Social media has become a platform to provide big data services. In health care applications, online E - health platforms have enabled patients to obtain useful references on the Internet, as well as to share information and exchange experiences among people with similar diseases. Such social networks also enable researchers and marketers to conduct studies or advocates on targeted groups of patients. However, h ow to protect user privacy while assure user and data reliability at the same time remains a challenge in practice. This article tackles the problem by exploring trust - engagement mechanism and developing a dynamic multi - trust model integrating multilevel access control, credible anonymity, and mutual rating mechanism for a multi...