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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JMIR</journal-id>
      <journal-id journal-id-type="nlm-ta">J Med Internet Res</journal-id>
      <journal-title>Journal of Medical Internet Research</journal-title>
      <issn pub-type="epub">1438-8871</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">v22i9e18662</article-id>
      <article-id pub-id-type="pmid">32876574</article-id>
      <article-id pub-id-type="doi">10.2196/18662</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Paper</subject>
        </subj-group>
        <subj-group subj-group-type="article-type">
          <subject>Original Paper</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Changing Emotions About Fukushima Related to the Fukushima Nuclear Power Station Accident—How Rumors Determined People’s Attitudes: Social Media Sentiment Analysis</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="editor">
          <name>
            <surname>Eysenbach</surname>
            <given-names>Gunther</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib contrib-type="reviewer">
          <name>
            <surname>Yasuda</surname>
            <given-names>Hiroshi</given-names>
          </name>
        </contrib>
        <contrib contrib-type="reviewer">
          <name>
            <surname>Gore</surname>
            <given-names>Ross</given-names>
          </name>
        </contrib>
      </contrib-group>
      <contrib-group>
        <contrib id="contrib1" contrib-type="author">
          <name name-style="western">
            <surname>Hasegawa</surname>
            <given-names>Shin</given-names>
          </name>
          <degrees>MSc</degrees>
          <xref rid="aff1" ref-type="aff">1</xref>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-6340-3646</ext-link>
        </contrib>
        <contrib id="contrib2" contrib-type="author">
          <name name-style="western">
            <surname>Suzuki</surname>
            <given-names>Teppei</given-names>
          </name>
          <degrees>MBA, PhD</degrees>
          <xref rid="aff3" ref-type="aff">3</xref>
          <xref rid="aff4" ref-type="aff">4</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-1030-2788</ext-link>
        </contrib>
        <contrib id="contrib3" contrib-type="author">
          <name name-style="western">
            <surname>Yagahara</surname>
            <given-names>Ayako</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff4" ref-type="aff">4</xref>
          <xref rid="aff5" ref-type="aff">5</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-3364-7719</ext-link>
        </contrib>
        <contrib id="contrib4" contrib-type="author">
          <name name-style="western">
            <surname>Kanda</surname>
            <given-names>Reiko</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-8626-014X</ext-link>
        </contrib>
        <contrib id="contrib5" contrib-type="author">
          <name name-style="western">
            <surname>Aono</surname>
            <given-names>Tatsuo</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0003-4236-8228</ext-link>
        </contrib>
        <contrib id="contrib6" contrib-type="author">
          <name name-style="western">
            <surname>Yajima</surname>
            <given-names>Kazuaki</given-names>
          </name>
          <degrees>PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0002-2365-749X</ext-link>
        </contrib>
        <contrib id="contrib7" contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Ogasawara</surname>
            <given-names>Katsuhiko</given-names>
          </name>
          <degrees>MBA, PhD</degrees>
          <xref rid="aff2" ref-type="aff">2</xref>
          <xref rid="aff4" ref-type="aff">4</xref>
          <address>
            <institution>Faculty of Health Sciences</institution>
            <institution>Hokkaido University</institution>
            <addr-line>N12-W5, Kita-ku</addr-line>
            <addr-line>Sapporo, 060-0812</addr-line>
            <country>Japan</country>
            <phone>81 11 706 3409</phone>
            <email>oga@hs.hokudai.ac.jp</email>
          </address>
          <ext-link ext-link-type="orcid">https://orcid.org/0000-0001-5474-7861</ext-link>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label>
        <institution>Graduate School of Health Sciences</institution>
        <institution>Hokkaido University</institution>
        <addr-line>Sapporo</addr-line>
        <country>Japan</country>
      </aff>
      <aff id="aff2">
        <label>2</label>
        <institution>Quantum Medical Science Directorate</institution>
        <institution>National Institutes for Quantum and Radiological Science and Technology</institution>
        <addr-line>Chiba</addr-line>
        <country>Japan</country>
      </aff>
      <aff id="aff3">
        <label>3</label>
        <institution>Hokkaido University of Education</institution>
        <addr-line>Iwamizawa</addr-line>
        <country>Japan</country>
      </aff>
      <aff id="aff4">
        <label>4</label>
        <institution>Faculty of Health Sciences</institution>
        <institution>Hokkaido University</institution>
        <addr-line>Sapporo</addr-line>
        <country>Japan</country>
      </aff>
      <aff id="aff5">
        <label>5</label>
        <institution>Department of Radiological Technology</institution>
        <institution>Hokkaido University of Science</institution>
        <addr-line>Sapporo</addr-line>
        <country>Japan</country>
      </aff>
      <author-notes>
        <corresp>Corresponding Author: Katsuhiko Ogasawara <email>oga@hs.hokudai.ac.jp</email></corresp>
      </author-notes>
      <pub-date pub-type="collection">
        <month>9</month>
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>2</day>
        <month>9</month>
        <year>2020</year>
      </pub-date>
      <volume>22</volume>
      <issue>9</issue>
      <elocation-id>e18662</elocation-id>
      <history>
        <date date-type="received">
          <day>11</day>
          <month>3</month>
          <year>2020</year>
        </date>
        <date date-type="rev-request">
          <day>13</day>
          <month>4</month>
          <year>2020</year>
        </date>
        <date date-type="rev-recd">
          <day>8</day>
          <month>6</month>
          <year>2020</year>
        </date>
        <date date-type="accepted">
          <day>11</day>
          <month>6</month>
          <year>2020</year>
        </date>
      </history>
      <copyright-statement>©Shin Hasegawa, Teppei Suzuki, Ayako Yagahara, Reiko Kanda, Tatsuo Aono, Kazuaki Yajima, Katsuhiko Ogasawara. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 02.09.2020.</copyright-statement>
      <copyright-year>2020</copyright-year>
      <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
        <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included.</p>
      </license>
      <self-uri xlink:href="https://www.jmir.org/2020/9/e18662" xlink:type="simple"/>
      <abstract>
        <sec sec-type="background">
          <title>Background</title>
          <p>Public interest in radiation rose after the Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Station accident was caused by an earthquake off the Pacific coast of Tohoku on March 11, 2011. Various reports on the accident and radiation were spread by the mass media, and people displayed their emotional reactions, which were thought to be related to information about the Fukushima accident, on Twitter, Facebook, and other social networking sites. Fears about radiation were spread as well, leading to harmful rumors about Fukushima and the refusal to test children for radiation. It is believed that identifying the process by which people emotionally responded to this information, and hence became gripped by an increased aversion to Fukushima, might be useful in risk communication when similar disasters and accidents occur in the future. There are few studies surveying how people feel about radiation in Fukushima and other regions in an unbiased form.</p>
        </sec>
        <sec sec-type="objective">
          <title>Objective</title>
          <p>The purpose of this study is to identify how the feelings of local residents toward radiation changed according to Twitter.</p>
        </sec>
        <sec sec-type="methods">
          <title>Methods</title>
          <p>We used approximately 19 million tweets in Japanese containing the words “radiation” (放射線), “radioactivity” (放射能), and “radioactive substances” (放射性物質) that were posted to Twitter over a 1-year period following the Fukushima nuclear accident. We used regional identifiers contained in tweets (ie, nouns, proper nouns, place names, postal codes, and telephone numbers) to categorize them according to their prefecture, and then analyzed the feelings toward those prefectures from the semantic orientation of the words contained in individual tweets (ie, positive impressions or negative impressions).</p>
        </sec>
        <sec sec-type="results">
          <title>Results</title>
          <p>Tweets about radiation increased soon after the earthquake and then decreased, and feelings about radiation  trended positively. We determined that, on average, tweets associating Fukushima Prefecture with radiation show more positive feelings than those about other prefectures, but have trended negatively over time. We also found that as other tweets have trended positively, only bots and retweets about Fukushima Prefecture have trended negatively.</p>
        </sec>
        <sec sec-type="conclusions">
          <title>Conclusions</title>
          <p>The number of tweets about radiation has decreased overall, and feelings about radiation have trended positively. However, the fact that tweets about Fukushima Prefecture trended negatively, despite decreasing in percentage, suggests that negative feelings toward Fukushima Prefecture have become more extreme. We found that while the bots and retweets that were not about Fukushima Prefecture gradually trended toward positive feelings, the bots and retweets about Fukushima Prefecture trended toward negative feelings.</p>
        </sec>
      </abstract>
      <kwd-group>
        <kwd>Fukushima nuclear accident</kwd>
        <kwd>Twitter messaging</kwd>
        <kwd>radiation</kwd>
        <kwd>radioactivity</kwd>
        <kwd>radioactive hazard release</kwd>
        <kwd>information dissemination</kwd>
        <kwd>belief in rumors</kwd>
        <kwd>disaster medicine</kwd>
        <kwd>infodemiology</kwd>
        <kwd>infoveillance</kwd>
        <kwd>infodemic</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec sec-type="introduction">
      <title>Introduction</title>
      <sec>
        <title>Overview</title>
        <p>At 2:46 PM JST (Japan Standard Time) on March 11, 2011, a magnitude-9 earthquake occurred off the Pacific coast of Tohoku—the Great East Japan Earthquake. Its epicenter was off the Sanriku coast, and a tsunami with a run-up height of 14-15 meters followed one hour later, causing a blackout of the Tokyo Electric Power Company (TEPCO) Fukushima Daiichi Nuclear Power Station. A meltdown occurred in reactors 1, 2, and 3 while they were in operation, causing a large quantity of hydrogen to be generated. A hydrogen explosion occurred in reactor 1 on March 12, followed by another explosion in reactor 3 on March 14. Reactors 2 and 4 were damaged, releasing a large quantity of radioactive substances into the environment. This accident was classified as Level 7 according to the International Nuclear and Radiological Event Scale [<xref ref-type="bibr" rid="ref1">1</xref>], and its effects were evaluated and reported by international organizations [<xref ref-type="bibr" rid="ref2">2</xref>-<xref ref-type="bibr" rid="ref4">4</xref>]. They indicated that the accident had increased anxieties about radiation and had given rise to a social phenomenon described as inciting harmful rumors about the disaster area. This has resulted in physical damage from the disaster alongside economic damage from, for example, consumer reluctance to buy agricultural products from the disaster area [<xref ref-type="bibr" rid="ref5">5</xref>]. In the medical field, anxieties about radiation were reflected in a decrease in the number of computed tomography (CT) scans and other forms of radiographic examination performed on young children in Fukushima Prefecture compared to before the accident [<xref ref-type="bibr" rid="ref6">6</xref>,<xref ref-type="bibr" rid="ref7">7</xref>]. One out of every four doctors surveyed reported that parents of young children were refusing to subject them to such examinations due to the risk of radiation [<xref ref-type="bibr" rid="ref7">7</xref>] and that they had witnessed an aversion to radiation. We believe that people have become gripped by increasingly negative feelings over time concerning Fukushima Prefecture as a disaster area associated with radiation, and this may have influenced behavior such as restrained consumption activities and an aversion to medical radiation.</p>
      </sec>
      <sec>
        <title>Background</title>
        <p>Immediately following the earthquake, telephone lines were damaged and communication was cut off or limited. Outgoing calls on mobile phones were restricted up to 95%. For packet communications, NTT (Nippon Telegraph and Telephone) Docomo, the predominant mobile phone operator in Japan, imposed a 30% restriction but it was soon lifted. Other carriers did not implement any restrictions [<xref ref-type="bibr" rid="ref8">8</xref>]. Therefore, social networking services were used as a means to transmit information, and communities to exchange information rapidly formed on Twitter [<xref ref-type="bibr" rid="ref9">9</xref>,<xref ref-type="bibr" rid="ref10">10</xref>]. In a survey, Twitter was found to be the most-used form of social media in coping with the disaster over Facebook or Mixi, and it was shown to have an influence on attitudes toward the Fukushima nuclear accident [<xref ref-type="bibr" rid="ref11">11</xref>]. Successive reports were issued by the mass media on the condition of the Fukushima nuclear station, the city of Fukushima, other regions affected by radioactive substances, and the effects of the radiation itself; social networks not only carried this reported information and the responses to it, but also rapidly spread unreliable information, misinformation, and ugly rumors, thus indicating that social media can cause social unrest and chaos [<xref ref-type="bibr" rid="ref12">12</xref>]. Ikegami et al [<xref ref-type="bibr" rid="ref13">13</xref>] proposed a reliable analysis system for tweets about the 2011 earthquake disaster using topic categories according to latent Dirichlet allocation, with 2960 tweets containing the words “earthquake disaster,” “earthquake,” “tsunami,” “radioactivity,” “radioactive substances,” and “Becquerel” as a dataset, and sentiment analysis using a semantic direction dictionary [<xref ref-type="bibr" rid="ref14">14</xref>]. Wang and Kim [<xref ref-type="bibr" rid="ref15">15</xref>] showed that behavior in cyberspace and real-world behavior mutually influence one another. Using this as a basis, we believe that people who have come into contact with social anxieties and ugly rumors as spread on social media networks have an increased aversion to Fukushima Prefecture, which may lead to additional harmful rumors and a refusal of radiographic examinations.</p>
      </sec>
      <sec>
        <title>Prior Work</title>
        <p>It has been shown that 5 years after the accident, groups that relied on the internet as a source of information had significantly higher anxieties about health issues caused by radiation exposure than groups that used other information sources [<xref ref-type="bibr" rid="ref16">16</xref>]. Mothers of children younger than elementary school age using Twitter and other forms of social media were shown to have a higher degree of risk perception and to actively pursue risk-reducing activities [<xref ref-type="bibr" rid="ref17">17</xref>]. It is not hard to imagine that high anxiety and risk-reducing activities may lead to a refusal of radiographic examinations of children. Risk communication is valuable in eliminating these social anxieties, but studies have indicated that social media was not fully utilized at the time of the Fukushima accident [<xref ref-type="bibr" rid="ref18">18</xref>]. Yagahara et al [<xref ref-type="bibr" rid="ref19">19</xref>] analyzed tweets for 7 days from the day of the earthquake on March 11 until March 17 to examine the changes in interest in radiation among Japanese citizens. Their analysis was based on co-occurrence networks related to radiation as the accident’s situation progressed. Since the analysis was also conducted in relation to regions, it did not identify how the interest subsequently formed people’s attitudes toward Fukushima. Aoki et al [<xref ref-type="bibr" rid="ref20">20</xref>] surveyed tweeting trends 1 year after the earthquake by dividing regions tweeted about into four zones based on geotags. This analysis only concerned the regions that people were tweeting from and did not analyze the content of the tweets themselves. Therefore, we believe that surveying how people received information associated with the Fukushima nuclear accident and how they reacted to it will be of great significance in establishing a basis for effective risk communication when similar disasters and accidents occur in the future.</p>
      </sec>
      <sec>
        <title>Goal of This Study</title>
        <p>This study concerns the decrease in CT scans and other radiographic examinations [<xref ref-type="bibr" rid="ref6">6</xref>,<xref ref-type="bibr" rid="ref7">7</xref>], the persistent restrained buying of agricultural products by consumers, and harmful rumors [<xref ref-type="bibr" rid="ref5">5</xref>] regarding Fukushima Prefecture. Its purpose is to comparatively identify how feelings associated with radiation have shifted from Fukushima Prefecture to other regions 1 year after the 2011 earthquake and accident and thereby clarify how such situations are formed. People may have become gripped by more negative feelings over time regarding Fukushima Prefecture as a disaster area associated with radiation, which may have influenced an increased aversion toward Fukushima Prefecture in general.</p>
      </sec>
    </sec>
    <sec sec-type="methods">
      <title>Methods</title>
      <sec>
        <title>Overview</title>
        <p>In this study, we selected statements about radiation containing the words “radiation” (放射線), “radioactivity”（放射能), and/or “radioactive substances” （放射性物質） that were posted on Twitter in Japanese between the occurrence of the Great East Japan Earthquake at 12 AM JST on March 11, 2011, until 1 year later (ie, 11:59 PM JST on March 10, 2012) using approximately 19 million tweets. We grouped tweets starting with retweets (RTs) and quote tweets (QTs) to indicate that they were automatic tweets—referred to as <italic>bots</italic>—and RTs that had reposted someone else’s tweet into an RT group, leaving approximately 9 million tweets, excluding the RT group, as a target group. Bot accounts were accounts in which the user’s ID began or ended with the word <italic>bot</italic>. In order to more accurately sample the original poster’s feelings, we deleted anything in the target group that followed an RT, which indicated that someone else’s tweet had been reposted, and then processed each of the tweets using semantic orientation, which refers to a binary attribute that shows how a word might generally carry a positive or a negative impression. Takamura et al [<xref ref-type="bibr" rid="ref14">14</xref>] used the Japanese dictionary <italic>Iwanami Kokugo Jiten</italic> to create semantic orientation values of words by assigning semantic orientation values with actual values from –1 (carries mostly a negative impression) to 1 (carries mostly a positive impression) for 49,002 nouns, 4254 verbs, 665 adjectives, and 1207 adverbs. All words and phrases contained in this study’s tweets were scored using the above morphological analysis based on the original form of the words by using their semantic orientation values. In addition, the data used tweets containing any of the following words: “radiation,” “radioactivity,” or “radioactive substances.” The semantic orientation values for these words were evaluated: “radioactivity” had a value of –0.598318, “radiation” had a value of –0.560393, and “radioactive” had a value of –0.178744; there were no instances of “radioactive substances” in Takamura et al’s correspondence table. These were originally logged as negative words. The purpose of this study is to analyze the feelings associated with the three words above; in order to exclude these influences, we scored these words as having 0 points. We scored the words that were not included in Takamura et al’s semantic orientation values of words [<xref ref-type="bibr" rid="ref14">14</xref>] in the correspondence table as having 0 points as well, so as to avoid affecting the tweets’ semantic value orientations, which we calculated using the following formula:</p>
        <disp-formula><italic>T<sub>pn</sub></italic> = ∑<italic>W<sub>pn</sub></italic>/<italic>W<sub>c</sub></italic></disp-formula>
        <p>where T<sub>pn</sub> represents the tweet semantic orientation value, W<sub>pn</sub> represents the word semantic orientation value, and W<sub>c</sub> represents the number of words contained in a tweet.</p>
        <p>In order to categorize the prefectures to which the tweets related, the words and phrases related to regions contained in tweets (ie, place names, telephone numbers, and postal codes) were sampled and categorized by prefecture. For place names, we morphologically analyzed tweets using the morphological analysis engine MeCab [<xref ref-type="bibr" rid="ref21">21</xref>] and the mecab-ipadic-NEologd [<xref ref-type="bibr" rid="ref22">22</xref>] dictionary and searched the following word types for their address character strings with the Yahoo! Geocoding application programming interface [<xref ref-type="bibr" rid="ref23">23</xref>]: parts of speech = nouns; parts of speech (subcategory 1) = proper nouns; and parts of speech (subcategory 2) = regions. We then identified and categorized the prefectures (<xref ref-type="supplementary-material" rid="app1">Multimedia Appendix 1</xref> contains the scripts to process these procedures).</p>
      </sec>
      <sec>
        <title>Sentiment Analysis About Radiation Regarding Fukushima Prefecture and Other Prefectures</title>
        <p>The tweets categorized by prefecture were divided into two groups: Fukushima Prefecture and other prefectures. We sampled the average weekly tweets’ semantic orientation values for Fukushima Prefecture and other prefectures and then surveyed how the feelings on radiation regarding each region had changed. The dataset used 18,841,755 out of 18,851,259 tweets of words having semantic orientation values. Semantic orientation values were sampled for almost all tweets. The dataset included a total of 18,851,259 tweets and a target group of 9,025,831 tweets, excluding bots and RTs. The respective daily changes in the number of tweets are indicated in <xref rid="figure1" ref-type="fig">Figure 1</xref> by a blue line and a red line. The linear approximation of each is drawn with a dashed line. <xref rid="figure2" ref-type="fig">Figure 2</xref> shows the daily number of tweets at a more granular level (ie, by the minute) for March 11, the day the Great East Japan Earthquake occurred.</p>
        <fig id="figure1" position="float">
          <label>Figure 1</label>
          <caption>
            <p>The number of tweets per day.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig1.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <fig id="figure2" position="float">
          <label>Figure 2</label>
          <caption>
            <p>The number of tweets by the minute on March 11, 2011.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig2.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <p><xref rid="figure3" ref-type="fig">Figures 3</xref> and <xref rid="figure4" ref-type="fig">4</xref>, similar to <xref rid="figure1" ref-type="fig">Figure 1</xref>, show the respective daily average changes and cumulative changes in the tweets’ semantic orientation values. In addition, average changes in the RT group’s semantic orientation values are included in <xref rid="figure3" ref-type="fig">Figure 3</xref>, and the linear approximation is represented by a dashed line. <xref rid="figure5" ref-type="fig">Figure 5</xref> shows the changes during weekly <italic>F</italic> tests of the average semantic orientation values in order to observe a correlation between the target group and the RT group. A red line is drawn using the significance level α=.05.</p>
        <fig id="figure3" position="float">
          <label>Figure 3</label>
          <caption>
            <p>Daily average of tweets' semantic orientation values. RT: retweet.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig3.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <fig id="figure4" position="float">
          <label>Figure 4</label>
          <caption>
            <p>Daily integration of semantic orientation values.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig4.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <fig id="figure5" position="float">
          <label>Figure 5</label>
          <caption>
            <p><italic>F</italic> test for target and retweet (RT) groups by week.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig5.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <p>The target group was categorized by prefecture. There were 34,233 words representing regional identifiers and 3,004,726 tweets in the target group containing words representing the regional identifiers. We calculated the number of tweets per 1000 people according to the breakdown in each prefecture and its population as of October 1, 2011 [<xref ref-type="bibr" rid="ref24">24</xref>]. This is represented by shading on the map in <xref rid="figure6" ref-type="fig">Figure 6</xref>. Details are shown in <xref ref-type="table" rid="table1">Table 1</xref>, in which the <italic>Other</italic> row contains words that made it difficult to identify the prefecture and foreign place names. Words that made it difficult to identify the prefecture include universal words representing addresses, such as “1-chome” and “1-banchi,” for example. Foreign place names frequently included regions that experienced nuclear power accidents in the past, such as Chernobyl and Three Mile Island.</p>
        <fig id="figure6" position="float">
          <label>Figure 6</label>
          <caption>
            <p>The number of tweets per 1000 people.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig6.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <table-wrap position="float" id="table1">
          <label>Table 1</label>
          <caption>
            <p>Breakdown of words and tweets by prefecture.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="200"/>
            <col width="400"/>
            <col width="180"/>
            <col width="220"/>
            <thead>
              <tr valign="top">
                <td>Prefecture</td>
                <td>Number of words representing the area in the prefecture</td>
                <td>Number of tweets</td>
                <td>Tweets per 1000 people</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td>Hokkaido</td>
                <td>635</td>
                <td>51,871</td>
                <td>9</td>
              </tr>
              <tr valign="top">
                <td>Aomori</td>
                <td>158</td>
                <td>18,181</td>
                <td>13</td>
              </tr>
              <tr valign="top">
                <td>Iwate</td>
                <td>545</td>
                <td>32,319</td>
                <td>25</td>
              </tr>
              <tr valign="top">
                <td>Miyagi</td>
                <td>911</td>
                <td>64,714</td>
                <td>28</td>
              </tr>
              <tr valign="top">
                <td>Akita</td>
                <td>200</td>
                <td>10,473</td>
                <td>10</td>
              </tr>
              <tr valign="top">
                <td>Yamagata</td>
                <td>295</td>
                <td>13,523</td>
                <td>12</td>
              </tr>
              <tr valign="top">
                <td>Fukushima</td>
                <td>1535</td>
                <td>741,178</td>
                <td>372</td>
              </tr>
              <tr valign="top">
                <td>Ibaraki</td>
                <td>1013</td>
                <td>155,482</td>
                <td>53</td>
              </tr>
              <tr valign="top">
                <td>Tochigi</td>
                <td>650</td>
                <td>41,832</td>
                <td>21</td>
              </tr>
              <tr valign="top">
                <td>Gunnma</td>
                <td>714</td>
                <td>26,892</td>
                <td>13</td>
              </tr>
              <tr valign="top">
                <td>Saitama</td>
                <td>1647</td>
                <td>55,702</td>
                <td>8</td>
              </tr>
              <tr valign="top">
                <td>Chiba</td>
                <td>1757</td>
                <td>129,784</td>
                <td>21</td>
              </tr>
              <tr valign="top">
                <td>Tokyo</td>
                <td>2614</td>
                <td>441,874</td>
                <td>33</td>
              </tr>
              <tr valign="top">
                <td>Kanagawa</td>
                <td>1766</td>
                <td>108,510</td>
                <td>12</td>
              </tr>
              <tr valign="top">
                <td>Niigata</td>
                <td>380</td>
                <td>29,238</td>
                <td>12</td>
              </tr>
              <tr valign="top">
                <td>Toyama</td>
                <td>100</td>
                <td>4919</td>
                <td>5</td>
              </tr>
              <tr valign="top">
                <td>Ishikawa</td>
                <td>121</td>
                <td>3461</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Fukui</td>
                <td>137</td>
                <td>11,437</td>
                <td>14</td>
              </tr>
              <tr valign="top">
                <td>Yamanashi</td>
                <td>313</td>
                <td>7881</td>
                <td>9</td>
              </tr>
              <tr valign="top">
                <td>Nagano</td>
                <td>663</td>
                <td>21,466</td>
                <td>10</td>
              </tr>
              <tr valign="top">
                <td>Gifu</td>
                <td>325</td>
                <td>8582</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>Shizuoka</td>
                <td>615</td>
                <td>36,133</td>
                <td>10</td>
              </tr>
              <tr valign="top">
                <td>Aichi</td>
                <td>696</td>
                <td>21,380</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Mie</td>
                <td>208</td>
                <td>2339</td>
                <td>1</td>
              </tr>
              <tr valign="top">
                <td>Shiga</td>
                <td>131</td>
                <td>3497</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Kyoto</td>
                <td>319</td>
                <td>18,232</td>
                <td>7</td>
              </tr>
              <tr valign="top">
                <td>Osaka</td>
                <td>677</td>
                <td>35,824</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>Hyogo</td>
                <td>362</td>
                <td>9341</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Nara</td>
                <td>150</td>
                <td>3208</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Wakayama</td>
                <td>115</td>
                <td>2271</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Tottori</td>
                <td>71</td>
                <td>2774</td>
                <td>5</td>
              </tr>
              <tr valign="top">
                <td>Shimane</td>
                <td>79</td>
                <td>3081</td>
                <td>4</td>
              </tr>
              <tr valign="top">
                <td>Okayama</td>
                <td>134</td>
                <td>5937</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Hiroshima</td>
                <td>195</td>
                <td>35,599</td>
                <td>12</td>
              </tr>
              <tr valign="top">
                <td>Yamaguchi</td>
                <td>109</td>
                <td>2462</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Tokushima</td>
                <td>75</td>
                <td>2113</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Kagawa</td>
                <td>77</td>
                <td>2229</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Ehime</td>
                <td>105</td>
                <td>3974</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Kochi</td>
                <td>99</td>
                <td>2596</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Fukuoka</td>
                <td>326</td>
                <td>12,243</td>
                <td>2</td>
              </tr>
              <tr valign="top">
                <td>Saga</td>
                <td>83</td>
                <td>5757</td>
                <td>7</td>
              </tr>
              <tr valign="top">
                <td>Nagasaki</td>
                <td>125</td>
                <td>48,477</td>
                <td>34</td>
              </tr>
              <tr valign="top">
                <td>Kumamoto</td>
                <td>123</td>
                <td>4620</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Oita</td>
                <td>104</td>
                <td>3590</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Miyazaki</td>
                <td>106</td>
                <td>3284</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Kagoshima</td>
                <td>127</td>
                <td>4559</td>
                <td>3</td>
              </tr>
              <tr valign="top">
                <td>Okinawa</td>
                <td>165</td>
                <td>22,115</td>
                <td>16</td>
              </tr>
              <tr valign="top">
                <td>Other</td>
                <td>16,235</td>
                <td>1,396,553</td>
                <td>N/A<sup>a</sup></td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn id="table1fn1">
              <p><sup>a</sup>N/A: not applicable; this was not calculated, as the population size for this category is not known.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
        <p><xref rid="figure7" ref-type="fig">Figures 7</xref> and <xref rid="figure8" ref-type="fig">8</xref> show the ratio of the number of tweets between the target group in Fukushima Prefecture and other prefectures as well as the ratio of the average semantic orientation values. Semantic orientation values ranged from –1 to 1; thus, the ratio of average values in <xref rid="figure7" ref-type="fig">Figure 7</xref> is the ratio when 1 is added to the average of the semantic orientation values and, therefore, it results in a value between 0 and 2. <xref rid="figure9" ref-type="fig">Figure 9</xref> shows the changes in the average values of the semantic orientations for Fukushima Prefecture and other prefectures for the target group and RT group; details of the plots are as follows:</p>
        <list list-type="order">
          <list-item>
            <p>The solid grey line represents the weekly average of semantic orientation values, excluding bots and RTs, in Fukushima Prefecture.</p>
          </list-item>
          <list-item>
            <p>The solid blue line represents the weekly average of semantic orientation values, excluding bots and RTs, outside of Fukushima Prefecture.</p>
          </list-item>
          <list-item>
            <p>The solid yellow line represents the weekly average of semantic orientation values of bots and RTs in Fukushima Prefecture.</p>
          </list-item>
          <list-item>
            <p>The solid orange line represents the weekly average of semantic orientation values of bots and RTs outside of Fukushima Prefecture.</p>
          </list-item>
        </list>
        <p>The linear approximation was drawn with a dashed line for each respective line.</p>
        <fig id="figure7" position="float">
          <label>Figure 7</label>
          <caption>
            <p>Weekly ratio of the number of tweets for Fukushima and other prefectures. The dotted line represents the linear approximation.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig7.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <fig id="figure8" position="float">
          <label>Figure 8</label>
          <caption>
            <p>Weekly average ratio of semantic orientation values for Fukushima and other prefectures. The dotted line represents the linear approximation.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig8.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
        <fig id="figure9" position="float">
          <label>Figure 9</label>
          <caption>
            <p>Weekly average of semantic orientation values for Fukushima Prefecture and other prefectures. RT: retweet.</p>
          </caption>
          <graphic xlink:href="jmir_v22i9e18662_fig9.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>
      </sec>
    </sec>
    <sec sec-type="results">
      <title>Results</title>
      <sec>
        <title>Overview</title>
        <p>First, we discuss the characteristics and trends in the overall dataset. After discussing the characteristics for each prefecture, we then compare them with Fukushima Prefecture—as the disaster area and the main subject of harmful rumors—and other prefectures.</p>
      </sec>
      <sec>
        <title>Characteristics and Trends in the Overall Dataset</title>
        <p><xref ref-type="table" rid="table2">Table 2</xref> shows the table of events in 2011 in chronological order. At 2:46 PM JST on March 11, 2011, the Great East Japan Earthquake occurred, and a resulting tsunami struck various locations about one hour later. This gave rise to concerns about damage to the nuclear power stations on the Pacific coast at around 4 PM. Previously, there had been a few tweets containing the words “radiation,” “radioactivity,” and “radioactive substances,” but we found that the tsunami resulted in a rapid increase in tweets containing these three words (see <xref rid="figure2" ref-type="fig">Figure 2</xref>). Similar to tweets that were trending at the time of the 2010 Chilean earthquake as analyzed by Mendoza et al [<xref ref-type="bibr" rid="ref25">25</xref>], many of the tweets posted immediately after the Great East Japan Earthquake can be found in our dataset. The overall amount of tweeting consisted of approximately 8% (of all tweets in the 1-year period) being posted 1 week after the earthquake and approximately 21% being posted 1 month after the earthquake, and there is a subsequent and gradually decreasing trend for the remaining period. As shown in <xref rid="figure1" ref-type="fig">Figure 1</xref>, approximately 300,000 tweets were posted on March 12 when reactor 1 experienced a hydrogen explosion, and approximately 400,000 tweets were posted on March 15 when the damage to reactors 2 and 4 became clear. On March 23, thyroid equivalent dose predictions involving iodine-131 for infants (under 1 year old) using the System for Prediction of Environmental Emergency Dose Information were released by the Cabinet Office’s Nuclear Safety Commission [<xref ref-type="bibr" rid="ref26">26</xref>], and approximately 230,000 tweets were posted. Thereafter, tweeting hovered around 50,000 per day.</p>
        <p>On September 10, the then-Minister of Economy, Trade, and Industry reportedly resigned after a visit to the exclusion zone of the Fukushima nuclear disaster, where he joked to a journalist, “I’ll give you radiation.” Later, a fire broke out at Sendai Nuclear Power Plant, and the information about these two events spread. On October 14, the number of tweets exceeded 100,000 in response to news that a radium ray source was found under the floor of a private home in Setagaya Ward. As shown in <xref rid="figure3" ref-type="fig">Figure 3</xref>, many negative tweets were posted immediately after the Great East Japan Earthquake, and as shown by the approximation curve, they gradually trended positively thereafter. However, we found they were under –0.4 overall, and tweets expressing negative feelings about “radiation,” “radioactivity,” and “radioactive substances” were still posted. Although there is no difference between the overall dataset (see <xref rid="figure3" ref-type="fig">Figure 3</xref>, blue line) and most of the semantic orientation values in the target group immediately after the earthquake, the target group tended to be faster in its acceleration from negative to positive. More negative tweets were posted by bots and RTs, and we found that the sentiments in the bots and RTs tended to be negative as shown by the negative slope of the approximation’s straight line. Bots and RTs often serve as a means for information to be spread widely. However, they were found to spread information containing negative sentiments more easily. This suggests that bots and RTs sensitize and lead users and communities that encounter this information to an increased aversion toward certain things.</p>
        <p>There were characteristic changes in semantic orientation values close to the dates given below. These have been included, together with how much content was spread on these days. On March 28, a website visualizing the environmental radioactivity levels all over Kanto was launched [<xref ref-type="bibr" rid="ref27">27</xref>]. Knowledge of the website was rapidly spread as a means of information sharing, together with positive words describing the website as easy to understand, so it tended to score positively at 0.029-0.067 points both before and after its launch, and the same trend was shown in both groups.</p>
        <p>On November 11, a large number of more positive tweets than average were posted stating “Sign an emergency petition to save the children of Fukushima” (semantic orientation value: –0.396); thus, the tweets largely trended positively. These tweets were not posted by bots and were not in the form of RTs, and we found that the divergence between the groups was significant in the weeks before and after, as shown in <xref rid="figure4" ref-type="fig">Figure 4</xref>.</p>
        <p>On November 23, Geiger counter advertisements, with semantic orientation values of about 0.05-0.40, were posted approximately 2-3 times as often compared to the days before and after—November 22 saw 1797 out of 34,173 tweets (5.26%); November 23 saw 3468 out of 33,778 tweets (10.27%); and November 24 saw 1087 out of 40,348 tweets (2.69%)—and this was believed to be influential. Similar trends were confirmed for the December 24 peak of the Geiger counter advertisements both before and after.</p>
        <p>On November 26, it was reported that TEPCO had responded on November 24, “Any radioactive substances were not the property of TEPCO. Consequently, TEPCO has no responsibility for decontamination” [<xref ref-type="bibr" rid="ref28">28</xref>]. However, this information was spread using negative words and, as a result, the semantic orientations in both groups largely trended negatively.</p>
        <p>Interestingly, regardless of whether similar lines were previously drawn for the target group and the RT group, from December 7 to February 27, divergence emerged in the form of changes between the two groups. Particularly in the target group, the periods from December 21 to January 15 and from February 7 to February 27 peaked positively. On December 18, a maximum of –0.41 was reached, but no corresponding peak was formed in the RT group, which hovered around –0.58. As with the weekly <italic>F</italic> tests of the target group and RT group as shown in <xref rid="figure4" ref-type="fig">Figure 4</xref>, a significant divergence was seen between the groups during this period.</p>
        <table-wrap position="float" id="table2">
          <label>Table 2</label>
          <caption>
            <p>Chronological listing of events in 2011.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="200"/>
            <col width="800"/>
            <thead>
              <tr valign="top">
                <td>Date (year/month/day)</td>
                <td>Event and details</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td>2011/03/11</td>
                <td>An earthquake off the Pacific coast of Tohoku occurred.</td>
              </tr>
              <tr valign="top">
                <td>2011/03/12</td>
                <td>Reactor 1 of Fukushima Daiichi Nuclear Power Station experienced a hydrogen explosion.</td>
              </tr>
              <tr valign="top">
                <td>2011/03/15</td>
                <td>The damage to reactors 2 and 4 of Fukushima Daiichi Nuclear Power Station became clear.</td>
              </tr>
              <tr valign="top">
                <td>2011/03/23</td>
                <td>Thyroid equivalent dose predictions involving iodine-131 for infants (under 1 year old) using the System for Prediction of Environmental Emergency Dose Information were released by the Cabinet Office’s Nuclear Safety Commission.</td>
              </tr>
              <tr valign="top">
                <td>2011/03/28</td>
                <td>A website visualizing the environmental radioactivity levels all over Kanto was launched.</td>
              </tr>
              <tr valign="top">
                <td>2011/09/10</td>
                <td>The then-Minister of Economy, Trade, and Industry reportedly resigned after a visit to the exclusion zone of the Fukushima nuclear disaster, where he joked to a journalist, “I’ll give you radiation.”<break/>A fire broke out at Sendai Nuclear Power Plant.</td>
              </tr>
              <tr valign="top">
                <td>2011/10/14</td>
                <td>A radium ray source was found under the floor of a private home in Setagaya Ward, Tokyo.</td>
              </tr>
              <tr valign="top">
                <td>2011/11/11</td>
                <td>A large number of tweets were posted stating “Sign an emergency petition to save the children of Fukushima.”</td>
              </tr>
              <tr valign="top">
                <td>2011/11/23</td>
                <td>Geiger counter advertisements were posted approximately 2-3 times as often compared to the days before and after.</td>
              </tr>
              <tr valign="top">
                <td>2011/11/24</td>
                <td>At Tokyo District Court, TEPCO responded, “Any radioactive substances were not the property of TEPCO. Consequently, TEPCO has no responsibility for decontamination.”</td>
              </tr>
              <tr valign="top">
                <td>2011/11/26</td>
                <td>TEPCO's response was reported in the press.</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
      </sec>
      <sec>
        <title>Characteristics Per Prefecture</title>
        <p>As shown in <xref ref-type="table" rid="table1">Table 1</xref>, there was a spike in tweets about Fukushima Prefecture as a disaster area, which stands out in terms of population ratio. Areas in east Japan close to the disaster area had a larger number of tweets than west Japan and were at high rates in terms of their population ratio. Osaka and Kyoto, which are major cities in west Japan, had high numbers of tweets but were at the same level as other regions in west Japan in terms of the population ratio. This suggests that this bias does not affect the data on Twitter, which has more users in urban areas. In addition, Hiroshima Prefecture and Nagasaki Prefecture, which were devastated in the past by the atomic bomb, stood out in tweeting from other regions in west Japan, suggesting that people may be recalling place names associated with radiation. In the case of Okinawa Prefecture, the US military base located there has been alleged to possess nuclear weapons many times in the past and seemed to be the name of a place brought up in connection to radiation.</p>
      </sec>
      <sec>
        <title>Comparison of Fukushima Prefecture and Other Prefectures</title>
        <p>As shown in <xref rid="figure7" ref-type="fig">Figure 7</xref>, the ratio of the number of tweets about Fukushima Prefecture and other prefectures shows an increasing trend, and the interest in Fukushima Prefecture has risen. Including other prefectures, the number of tweets was at 3 times the highest amount, and the right intercept of the linear approximation was at 2.5 times the highest amount.</p>
        <p>The ratio of the average of the semantic orientation values for Fukushima Prefecture and other prefectures fell roughly below the value of 1 when unprecedented periods were excluded. As drawn by collinear approximation, the ratio gradually fell, which may be interpreted as the deepening of negative feelings about Fukushima Prefecture when compared to other regions. The weekly tweet number ratio on November 10 had not increased much compared to the previous week, but the semantic orientations about Fukushima largely trended positively. This is believed to have been influenced by the larger number of more positive tweets than average being spread stating “Sign an emergency petition to save the children of Fukushima” (semantic orientation value: –0.396). These tweets were not posted by bots or in the form of RTs.</p>
        <p>As shown in <xref rid="figure1" ref-type="fig">Figures 1</xref> and <xref rid="figure3" ref-type="fig">3</xref>, the overall number of tweets decreased and, as a result, the overall semantic orientation values about radiation trended positively. However, as shown in <xref rid="figure7" ref-type="fig">Figures 7</xref> and <xref rid="figure8" ref-type="fig">8</xref>, the ratio of the number of tweets about Fukushima Prefecture compared to other prefectures increased, and it is thought that the decreasing ratio of semantic orientation values indicates that emotions sharply trended negatively toward Fukushima Prefecture in regard to radiation.</p>
        <p>In <xref rid="figure9" ref-type="fig">Figure 9</xref>, we found that the RT group had more posts about negative feelings compared to the target group, as in the discussion of <xref rid="figure3" ref-type="fig">Figure 3</xref> above. However, it is possible to confirm the same trend in tweets about regions. Surprisingly, while other tweets trended toward positive feelings, only the collinear approximation of the average trend in the semantic orientation values for the RT group relating to Fukushima Prefecture showed a negative trend, with the tendency to be broadcast with increasing negative feelings over time. This strongly suggests that bots and RTs disperse information that has more negative emotions, and users who come into contact with this information perceive matters relating to the radiation in Fukushima Prefecture with negative emotions, leading to an increased aversion among these people toward Fukushima Prefecture. These results support the hypothesis that people have become gripped by more negative feelings over time regarding Fukushima Prefecture as a disaster area associated with radiation, which may have influenced an increased aversion toward Fukushima in general.</p>
      </sec>
    </sec>
    <sec sec-type="discussion">
      <title>Discussion</title>
      <sec>
        <title>Principal Findings</title>
        <p>This study was a unidirectional survey of the feelings that nationwide Twitter users had about each prefecture and radiation. It is felt that residents’ feelings toward a particular region, which is subject to harmful rumors, are important when elucidating and ameliorating the processes by which people’s aversions to Fukushima are increasing. The purpose of this study was to identify how information on radiation changed 1 year after the Fukushima nuclear accident with regard to different regions in Japan. We found that immediately after the accident, negative feelings about radiation trended positively over time, but bots and RTs were slow to do so compared to other tweets. We found that tweets associating Fukushima Prefecture with radiation clearly showed more negative feelings than those about other prefectures on average; they further trended as negative and increased in percentage over time. Tweets about radiation decreased overall, and feelings about radiation also trended positively. However, the fact that tweets about Fukushima Prefecture trended negatively while rising in percentage suggests that negative feelings toward Fukushima Prefecture were intensifying. We found that while the bots and RTs that were not about Fukushima Prefecture gradually trended toward positive feelings, the bots and RTs about Fukushima Prefecture trended toward negative feelings. These results point to the possibility that people’s aversions toward Fukushima Prefecture increased as a result of negative feelings that associate Fukushima Prefecture with radiation, as spread by bots and RTs. Signals about risk, such as health risks from radiation, are often amplified by individual and social processes, such as cultural groups and interpersonal networks, that amplify people's responses [<xref ref-type="bibr" rid="ref29">29</xref>]. This supports the hypothesis that people have become gripped over time by a more negative impression of Fukushima Prefecture as a disaster area associated with radiation, which may have influenced an increased aversion toward Fukushima in general. To confirm this, tracking interaction between a bot and a person at an individual level should be performed as a next step. Additionally, it is well known that confirmation bias is amplified by the use of filter bubbles on social media [<xref ref-type="bibr" rid="ref30">30</xref>,<xref ref-type="bibr" rid="ref31">31</xref>]. This effect should be taken into account to analyze the impact of RTs and bots on people’s aversions.</p>
      </sec>
      <sec>
        <title>Limitations</title>
        <p>Gore et al showed that there can be significant geographic bias in the sentiment expressed in tweets over the same time period [<xref ref-type="bibr" rid="ref32">32</xref>]. Padilla et al showed that the sentiment expressed in tweets can be biased based on whether people are local or visiting an area and what other activities they have completed during the course of a day [<xref ref-type="bibr" rid="ref33">33</xref>]. This study did not take this into account, as it conducted a one-way sentiment analysis of emotions directed toward Fukushima. In the future, in order to identify the process by which people’s aversions increase, we want to clarify the feelings that people in a particular region have toward regions that are subject to harmful rumors, such as Fukushima. In a survey by Aoki et al [<xref ref-type="bibr" rid="ref20">20</xref>], geotagged tweets made up only 0.25% of the target data; therefore, more comprehensive data are required. In addition, since there are deviations in the age composition and region of Twitter users’ residences, the users are not necessarily representative of the nation as a whole. In this study, we determined the semantic orientation of tweets according to semantic orientation values toward words. Thus, the correct semantic orientation of tweets is not necessarily representative in terms of the context within tweets or the context based on their relationship to preceding and following tweets. Clearly sarcastic statements like “radioactivity is delicious” have positive semantic orientations due to the word “delicious,” so these tweets are judged to have positive semantic orientations. It seems a technique is needed for correctly evaluating the semantic orientation in terms of both the written sentences and their context. It is well known that there is a normalcy bias in the responses of the public figures to a serious event that has occurred suddenly and unexpectedly [<xref ref-type="bibr" rid="ref34">34</xref>]. In particular, when a severe nuclear accident occurs, affected people may very likely tweet simply to calm their own minds. As a result, their tweets may reflect not their feelings but their wishes. Additionally, in some cases, recall bias has led to an overestimation of the health risks from radiation, and tweets then expressed excessive aversion. In order to analyze the impact of these cognitive biases [<xref ref-type="bibr" rid="ref35">35</xref>], it is necessary to evaluate the content of the tweet and the network.</p>
        <p>Japanese speakers tend to skip words if their meaning is conveyed [<xref ref-type="bibr" rid="ref36">36</xref>], which is significant since Twitter is limited to 140 characters. “Radioactive iodine” and “radioactive cesium” are frequently used radioactive isotopes that are often indicated simply with “iodine” and “cesium.” “Cesium” is not a familiar word in daily life and likely indicates the radioactive isotope cesium. Further, feelings related to words that are often omitted when discussing radiation need to be surveyed instead of just “radiation,” “radioactivity,” and “radioactive substances.”</p>
        <p>Whether a tweet is from a bot is determined based on whether the term <italic>bot</italic> is found before or after the user’s ID. Therefore, all bots cannot be accurately identified. In addition, we believe that tweets from accounts that repeatedly post the same information that are not advertising accounts, that do not follow this format, or that are not RTs need to be surveyed as part of the RT group or split off into a separate group. However, considerable effort is required to look up and verify each tweet one by one. Communities are formed by Twitter’s <italic>follow</italic> function, and sharing and propagating information occurs through RTs.</p>
        <p>In the future, it may be important to elucidate the process by which people’s attitudes become fixed through a survey of how information is propagated by community networks and RTs as well as the feelings that people become gripped by when an aversion to Fukushima increases.</p>
      </sec>
    </sec>
  </body>
  <back>
    <app-group>
      <supplementary-material id="app1">
        <label>Multimedia Appendix 1</label>
        <p>The scripts used in this research.&#13;
 analyze_store_tweets_area_name.py: get area names in tweets.&#13;
 geocoder.py: get full address from area names by yahoo geocoder API. Thus, it can get prefecture name.&#13;
 calc_tweets_SOV.py: calculate the semantic orientation value of each tweets.</p>
        <media xlink:href="jmir_v22i9e18662_app1.zip" xlink:title="ZIP File  (Zip Archive), 10 KB"/>
      </supplementary-material>
    </app-group>
    <glossary>
      <title>Abbreviations</title>
      <def-list>
        <def-item>
          <term id="abb1">CT</term>
          <def>
            <p>computed tomography</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb2">JST</term>
          <def>
            <p>Japan Standard Time</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb3">NTT</term>
          <def>
            <p>Nippon Telegraph and Telephone</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb4">QT</term>
          <def>
            <p>quote tweet</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb5">RT</term>
          <def>
            <p>retweet</p>
          </def>
        </def-item>
        <def-item>
          <term id="abb6">TEPCO</term>
          <def>
            <p>Tokyo Electric Power Company</p>
          </def>
        </def-item>
      </def-list>
    </glossary>
    <fn-group>
      <fn fn-type="other">
        <label>Data Availability</label>
        <p>The dataset analysed during the current study is available from the corresponding author on reasonable request.</p>
      </fn>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
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