental health issues, as well as physical disorders like sexual infections, and now COVID are the hot topics among the netizens (<xref ref-type="bibr" rid="B58">Villanti et al. , 2017</xref>; <xref ref-type="bibr" rid="B12">B&#x142;achnio et al. , 2015</xref>; <xref ref-type="bibr" rid="B9">Ballester-Arnal et al. , 2016</xref>).</p>
			<p>This topic has recently been investigated about social and health networks as both for prevention and training mechanisms, as well as risk factors (<xref ref-type="bibr" rid="B53">Tajeuna et al. , 2018</xref>; <xref ref-type="bibr" rid="B2">Aiello, 2017</xref>). In this respect, researchers investigated the negative impact of social media on health (<xref ref-type="bibr" rid="B14">Boyd et al. , 2007</xref>; <xref ref-type="bibr" rid="B48">Shensa et al. , 2017</xref>), as well as their mental side effects such as depression, stress, and eating disorders (<xref ref-type="bibr" rid="B3">Ainin et al. ,2015</xref>, <xref ref-type="bibr" rid="B27">Huang &amp; Su, 2018</xref>). </p>
			<p>Other studies have looked into their utility for health interventions (<xref ref-type="bibr" rid="B4">Alhuwail &amp; Abdulsalam, 2019</xref>; <xref ref-type="bibr" rid="B44">Ridout &amp; Campbell, 2018</xref>), especially health education (<xref ref-type="bibr" rid="B28">Ilakkuvan et al. , 2019</xref>). Patients&#x2019; participation in health-care communities is also a research subject that often reflects on specific health or social welfare problems (<xref ref-type="bibr" rid="B47">Shen et al. , 2018</xref>). In general, based on the fitness and actions of the individual social media tends to have been used in several ways (<xref ref-type="bibr" rid="B11">Barton et al. , 2019</xref>; <xref ref-type="bibr" rid="B35">More &amp; Lingam, 2019</xref>). </p>
			<p>In the event of emergencies or disease outbreaks, digital health can be the answer to achieving long-term viability (<xref ref-type="bibr" rid="B60">Wang &amp; Liu, 2005</xref>). This technology is expected to help meet global health targets by including Internet connectivity, patient health and non-health data, and data from the community (<xref ref-type="bibr" rid="B13">Boman &amp; Kruse, 2017</xref>). Telemedicine, mobile technology and apps, connected systems, and remote tracking sensors are examples of technologies that help stakeholders to control their wellbeing and service delivery (<xref ref-type="bibr" rid="B62">Widmer et al. , 2015</xref>; <xref ref-type="bibr" rid="B57">Vijayakumar et al. , 2017</xref>). </p>
			<p>The objective of this paper is to develop better insight of literature on social media based health information using bibliometric analysis in the context of India. This study is undertaken because health information has profound impact on health care outcomes, both positively and negatively. It is duly noted that health care information is still illegal in most countries for the stakeholders other than the healthcare providers. A lot of research exist on positive and negative effects of health information available on internet. Social media based healthcare information need exploration because these are recent and are more advanced in nature than the earlier non-interactive websites on internet. The direction that research on social media based health information needs to be explored for helping the stakeholders, particularly the regulatory bodies and healthcare professionals to identify the gaps, trends and come up with appropriate responses to the challenges faced in this respect.</p>
		</sec>
		<sec id="sec2" sec-type="methods">
			<label>2.</label>
			<title>Research methodology</title>
			<p>The study is based on bibliometric analysis. The use of statistical techniques to calculate the content and quantity of books, papers, and other publications are referred to as bibliometrics (<xref ref-type="bibr" rid="B23">Durieux &amp; Gevenois, 2010</xref>; <xref ref-type="bibr" rid="B52">Sweileh et al. , 2017</xref>). It&#x2019;s been used in crisis analysis (<xref ref-type="bibr" rid="B8">Ardito et al. , 2019</xref>; <xref ref-type="bibr" rid="B16">Chiu &amp; Ho, 2007</xref>; Jiang et al. , 2019; <xref ref-type="bibr" rid="B32">Lee &amp; Kim, 2016</xref>; <xref ref-type="bibr" rid="B51">Sweileh, 2019</xref>) and information management (<xref ref-type="bibr" rid="B15">Chao et al. , 2007</xref>; <xref ref-type="bibr" rid="B18">Cobo et al. , 2007</xref>; <xref ref-type="bibr" rid="B22">Du et al. , 2017</xref>). In keeping with the theme, because of the absence of published evidence across all subject areas. This study paper employs bibliometrics to analyze papers on social media health information in India; data for co-citation analysis, co-occurrence analysis, and other related studies of previous literature. </p>
			<p>This paper is retrospective and descriptive bibliometric study is carried by reviewing the articles published in PubMed. </p>
			<p>PubMed has been preferred as it is a free search engine which helps to access healthcare database.</p>
			<p>The software used for bibliometric analysis is profile research networking software from Harvard University although several software are available like; PROFILES by UMassMed Center for Clinical and Translational Research for bibliometric analysis as it examines publications to categorize significant ideas and diverse areas of research. Profile research networking software from Harvard University self-populates a database of publication history, open to all and it is easy to use. Researchers like GM <xref ref-type="bibr" rid="B61">Weber (2011)</xref>, Alireza <xref ref-type="bibr" rid="B1">Ahmadvand (2019)</xref> have used this software for their study. Other software that we have used is Vosviwer. The &#x201c;Visualization of Science (VOS)&#x201d; mapping tool was used for the mapping of reference co-citation analysis and the document&#x2019;s bibliometric mixture analysis for these techniques. VOSviewer also has text mining capabilities, which may be used to build and display co-occurrence networks of key phrases retrieved from scientific literature.</p>
			<p>Advent of social media is traced back to 1997 (<xref ref-type="bibr" rid="B30">Ketizman et al. , 2011</xref>). Orkut is the first social media platform in India (<xref ref-type="bibr" rid="B50">Statista, 2020</xref>). Healthcare based social media sites began to appear to India in the year 2004 as is obvious from the data base. The study therefore is for the period 2004-June, 2021. The keyword used for searching PubMed for this study are social Media, India, Health. In the first step the database of non-English documents were removed. Wherever full text was not available these papers are also discarded. This provided a list of 713 documents and which has been used as base for bibliometric analysis. </p>
			<p>The popular three words or abbreviations are Social Network, Social Media, and SMP (Social Media Promotion). For this analysis, we used the keyword &#x2018;Social Media&#x201d;. This study&#x2019;s inclusion criteria are dependent on the terms &#x2018;social media,&#x2019; &#x2018;India,&#x2019; and &#x2018;health.&#x2019; The terms were used to explore the interference of social networks in health, with the goals of this study in mind. The word &#x201c;India&#x201d; was also used to describe earlier studies on the region.</p>
			<p>The field/discipline is based on the values provided to each journal by the NLM (National Library of Medicine). The headings in the broad journal are MeSH Descriptors which sum up the whole topics of a journal. Typically, there is more than one heading in the Broad Journal, therefore there may be more than once in the table below for a single edition. Therefore, the field NumPubs might add up to more than the number of publications. The ratio of RatioExpPubs is comparable to the projected year-to-year number of publications in the area.</p>
			<p>From the <xref ref-type="table" rid="t1">Table I</xref>, it is clear that number of publication is much higher in the field of &#x2018;public health&#x2019;. In the field of &#x2018;psychology&#x2019;, publication has started much later in this research area. Ratio of average number of citations, in the field of &#x2018;Psychiatry&#x2019; is highest.</p>
			<table-wrap id="t1">
				<label>Table I</label>
				<caption>
					<title>Top Fields/Disciplines by number of publications.</title>
				</caption>
				<table>
					<colgroup>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
					</colgroup>
					<thead>
						<tr>
							<th align="left">Field</th>
							<th align="left">NumPubs</th>
							<th align="left">%Pubs</th>
							<th align="left">Ratio ExpPubs</th>
							<th align="left">FirstYear</th>
							<th align="left">LastYear</th>
							<th align="left">Avg Cites</th>
							<th align="left">Exp Cites</th>
							<th align="left">Ratio Cites</th>
							<th align="left">Exp CitesPT</th>
							<th align="left">Ratio CitesPT</th>
						</tr>
					</thead>
					<tbody>
						<tr>
							<td align="left">Public Health</td>
							<td align="justify">78</td>
							<td align="justify">11.747</td>
							<td align="justify">6.294</td>
							<td align="justify">2004</td>
							<td align="justify">2021</td>
							<td align="justify">4.090</td>
							<td align="justify">3.489</td>
							<td align="justify">1.172</td>
							<td align="justify">3.031</td>
							<td align="justify">1.349</td>
						</tr>
						<tr>
							<td align="left">Medicine</td>
							<td align="justify">60</td>
							<td align="justify">9.036</td>
							<td align="justify">1.335</td>
							<td align="justify">2005</td>
							<td align="justify">2021</td>
							<td align="justify">4.333</td>
							<td align="justify">2.787</td>
							<td align="justify">1.555</td>
							<td align="justify">4.282</td>
							<td align="justify">1.012</td>
						</tr>
						<tr>
							<td align="left">Health Services</td>
							<td align="justify">31</td>
							<td align="justify">4.669</td>
							<td align="justify">5.394</td>
							<td align="justify">2004</td>
							<td align="justify">2021</td>
							<td align="justify">3.548</td>
							<td align="justify">3.653</td>
							<td align="justify">0.971</td>
							<td align="justify">3.538</td>
							<td align="justify">1.003</td>
						</tr>
						<tr>
							<td align="left">Medical Informatics</td>
							<td align="justify">28</td>
							<td align="justify">4.217</td>
							<td align="justify">6.396</td>
							<td align="justify">2014</td>
							<td align="justify">2021</td>
							<td align="justify">4.857</td>
							<td align="justify">4.322</td>
							<td align="justify">1.124</td>
							<td align="justify">4.602</td>
							<td align="justify">1.055</td>
						</tr>
						<tr>
							<td align="left">Psychiatry</td>
							<td align="justify">24</td>
							<td align="justify">3.614</td>
							<td align="justify">2.426</td>
							<td align="justify">2005</td>
							<td align="justify">2021</td>
							<td align="justify">14.708</td>
							<td align="justify">2.802</td>
							<td align="justify">5.249</td>
							<td align="justify">2.566</td>
							<td align="justify">5.732</td>
						</tr>
						<tr>
							<td align="left">Science</td>
							<td align="justify">23</td>
							<td align="justify">3.464</td>
							<td align="justify">0.825</td>
							<td align="justify">2004</td>
							<td align="justify">2021</td>
							<td align="justify">3.870</td>
							<td align="justify">4.140</td>
							<td align="justify">0.935</td>
							<td align="justify">5.390</td>
							<td align="justify">0.718</td>
						</tr>
						<tr>
							<td align="left">Pediatrics</td>
							<td align="justify">21</td>
							<td align="justify">3.163</td>
							<td align="justify">1.617</td>
							<td align="justify">2000</td>
							<td align="justify">2021</td>
							<td align="justify">2.952</td>
							<td align="justify">1.878</td>
							<td align="justify">1.572</td>
							<td align="justify">3.482</td>
							<td align="justify">0.848</td>
						</tr>
						<tr>
							<td align="left">Psychology</td>
							<td align="justify">19</td>
							<td align="justify">2.861</td>
							<td align="justify">2.205</td>
							<td align="justify">2011</td>
							<td align="justify">2021</td>
							<td align="justify">3.211</td>
							<td align="justify">3.232</td>
							<td align="justify">0.993</td>
							<td align="justify">2.795</td>
							<td align="justify">1.149</td>
						</tr>
						<tr>
							<td align="left">Social Sciences</td>
							<td align="justify">18</td>
							<td align="justify">2.711</td>
							<td align="justify">7.919</td>
							<td align="justify">2004</td>
							<td align="justify">2020</td>
							<td align="justify">3.000</td>
							<td align="justify">3.353</td>
							<td align="justify">0.895</td>
							<td align="justify">3.094</td>
							<td align="justify">0.970</td>
						</tr>
						<tr>
							<td align="left">Health Services Research</td>
							<td align="justify">17</td>
							<td align="justify">2.560</td>
							<td align="justify">4.906</td>
							<td align="justify">2004</td>
							<td align="justify">2021</td>
							<td align="justify">6.235</td>
							<td align="justify">7.199</td>
							<td align="justify">0.866</td>
							<td align="justify">7.701</td>
							<td align="justify">0.810</td>
						</tr>
					</tbody>
				</table>
			</table-wrap>
			<sec id="sec2.1">
				<title>Summary Report</title>
				<p>The summary statistics for the selected collection of PubmedIDs are shown in <xref ref-type="table" rid="t2">Table II</xref>. The predicted value is compared to the article wise average number of authors and the average number of times the articles were mentioned. The expected values are the averages of all articles in PubMed that have been matched by journal and year of publication. The &#x201c;PT&#x201d; predicted values also influence the kind of publishing. Except as specifically stated, self-citations (an author referring to his or her work) are not included in the analysis.</p>
				<table-wrap id="t2">
					<label>Table II</label>
					<caption>
						<title>Summary statistics for the selected collection of PubmedIDs</title>
					</caption>
					<table>
						<colgroup>
							<col/>
							<col/>
							<col/>
						</colgroup>
						<thead>
							<tr>
								<th align="justify">Variable</th>
								<th align="justify">Value</th>
								<th align="justify">&#xa0;</th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td align="justify">NumPubs</td>
								<td align="justify">708</td>
								<td align="justify">Number of recognized PubmedIDs</td>
							</tr>
							<tr>
								<td align="justify">FirstYear</td>
								<td align="justify">2000</td>
								<td align="justify">Earliest article year</td>
							</tr>
							<tr>
								<td align="justify">LastYear</td>
								<td align="justify">2021</td>
								<td align="justify">Latest article year</td>
							</tr>
							<tr>
								<td align="justify">AvgAuthors</td>
								<td align="justify">6.001</td>
								<td align="justify">Average number of authors per article</td>
							</tr>
							<tr>
								<td align="justify">ExpAuthors</td>
								<td align="justify">4.756</td>
								<td align="justify">Expected number of authors, matched on journal and year</td>
							</tr>
							<tr>
								<td align="justify">RatioAuthors</td>
								<td align="justify">1.262</td>
								<td align="justify">Ratio of the average number of authors to the expected number</td>
							</tr>
							<tr>
								<td align="justify">AvgCitesAll</td>
								<td align="justify">5.743</td>
								<td align="justify">Average number of times an article has been cited, including self-citations</td>
							</tr>
							<tr>
								<td align="justify">AvgCites</td>
								<td align="justify">5.095</td>
								<td align="justify">Average number of times an article has been cited, not including self-citations</td>
							</tr>
							<tr>
								<td align="justify">ExpCites</td>
								<td align="justify">2.438</td>
								<td align="justify">Expected number of times an article has been cited, not including self-citations, matched on journal and year</td>
							</tr>
							<tr>
								<td align="justify">RatioCites</td>
								<td align="justify">2.090</td>
								<td align="justify">Ratio of average number of citations (no self-citations) to expected number, matched on journal and year</td>
							</tr>
							<tr>
								<td align="justify">ExpCitesPT</td>
								<td align="justify">3.850</td>
								<td align="justify">Expected number of citations (no self-citations), matched on journal, year, and publication type</td>
							</tr>
							<tr>
								<td align="justify">RatioCitesPT</td>
								<td align="justify">1.323</td>
								<td align="justify">Ratio of average number of citations (no self-citations) to expected number, matched on journal, year, and publication type</td>
							</tr>
							<tr>
								<td align="justify">HIndex</td>
								<td align="justify">23</td>
								<td align="justify">Hirsch-index (using total citations, including self-citations)</td>
							</tr>
							<tr>
								<td align="justify">MIndex</td>
								<td align="justify">1.917</td>
								<td align="justify">Hirsch-index divided by the number of years since the first publication</td>
							</tr>
						</tbody>
					</table>
				</table-wrap>
				<p>Multiple publishing categories can be attributed to the same article in Medine/PubMed. Articles are matched across all publishing types for computing &#x201c;PT&#x201d; values. For instance, an article with the kinds &#x201c;Abstract; Multicenter Study; Clinical Trial&#x201d; will only be compared to other articles with those three kinds. As a result, while evaluating the &#x201c;PT&#x201d; numbers, take in mind that there are frequently relatively few publications that match on the journal, year, AND all publishing kinds, which might skew the findings.</p>
			</sec>
			<sec id="sec2.2">
				<title>Search Strategy</title>
				<p>For this article, papers are selected from the PubMed database that included the keyword &#x201c;Social Media&#x201d; and checked research studies reported in the database between 2000, January and 2021, June.</p>
			</sec>
			<sec id="sec2.3">
				<title>Sampling</title>
				<p>Pubmed database provides coverage on Medline, dental journal, nursing journal. The PubMed database yielded a total of 713 documents while the term &#x201c;Social Media&#x201d; was searched. Even though this research has been conducted in a variety of disciplines, we plan to review the published literature in the Indian context. Only papers with the English language were considered. </p>
			</sec>
			<sec id="sec2.4">
				<title>Data Analysis</title>
				<p>713 articles were chosen using a systematic method for social media for health information in India and bibliographical methods, which included a co-citation analysis of reference and text analytics of the combination of bibliometric texts. </p>
			</sec>
		</sec>
		<sec id="sec3" sec-type="results|discussion">
			<label>3.</label>
			<title>Results and discussion</title>
			<p>The categories assigned to an article in Medline/PubMed determine the type of publication. Because an article can have more than one publication type, a single publication may appear more than once in the table below. As a result, in <xref ref-type="table" rid="t2">Table II</xref> the NumPubs field may contain more than the total number of publications. Here it is clear that percentage of journal article publication is highest. But, the Ratio of average number of citations is highest for &#x2018;Letter&#x2019; type of publication. The &#x201c;Publication Type&#x201d; expected values are not listed here since the data is already categorized by publication type. </p>
			<p>
				<xref ref-type="fig" rid="f1">Figure 1</xref> indicates that researchers of social media health information in India have considered their article the following components or keywords (<xref ref-type="table" rid="t3">Table III</xref>). From <xref ref-type="fig" rid="f2">Figure 2</xref>, it is clear that number of publication is highest on 2020. It might be due to COVID 19.</p>
			<table-wrap id="t3">
				<label>Table III</label>
				<caption>
					<title>Top Publication Types by number of publications.</title>
				</caption>
				<table>
					<colgroup>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
						<col/>
					</colgroup>
					<thead>
						<tr>
							<th align="justify">PublicationType</th>
							<th align="justify">NumPubs</th>
							<th align="justify">%Pubs</th>
							<th align="justify">FirstYear</th>
							<th align="justify">LastYear</th>
							<th align="justify">AvgCites</th>
							<th align="justify">ExpCites</th>
							<th align="justify">RatioCites</th>
						</tr>
					</thead>
					<tbody>
						<tr>
							<td align="justify">Journal Article</td>
							<td align="justify">686</td>
							<td align="justify">96.893</td>
							<td align="justify">2000</td>
							<td align="justify">2021</td>
							<td align="justify">5.114</td>
							<td align="justify">3.924</td>
							<td align="justify">1.303</td>
						</tr>
						<tr>
							<td align="justify">Research Support, Non-U.S. Gov&#x2019;t</td>
							<td align="justify">98</td>
							<td align="justify">13.842</td>
							<td align="justify">2003</td>
							<td align="justify">2021</td>
							<td align="justify">15.520</td>
							<td align="justify">15.003</td>
							<td align="justify">1.035</td>
						</tr>
						<tr>
							<td align="justify">Review</td>
							<td align="justify">60</td>
							<td align="justify">8.475</td>
							<td align="justify">2004</td>
							<td align="justify">2021</td>
							<td align="justify">7.917</td>
							<td align="justify">5.319</td>
							<td align="justify">1.489</td>
						</tr>
						<tr>
							<td align="justify">Research Support, N.I.H., Extramural</td>
							<td align="justify">15</td>
							<td align="justify">2.119</td>
							<td align="justify">2005</td>
							<td align="justify">2020</td>
							<td align="justify">63.800</td>
							<td align="justify">64.943</td>
							<td align="justify">0.982</td>
						</tr>
						<tr>
							<td align="justify">Case Reports</td>
							<td align="justify">10</td>
							<td align="justify">1.412</td>
							<td align="justify">2007</td>
							<td align="justify">2021</td>
							<td align="justify">3.300</td>
							<td align="justify">1.741</td>
							<td align="justify">1.896</td>
						</tr>
						<tr>
							<td align="justify">Observational Study</td>
							<td align="justify">9</td>
							<td align="justify">1.271</td>
							<td align="justify">2014</td>
							<td align="justify">2021</td>
							<td align="justify">0.333</td>
							<td align="justify">0.652</td>
							<td align="justify">0.511</td>
						</tr>
						<tr>
							<td align="justify">Letter</td>
							<td align="justify">8</td>
							<td align="justify">1.130</td>
							<td align="justify">2015</td>
							<td align="justify">2021</td>
							<td align="justify">10.375</td>
							<td align="justify">2.567</td>
							<td align="justify">4.041</td>
						</tr>
						<tr>
							<td align="justify">Comparative Study</td>
							<td align="justify">8</td>
							<td align="justify">1.130</td>
							<td align="justify">2005</td>
							<td align="justify">2021</td>
							<td align="justify">6.500</td>
							<td align="justify">4.425</td>
							<td align="justify">1.469</td>
						</tr>
						<tr>
							<td align="justify">Video-Audio Media</td>
							<td align="justify">7</td>
							<td align="justify">0.989</td>
							<td align="justify">2015</td>
							<td align="justify">2020</td>
							<td align="justify">118.143</td>
							<td align="justify">117.630</td>
							<td align="justify">1.004</td>
						</tr>
						<tr>
							<td align="justify">Multicenter Study</td>
							<td align="justify">7</td>
							<td align="justify">0.989</td>
							<td align="justify">2007</td>
							<td align="justify">2021</td>
							<td align="justify">4.286</td>
							<td align="justify">2.693</td>
							<td align="justify">1.591</td>
						</tr>
						<tr>
							<td align="justify">Research Support, U.S.Gov&#x2019;t, Non-P.H.S.</td>
							<td align="justify">6</td>
							<td align="justify">0.847</td>
							<td align="justify">2007</td>
							<td align="justify">2020</td>
							<td align="justify">9.333</td>
							<td align="justify">9.465</td>
							<td align="justify">0.986</td>
						</tr>
						<tr>
							<td align="justify">Systematic Review</td>
							<td align="justify">6</td>
							<td align="justify">0.847</td>
							<td align="justify">2015</td>
							<td align="justify">2021</td>
							<td align="justify">4.333</td>
							<td align="justify">4.138</td>
							<td align="justify">1.047</td>
						</tr>
						<tr>
							<td align="justify">Editorial</td>
							<td align="justify">6</td>
							<td align="justify">0.847</td>
							<td align="justify">2014</td>
							<td align="justify">2020</td>
							<td align="justify">2.000</td>
							<td align="justify">1.717</td>
							<td align="justify">1.165</td>
						</tr>
						<tr>
							<td align="justify">Randomized Controlled Trial</td>
							<td align="justify">5</td>
							<td align="justify">0.706</td>
							<td align="justify">2014</td>
							<td align="justify">2019</td>
							<td align="justify">6.600</td>
							<td align="justify">4.583</td>
							<td align="justify">1.440</td>
						</tr>
						<tr>
							<td align="justify">Evaluation Study</td>
							<td align="justify">4</td>
							<td align="justify">0.565</td>
							<td align="justify">2011</td>
							<td align="justify">2019</td>
							<td align="justify">8.250</td>
							<td align="justify">5.389</td>
							<td align="justify">1.531</td>
						</tr>
						<tr>
							<td align="justify">Historical Article</td>
							<td align="justify">4</td>
							<td align="justify">0.565</td>
							<td align="justify">2000</td>
							<td align="justify">2012</td>
							<td align="justify">2.500</td>
							<td align="justify">2.625</td>
							<td align="justify">0.952</td>
						</tr>
						<tr>
							<td align="justify">Meta-Analysis</td>
							<td align="justify">3</td>
							<td align="justify">0.424</td>
							<td align="justify">2017</td>
							<td align="justify">2018</td>
							<td align="justify">21.667</td>
							<td align="justify">28.817</td>
							<td align="justify">0.752</td>
						</tr>
						<tr>
							<td align="justify">News</td>
							<td align="justify">3</td>
							<td align="justify">0.424</td>
							<td align="justify">2021</td>
							<td align="justify">2021</td>
							<td align="justify">0.333</td>
							<td align="justify">0.167</td>
							<td align="justify">2.000</td>
						</tr>
						<tr>
							<td align="justify">Research Support, U.S. Gov&#x2019;t, P.H.S.</td>
							<td align="justify">2</td>
							<td align="justify">0.282</td>
							<td align="justify">2003</td>
							<td align="justify">2005</td>
							<td align="justify">12.000</td>
							<td align="justify">8.542</td>
							<td align="justify">1.405</td>
						</tr>
						<tr>
							<td align="justify">Comment</td>
							<td align="justify">2</td>
							<td align="justify">0.282</td>
							<td align="justify">2014</td>
							<td align="justify">2020</td>
							<td align="justify">7.000</td>
							<td align="justify">2.333</td>
							<td align="justify">3.000</td>
						</tr>
						<tr>
							<td align="justify">Clinical Trial Protocol</td>
							<td align="justify">2</td>
							<td align="justify">0.282</td>
							<td align="justify">2018</td>
							<td align="justify">2018</td>
							<td align="justify">1.500</td>
							<td align="justify">1.604</td>
							<td align="justify">0.935</td>
						</tr>
						<tr>
							<td align="justify">Clinical Trial</td>
							<td align="justify">1</td>
							<td align="justify">0.141</td>
							<td align="justify">2004</td>
							<td align="justify">2004</td>
							<td align="justify">8.000</td>
							<td align="justify">5.000</td>
							<td align="justify">1.600</td>
						</tr>
						<tr>
							<td align="justify">Consensus Development Conference</td>
							<td align="justify">1</td>
							<td align="justify">0.141</td>
							<td align="justify">2008</td>
							<td align="justify">2008</td>
							<td align="justify">7.000</td>
							<td align="justify">7.000</td>
							<td align="justify">1.000</td>
						</tr>
						<tr>
							<td align="justify">Validation Study</td>
							<td align="justify">1</td>
							<td align="justify">0.141</td>
							<td align="justify">2016</td>
							<td align="justify">2016</td>
							<td align="justify">5.000</td>
							<td align="justify">4.500</td>
							<td align="justify">1.111</td>
						</tr>
						<tr>
							<td align="justify">Congress</td>
							<td align="justify">1</td>
							<td align="justify">0.141</td>
							<td align="justify">2014</td>
							<td align="justify">2014</td>
							<td align="justify">0.000</td>
							<td align="justify">0.000</td>
							<td align="justify">1.000</td>
						</tr>
						<tr>
							<td align="justify">Introductory Journal Article</td>
							<td align="justify">1</td>
							<td align="justify">0.141</td>
							<td align="justify">2014</td>
							<td align="justify">2014</td>
							<td align="justify">0.000</td>
							<td align="justify">0.000</td>
							<td align="justify">1.000</td>
						</tr>
					</tbody>
				</table>
			</table-wrap>
			<fig id="f1">
				<label>Figure 1</label>
				<caption>
					<title>Word cloud for keywords</title>
				</caption>
				<graphic id="gra-1" xlink:href="REDC-45-04-e343-gf1.png"/>
			</fig>
			<fig id="f2">
				<label>Figure 2</label>
				<caption>
					<title>Documents by year</title>
				</caption>
				<graphic id="gra-2" xlink:href="REDC-45-04-e343-gf2.png"/>
			</fig>
			<p>Keyword analyses revealed four subjects in their studies. The following are applicable: Topic/ disease, gender and age group, Systems and software, places.</p>
			<sec id="sec3.1">
				<title>Classification</title>
				<list list-type="bullet">
					<list-item>
						<p>Topic/ Disease: According to authors (<xref ref-type="bibr" rid="B64">Young &amp; Rice, 2011</xref>; <xref ref-type="bibr" rid="B31">Lariscy et al. , 2010</xref>; <xref ref-type="bibr" rid="B20">Corley et al. , 2010</xref>; <xref ref-type="bibr" rid="B54">Takahashi et al. ,2009</xref>; <xref ref-type="bibr" rid="B36">Mukherjee et al. ,2019</xref>; <xref ref-type="bibr" rid="B46">Selkie et al. ,2011</xref>; <xref ref-type="bibr" rid="B33">Liang &amp; Mackey, 2011</xref> ), in their findings, researchers identified the usage of social media in the population for different diseases or health conditions. However, standardization of the devices and regulatory approvals remain inadequate and would need an adequate process to improve their function. </p>
					</list-item>
					<list-item>
						<p>Classification according to gender and age: In India, authors have studied everyone from children to the elderly in the field of social media (<xref ref-type="bibr" rid="B36">Mukherjee et al. , 2019</xref>; <xref ref-type="bibr" rid="B55">Van de Belt et al. , 2013</xref>; <xref ref-type="bibr" rid="B17">Chou et al. , 2011</xref>; <xref ref-type="bibr" rid="B37">Mukherjee et al. , 2021</xref>). This ensures that social media applications and technologies are available to people of all ages.</p>
					</list-item>
					<list-item>
						<p>Systems and software: The study found that health information is being searched in social media (<xref ref-type="bibr" rid="B59">Volpp &amp; Mohta, 2018</xref>; <xref ref-type="bibr" rid="B65">Zhao et al. , 2020</xref>; <xref ref-type="bibr" rid="B7">Aparicio-Martinez et al. , 2019</xref>). Facebook, Twitter, Youtube, Blog, etc. are known as the social network for health Communication. It was determined that these social network apps can be found in smartphone features and software, as well as play store apps.</p>
					</list-item>
					<list-item>
						<p>Places: The importance of social media for sharing or seeking health information in India cannot be ignored. The marginalized group can use it for their benefit (<xref ref-type="bibr" rid="B29">Jha &amp; Pandey, 2017</xref>). People living in developing places have started using social media more (<xref ref-type="bibr" rid="B10">Barrios et al. , 2019</xref>; <xref ref-type="bibr" rid="B39">Pai &amp; Alathur, 2019</xref>; <xref ref-type="bibr" rid="B37">Mukherjee et al. , 2021</xref>).</p>
					</list-item>
				</list>
				<table-wrap id="t4">
					<label>Table IV</label>
					<caption>
						<title>Components identified by word cloud and its classification.</title>
					</caption>
					<table>
						<colgroup>
							<col/>
							<col/>
						</colgroup>
						<thead>
							<tr>
								<th align="justify">Classification</th>
								<th align="justify">Components/ Keywords</th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td align="justify">Topic</td>
								<td align="justify">Covid 19, sars, sexual, nutrition, cancer, hiv, tuberculosis, zika, obesity, smoking, metal, stress, suicide, vaccine, tobacco, anxiety, depression, presbyopia, diabetes, ophthalmic, pregnancy, rheumatology, cardiovascular, coronaphobia, Rabies, Dengue, Chikungunia, cardiac, Overweight, Biopsy, Cervical, Chronic, Cyberchondria, Pediatrics, Optometry, COPD, Dyssomnia, Risk, Virus, Polio, Alcohol, breastfeeding, breeding, leptospirosis, cardiopulmonary, liver, laparoscopic, Measles-Rubella, pancreatic</td>
							</tr>
							<tr>
								<td align="justify">Media</td>
								<td align="justify">Facebook, tweet, digital, YouTube, WhatsApp, smartphone, telemedicine, Google, online, website, blog, internet</td>
							</tr>
							<tr>
								<td align="justify">Places</td>
								<td align="justify">West Bengal, Uttar Pradesh, Kerala, Amritsar, Jharkhand, Madhya Pradesh, Chennai, Mumbai, Chhattisgarh, urban, rural, Delhi, Andhra Pradesh, Gujarat, Bihar, Karnataka, village, India, Pondicherry</td>
							</tr>
							<tr>
								<td align="justify">Gender &amp; age group</td>
								<td align="justify">Children, adult, young, aged, students, parents, adolescents, males, women, youth, grandmother, infant, boys, men, young, minor</td>
							</tr>
						</tbody>
					</table>
				</table-wrap>
				<p>To sum up, the keywords reflect that the social media researches on basic health conditions and health communication in India showed the need and relevance for developing countries and rural areas. </p>
			</sec>
			<sec id="sec3.2">
				<title>Top Journals</title>
				<p>
					<xref ref-type="table" rid="t5">Table V</xref> shows the number of journals (NumPubs) and the share of the total published publications (percentage of pubs) appear for each journal. Here it is clear that &#x2018;<italic>Journal of Family Medicine and Primary Care&#x2019;</italic> have more publication; but, ratio of average number of citations is highest in <italic>&#x2018;Asian Journal of Psychiatry&#x2019;</italic>. The quotes have the same significance as the summary table in general.</p>
				<table-wrap id="t5">
					<label>Table V</label>
					<caption>
						<title>Top Journals Publications &amp; Citations by Year</title>
					</caption>
					<table>
						<colgroup>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
						</colgroup>
						<thead>
							<tr>
								<th align="left">Journal</th>
								<th align="center">NumPubs</th>
								<th align="center">%Pubs</th>
								<th align="center">FirstYear</th>
								<th align="center">LastYear</th>
								<th align="center">AvgCites</th>
								<th align="center">ExpCites</th>
								<th align="center">RatioCites</th>
								<th align="center">ExpCitesPT</th>
								<th align="center">RatioCitesPT</th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td align="justify">J Family Med Prim Care</td>
								<td align="center">24</td>
								<td align="center">3.390</td>
								<td align="center">2016</td>
								<td align="center">2021</td>
								<td align="center">1.000</td>
								<td align="center">0.650</td>
								<td align="center">1.539</td>
								<td align="center">0.941</td>
								<td align="center">1.063</td>
							</tr>
							<tr>
								<td align="justify">PLoS One</td>
								<td align="center">15</td>
								<td align="center">2.119</td>
								<td align="center">2012</td>
								<td align="center">2021</td>
								<td align="center">2.733</td>
								<td align="center">3.690</td>
								<td align="center">0.741</td>
								<td align="center">3.440</td>
								<td align="center">0.795</td>
							</tr>
							<tr>
								<td align="justify">Indian J Med Ethics</td>
								<td align="center">13</td>
								<td align="center">1.836</td>
								<td align="center">2012</td>
								<td align="center">2021</td>
								<td align="center">0.692</td>
								<td align="center">0.659</td>
								<td align="center">1.051</td>
								<td align="center">0.539</td>
								<td align="center">1.284</td>
							</tr>
							<tr>
								<td align="justify">BMC Public Health</td>
								<td align="center">10</td>
								<td align="center">1.412</td>
								<td align="center">2011</td>
								<td align="center">2021</td>
								<td align="center">6.200</td>
								<td align="center">4.354</td>
								<td align="center">1.424</td>
								<td align="center">3.940</td>
								<td align="center">1.574</td>
							</tr>
							<tr>
								<td align="justify">J Educ Health Promot</td>
								<td align="center">10</td>
								<td align="center">1.412</td>
								<td align="center">2012</td>
								<td align="center">2021</td>
								<td align="center">1.200</td>
								<td align="center">0.857</td>
								<td align="center">1.400</td>
								<td align="center">0.809</td>
								<td align="center">1.483</td>
							</tr>
							<tr>
								<td align="justify">BMJ Open</td>
								<td align="center">10</td>
								<td align="center">1.412</td>
								<td align="center">2013</td>
								<td align="center">2021</td>
								<td align="center">0.400</td>
								<td align="center">1.804</td>
								<td align="center">0.222</td>
								<td align="center">1.744</td>
								<td align="center">0.229</td>
							</tr>
							<tr>
								<td align="justify">Asian J Psychiatr</td>
								<td align="center">9</td>
								<td align="center">1.271</td>
								<td align="center">2014</td>
								<td align="center">2020</td>
								<td align="center">30.889</td>
								<td align="center">2.843</td>
								<td align="center">10.863</td>
								<td align="center">2.889</td>
								<td align="center">10.694</td>
							</tr>
							<tr>
								<td align="justify">J Med Internet Res</td>
								<td align="center">9</td>
								<td align="center">1.271</td>
								<td align="center">2014</td>
								<td align="center">2021</td>
								<td align="center">10.889</td>
								<td align="center">8.319</td>
								<td align="center">1.309</td>
								<td align="center">9.519</td>
								<td align="center">1.144</td>
							</tr>
							<tr>
								<td align="justify">Indian J Public Health</td>
								<td align="center">8</td>
								<td align="center">1.130</td>
								<td align="center">2007</td>
								<td align="center">2020</td>
								<td align="center">4.750</td>
								<td align="center">1.865</td>
								<td align="center">2.546</td>
								<td align="center">1.827</td>
								<td align="center">2.600</td>
							</tr>
							<tr>
								<td align="justify">Indian Pediatr</td>
								<td align="center">7</td>
								<td align="center">0.989</td>
								<td align="center">2008</td>
								<td align="center">2020</td>
								<td align="center">5.571</td>
								<td align="center">1.896</td>
								<td align="center">2.938</td>
								<td align="center">3.820</td>
								<td align="center">1.458</td>
							</tr>
						</tbody>
					</table>
				</table-wrap>
				<p>
					<xref ref-type="table" rid="t6">Table VI</xref> shows year wise number of articles (NumPubs), number of times any article in that year (NumCitesAll) has been cited, inclusive of self-quotation (CumPubs), the number of times no articles have been mentioned in the same year (NumCites); the number of cumulative articles mentioned, including self-quotations (CumCitesAll); the cumulative number of articles cited in that year (CumCitesAL); (CumCites). </p>
				<table-wrap id="t6">
					<label>Table VI</label>
					<caption>
						<title>Publication &amp; Citation by year</title>
					</caption>
					<table>
						<colgroup>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
							<col/>
						</colgroup>
						<thead>
							<tr>
								<th align="center">PubYear</th>
								<th align="center">NumPubs</th>
								<th align="center">NumCitesAll</th>
								<th align="center">NumCites</th>
								<th align="center">CumPubs</th>
								<th align="center">CumCitesAll</th>
								<th align="center">CumCites</th>
							</tr>
						</thead>
						<tbody>
							<tr>
								<td align="center">2021</td>
								<td align="center">115</td>
								<td align="center">965</td>
								<td align="center">865</td>
								<td align="center">708</td>
								<td align="center">4066</td>
								<td align="center">3607</td>
							</tr>
							<tr>
								<td align="center">2020</td>
								<td align="center">220</td>
								<td align="center">1221</td>
								<td align="center">1087</td>
								<td align="center">593</td>
								<td align="center">3101</td>
								<td align="center">2742</td>
							</tr>
							<tr>
								<td align="center">2019</td>
								<td align="center">71</td>
								<td align="center">324</td>
								<td align="center">283</td>
								<td align="center">373</td>
								<td align="center">1880</td>
								<td align="center">1655</td>
							</tr>
							<tr>
								<td align="center">2018</td>
								<td align="center">57</td>
								<td align="center">431</td>
								<td align="center">383</td>
								<td align="center">302</td>
								<td align="center">1556</td>
								<td align="center">1372</td>
							</tr>
							<tr>
								<td align="center">2017</td>
								<td align="center">55</td>
								<td align="center">350</td>
								<td align="center">315</td>
								<td align="center">245</td>
								<td align="center">1125</td>
								<td align="center">989</td>
							</tr>
							<tr>
								<td align="center">2016</td>
								<td align="center">34</td>
								<td align="center">253</td>
								<td align="center">224</td>
								<td align="center">190</td>
								<td align="center">775</td>
								<td align="center">674</td>
							</tr>
							<tr>
								<td align="center">2015</td>
								<td align="center">29</td>
								<td align="center">137</td>
								<td align="center">115</td>
								<td align="center">156</td>
								<td align="center">522</td>
								<td align="center">450</td>
							</tr>
							<tr>
								<td align="center">2014</td>
								<td align="center">30</td>
								<td align="center">110</td>
								<td align="center">96</td>
								<td align="center">127</td>
								<td align="center">385</td>
								<td align="center">335</td>
							</tr>
							<tr>
								<td align="center">2013</td>
								<td align="center">11</td>
								<td align="center">96</td>
								<td align="center">82</td>
								<td align="center">97</td>
								<td align="center">275</td>
								<td align="center">239</td>
							</tr>
							<tr>
								<td align="center">2012</td>
								<td align="center">24</td>
								<td align="center">58</td>
								<td align="center">53</td>
								<td align="center">86</td>
								<td align="center">179</td>
								<td align="center">157</td>
							</tr>
							<tr>
								<td align="center">2011</td>
								<td align="center">11</td>
								<td align="center">44</td>
								<td align="center">39</td>
								<td align="center">62</td>
								<td align="center">121</td>
								<td align="center">104</td>
							</tr>
							<tr>
								<td align="center">2010</td>
								<td align="center">5</td>
								<td align="center">22</td>
								<td align="center">20</td>
								<td align="center">51</td>
								<td align="center">77</td>
								<td align="center">65</td>
							</tr>
							<tr>
								<td align="center">2009</td>
								<td align="center">7</td>
								<td align="center">19</td>
								<td align="center">18</td>
								<td align="center">46</td>
								<td align="center">55</td>
								<td align="center">45</td>
							</tr>
							<tr>
								<td align="center">2008</td>
								<td align="center">4</td>
								<td align="center">14</td>
								<td align="center">11</td>
								<td align="center">39</td>
								<td align="center">36</td>
								<td align="center">27</td>
							</tr>
							<tr>
								<td align="center">2007</td>
								<td align="center">9</td>
								<td align="center">7</td>
								<td align="center">6</td>
								<td align="center">35</td>
								<td align="center">22</td>
								<td align="center">16</td>
							</tr>
							<tr>
								<td align="center">2006</td>
								<td align="center">4</td>
								<td align="center">5</td>
								<td align="center">5</td>
								<td align="center">26</td>
								<td align="center">15</td>
								<td align="center">10</td>
							</tr>
							<tr>
								<td align="center">2005</td>
								<td align="center">5</td>
								<td align="center">6</td>
								<td align="center">2</td>
								<td align="center">22</td>
								<td align="center">10</td>
								<td align="center">5</td>
							</tr>
							<tr>
								<td align="center">2004</td>
								<td align="center">7</td>
								<td align="center">1</td>
								<td align="center">0</td>
								<td align="center">17</td>
								<td align="center">4</td>
								<td align="center">3</td>
							</tr>
							<tr>
								<td align="center">2003</td>
								<td align="center">4</td>
								<td align="center">1</td>
								<td align="center">1</td>
								<td align="center">10</td>
								<td align="center">3</td>
								<td align="center">3</td>
							</tr>
							<tr>
								<td align="center">2002</td>
								<td align="center">4</td>
								<td align="center">2</td>
								<td align="center">2</td>
								<td align="center">6</td>
								<td align="center">2</td>
								<td align="center">2</td>
							</tr>
							<tr>
								<td align="center">2000</td>
								<td align="center">2</td>
								<td align="center">0</td>
								<td align="center">0</td>
								<td align="center">2</td>
								<td align="center">0</td>
								<td align="center">0</td>
							</tr>
						</tbody>
					</table>
				</table-wrap>
				<p>The bibliographic analysis of the articles will help to identify research gaps and potential prospects (<xref ref-type="bibr" rid="B63">Xu et al. , 2020</xref>). The study of co-quotation analytics and the bibliographic mix of chosen papers are discussed in the following pages.</p>
			</sec>
			<sec id="sec3.3">
				<title>Study Characteristics</title>
				<p>Identification of co-occurrences, co-authorships based on author keywords are among the research features of the selected 713 articles. This report demonstrates how social media is used in India for health information. It also highlights the most active, most studied fields for potential advancements in the field assessment. The results of the experiments are discussed in the following pages.</p>
			</sec>
			<sec id="sec3.4">
				<title>Commonly associated author keywords in the research articles</title>
				<p>The network visualization analysis for the authors&#x2019; keywords is seen in <xref ref-type="fig" rid="f3">Figure 3</xref>. To map the results, VOSviewer was used by Van Eck and Waltman (2009, <xref ref-type="bibr" rid="B56">2013</xref>). This software is not only useful for generating, analyzing, and exploring network data maps, but it is also useful for bibliometric data analysis (<xref ref-type="bibr" rid="B56">Van Eck &amp; Waltman, 2013</xref>). <xref ref-type="bibr" rid="B43">Perianes-Rodriguez et al. (2016)</xref> suggested the fractional counting process and the overall sensitivity of the relation to normalizing the effects. For co-occurrence data, the Van Eck and Waltman data index (<xref ref-type="bibr" rid="B39">Pai &amp; Alathur, 2019</xref>) is used.</p>
				<fig id="f3">
					<label>Figure 3</label>
					<caption>
						<title>Network visualization for the keywords</title>
					</caption>
					<graphic id="gra-3" xlink:href="REDC-45-04-e343-gf3.png"/>
				</fig>
				<p>A total of 727 keywords out of 3105 were obtained for this research study with 713 papers by setting a metric for counting, form, analytical unit, and threshold value as fraction metric, coexistence analysis, and minimum occurrence of keywords as 2.</p>
				<p>The size of the circle in <xref ref-type="fig" rid="f3">Figure 3</xref> reflects the frequency of the keyword. The larger the diameter, the more often the keyword appears in social media for health information journals. The distance between them shows the topic&#x2019;s relative intensity and similarity (<xref ref-type="bibr" rid="B26">Guo, et al. , 2019</xref>). In this report, keywords like humans, social media, India, Covid 19 have a higher weight. The use of the same color in different publications indicated a related subject.</p>
				<p>The network visualization map displayed in <xref ref-type="fig" rid="f3">Figure 3</xref> has 8 clusters that describe the subfields of social media. The Yellow Cluster comprises varieties of family problems and their information such as family planning services, survey, health, postnatal care, risk factors, breast cancer awareness, geography, fertility, health education, family characteristics, etc. The red cluster included social media, online learning, pharmacovigilance, machine learning, natural language processing, algorithms, neural networks, etc. The keywords in the green cluster are human, measles, management, cluster analysis, infant nutrition, qualitative research, adolescence, diet, etc. Next, the keywords in the blue color cluster are correlated with India, social phobia, students, universities, etc.</p>
				<p>The purple cluster contains pathology, what&#x2019;s app, Facebook, etc. keywords which are there. A cluster of other blue colors are combined of Covid 19, content analysis, gender, fake news, sentiment analysis, deep learning, anxiety disorder, information, periodical as a topic, Twitter, etc. The orange cluster, includes key terms basic reproduction number, culture media, circadian rhythm, parents, social media use, adolescents, behavior, students, etc.</p>
			</sec>
			<sec id="sec3.5">
				<title>Co-citation analysis</title>
				<p>By reviewing quotations, this paper examines &#x201c;the frequency with which two documents are cited together by other documents&#x201d;(<xref ref-type="bibr" rid="B49">Small, 1973</xref>). It is also very important (<xref ref-type="fig" rid="f4">Figure 4</xref>). A total of 91 papers out of 4488 were obtained for this research with 713 papers and the minimum number of papers per author is 2.</p>
				<fig id="f4">
					<label>Figure 4</label>
					<caption>
						<title>Network visualization mapping for the most prolific authors</title>
					</caption>
					<graphic id="gra-4" xlink:href="REDC-45-04-e343-gf4.png"/>
				</fig>
				<p>This diagram illustrates the interactions between the primary authors and the remaining researchers in the field of social media connected to health information in India. The first cluster, led by Dash, Chinmaya; Gupta, Ravi and Raheja, Amol have the most members. There are a total of 8 writers. The next cluster (green) has 7 writers, the most prominent of one is Kar, Sujita Kumar. Both yellow and blue cluster has the same number of writers; that is 6. For the yellow cluster Banerjee, Debanjan is the most prominent one and in the blue cluster Garg, Kanwaljeet, and Chairasia, Bipin are the most prominent ones. The purple cluster contains 5 writers, where each author has the same importance. In the other blue cluster 4 writers are there and among them Grover, Sandeep is the most prominent one.</p>
			</sec>
			<sec id="sec3.6">
				<title>Co-occurrence Map using Text</title>
				<p>A total of 3675 terms out of 20321 were obtained for this study with 713 papers and minimum occurrence of terms as 2. 60% of most relevant terms are selected out of 3675 which is 2205 </p>
				<p>The size of the circle in <xref ref-type="fig" rid="f5">Figure 5</xref>, reflects the frequency of the keyword. The larger the diameter, the more often the keyword appears in social media for health information journals. The distance between them shows the topic&#x2019;s relative intensity and similarity (<xref ref-type="bibr" rid="B26">Guo et al. , 2019</xref>). In this report, keywords like workers, group discussion, detection, and surgeon have a higher weight. The use of the same color in different publications indicated a related subject.</p>
				<fig id="f5">
					<label>Figure 5</label>
					<caption>
						<title>Co-occurrence Map using Text</title>
					</caption>
					<graphic id="gra-5" xlink:href="REDC-45-04-e343-gf5.png"/>
				</fig>
				<p>The network visualization map displayed in <xref ref-type="fig" rid="f5">Figure 5</xref> has 9 clusters that describe the subfields of social media. The Yellow Cluster comprises college, self-breast examination, medical science, socioeconomic stratum, etc. The red cluster included detection, fake news, reconstruction, processing, computing, modeling, hybrid approach, architecture, cell, gene, generation, etc. The keywords in the green cluster are biopsy, pathologist, mask, specialty, abnormality, coordination, comprehensive strategy, daily activity, etc. Next, the keywords in the blue color cluster are correlated with ultrasonography, internalization, artery intima, cardiovascular disease, origin, glucose, BMI, depressive symptom, etc.</p>
				<p>The purple cluster contains young child, infant, IPC, differential impact, program activity, etc. keywords that are there. A cluster of other blue colors are combined of the social media channel, meta-analysis, peer review, citation, altmetric score, e-survey, cloud, bridge, artificial intelligence, etc. The orange cluster includes key terms caste, residence, national health survey, wealth index. Young mother, recent birth, effective implementation, social group, socio-economic group, interval, marital status, logistic regression model, etc. The pink cluster includes keywords like group discussion, media campaign, content analysis, suicide, broader health analysis, important challenge, Chennai, college suicide, media professional, qualitative interview, media guideline, etc. Other green cluster contains Uttar Pradesh, northern India, pediatrics, informal learning, businessman, mobilizer, Hindi, current situation, force, sale, coding, neglect, process, interrupt transmission, etc. keywords. The grey cluster includes ethical aspects, sex selection, couple, live birth, baby boy, release, colony, activity pattern, circadian clock, etc. as the keyword. Other pink colors have surgeon, clinical practice, mainstream, social media channel, variance, main source, the social media network, privilege, agreement, demographical data, chat group, Linkedin, post-graduate training, common degenerative condition, invasive spinal surgery, etc. are there as keywords.</p>
				<p>
					<xref ref-type="bibr" rid="B7">Martinez et al. (2019)</xref> in their study have shown that Journals are having largest number of publication a finding which is similar to our study. Like this study it also has &#x2018;humans&#x2019; as keyword highest number of times and it is clear in Co-occurrence study. It, <xref ref-type="bibr" rid="B41">Pai &amp; Alathur (2021)</xref>, <xref ref-type="bibr" rid="B66">Zyoud et al. (2018)</xref> and <xref ref-type="bibr" rid="B34">Madjido et al. (2019)</xref> also has similar publication trends. </p>
				<p>In Co-occurance analysis &#x2018;Telemedicine&#x2019; is an important keyword (<xref ref-type="bibr" rid="B41">Pai &amp; Alathur, (2021)</xref>; <xref ref-type="bibr" rid="B34">Madjido et al. (2019)</xref>); as is echoed in our article. However Co-citation analysis in our study is marketly different; perhaps they have worked on M-health.</p>
				<p>
					<xref ref-type="bibr" rid="B66">Zyoud et al. (2018)</xref> mentions 10 most active journals which are not a part of our findings. This could be because we have focused on social media where as he has focused on Internet.</p>
				<p>The usefulness of mHealth is the other important finding in the clustered papers. MHealth has been used to combine health awareness with phone (<xref ref-type="bibr" rid="B40">Pai &amp; Alathur, 2020</xref>).</p>
			</sec>
		</sec>
		<sec id="sec4" sec-type="conclusions">
			<label>4.</label>
			<title>Conclusion</title>
			<p>The objective of this paper has been to develop better insight of literature on social media based health information. From the study we find that &#x2018;Public Health&#x2019; has been on top fields that has been studied (<xref ref-type="table" rid="t1">Table I</xref>). Social media therefore appears to be important in the context of public health. Hence it may be assumed that social media could play an important role in prevention of disease and spreading awareness. We also find that the journals are the most common publications espousing social media and health information. This could be because the journals major reason are the major publication medium. But it could also be because social media health communication is being considered by serious researchers (<xref ref-type="table" rid="t2">Table II</xref>). Average citation is highest for &#x2018;Video-Audio Media&#x2019; (<xref ref-type="table" rid="t2">Table II</xref>); this could be because Video-audio media appears more credible or perhaps because it invites greater attention. <italic>Journal of Family Medicine Primary Care</italic> has published highest number of paper (<xref ref-type="table" rid="t3">Table III</xref>). In 2020 number of publication on this topic was highest (<xref ref-type="table" rid="t4">Table IV</xref>); that is why citation is also highest in this year, might be due to pandemic. From <xref ref-type="fig" rid="f4">Figure 4</xref>, it is clear that very few author have studied in this area. This reflect that it is an emerging issue for researchers but it is expected that more number of researches in India and others developing countries will eventually explore this area. &#x2018;Worker&#x2019; is most frequent subfield appearing in literature. This may be explained on the basis of lower income group finding social media a cheaper and better option for health information.</p>
			<sec id="sec4.1">
				<title>Implications</title>
				<p>Social media health information has arrived and will be more prevalent in future as reach of social media extends to developing and under developing countries. The regulators therefore has the challenges to regulate it in such a way that its positive influence remains higher than its negative connotations. Health care Regulators should frame policies so that public health may benefit immensely form the use of social media base health information. Prevention of disease is important and social media can play an important role. As this is an emerging issue academicians and researchers are required to pay greater attention and develop new theories and models for better societal health outcomes. As it appears social media is a greater importance for marginalized people; health care providers and regulators must take precautions to avoid possible negative outcomes. </p>
			</sec>
			<sec id="sec4.2">
				<title>Research Gaps and Future Scope</title>
				<p>There are some flaws in the study. First, there were only papers from publications of the same &#x2018;PubMed&#x2019; index, with no listing of articles from other sources. Second, the science Only English literature is permitted; no other languages are possible. The total consolidation of the study findings could be harmed (<xref ref-type="bibr" rid="B38">M&#xfc;ller et al. , 2018</xref>). Third, &#x201c;social media&#x201d; is the keyword for this review. The future researchers in this respect may include databases other than PubMed. Also newer keywords such as social network, social networking sites may be used for deeper analysis. Finally comparisons of two or distinct regions may provide information on differences across geography. </p>
			</sec>
		</sec>
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