The Research Interest in ChatGPT and Other Natural Language Processing Tools from a Public Health Perspective: A Bibliometric Analysis

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Introduction
In the era of technological advancement, the intersection of artificial intelligence (AI) and public health has become increasingly significant [1].In fact, the utilization of AI in medical and epidemiological research may be crucial in enhancing precision and accuracy, as well as improving efficiency in various aspects of the healthcare system.
The synergistic relationship between AI and public health not only underscores the transformative power of technology but also underscores its pivotal role in shaping the future landscape of healthcare.The nuanced capabilities of AI offer unprecedented opportunities to revolutionize healthcare challenges, paving the way for more effective solutions and improved patient outcomes [2,3].
In this context, Large Language Models (LLMs) represent a category of machine learning models meticulously crafted to produce text resembling human language.Within the medical domain, natural language processing (NLP) has captured significant attention, given its transformative potential to reshape medical research, patient care, and educational practices [4,5].This potential arises from their ability to process extensive datasets with speed and precision surpassing human capabilities.As a versatile language model developed by OpenAI, ChatGPT (https://chat.openai.com/,accessed on 28 December 2023) has witnessed increasing exploration for its application in diverse medical realms, including research, clinical practice, and educational settings, surmounting the constraints posed by earlier Artificial Neural Network (ANN) models (e.g., Recurrent Neural Networks (RNNs) and Long Short-Term Memory Networks (LSTMs)) that faced limitations in comprehending the contextual nuances of a given language input [6].
The deployment of ChatGPT signifies a notable advancement in the realm of AI, specifically for its proficiency in capturing the subtleties and complexities inherent in natural human conversations.This capability empowers ChatGPT to produce responses tailored to the nuances of a diverse array of prompts.ChatGPT has found applications across diverse domains representing one of the largest publicly available language models [2,7,8].ChatGPT demonstrates growing potential across numerous clinical and research scenarios, encompassing potential applications in medical and epidemiological research, ranging from identifying research topics to providing support for professionals in clinical and laboratory diagnoses [3,6,9].
The adoption of ChatGPT in public health and epidemiology may introduce a unique avenue for transforming education, prevention, and intervention strategies.
By leveraging NLP capabilities, ChatGPT can facilitate accessible and personalized interactions, delivering timely reminders for medication and lifestyle recommendations and addressing inquiries related to symptoms and available treatment options.Furthermore, the application of ChatGPT extends to enhancing patient engagement and education.Through natural language interactions, patients can communicate with ChatGPT and receive personalized responses tailored to their medical history, preferences, and specific clinical needs [10,11].However, the integration of ChatGPT in public health poses a set of risks, including the accuracy and reliability of health information delivered.In fact, this is coupled with several limitations and ethical considerations, such as concerns regarding privacy, data security, and the potential for reinforcing health disparities, which need careful consideration [12].For these reasons, understanding these implications is crucial in harnessing the full potential of ChatGPT within the public health domain [7,8,13].
With the increasing number of articles focusing on the utilization of ChatGPT in medical contexts, bibliometric analysis may serve as a valuable tool for uncovering and mapping the accumulated body of scientific knowledge.This methodology involves applying quantitative methods, such as citation analysis, to bibliometric data, including the number of citations and publications, as well as occurrences of keywords and topics.While the exploration of bibliometric methodology commenced in the 1950s, the widespread adoption of bibliometrics is a relatively recent phenomenon, holding great popularity in business and economics research [14][15][16][17].
The availability of bibliometric software has enhanced the bibliometric approach, enabling a comprehensive analysis of publications, emerging trends, collaboration patterns, and the identification of gaps in the research landscape.This capability also includes the efficient management of vast scientific datasets, resulting in a significant impact that plays a crucial role in unraveling and mapping cumulative scientific knowledge [17][18][19].
In brief, bibliometric analysis condenses extensive sets of bibliometric data to elucidate the current intellectual landscape and emerging trends within a particular research topic or field and nuanced developments within well-established fields by systematically interpreting extensive volumes of unstructured data.In comparison, a systematic review succinctly gathers and synthesizes the insights derived from the existing literature pertaining to a research topic or field.Concurrently, meta-analysis scrutinizes empirical evidence, unveiling relationships between variables and shedding light on connections not explored in prior studies [17].
The present paper explores the potential of employing a bibliometric approach for systematically examining the existing literature and knowledge gaps about the applications of NLP tools and ChatGPT for public health issues.To do this, the study critically assesses their application in epidemiology and public health research across diverse countries, identifying trends, assessing the geographical and disciplinary distribution of research, and uncovering potential gaps.

Analyses of Bibliometric Data
Analysis of bibliometric data was conducted using Biblioshiny, a web-app included in the Bibliometrix package (https://www.bibliometrix.org/home/index.php/layout/bibliometrix, 28 December 2023), which allows no coders to use the software.Bibliometrix is an open-source R-tool for executing a comprehensive science mapping analysis of scientific literature.Interestingly, Biblioshiny combines the functionality of the Bibliometrix package with the ease of use of web apps.
After defining the scope and research criteria, on 4 November 2023 a literature search was conducted to extract essential bibliographic information (i.e., titles, authors, affiliations, abstracts, publication years, and keywords), as well as to collect original articles published in English from 2010 to 2023.
An extensive bibliometric analysis was conducted on the Scopus database to identify articles that explicitly referenced the terms ("ChatGPT" OR "Chatbot*" OR "Natural Language Processing") AND ("prevent*" OR "public health" OR "epidemiolog*") within their titles, abstracts, or keywords.Scopus was selected as the database of choice due to its distinguished status as the largest repository of peer-reviewed scientific literature, encompassing a broad spectrum of subjects [20].
Following the import of bibliometric data in the Biblioshiny tool results about descriptive statistics (i.e., the number of documents, authors, sources, keywords, timespan, and the average number of citations) were obtained [21].
Consequently, tables and graphic visualizations were produced to illustrate the annual scientific production, top manuscripts based on citation count, the most prolific authors, the leading countries in terms of productivity, total citations per country, the most relevant journals, and the most significant keywords.Moreover, this analytical approach provides a nuanced and comprehensive understanding of the bibliometric landscape, including co-authorship networks, keyword co-occurrence maps, publication trends, collaboration networks, and identifying patterns, trends, and influential publications and/or authors.

Descriptive Analyses of Bibliometric Data
We have identified 3431 original medical articles published in English and indexed in the Scopus database between 2010 and 2023.These articles originate from 1637 distinct sources, including journals and books, with an average age of the documents of 2.9 years.Significantly, the first two references, specifically the "Journal of Medical Internet Research" and the "Lecture Notes in Computer Science", encompassing both "Subseries Lecture Notes in Artificial Intelligence" and "Lecture Notes in Bioinformatics (including subseries "Lecture Notes in Artificial Intelligence" and "Lecture Notes in Bioinformatics)" jointly account for nearly 35% of the total articles published by the first ten sources.Figure 1 illustrates the most pertinent sources based on the document count.The document types with the highest representation were "Article" and "Conference paper", constituting 51% and 36% of the total retrieved documents, respectively.Moreover, the bibliometric analysis of all the articles yielded a total of 121,089 references.
The average number of citations per document stood at 13.8, with an additional metric indicating an average of 3.3 citations per document per year.Table 1 highlights the top ten articles based on citations, with total citation counts ranging from 424 to 1094.Furthermore, their total citations per year spanned from 40 to 179.
top ten articles based on citations, with total citation counts ranging from 424 to 1094.Furthermore, their total citations per year spanned from 40 to 179.

Evolving Trends in Research Interest
As shown in Figure 2, our bibliometric analysis reveals a noteworthy surge in the volume of publications spanning the years 2010 to 2023.Remarkably, the annual count of publications witnessed a substantial ascent, escalating from a modest 39 in 2010 to a substantial 719 in 2023.This substantial increase underscores an impressive average

Evolving Trends in Research Interest
As shown in Figure 2, our bibliometric analysis reveals a noteworthy surge in the volume of publications spanning the years 2010 to 2023.Remarkably, the annual count of publications witnessed a substantial ascent, escalating from a modest 39 in 2010 to a substantial 719 in 2023.This substantial increase underscores an impressive average annual growth rate of 25.1%, portraying a robust and consistent expansion in the scholarly discourse related to the subject over this period.

Leading Contributors and Collaborative Networks in Authorship
Within the selected articles, a total of 12,932 authors were identifie tributing 16,872 appearances.Specifically, there were 167 single-autho thored by 158 distinct and independent authors.Consequently, the d ratio stood at 0.3, while the co-authors-per-document ratio was 4.9.T top ten productive authors in terms of both total and fractionalized a pactful contribution ranging from 20 to 44 articles (3.8 to 8.3 fractional

Leading Contributors and Collaborative Networks in Authorship
Within the selected articles, a total of 12,932 authors were identified, collectively contributing 16,872 appearances.Specifically, there were 167 single-authored documents authored by 158 distinct and independent authors.Consequently, the document-to-author ratio stood at 0.3, while the co-authors-per-document ratio was 4.9.Table 2 presents the top ten productive authors in terms of both total and fractionalized articles, with an impactful contribution ranging from 20 to 44 articles (3.8 to 8.3 fractionalized articles).

Top Countries of Contribution and Global Collaborative Networks
Figure 5 provides a comprehensive overview of the geographical distribution of publications by highlighting the top ten countries of corresponding authors per document, taking into account both publications originating from a single country and those involving international collaboration between authors.The visualization underscores that the vast majority of publications originated from a single country, indicating a concentrated contribution from a specific geographical region.Approximately 21.0% of the publications exhibit international collaboration, demonstrating a level of global engagement and cooperation in research efforts.Interestingly, the USA shows the highest number of publications originating from single-and multi-country collaboration.
Informatics 2024, 11, 13 7 of 15 Interestingly, the USA shows the highest number of publications originating from singleand multi-country collaboration.Among the top ten corresponding author's countries, those with the highest proportion of multi-country publications were Australia (34.2%), Canada (31.1%), and the United Kingdom (29.0%).Conversely, the countries with the lowest proportion were South Korea (16.4%), the USA (15.2%), and India (12.7%) (Figure 7).Among the top ten corresponding author's countries, those with the highest pr tion of multi-country publications were Australia (34.2%), Canada (31.1%), and the U Kingdom (29.0%).Conversely, the countries with the lowest proportion were South K (16.4%), the USA (15.2%), and India (12.7%) (Figure 7).Among the top ten corresponding author's countries, those with the highest proportion of multi-country publications were Australia (34.2%), Canada (31.1%), and the United Kingdom (29.0%).Conversely, the countries with the lowest proportion were South Korea (16.4%), the USA (15.2%), and India (12.7%) (Figure 7).In terms of country production over time, the USA led with the highest overall pr duction from 2010 to 2023.Concerning citations, the most frequently cited countries we the USA, the UK, and China, as depicted in Figure 8.In terms of country production over time, the USA led with the highest overall production from 2010 to 2023.Concerning citations, the most frequently cited countries were the USA, the UK, and China, as depicted in Figure 8.In terms of country production over time, the USA led with the highest overall pro duction from 2010 to 2023.Concerning citations, the most frequently cited countries wer the USA, the UK, and China, as depicted in Figure 8.In Figure 10, we are presented with a snapshot of the most influentia published articles, shedding light on the key players in the research land Medical School stands out prominently as the foremost contributor, com nificant 18% share of all articles within the top ten affiliations.The May follows, making a substantial impact at 11.3%, while King's College Lon position as a major contributor with an 11% share.In Figure 10, we are presented with a snapshot of the most influential affiliations in published articles, shedding light on the key players in the research landscape.Harvard Medical School stands out prominently as the foremost contributor, commanding a significant 18% share of all articles within the top ten affiliations.The Mayo Clinic closely follows, making a substantial impact at 11.3%, while King's College London secures its position as a major contributor with an 11% share.

Discussion
To the best of our knowledge, our work is the first which aims to enrich the broad comprehension of ChatGPT's impact on shaping public health discourse, by providing comprehensive overview of the current research landscape, delineate key themes, and r veal nascent trends.
Here, we aim to not only contribute valuable insights to the ongoing discourse b also lay the groundwork for future investigations into the intricate interplay betwe ChatGPT and the dynamic realm of public health communication.Through our analys we also aspire to foster a deeper appreciation of the potential implications and applic tions of ChatGPT in shaping the narrative landscape of public health.
Through this rigorous examination, we endeavor to contribute not only to the ong ing discourse surrounding ChatGPT but also to offer valuable insights that could guid future research initiatives and inform decision-making processes in the realms

Discussion
To the best of our knowledge, our work is the first which aims to enrich the broader comprehension of ChatGPT's impact on shaping public health discourse, by providing a comprehensive overview of the current research landscape, delineate key themes, and reveal nascent trends.
Here, we aim to not only contribute valuable insights to the ongoing discourse but also lay the groundwork for future investigations into the intricate interplay between ChatGPT and the dynamic realm of public health communication.Through our analysis, we also aspire to foster a deeper appreciation of the potential implications and applications of ChatGPT in shaping the narrative landscape of public health.
Through this rigorous examination, we endeavor to contribute not only to the ongoing discourse surrounding ChatGPT but also to offer valuable insights that could guide future research initiatives and inform decision-making processes in the realms of healthcare and academia.In addition, the current study aims to enhance our understanding of the implications, limitations, and potential avenues for leveraging ChatGPT in public health contexts.Our objective arises from the fact that ChatGPT stands out as one of the most popular LLMs, amassing over 100 million users within two months of its release [6,22].In fact, its widespread use within the medical research community has generated a substantial body of literature, suggesting the need to gain deeper insights into the role of ChatGPT in Public Health [11,23].
Here, we conducted a comprehensive bibliometric analysis of ChatGPT to gain deeper insights into the response of the scientific and medical community to the utilization of ChatGPT in Public Health [20].
Our study offers profound insights into the growing utilization of ChatGPT in academic and medical environments.This is underscored by the types of publications featured in our analysis.Specifically, out of a total of 3431 documents published between 2010 and 2023, we observed that 1757 were articles and 1247 were conference papers, highlighting a growing interest in the significance and applicability of ChatGPT in the field of Public Health.Interestingly, the upward trend in the visibility of ChatGPT within scholarly and academic discussions suggests a growing interest and recognition of its relevance from 2010 to 2023.In delving into the potential applications of conversational AI-based tools within epidemiological research, our study culminated in a compelling evaluation of ChatGPT, specifically in its capacity to provide pertinent answers tailored to common inquiries related to both infectious and non-communicable disease prevention and control, thus effectively addressing pressing public health and epidemiological concerns.Our findings not only shed light on the adaptability and utility of ChatGPT in the epidemiological domain but also underscored its potential to contribute significantly to public health strategies.By providing nuanced and contextually relevant responses to specific queries, particularly those related to disease prevention, ChatGPT demonstrated its capacity to enhance communication and disseminate vital information in a user-friendly manner.
Furthermore, our work serves as a foundation for understanding the broader implications of incorporating conversational AI tools like ChatGPT in the realm of epidemiological research.As we continue to explore and refine the applications of these tools, the potential impact on public health communication and intervention strategies becomes increasingly evident, paving the way for more informed decision-making and proactive health management [24][25][26][27][28][29][30][31][32][33].For instance, Hava and colleagues delved into the suitability of ChatGPT responses to frequently asked questions regarding breast cancer prevention and screening, as assessed by fellowship-trained breast radiologists.They revealed that approximately 90% of the generated responses were deemed appropriate [24].In this context, Hermann and colleagues conducted the first study with the aim of assessing the accuracy of ChatGPT in responding to frequently asked questions related to specific aspects of gynecological health, providing accurate answers to questions concerning cervical cancer prevention and survivorship but less precise responses related to diagnosis and treatment [25].
A similar approach was adopted by Yeo and colleagues, who noted that ChatGPT offers a limited number of comprehensive answers to questions about cirrhosis and hepatocellular carcinoma (HCC) [26].In a similar vein, two studies conducted by Cao and Rahsepar both observed that ChatGPT inconsistently delivered precise information by posing questions related to liver and lung cancer, respectively.In fact, responses often contained contradictory or misleading information, if not outright inaccuracies, posing potential implications for medical management and the potential to impact patient outcomes [27,28].Interestingly, two studies also discussed the potential role of ChatGPT for the prevention and control of the outbreak of infectious diseases [29,30].Kizito and colleagues denoted the potential opportunities of ChatGPT in enhancing the care and management of people living with HIV, providing a resource for patients seeking information about antiretroviral therapy (ART) [2,30,34].Nevertheless, a study conducted by Cheng and colleagues revealed that ChatGPT is unable to speculate or offer a conclusive answer regarding the origin and transmission of Monkeypox, as well as the future trends in confirmed cases [29].
In light of the critical significance of accurate information concerning vaccines, it may be crucial to gauge the capacity of the ChatGPT tool to provide accurate information regarding vaccines and immunization.With this in mind, Deiana and colleagues explored the potential of ChatGPT in enhancing health literacy and mitigating vaccine hesitancy, according to the answers given to a list of eleven myths and misconceptions about vaccines [31].Sohail and colleagues applied a similar approach by asking five different questions regarding the COVID-19 vaccine [32].A recent study also suggests the potential applications and limitations of ChatGPT for diagnosing, managing, and prognosis cardiovascular and cerebrovascular disease [33].
In our work, compiling the top ten most cited articles serves the purpose of providing insights into the global interest in the field of NLP applications in Public Health, with a specific focus on ChatGPT.This analysis offers a framework to explore the articles that have garnered the highest number of citations, thereby enhancing the overall understanding and significance of the field's development and current research landscape.For example, the second most referenced study indicates that over the past few decades, deep neural networks (DNNs) have achieved significant success across various applications, such as computer vision and NLP.This is noteworthy, especially when taking into account the high predictive accuracy demonstrated by DNNs on extensive datasets derived from Merck's drug discovery initiatives [35].Hence, the subsequent highly cited manuscript serves as a comprehensive review outlining how Deep Learning (DL) could offer a viable strategy to revolutionize the field of ophthalmology.It delves into various challenges, both clinical and technical, along with medicolegal concerns and the factor of patient acceptance that still requires consideration.Notably, the manuscript proposed some innovative applications of DL in ocular imaging, encompassing fundus photographs, optical coherence tomography, and visual fields, as promising solutions for the screening, diagnosis, and monitoring of eye pathological conditions [36].The article ranked fifth in terms of citations is a comprehensive review, encompassing a wide range of digital innovations aimed at bolstering the global public health response to coronavirus disease 2019 (COVID-19) and other infectious diseases.Additionally, the review explores the various challenges of machine learning and NLP, including legal, ethical, and privacy considerations, that may hinder the implementation of these innovations [37].Therefore, the sixth most cited work introduced NLP algorithms as a computational phenotyping method for extracting information from electronic health records.This method, in particular, has the potential to aid in the early diagnosis of asthma, which is recognized as a heterogeneous disease with distinct phenotypes and endotypes requiring comprehensive characterization [38].Thus, the tenth research in the list of the top 10 most cited manuscripts suggests the utility of NLP in countering the spread of misinformation concerning COVID-19 etiology, outcomes, and prevention.To address this issue, NLP can play a crucial role in detecting and removing scientifically unfounded online content across all social media platforms [39].The examination of current research on ChatGPT within the realm of public health has uncovered areas that have been extensively studied while also highlighting significant gaps requiring further investigation.Although promising outcomes have been observed in domains such as breast cancer prevention and chronic disease management, it is evident that there are still unexplored and pivotal sectors crucial for advancing public health.For instance, the explored studies did not comprehensively address global public health challenges (e.g., pandemic management, maternal and child health, mental health, or access to healthcare in resource-limited settings), suggesting that expanding research in these directions could yield valuable insights.Despite some mention of chronic diseases, there is a lack of understanding regarding ChatGPT's potential to prevent non-communicable diseases like diabetes, heart disease, and obesity.Thus, a thorough assessment of its impact in these contexts would be fitting.Moreover, investigating how ChatGPT can be utilized to tackle disparities in healthcare access or enhance communication in multilingual contexts is a pertinent subject.Moreover, our work suggested that ChatGPT was not yet employed to address challenges related to health equity should be explored, as well as to explore domains pertaining to Infection Prevention and Control (IPC) and Antimicrobial Resistance (AMR).
While the integration of ChatGPT in public health holds promise, it is crucial to delve into the downsides of implementing ChatGPT in public health, which need to be considered.Among these precision constraints that are referred to the system's limited accuracy in delivering precise and reliable information crucial in the dynamic field of public health.In addition, inherent biases within the training data can be reflected in ChatGPT's responses, potentially perpetuating or amplifying existing biases within the public health domain.Also, contextual deficiency is related to the model's struggle to grasp and incorporate context effectively, which may result in responses that lack the nuanced understanding required for addressing complex public health scenarios.While promising, ChatGPT may encounter difficulties in maintaining meaningful and engaging interactions.This limitation could impact its effectiveness in specific public health communication contexts where interaction quality is paramount.Moreover, the tool's inability to directly interact with healthcare professionals restricts its potential to offer personalized and expert-guided insights tailored to specific medical queries, limiting its scope in providing comprehensive healthcare information.
For these reasons, addressing these challenges is imperative for the responsible and beneficial deployment of ChatGPT in public health settings, ensuring its full potential is realized while mitigating potential drawbacks [10].In our work, the distribution of corresponding authors in ChatGPT-related articles reveals a notable concentration in the United States, China, and India, with these countries contributing the highest number of publications.This pattern likely signifies a significant level of research activity and engagement with ChatGPT in these regions, potentially driven by well-established research infrastructure, technological advancements, and academic interest in AI.Conversely, Italy's position as the last among the top ten countries suggests a comparatively lower level of involvement in producing ChatGPT-related research articles.This could be influenced by factors such as the scale of AI research initiatives, funding availability, or the prioritization of other research topics within the Italian academic and scientific community.This suggests that it is essential to delve deeper into the specific dynamics of each country's research landscape to understand the factors contributing to these geographical variations in ChatGPT-related publications [6].
Nevertheless, the utilization of ChatGPT raises significant ethical and practical concerns, particularly in the medical field, where apprehensions regarding the potential impact on public health exist.In fact, the notion of an 'infodemic' is gaining prominence in discussions related to public health.The rapid text generation capability of LLMs could potentially amplify the dissemination of misinformation on an unprecedented scale, giving rise to what can be termed an 'AI-driven infodemic'.This term refers to the use of LLMs to generate an extensive volume of human-like texts without any scientific foundation or support [12].
With this in mind, it is crucial to consider certain limitations when interpreting our findings.Firstly, the metric employed in our bibliometric analysis methodology relies on literature citations.In this context, the recent widespread adoption of ChatGPT may have influenced its incorporation into relevant publications, potentially leading to the oversight of impactful articles and a subsequent lack of citations.
Secondly, bibliometric data may present an incomplete representation of research interest, as a significant portion of research may remain unpublished or be disseminated through non-indexed sources, eluding inclusion in bibliometric analyses.Third, our analysis primarily considers publications in English, potentially introducing a language bias.Relevant contributions in other languages might be overlooked, leading to a partial representation of the global research landscape.Fourth, the ethical implications of AI applications, including ChatGPT, are intricate and multifaceted.However, our analysis did not comprehensively capture the ethical dimensions associated with the utilization of ChatGPT in medical research, with ethical considerations that may vary across different regions and cultural contexts.
Fifth, although our attention was directed towards ChatGPT in the medical field, given its open-source nature, it is worth noting that there are other specialized tools with the potential to make substantial contributions to the medical research community.These alternatives merit thorough consideration and exploration, as they could offer unique advantages and insights into various aspects of medical research, from natural language understanding to data analysis and disease tracking (i.e., tracking infectious disease outbreaks, mapping biomedical text, answering biomedical questions).Lastly, we employed a comprehensive search strategy designed to encompass not only the specific contribution of ChatGPT in public health but also to broadly examine AI chatbots and NLP applications within the context of public health issues.Our literature search spans work published from 2010 to 2023, aiming to delve into the timeframe during which the interest in NLP shifted towards ChatGPT.For these reasons, we explicitly included the term "ChatGPT" in our search criteria, indicating its emergence as a recognized term around the year 2023.

Conclusions
Our research endeavors to summarize not only the current state but also the potential evolution of ChatGPT's impact on epidemiological research.By incorporating a bibliometric approach, we delve into the quantitative analysis of scholarly publications, citations, and trends related to ChatGPT, providing a comprehensive panorama of its influence.This multifaceted exploration not only assists in identifying gaps and areas of interest for future investigation but also facilitates a deeper understanding of how ChatGPT intersects with diverse aspects of epidemiology and public health.As a strategic roadmap for future research, our findings serve as a compass for researchers, policymakers, and practitioners navigating the dynamic landscape of AI in public health.The insights gleaned from our bibliometric analysis offer a bird's-eye view of the scholarly discourse surrounding ChatGPT, informing decision-makers on potential applications, challenges, and emerging opportunities.In essence, our work contributes not only to the academic discourse on AI language models in epidemiological research but also provides a practical guide for leveraging these technologies responsibly in the service of public health.By fostering an enriched understanding of the evolving landscape, we aim to empower stakeholders to make informed decisions that positively impact the intersection of artificial intelligence and epidemiological inquiry.

Figure 1 .
Figure 1.Most relevant sources in terms of number of documents.

Figure 1 .
Figure 1.Most relevant sources in terms of number of documents.
of 25.1%, portraying a robust and consistent expansion in the scholarly discourse related to the subject over this period.

Figure 3
Figure3illustrates the average total citations per year, providing a comprehensive view from 2010 to 2023.It is essential to note that the lower values observed post-2019 may be attributed to the diverse ages of the documents analyzed.As scholarly works accumulate citations over time, recent publications may naturally have fewer citations.This temporal consideration is crucial for a nuanced interpretation of the citation trends.Figure4depicts the evolution of topics from 2010 to 2023.Notably, the term "ChatGPT" emerges as a notable and interesting topic, gaining prominence particularly from the year 2023.

Figure 4
Figure3illustrates the average total citations per year, providing a comprehensive view from 2010 to 2023.It is essential to note that the lower values observed post-2019 may be attributed to the diverse ages of the documents analyzed.As scholarly works accumulate citations over time, recent publications may naturally have fewer citations.This temporal consideration is crucial for a nuanced interpretation of the citation trends.Figure4depicts the evolution of topics from 2010 to 2023.Notably, the term "ChatGPT" emerges as a notable and interesting topic, gaining prominence particularly from the year 2023.

Figure 3
Figure3illustrates the average total citations per year, providing a comprehensive view from 2010 to 2023.It is essential to note that the lower values observed post-2019 may be attributed to the diverse ages of the documents analyzed.As scholarly works accumulate citations over time, recent publications may naturally have fewer citations.This temporal consideration is crucial for a nuanced interpretation of the citation trends.Figure4depicts the evolution of topics from 2010 to 2023.Notably, the term "ChatGPT" emerges as a notable and interesting topic, gaining prominence particularly from the year 2023.
Figure3illustrates the average total citations per year, providing a comprehensive view from 2010 to 2023.It is essential to note that the lower values observed post-2019 may be attributed to the diverse ages of the documents analyzed.As scholarly works accumulate citations over time, recent publications may naturally have fewer citations.This temporal consideration is crucial for a nuanced interpretation of the citation trends.Figure4depicts the evolution of topics from 2010 to 2023.Notably, the term "ChatGPT" emerges as a notable and interesting topic, gaining prominence particularly from the year 2023.

Figure 3 Figure 3 .
Figure 3 illustrates the average total citations per year, providing a comp view from 2010 to 2023.It is essential to note that the lower values observed may be attributed to the diverse ages of the documents analyzed.As scholarly cumulate citations over time, recent publications may naturally have fewer citat temporal consideration is crucial for a nuanced interpretation of the citation tren 4 depicts the evolution of topics from 2010 to 2023.Notably, the term "ChatGPT as a notable and interesting topic, gaining prominence particularly from the yea

Figure 5 .
Figure 5. Corresponding author's countries per number of documents.

Figure 6
Figure6highlights a significant trend in the global landscape of research contributions, clearly illustrating the dominant role played by the USA in the publications of the top ten corresponding author's countries.In fact, the USA stands out as the singular contributor to 44.5% of all articles included in this analysis.Following the USA, China and India emerge as notable contributors, securing positions in the rankings.

Figure 5 .
Figure 5. Corresponding author's countries per number of documents.

Figure 6 8 Figure 6 .
Figure6highlights a significant trend in the global landscape of research contributions, clearly illustrating the dominant role played by the USA in the publications of the top ten corresponding author's countries.In fact, the USA stands out as the singular contributor to 44.5% of all articles included in this analysis.Following the USA, China and India emerge as notable contributors, securing positions in the rankings.

Figure 7 .
Figure 7. Country articles production over time.

Figure 8 .
Figure 8. Top ten of most cited countries.

Figure 7 .
Figure 7. Country articles production over time.

Figure 7 .
Figure 7. Country articles production over time.

Figure 9
Figure9provides a visual representation of the collaboration network among countries, offering valuable insights into the dynamics of global research partnerships.This visualization allows us to discern patterns of collaboration, identify key nodes in the research network, and understand the extent of international cooperation in the explored field.

Figure 10 .
Figure 10.Top ten affiliations with the utmost relevance in published articles.

Figure 10 .
Figure 10.Top ten affiliations with the utmost relevance in published articles.

Table 1 .
Top ten of most cited manuscripts.

Table 1 .
Top ten of most cited manuscripts.

Table 2 .
Top ten of most productive authors.
3.4.Top Countries of Contribution and Global Collaborative Networks

Table 2 .
Top ten of most productive authors.