Background In case of a population-wide infectious disease outbreak, such as the novel coronavirus disease (COVID-19), people’s online activities could significantly affect public concerns and health behaviors due to difficulty in accessing credible information from reliable sources, which in turn causes people to seek necessary information on the web. Therefore, measuring and analyzing online health communication and public sentiment is essential for establishing effective and efficient disease control policies, especially in the early stage of an outbreak. Objective This study aimed to investigate the trends of online health communication, analyze the focus of people’s anxiety in the early stages of COVID-19, and evaluate the appropriateness of online information. Methods We collected 13,148 questions and 29,040 answers related to COVID-19 from Naver, the most popular Korean web portal (January 20, 2020, to March 2, 2020). Three main methods were used in this study: (1) the structural topic model was used to examine the topics in the online questions; (2) word network analysis was conducted to analyze the focus of people’s anxiety and worry in the questions; and (3) two medical doctors assessed the appropriateness of the answers to the questions, which were primarily related to people’s anxiety. Results A total of 50 topics and 6 cohesive topic communities were identified from the questions. Among them, topic community 4 (suspecting COVID-19 infection after developing a particular symptom) accounted for the largest portion of the questions. As the number of confirmed patients increased, the proportion of topics belonging to topic community 4 also increased. Additionally, the prolonged situation led to a slight increase in the proportion of topics related to job issues. People’s anxieties and worries were closely related with physical symptoms and self-protection methods. Although relatively appropriate to suspect physical symptoms, a high proportion of answers related to self-protection methods were assessed as misinformation or advertisements. Conclusions Search activity for online information regarding the COVID-19 outbreak has been active. Many of the online questions were related to people’s anxieties and worries. A considerable portion of corresponding answers had false information or were advertisements. The study results could contribute reference information to various countries that need to monitor public anxiety and provide appropriate information in the early stage of an infectious disease outbreak, including COVID-19. Our research also contributes to developing methods for measuring public opinion and sentiment in an epidemic situation based on natural language data on the internet.

This study estimates the COVID-19 infection network from actual data and draws on implications for policy and research. Using contact tracing information of 3283 confirmed patients in Seoul metropolitan areas from January 20, 2020 to July 19, 2020, this study created an infection network and analyzed its structural characteristics. The main results are as follows: (i) out-degrees follow an extremely positively skewed distribution; (ii) removing the top nodes on the out-degree significantly decreases the size of the infection network, and (iii) the indicators that express the infectious power of the network change according to governmental measures. Efforts to collect network data and analyze network structures are urgently required for the efficiency of governmental responses to COVID-19. Implications for better use of a metric such as R0 to estimate infection spread are also discussed.

This study explored the Korean media's framing of COVID-19 and its impact on people's support for the government. A disaster such as a public health crisis has political consequences. COVID-19 is no exception. However, the direction of the effect is not easily determined. To properly understand this phenomenon, it is necessary to analyze how the media frames the crisis. Using Structural Topic Model, this study examines the Korean media's framing of COVID-19 and especially pays attention to international comparative framing. Based on our analysis results, we argue that expanded framing, which compared the quarantine performance of Korea and other countries, induced a positive change in people's attitudes toward the government, leading to a major political victory for the ruling party in the legislative election. Our research not only identifies the impact of international comparative framing on government support but also contributes to the development of methods for measuring media framing utilizing topic modeling methods.

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