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First published online April 23, 2015

‘What was your blood sugar reading this morning?’ Representing diabetes self-management on Facebook

Abstract

Social networking sites have swiftly become a salient venue for the production and consumption of neoliberal health discourse by individuals and organisations. These platforms offer both opportunities for individuals to accrue coping resources and a means for organisations to promote their agendas to an online audience. Focusing specifically on diabetes, this article examines the representation of social actors and interactional styles on three organisational Pages on Facebook. Drawing on media and communication theories, we situate this linguistic analysis in relation to the communicative affordances employed by these organisations as they publish content online. Diabetes sufferers are represented as an at-risk group whose vulnerabilities can be managed through forms of participation specific to the respective organisation. More popular diabetes Pages draw on the opportunities for social interaction afforded by Facebook and combine informational and promotional content to foster communication between the organisation and its audience. By encouraging reflexive management of diabetes risks, these Pages contribute to the construction of ‘biological citizens’ who interweave habitual interactions on social networking sites with responsible self-care, consumption of health information and health activism.

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References

boyd dm (2010) Social network sites as networked publics: Affordances, dynamics and implications. In: Papacharissi Z (ed.) A Networked Self: Identity, Community, and Culture on Social Network Sites. New York: Routledge, pp. 39–58.
boyd dm, Ellison NB (2007) Social network sites: Definition, history, and scholarship. Journal of Computer-Mediated Communication 13(1): 210–230.
Bregman A, Haythornthwaite C (2003) Radicals of presentation: Visibility, relation, and co-presence in persistent conversation. New Media and Society 5(1): 117–140.
Chouliaraki L (2012) Introduction. In: Chouliaraki L (ed.) Self-mediation: New Media, Citizenship and Social Selves. Abingdon: Routledge, pp. 1–7.
Congdon P (2006) Estimating diabetes prevalence by small area in England. Journal of Public Health 28(1): 71–81.
Department of Health (2012) The Power of Information. London: Department of Health.
Erickson T, Kellogg W (2000) Social translucence: An approach to designing systems that support social processes. ACM Transactions on Computer – Human Interaction 7: 59–83.
Eysenbach G (2008) Medicine 2.0: Social networking, collaboration, participation, apomediation, and openness. Journal of Medical Internet Research 10(3): e22.
Facebook (2014a) Key facts – Facebook’s latest news, announcements and media resources. Available at: http://newsroom.fb.com/Key-Facts (accessed October 2014).
Facebook (2014b) Products – Facebook’s latest news, announcements and media resources. Available at: http://newsroom.fb.com/Products (accessed March 2014).
Fairclough N (1989) Language and Power. London: Longman.
Fairclough N (1992) Discourse and Social Change. London: Polity Press.
Fairclough N (2010) Critical Discourse Analysis, 2nd edn. Harlow: Longman.
Fox S (2011) Peer-to-peer healthcare. Pew Internet and American Life Project. Available at: http://www.pewinternet.org/files/old-media/Files/Reports/2011/Pew_P2PHealthcare_2011.pdf (accessed March 2014).
Greene JA, Choudhry NK, Kilabuk E, et al. (2011) Online social networking by patients with diabetes: A qualitative evaluation of communication with Facebook. Journal of General Internal Medicine 26(3): 287–292.
Harvey D (2005) A Brief History of Neoliberalism. Oxford: Oxford University Press.
Hutchby I (2001) Technologies, texts and affordances. Sociology 35(2): 441–456.
Jarrett K (2008) Interactivity is evil! A critical investigation of Web 2.0. First Monday 13(3). Available at: www.firstmonday.org/htbin/cgiwrap/bin/ojs/index.php/fm/article/view/2140/1947 (accessed 1 October 2014).
Jensen JF (1998) Interactivity: Tracing a new concept in media and communication studies. Nordicom Review 19(1): 185–204.
Jones R (2013) Health and Risk Communication: An Applied Linguistic Perspective. Abingdon: Routledge.
Koller V (2009) Analysing collective identity in discourse: Social actors and contexts. Semen 27. Available at: http://semen.revues.org/8877 (accessed 21 April 2014).
Koller V (2012) How to analyse collective identity in discourse-textual and contextual parameters. Critical Approaches to Discourse Analysis Across Disciplines 5(2): 19–38.
Koteyko N (2009) ‘I am a very happy, lucky lady, and I am full of Vitality!’ Analysis of promotional strategies on the websites of probiotic yoghurt producers. Critical Discourse Studies 6(2): 111–125.
Koteyko N, Hunt D, Gunter B (2015) Expectations in the field of the Internet and health: A review of claims about social networking sites in clinical literature. Sociology of Health & Illness.
Livingstone S (2010) Digital learning and participation among youth: Critical reflections on future research priorities. International Journal of Learning and Media 2(2–3): 1–13.
Lupton D (2012) M-health and health promotion: The digital cyborg and surveillance society. Social Theory & Health 10: 229–244.
McGregor S (2001) Neoliberalism and health care. International Journal of Consumer Studies 25(2): 82–89.
Machin D, Van Leeuwen T (2003) Global schemas and local discourses in Cosmopolitan. Journal of Sociolinguistics 7(4): 493–512.
Marwick A (2010) Status update: Celebrity, publicity and self-branding in Web 2.0, Unpublished PhD Dissertation, New York University, New York.
Mishler E (1984) The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ: Ablex Publishing Corporation.
Myers G (1994) Words in Ads. London: Hodder Arnold Publication.
National Research Corporation (NRC) (2011) 1 in 5 Americans Use Social Media for Health Care Information. National Research Corporation. Available at: https://hcmg.nationalresearch.com/public/News.aspx?ID=9 (accessed March 2014).
Page R (2012) Stories and Social Media. London: Routledge.
Papacharissi Z (2009) The virtual geographies of social networks: A comparative analysis of Facebook, LinkedIn and ASmallWorld. New Media & Society 11(1–2): 199–220.
Park H, Rodgers S, Stemmle J (2011) Health organizations’ use of Facebook for health advertising and promotion. Journal of Interactive Advertising 12(1): 62–77.
Press AL (2006) Audience research in the post-audience age: An introduction to Barker and Morley. The Communication Review (2): 93–100.
Rambe P (2012) Critical discourse analysis of collaborative engagement in Facebook postings. Australasian Journal of Educational Technology 28(2): 295–314.
Reisigl M, Wodak R (2001) Discourse and Discrimination: Rhetorics of Racism and Anti-Semitism. London: Routledge.
Rose N (1996) Governing ‘advanced’ liberal democracies. In: Barry A, Osborne T, Rose NS (eds) Foucault and Political Reason. London: Taylor & Francis, pp. 37–64.
Rose N (1999) Governing the Soul, 2nd edn. London: Free Association Books.
Rose N, Novas C (2004) Biological citizenship. In: Ong A, Collier SJ (eds) Global Assemblages. Oxford: Blackwell Publishing, pp. 439–463.
Seale C (2005) New directions for critical internet health studies: Representing cancer experience on the web. Sociology of Health & Illness 27(4): 515–540.
Shaw R, Johnson C (2011) Health information seeking and social media use on the Internet among people with diabetes. Online Journal of Public Health Informatics 3(1).
Teghtsoonian K (2009) Depression and mental health in neoliberal times: A critical analysis of policy and discourse. Social Science & Medicine 69(1): 28–35.
Thompson R (2012) Looking healthy: Visualizing mental health and illness online. Visual Communication 11(4): 395–420.
Thurlow C (2013) Fakebook: Synthetic media, pseudo-sociality, and the rhetorics of Web 2.0. In: Tannen D, Trester AM (eds) Discourse 2.0: Language and New Media. Washington, DC: Georgetown University Press, pp. 225–248.
Tolson A (2012) A new authenticity? Communication practices on YouTube. In: Chouliaraki L (ed.) Self-mediation: New Media, Citizenship and Social Selves. Abingdon: Routledge, pp. 85–97.
Treem JW, Leonardi PM (2012) Social media use in organizations. Communication Yearbook 36: 143–189.
Van Dijk TA (1991) Racism and the Press. London: Routledge.
Van Leeuwen T (2008) Discourse and Practice. Oxford: Oxford University Press.

Biographies

Daniel Hunt is a research associate on the ‘Chronic illness and online networking: expectations, assumptions, and everyday realities’ project in the School of Languages, Linguistics and Film at Queen Mary University of London. His previous work has used corpus linguistics techniques to investigate discussions of depression and eating disorders in online patient communities and clinician focus groups.
Nelya Koteyko is a reader in the School of Languages, Linguistics and Film at Queen Mary University of London and is the principal investigator on the ‘Chronic illness and online networking’ study. Her previous research has examined the framing of media and policy responses to developments in science, technology and medicine, including the representations of emerging infectious diseases, probiotics and climate change.

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Published In

Article first published online: April 23, 2015
Issue published: July 2015

Keywords

  1. Affordances
  2. biological citizenship
  3. critical discourse analysis
  4. diabetes
  5. Facebook
  6. health
  7. social actor representation
  8. social media
  9. social networking sites
  10. synthetic personalisation

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Authors

Affiliations

Daniel Hunt
Queen Mary University of London, UK
Nelya Koteyko
Queen Mary University of London, UK

Notes

Daniel Hunt, Language Centre, School of Languages, Linguistics and Film, Queen Mary University of London, Frances Bancroft Building, Mile End Road, London E1 4NS, UK. Email: [email protected]

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