Facebook pages, the “disneyland” measles outbreak, and promotion of vaccine refusal as a civil right, 2009-2019

Abstract

Objectives. To understand changes in how Facebook pages frame vaccine opposition. Methods. We categorized 204 Facebook pages expressing vaccine opposition, extracting public posts through November 20, 2019. We analyzed posts from October 2009 through October 2019 to examine if pages' content was coalescing. Results. Activity in pages promoting vaccine choice as a civil liberty increased in January 2015, April 2016, and January 2019 (t[76] = 11.33 [P