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Modeling multidimensional perceived risk in HIV-related social media: a multi-label transformers framework with
Abdollah Abadian1, Abdullah1,2, Zulaikha Fatima3
1Center for Computing Research, Instituto Politecnico Nacional (IPN), Mexico City, 07320, Mexico.
This study developed a machine learning model to analyze perceived risks in online HIV/AIDS discussions. The model identified increasing transmission and health risks, and highlighted the connection between transmission and social stigma.
Area of Science:
- Computational Linguistics
- Public Health Informatics
- Social Computing
Background:
- Online communities like Reddit are vital for HIV/AIDS discourse.
- Understanding user-perceived risks is crucial for public health interventions.
- Previous analyses lacked scalability and multidimensional risk detection.
Purpose of the Study:
- To develop and validate a supervised multi-label framework for detecting multidimensional perceived risk in HIV-related online discourse.
- To analyze trends and patterns in perceived HIV risks over time.
- To assess the utility of transformer-based models for analyzing health perceptions in online communities.
Main Methods:
- A longitudinal corpus of 329,707 Reddit posts from r/hivaids and r/HIV (2015-2025) was analyzed.
- A stratified sample of 2,000 texts was annotated by domain experts for transmission risk, health deterioration risk, and social stigma risk.
- A RoBERTa-base model was fine-tuned for multi-label classification, outperforming 12 baseline models.
Main Results:
- The RoBERTa-base model achieved a macro-F1 score of 0.87 and macro-AUC-ROC of 0.97.
- Significant upward trends in transmission and health deterioration risks were observed.
- Strong co-occurrence between transmission and stigma discourse, and distinct information-seeking patterns emerged.
Conclusions:
- Transformer-based multi-label learning offers a scalable and reproducible method for analyzing HIV-related health perceptions.
- Findings can inform public health surveillance, communication strategies, and digital intervention planning.
- The model effectively captures nuanced risk dimensions within online health discourse.
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