Card, Kiffer GeorgeLachowsky, Nathan J.Hawkins, Blake W.Jollimore, JodyBaharuddin, FahmyHogg, Robert S.2022-04-012022-04-0120182018Card, K. G., Lachowsky, N. J., Hawkins, B. W., Jollimore, J., Baharuddin, F., & Hogg, R. S. (2018). “Predictors of Facebook User Engagement With Health-Related Content for Gay, Bisexual, and Other Men Who Have Sex With Men: Content Analysis.” JMIR Public Health and Surveillance, 4(2), 174-184. DOI: https://doi.org/10.2196/publichealth.8145https://doi.org/10.2196/publichealth.8145http://hdl.handle.net/1828/13831Background: Social media is used by community-based organizations (CBOs) to promote the well-being of gay and bisexual men (GBM). However, few studies have quantified which factors facilitate the diffusion of health content tailored for sexual minorities. Objective: The aim of this study was to identify post characteristics that can be leveraged to optimize the health promotion efforts of CBOs on Facebook. Methods: The Facebook application programming interface was used to collect 5 years’ of posts shared across 10 Facebook pages administered by Vancouver-based CBOs promoting GBM health. Network analysis assessed basic indicators of network structure. Content analyses were conducted using informatics-based approaches. Hierarchical negative binomial regression of post engagement data was used to identify meaningful covariates of engagement. Results: In total, 14,071 posts were shared and 21,537 users engaged with these posts. Most users (n=13,315) engaged only once. There was moderate correlation between the number of posts and the number of CBOs users engaged with (r=.53, P<.001). Higher user engagement was positively associated with positive sentiment, sharing multimedia, and posting about pre-exposure prophylaxis, stigma, and mental health. Engagement was negatively associated with asking questions, posting about dating, and sharing posts during or after work (versus before). Conclusions: Results highlight the existence of a core group of Facebook users who facilitate diffusion. Factors associated with greater user engagement present CBOs with a number of strategies for improving the diffusion of health content.ensocial mediahealth promotiongay and bisexual menuser engagementArticleSchool of Public Health and Social Policy