#EndoTwitter: a four-year (2019-2023) analysis of a global endocrinology-focused hashtag’s use on X (formerly Twitter)

Areen AL-Dhoon , Hadeel Aldahoun , Munaza Afaq , Atanas G. Atanasov , Olena Litvinova , Thomas Wochele-Thoma , Sheikh Mohd Saleem , Ahmad A Aljarrah , Zara Arshad , Rahul Kashyap , Faisal A. Nawaz

Exploration of Digital Health Technologies ›› 2026, Vol. 4 ›› Issue (1) : 101192

PDF (1215KB)
Exploration of Digital Health Technologies ›› 2026, Vol. 4 ›› Issue (1) :101192 DOI: 10.37349/edht.2026.101192
Original Article
research-article
#EndoTwitter: a four-year (2019-2023) analysis of a global endocrinology-focused hashtag’s use on X (formerly Twitter)
Author information +
History +
PDF (1215KB)

Abstract

Aim: This study aims to explore the role of the hashtag #EndoTwitter on the social media platform X by examining its geographical distribution, user demographics, engagement patterns, and post sentiments. With the increasing prevalence of endocrine and metabolic diseases, rapid knowledge exchange is essential. #EndoTwitter provides a unique communication medium for healthcare professionals, researchers, advocacy groups, journalists, and patients; however, its impact has not yet been systematically studied.

Methods: The Fedica research analytics tool was used to analyze X posts containing #EndoTwitter from July 1, 2019, to July 1, 2023. Parameters assessed included post volume, impressions, sentiment, co-occurring hashtags, and geolocation.

Results: A total of 58,392 posts with #EndoTwitter were retrieved from around 21,000 users, generating 46.9 million impressions. These posts originated mainly from the United States (N = 29,546, 50.6%), followed by India (N = 6,567, 11.2%) and Mexico (N = 3,310, 5.7%). The top co-occurring hashtags included #MedTwitter, #Diabetes, and #NAFLD. Sentiment analysis revealed 16% positive sentiment, 8% negative, and 76% neutral among all posts.

Conclusions: #EndoTwitter has the potential to foster evidence-based information sharing and inclusive communities, making it a valuable tool for endocrinology advocacy and patient care. Future research should explore specific post content to deepen insights into its impact.

Keywords

social media / hashtag / EndoTwitter / endocrinology / X / Twitter

Cite this article

Download citation ▾
Areen AL-Dhoon, Hadeel Aldahoun, Munaza Afaq, Atanas G. Atanasov, Olena Litvinova, Thomas Wochele-Thoma, Sheikh Mohd Saleem, Ahmad A Aljarrah, Zara Arshad, Rahul Kashyap, Faisal A. Nawaz. #EndoTwitter: a four-year (2019-2023) analysis of a global endocrinology-focused hashtag’s use on X (formerly Twitter). Exploration of Digital Health Technologies, 2026, 4 (1) : 101192 DOI:10.37349/edht.2026.101192

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Nawaz FA, Riaz MMA, Tsagkaris C, Faisal UH, Klager E, Kletecka-Pulker M, et al. Impact of #PsychTwitter in promoting global psychiatry: A hashtag analysis study. Front Public Health. 2023; 11:1065368.

[2]

Sousa JA, Alves IA, Donato H, Sargento-Freitas J. The Twitter factor: How does Twitter impact #Stroke journals and citation rates? Int J Stroke. 2023; 18:586-9.

[3]

Faus M, Alonso F, Javadinejad A, Useche SA. Are social networks effective in promoting healthy behaviors? A systematic review of evaluations of public health campaigns broadcast on Twitter. Front Public Health. 2022; 10:1045645.

[4]

Social Media Analytics and Publishing [Internet].Fedica; c2026 [cited 2026 Feb 1]. Available from:https://fedica.com/

[5]

Elfanagely Y, Atsawarungruangkit A, Moss SF. Understanding GI Twitter and Its Major Contributors. Gastroenterology. 2021; 160:1917-21.

[6]

Afaq M, Vashisht K, Al-Dhoon A, Abraham D, Atanasov AG, Matin M, et al. Impact of #PCOSweightloss: A global X hashtag analysis study of weight loss narratives in the PCOS community. Digit Health. 2025; 11:20552076251314100.

[7]

Countries with the largest digital populations in the world as of October 2025 [Internet].statista; [cited 2026 Feb 5]. Available from:https://www.statista.com/statistics/262966/number-of-internet-users-in-selected-countries/

[8]

134 Social Media Statistics You Need To Know For 2023 [Internet].Search Engine Journal; c2026 [cited 2026 Feb 5]. Available from:https://www.searchenginejournal.com/social-media-statistics/480507/

[9]

60 Incredible and Interesting Twitter Stats and Statistics [Internet].Brandwatch; c2026 [cited 2026 Feb 5]. Available from:https://www.brandwatch.com/blog/twitter-stats-and-statistics/

[10]

Mondal H, Mickael ME, Matin M, Hrg D, Smith MA, Matin FB, et al. The power of #physiotherapy: a social media hashtag investigation on X (formerly Twitter). Explor Digit Health Technol. 2024; 2:135-44.

[11]

What is Considered a Good or Average Engagement Rate for X (Twitter) in 2024? [Internet].Upfluence; [cited 2026 Feb 5]. Available from:https://www.upfluence.com/influencer-marketing/what-is-considered-a-good-or-average-engagement-rate-for-x-twitter-in-2024?utm_campaign=direct&utm_source=organic&utm_medium=organic

[12]

Kresovich A, Norris AH, Carter CC, Kim Y, Kostygina G, Emery SL. Deciphering Influence on Social Media: A Comparative Analysis of Influential Account Detection Metrics in the Context of Tobacco Promotion. Soc Media Soc. 2024; 10:10.1177/20563051231224268.

[13]

Nakagawa K, Yang NT, Wilson M, Yellowlees P. Twitter Usage Among Physicians From 2016 to 2020: Algorithm Development and Longitudinal Analysis Study. J Med Internet Res. 2022; 24:e37752.

[14]

Khare J, Kalra S, Jindal S. Sociocrinology: Impact of Social Media on Endocrine Health - A Review. Indian J Endocrinol Metab. 2023; 27:480-5.

[15]

Arshad Z, Sharma P, Sharma S, Cheema MS, Agarwal C, Tango T, et al. Is global health truly global? A hashtag analysis of #GlobalHealth disparities on X. Front Public Health. 2024; 12:1413556.

[16]

Wiciak MT, Shazley O, Santhosh D. Social Media Behaviors and Lifestyle Changes in Young Adults (Ages 18-28 years) During the COVID-19 Pandemic: Analysis From an International Cross-Sectional Study. J Prim Care Community Health. 2024; 15:21501319241228117.

[17]

Wicke P, Bolognesi MM. Covid-19 Discourse on Twitter: How the Topics, Sentiments, Subjectivity, and Figurative Frames Changed over Time. Front Commun (Lausanne). 2021; 6:651997.

[18]

Mendez SR, Munoz-Najar S, Emmons KM, Viswanath K. US State Public Health Agencies’ Use of Twitter From 2012 to 2022: Observational Study. J Med Internet Res. 2025; 27:e59786.

[19]

Lee Y, Jeon YJ, Kang S, Shin JI, Jung YC, Jung SJ. Social media use and mental health during the COVID-19 pandemic in young adults: a meta-analysis of 14 cross-sectional studies. BMC Public Health. 2022; 22:995.

[20]

Fieger E, Fadel K. #MedTwitter: An Open Source Medical Community. MedEdPublish (2016). 2021; 10:19.

[21]

Byrne CD, Targher G. NAFLD: a multisystem disease. J Hepatol. 2015; 62:S47-64.

[22]

Cusi K, Isaacs S, Barb D, Basu R, Caprio S, Garvey WT, et al. American Association of Clinical Endocrinology Clinical Practice Guideline for the Diagnosis and Management of Nonalcoholic Fatty Liver Disease in Primary Care and Endocrinology Clinical Settings: Co-Sponsored by the American Association for the Study of Liver Diseases (AASLD). Endocr Pract. 2022; 28:528-62.

[23]

Parker ED, Lin J, Mahoney T, Ume N, Yang G, Gabbay RA, et al. Economic Costs of Diabetes in the U.S. in 2022. Diabetes Care. 2024; 47:26-43.

[24]

Oschatz C, Stier S, Maier J. Twitter in the News: An Analysis of Embedded Tweets in Political News Coverage. Digit Journal. 2022; 10:1526-45.

[25]

Zsarnoczky-Dulhazi F, Zsarnoczky M, Kopper B, Karpati J, Molnar C, Adol GFC, et al. Promising European research results to improve hospitality in healthcare by eHealth. Int J Hosp Manag. 2023; 112:103411.

[26]

Wu Z, Bai Y, Zhang Y, Liu L, Yue M. TrustCNAV: Certificateless aggregate authentication of civil navigation messages in GNSS. Comput Secur. 2025; 148:104172.

[27]

Yang X, Wang W, Tian T, Wang C. Cryptanalysis and Improvement of a Blockchain-Based Certificateless Signature for IIoT Devices. IEEE Trans Industr Inform. 2024; 20:1884-94.

[28]

Yang X, Li S, Yang L, Du X, Wang C. Efficient and Security-Enhanced Certificateless Aggregate Signature-Based Authentication Scheme With Conditional Privacy Preservation for VANETs. IEEE Trans Intell Transp Syst. 2024; 25:12256-68.

[29]

Yang X, Li S, Li M, Du X, Wang C. Heterogeneous Signcryption Scheme From PKI to IBC With Multi-Ciphertext Equality Test in Internet of Vehicles. IEEE Internet Things J. 2024; 11:14178-91.

[30]

Liu X, Zhou Y, Zhu Y, Xia Z. A novel construction of certificateless aggregate signcryption scheme for smart healthcare. Expert Syst Appl. 2025; 285:127963.

PDF (1215KB)

0

Accesses

0

Citation

Detail

Sections
Recommended

/

〈 〉