Table 2.
Summary of top 10 topics in the baseline and follow-up periods.
| Topic | Singular value | Proportion of messages off topic (%) | Example Tweet | Top 5 keywords | Information about “off-topic” tweets |
| Baseline period (before guideline change) from January 1–March 13, 2012 | |||||
| Non-English | 14.10 | N/A | Non-English | Non-English | All non-English (Indonesian) tweets with key English words |
| Screening promotion | 11.79 | 40 | Get Tested For Cervical Cancer #cancer #cervicalcancer #paptest #HPV #HPVvaccine #women #health #womenshealth | study, women, #cancer, caught, #papsaveslives | Other 4 messages about cancer survival/cure rate |
| Education about abnormal test results | 6.23 | 30 | Learned in class: women who have an abnormal pap smear result and may have a B12 deficiency should be tested. It can cause a false positive! If you’re under 26, the HPV vaccine can help prevent you from ever having to hear the words “abnormal Pap test results.” |
abnormal, doctor, recommended, chances, colposcopy | Other messages: 2 jokes; 1 survival rate |
| Anti-HPV vaccination information | 8.03 | 40 | This Foolish Cancer "Prevention" May Only Extend Your Life by 2.8 Days. | life, foolish, extend, days, #tdh | Other messages: 1 cancer awareness month; 1 education; 1 testimonial; 1 political |
| Report linking screening to increased survival | 5.50 | 10 | Regular Pap Smear Boosts Cervical Cancer Survival: Study: Screening is important even after HPV vaccine, experts say | survival, regular, boosts, health day, including | Other message: education about treatment |
| Jokes | 7.54 | 30 | I got scheduled for a pap smear today. Happy Valentine's Day.” <== At least it's being touched on V-Day | doesn, period, dirty, scheduled, question | Other messages: 2 addressing HPV stigma; 1 education about screening |
| Education/Screening promotion | 5.58 | 10 | We're here, we're queer, pap smear! January is cervical health awareness month, read this: #PublicCervixAnnouncement | health, awareness, care, cdc, remind | Other message giving a personal opinion |
| Screening promotion with a personal song | 8.02 | 10 | Please retweet if you have ever had a Pap Smear (especially if you sang Footloose) | work, retweet, footloose, sang, laser | Other topic was political/unrelated |
| N/A Irrelevant | 7.68 | N/A | Smead Slash/Jacket, Letter, 11 Point, Blue, 25 per Pack (75431): 11 pt stock. Holds 8-1/2-inch W x 11-inch H pap... | holds, jacket, stock, letter, inch | Only 2 total tweets for this topic |
| Education/Screening promotion | 5.32 | 10 | It is Cervical Cancer Awareness Month! Click the link to see where you can receive a free or low cost Pap test.... | annual, free, month, screening, appt | Other message a joke |
| Education/Screening Promotion | 5.33 | 0 | What are some ways to lower HPV risk: the usual know who you are having sex with, don't have sex, have sex later, get pap smears, std test | smears, told, prevention, kill, relying | Other messages: 5 about survival; 3 general education; 2 promotion |
| Jokes | 4.99 | 30 | All women (and any men who love women--which is all of you in some way!) please read this on Cervical Health Month/HPV
This indian man taking my prescription is flirting with me hard. It's unnerving because he looks like that indian man that did my pap smear |
man, love, chance, bono, chaz | Messages: 6 jokes (most referencing celebrities); 2 screening promotion; 1 education |
| Follow-up period after guideline change: March 14 to June 30, 2012 | |||||
| News headlines about guideline change | 11.59 | 0 | New Screening Guidelines for Cervical Cancer - Fox News | guidelines, annual, screening, #cnn, corrected | Tweets mostly from news organizations |
| Non-English (relevant English key words) | 14.97 | 0 | Non-English | Non-English | All non-English (Indonesian) tweets with key English words for each tweet in this topic, including “abnormal” “pap smear” “HPV” |
| Non-English (relevant English keywords) | 12.02 | 0 | Non-English | Non-English | All non-English (Indonesian) tweets with key English words for each tweet in this topic, including “abnormal” “pap smear” “HPV” |
| News headlines on panel recommendations | 9.89 | 20 | Health panel: Pap tests needed only every 3 years: NEW YORK (Reuters Health) - Women only need to get a Pap test... | years, panel, health, women, safe | Other messages: 1 educational; 1 political |
| Health promotion – Female-to-female empowerment messaging | 7.94 | 0 | Ladies: Stop putting it off and go have a pap smear. A couple of minutes of discomfort and embarrassment might save your life. Seriously. | ladies, video, learn, defense, routine | All health promotion focused on prevention |
| Mixed category | 7.82 | N/A | You know you hate your job when you are excited to leave for two hours for a pap smear. | call, mom, hate, mammogram, dad | Messages: 4 jokes; 3 free resources for testing; 2 guideline change; 1 health promotion; 1 education about screening |
| Rejoice, no annual pap! | 6.35 | 40 | Women Rejoice: Time to Bid Farewell to Your Annual Pap Smear - The Atlantic http://t.co/eIsAegw5 #health | time, rejoice, bid, farewell, atlantic | Other messages: 1 political; 1 joke; 2 education |
| Mixed category | 5.87 | N/A | Encourage your mom to get a Pap test this Mother's Day! They're free at 19 PPIN health centers next week! Had The Talk w/ my 6YO: “One day you too shall become a woman & you'll cancel your pap smear to have your hair done.” |
woman, free, maintain, order, pbr | Messages: 3 jokes; 4 resources for free Pap smear; 2 promotion for screening; 1 education |
| Mixed category | 10.90 | N/A | The Hairpin guide to abnormal pap smears is awesome. Sometimes, we just need facts about our health wrapped in bowties Making sense of your Pap test: #NWHW |
rom, companion, pass, guide, citizenship | Only 7 messages in this topic: 2 education; 3 political; 1 opinion about OB-GYN career; 1 irrelevant |
| Mixed | 11.66 | N/A | CBC.Beauty Care: Hypnotherapy & Thin Prep Pap Smear |
subjects, fundamental, cliffs notes, prep, praxis | Only 3 tweets in this topic: 1 non-English; 1 about Thin Prep Pap Smear; 1 irrelevant |
| Education about abnormal Pap smear results | 8.50 | 30 | If you have abnormal Pap or HPV test results, your doctor will suggest other tests to make a diagnosis. Pls RT | Abnormal, follow, common, procedure, colposcopy | Other messages: 3 education about screening |
| N/A irrelevant: Pap smears refer to paparazzi, not cervical cancer | 11.09 | 10 | Pap Smear: GIVING THE PAPARAZZI A TASTE OF THEIR OWN DISGUSTING MEDICINE #brilliant | paparazzi, tables, cameras, mag, faces | Mostly using “pap” as abbreviation for paparazzi |
| Mixed category | 10.37 | N/A | Phrases that a Bama girl never wants to hear: 1) We need to talk. 2) We found something on your pap smear. 3) Auburn just scored. I am answering tweets for this chat RT @XX: Women's #Health Wednesdays 5/2 12-2PM ET. Topic: Pap Test Talk. Join us and use #SCWHW |
talk, send, photo, phrases, panic | Messages: 6 jokes; 4 invitations for Tweet Chat about Pap smears |