Showing posts with label Twitter. Show all posts
Showing posts with label Twitter. Show all posts

Tuesday, April 5, 2016

Garbage in, Garbage Out: Data Collection, Quality Assessment and Reporting Standards for Social Media Data Use in Health Research, Infodemiology and Digital Disease Detection

Background
Social media have transformed the communications landscape. People increasingly obtain news and health information online and via social media. Social media platforms also serve as novel sources of rich observational data for health research (including infodemiology, infoveillance, and digital disease detection detection). While the number of studies using social data is growing rapidly, very few of these studies transparently outline their methods for collecting, filtering, and reporting those data. Keywords and search filters applied to social data form the lens through which researchers may observe what and how people communicate about a given topic. Without a properly focused lens, research conclusions may be biased or misleading. Standards of reporting data sources and quality are needed so that data scientists and consumers of social media research can evaluate and compare methods and findings across studies.

Objective
We aimed to develop and apply a framework of social media data collection and quality assessment and to propose a reporting standard, which researchers and reviewers may use to evaluate and compare the quality of social data across studies.

Methods
We propose a conceptual framework consisting of three major steps in collecting social media data: develop, apply, and validate search filters. This framework is based on two criteria: retrieval precision (how much of retrieved data is relevant) and retrieval recall (how much of the relevant data is retrieved). We then discuss two conditions that estimation of retrieval precision and recall rely on—accurate human coding and full data collection—and how to calculate these statistics in cases that deviate from the two ideal conditions. We then apply the framework on a real-world example using approximately 4 million tobacco-related tweets collected from the Twitter firehose.

Results
We developed and applied a search filter to retrieve e-cigarette–related tweets from the archive based on three keyword categories: devices, brands, and behavior. The search filter retrieved 82,205 e-cigarette–related tweets from the archive and was validated. Retrieval precision was calculated above 95% in all cases. Retrieval recall was 86% assuming ideal conditions (no human coding errors and full data collection), 75% when unretrieved messages could not be archived, 86% assuming no false negative errors by coders, and 93% allowing both false negative and false positive errors by human coders.

Conclusions
This paper sets forth a conceptual framework for the filtering and quality evaluation of social data that addresses several common challenges and moves toward establishing a standard of reporting social data. Researchers should clearly delineate data sources, how data were accessed and collected, and the search filter building process and how retrieval precision and recall were calculated. The proposed framework can be adapted to other public social media platforms.

Below:  The archive (a+b+c+d), retrieved tweets (a+b), and relevant tweets (a+c+e) in Twitterverse



Below:  The average limits of 95% confidence intervals for recall (vertical axis) as the sample size of unretrieved messages increases (horizontal axis), fixing the sample size of retrieved data at 3000



Full article at:   http://goo.gl/WtdPlj

By:  1Health Media Collaboratory, Institute for Health Research and Policy, University of Illinois at Chicago, Chicago, IL, United States
Yoonsang Kim, Health Media Collaboratory, Institute for Health Research and Policy, University of Illinois at Chicago, Westside Research Office Building, M/C 275, 1747 W Roosevelt Rd, Chicago, IL, 60608, United States, Phone: 1 312 413 7596, Fax: 1 312 996 2703




Tuesday, February 23, 2016

Social Media Mining for Toxicovigilance: Automatic Monitoring of Prescription Medication Abuse from Twitter

Introduction
Prescription medication overdose is the fastest growing drug-related problem in the USA. The growing nature of this problem necessitates the implementation of improved monitoring strategies for investigating the prevalence and patterns of abuse of specific medications.

Objectives
Our primary aims were to assess the possibility of utilizing social media as a resource for automatic monitoring of prescription medication abuse and to devise an automatic classification technique that can identify potentially abuse-indicating user posts.

Methods
We collected Twitter user posts (tweets) associated with three commonly abused medications (Adderall®, oxycodone, and quetiapine). We manually annotated 6400 tweets mentioning these three medications and a control medication (metformin) that is not the subject of abuse due to its mechanism of action. We performed quantitative and qualitative analyses of the annotated data to determine whether posts on Twitter contain signals of prescription medication abuse. Finally, we designed an automatic supervised classification technique to distinguish posts containing signals of medication abuse from those that do not and assessed the utility of Twitter in investigating patterns of abuse over time.

Results
Our analyses show that clear signals of medication abuse can be drawn from Twitter posts and the percentage of tweets containing abuse signals are significantly higher for the three case medications (Adderall®: 23 %, quetiapine: 5.0 %, oxycodone: 12 %) than the proportion for the control medication (metformin: 0.3 %). Our automatic classification approach achieves 82 % accuracy overall (medication abuse class recall: 0.51, precision: 0.41, F measure: 0.46). To illustrate the utility of automatic classification, we show how the classification data can be used to analyze abuse patterns over time.

Conclusion
Our study indicates that social media can be a crucial resource for obtaining abuse-related information for medications, and that automatic approaches involving supervised classification and natural language processing hold promises for essential future monitoring and intervention tasks.

Below:  Distributions of abuse/non-abuse tweets for the four drugs. The numbers and percentages of abuse-indicating tweets for each drug are also shown



Below:  a Distributions of all collected tweets and automatically detected abuse-indicating tweets for Adderall® and oxycodone and b the proportions of abuse-indicating tweets over the same time periods



Full article at:  http://goo.gl/IuWsQn

Department of Biomedical Informatics, Arizona State University, Scottsdale, AZ USA
Center for Environmental Security, Biodesign Institute, Arizona State University, Tempe, AZ USA
Rueckert-Hartman College for Health Professions, Regis University, Denver, CO USA
Department of Pharmacy Practice and Science, University of Arizona, Tucson, AZ USA
Abeed Sarker, Phone: +1-480-884-0349,  ude.usa@rekras.deeba.
corresponding authorCorresponding author.




Saturday, February 20, 2016

Assessment of Provider Attitudes Toward #Naloxone on Twitter

BACKGROUND:
As opioid overdose rates continue to pose a major public health crisis, the need for naloxone treatment by emergency first responders is critical. Little is known about the views of those who administer naloxone. The current study examines attitudes of health professionals on the social media platform Twitter to better understand their perceptions of opioid users, the role of naloxone and potential training needs.

METHODS:
Public comments on Twitter regarding naloxone were collected for a period of three consecutive months. The occupations of individuals who posted tweets were identified through Twitter profiles or hashtags. Categories of emergency service first responders and medical personnel were created. Qualitative analysis using a grounded theory approach was used to produce thematic content. The relationships between occupation and each theme were analyzed using Pearson chi-square statistics and post-hoc analyses.

RESULTS:
A total of 368 individuals posted 467 naloxone-related tweets. Occupations consisted of professional first responders such as emergency medical technicians (EMTs), firefighters, and paramedics (n = 122); law enforcement officers (n = 70); nurses (n = 62); physicians (n = 48); other health professionals including pharmacists, pharmacy technicians, counselors, social workers (n = 31); naloxone-trained individuals (n = 12); and students (n = 23). Primary themes included burnout, education and training, information-seeking, news updates, optimism, policy and economics, stigma, and treatment. The highest levels of burnout, fatigue and stigma regarding naloxone and opioid overdose were among nurses, EMTs, other health care providers and physicians. In contrast, individuals who self-identified as "naloxone-trained" had the highest optimism and the lowest amount of burnout and stigma.

CONCLUSIONS:
Provider training and refinement of naloxone administration procedures is needed to improve treatment outcomes and reduce provider stigma. Social networking sites such as Twitter may have potential for offering psychoeducation to health care providers.

Purchase full article at:   http://goo.gl/Ha5SlI

  • 1 PGSP-Stanford University Psy.D. Consortium, Palo Alto University , Los Altos , CA , USA.
  • 2 VA Palo Alto Health Care System , Palo Alto , CA , USA.
  • 3 Department of Psychiatry and Behavioral Sciences , Stanford University School of Medicine , Stanford , CA , USA.
  •  2016 Feb 9:0.  



Sunday, January 3, 2016

“Hey Everyone, I’m Drunk.” An Evaluation of Drinking-Related Twitter Chatter

Objective:
The promotion of drinking behaviors correlates with increased drinking behaviors and intent to drink, especially when peers are the promotion source. Similarly, online displays of peer drinking behaviors have been described as a potential type of peer pressure that might lead to alcohol misuse when the peers to whom individuals feel attached value such behaviors. Social media messages about drinking behaviors on Twitter (a popular social media platform among young people) are common but understudied. In response, and given that drinking alcohol is a widespread activity among young people, we examined Twitter chatter about drinking.

Method:
Tweets containing alcohol- or drinking-related keywords were collected from March 13 to April 11, 2014. We assessed a random sample (n = 5,000) of the most influential Tweets for sentiment, theme, and source.

Results:
Most alcohol-related Tweets reflected a positive sentiment toward alcohol use, with pro-alcohol Tweets outnumbering anti-alcohol Tweets by a factor of more than 10. The most common themes of pro-drinking Tweets included references to frequent or heavy drinking behaviors and wanting/needing/planning to drink alcohol. The most common sources of pro-alcohol Tweets were organic (i.e., noncommercial).

Conclusions:
Our findings highlight the need for online prevention messages about drinking to counter the strong pro-alcohol presence on Twitter. However, to enhance the impact of anti-drinking messages on Twitter, it may be prudent for such Tweets to be sent by individuals who are widely followed on Twitter and during times when heavy drinking is more likely to occur (i.e., weekends, holidays).

Purchase full article at:   http://goo.gl/kgO0kX

By:   Patricia A. Cavazos-Rehg, Ph.D.,a,* Melissa J. Krauss, M.P.H.,a Shaina J. Sowles, M.P.H.,a & Laura J. Bierut, M.D.a
Affiliations
aDepartment of Psychiatry, Washington University School of Medicine, St. Louis, Missouri
*Correspondence may be sent to Patricia A. Cavazos-Rehg at the Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Box 8134, St. Louis, MO 63110, or via email at:rehgp@psychiatry.wustl.edu.




Saturday, January 2, 2016

Establishing a Link Between Prescription Drug Abuse and Illicit Online Pharmacies: Analysis of Twitter Data

BACKGROUND:
Youth and adolescent non-medical use of prescription medications (NUPM) has become a national epidemic. However, little is known about the association between promotion of NUPM behavior and access via the popular social media microblogging site, Twitter, which is currently used by a third of all teens.

OBJECTIVE:
In order to better assess NUPM behavior online, this study conducts surveillance and analysis of Twitter data to characterize the frequency of NUPM-related tweets and also identifies illegal access to drugs of abuse via online pharmacies.

METHODS:
Tweets were collected over a 2-week period from April 1-14, 2015, by applying NUPM keyword filters for both generic/chemical and street names associated with drugs of abuse using the Twitter public streaming application programming interface. Tweets were then analyzed for relevance to NUPM and whether they promoted illegal online access to prescription drugs using a protocol of content coding and supervised machine learning.

RESULTS:
A total of 2,417,662 tweets were collected and analyzed for this study. Tweets filtered for generic drugs names comprised 232,108 tweets, including 22,174 unique associated uniform resource locators (URLs), and 2,185,554 tweets (376,304 unique URLs) filtered for street names. Applying an iterative process of manual content coding and supervised machine learning, 81.72% of the generic and 12.28% of the street NUPM datasets were predicted as having content relevant to NUPM respectively. By examining hyperlinks associated with NUPM relevant content for the generic Twitter dataset, we discovered that 75.72% of the tweets with URLs included a hyperlink to an online marketing affiliate that directly linked to an illicit online pharmacy advertising the sale of Valium without a prescription.

CONCLUSIONS:
This study examined the association between Twitter content, NUPM behavior promotion, and online access to drugs using a broad set of prescription drug keywords. Initial results are concerning, as our study found over 45,000 tweets that directly promoted NUPM by providing a URL that actively marketed the illegal online sale of prescription drugs of abuse. Additional research is needed to further establish the link between Twitter content and NUPM, as well as to help inform future technology-based tools, online health promotion activities, and public policy to combat NUPM online.

Below:  Word cloud for generic instance



Below:  Word cloud for street instance



Full article at:   http://goo.gl/JVZFyt

By:   Katsuki T1Mackey TKCuomo R.

Friday, January 1, 2016

Reality Television Programs are Associated with Illegal Drug Use and Prescription Drug Misuse among College Students

BACKGROUND:
Reality television watching and social media use are popular activities. Reality television can include mention of illegal drug use and prescription drug misuse.

OBJECTIVES:
To determine if reality television and social media use of Twitter are associated with either illegal drug use or prescription drug misuse.

METHODS:
Survey of 576 college students in 2011. Independent variables included watching reality television (social cognitive theory), parasocial interaction (parasocial interaction theory), television hours watched (cultivation theory), following a reality television character on Twitter, and demographics. Outcome variables were illegal drug use and prescription drug misuse.

RESULTS:
Watching reality television and also identifying with reality TV program characters were each associated with greater odds for illegal drug use. Also, following a reality TV character on Twitter had greater odds for illegal drug use and also in one analytical model for prescription drug misuse. No support was seen for cultivation theory. Those born in the United States had greater odds for illegal drug use and prescription drug misuse. Women and Asians had lower odds for illegal drug use. African Americans and Asians had lower odds for prescription drug misuse. 

CONCLUSIONS/IMPORTANCE
Physicians, psychologists, and other healthcare practitioners may find it useful to include questions in their clinical interview about reality television watching and Twitter use. Physician and psychology groups, public health practitioners, and government health agencies should consider discussing with television broadcasting companies the potential negative impact of including content with illegal drugs and prescription drug misuse on reality television programs.

Purchase full article at:   http://goo.gl/3ViVV4

By:   Fogel J1Shlivko A2.
1a Department of Business Management , Brooklyn College of the City University of New York , Brooklyn , New York , USA.
2b Department of Biology , Brooklyn College of the City University of New York , Brooklyn , New York , USA.
DOI:
10.3109/10826084.2015.1082593


Tuesday, December 29, 2015

#TestMeEast: A Campaign to Increase HIV Testing in Hospitals & to Reduce Late Diagnosis

Late diagnosis occurs in almost half of those diagnosed in the UK (HIV Prevention England, 2013. Retrieved June 22, 2014, from HIV Prevention England: http://www.hivpreventionengland.org.uk/Campaigns-Current/National-HIV-Testing-Week). Testing occurs mainly in sexual health and antenatal clinics despite recommendations to test more broadly 

We report the findings of an HIV-testing week campaign to offer testing to those who have blood tests as part of routine care within outpatient clinics and emergency departments of six London hospitals. The campaign target was to test 500 patients a day during the 2013 National HIV Testing Week (NHTW). Clinic staff and medical students were trained to offer routine HIV testing. Linkage to care was arranged for those who tested HIV-positive. 

During NHTW we tested 2402 of the planned 2500 test target. 2402/4317 (55.6% 95% CI 54.1-57.1%) of those who had routine blood tests were tested for HIV. There were eight HIV-positive tests; three were new diagnoses (all linked to care). The campaign hashtag #TestMeEast achieved a total Twitter "reach" of 238, 860 and the campaign had widespread news coverage. Our campaign showed that staff and students could be trained and mobilised to do thousands of routine HIV tests during a campaign.

Purchase full article at:   http://goo.gl/BVVLLG

  • 1 Barts Health NHS Trust , London , UK.
  • 2 London School of Hygiene and Tropical Medicine , London , UK.
  • 3 Positively UK , London , UK.
  • 4 HIV Medicine, Infection and Immunity , Royal London Hospital , London , UK. 


Friday, December 18, 2015

Diffusion of Messages from an Electronic Cigarette Brand to Potential Users through Twitter

Objective
This study explores the presence and actions of an electronic cigarette (e-cigarette) brand, Blu, on Twitter to observe how marketing messages are sent and diffused through the retweet (i.e., message forwarding) functionality. Retweet networks enable messages to reach additional Twitter users beyond the sender’s local network. We follow messages from their origin through multiple retweets to identify which messages have more reach, and the different users who are exposed.

Methods
We collected three months of publicly available data from Twitter. A combination of techniques in social network analysis and content analysis were applied to determine the various networks of users who are exposed to e-cigarette messages and how the retweet network can affect which messages spread.

Results
The Blu retweet network expanded during the study period. Analysis of user profiles combined with network cluster analysis showed that messages of certain topics were only circulated within a community of e-cigarette supporters, while other topics spread further, reaching more general Twitter users who may not support or use e-cigarettes.

Conclusions
Retweet networks can serve as proxy filters for marketing messages, as Twitter users decide which messages they will continue to diffuse among their followers. As certain e-cigarette messages extend beyond their point of origin, the audience being exposed expands beyond the e-cigarette community. Potential implications for health education campaigns include utilizing Twitter and targeting important gatekeepers or hubs that would maximize message diffusion.

Below:  Description of the 3-layer retweet network. (A) Layer 0 (Blu) sends the original tweet. (B) This is followed by a Layer 1 user that retweets the message. (C) Finally, a Layer 2 user retweets the retweet.



Below:  The number of users found in each category in Layer 1 and Layer 2 of the retweet network



Below:  The retweet networks of the data collected February to April of 2014.
In the rewteet network, the size of node corresponds to the number of retweets from this particular user and the width of link corresponds to the number of retweets made by the users of the ending node (y) from the users of the starting node (x). Red = Person-Supporter, Blue = Industry-RetailerManufacturer, Yellow = Person-BasicProfile, Cyan = Nonperson, Green = Industry-Other, White = Unknown, Purple = TobaccoControl-Research. (A) Includes users from Layer 1 (i.e., only those who retweeted messages by Blu) and (B) includes all users (i.e. Layer 1 and Layer 2).



Full article at:   http://goo.gl/EFCgno

By:   
Kar-Hai Chu, Jennifer B. Unger, Jon-Patrick Allem, Monica Pattarroyo, Daniel Soto, Tess Boley Cruz
Department of Preventive Medicine, University of Southern California, Los Angeles, California, United States of America

Haodong Yang, Ling Jiang, Christopher C. Yang
College of Computing and Informatics, Drexel University, Philadelphia, Pennsylvania, United States of America
 

Tuesday, December 15, 2015

Action Tweets Linked to Reduced County-Level HIV Prevalence in the United States: Online Messages and Structural Determinants

HIV is uncommon in most US counties but travels quickly through vulnerable communities when it strikes. Tracking behavior through social media may provide an unobtrusive, naturalistic means of predicting HIV outbreaks and understanding the behavioral and psychological factors that increase communities' risk. 

General action goals, or the motivation to engage in cognitive and motor activity, may support protective health behavior (e.g., using condoms) or encourage activity indiscriminately (e.g., risky sex), resulting in mixed health effects. We explored these opposing hypotheses by regressing county-level HIV prevalence on action language (e.g., work, plan) in over 150 million tweets mapped to US counties. Controlling for demographic and structural predictors of HIV, more active language was associated with lower HIV rates. 

By leveraging language used on social media to improve existing predictive models of geographic variation in HIV, future targeted HIV-prevention interventions may have a better chance of reaching high-risk communities before outbreaks occur.

Purchase full article at:    http://goo.gl/dLz3OU

By:   Ireland ME1,2Chen Q3,4Schwartz HA3,4,5Ungar LH3,4Albarracin D3,4.
  • 1Department of Psychological Sciences, Texas Tech University, MS 2051, Lubbock, TX, 79409, USA. molly.ireland@ttu.edu.
  • 2University of Illinois at Urbana-Champaign, Champaign, IL, USA. molly.ireland@ttu.edu.
  • 3University of Pennsylvania, Philadelphia, PA, USA.
  • 4University of Illinois at Urbana-Champaign, Champaign, IL, USA.
  • 5Department of Computer Sciences, Stony Brook University, Stony Brook, NY, USA. 


Tuesday, December 8, 2015

Sentiment of Emojis

There is a new generation of emoticons, called emojis, that is increasingly being used in mobile communications and social media. In the past two years, over ten billion emojis were used on Twitter. Emojis are Unicode graphic symbols, used as a shorthand to express concepts and ideas. In contrast to the small number of well-known emoticons that carry clear emotional contents, there are hundreds of emojis. But what are their emotional contents? 

We provide the first emoji sentiment lexicon, called the Emoji Sentiment Ranking, and draw a sentiment map of the 751 most frequently used emojis. The sentiment of the emojis is computed from the sentiment of the tweets in which they occur. We engaged 83 human annotators to label over 1.6 million tweets in 13 European languages by the sentiment polarity (negative, neutral, or positive). About 4% of the annotated tweets contain emojis. 

The sentiment analysis of the emojis allows us to draw several interesting conclusions. It turns out that most of the emojis are positive, especially the most popular ones. The sentiment distribution of the tweets with and without emojis is significantly different. The inter-annotator agreement on the tweets with emojis is higher. Emojis tend to occur at the end of the tweets, and their sentiment polarity increases with the distance. 

We observe no significant differences in the emoji rankings between the 13 languages and the Emoji Sentiment Ranking. Consequently, we propose our Emoji Sentiment Ranking as a European language-independent resource for automated sentiment analysis. 

Finally, the paper provides a formalization of sentiment and a novel visualization in the form of a sentiment bar.

Below:  Sentiment map of the 751 emojis. Left: negative (red), right: positive (green), top: neutral (yellow). Bubble size is proportional to log10 of the emoji occurrences in the Emoji Sentiment Ranking. Sections A, B, and C are references to the zoomed-in panels in Fig 3.



Below:  Average positions of the 751 emojis in tweets. Bubble size is proportional to log10 of the emoji occurrences in the Emoji Sentiment Ranking. Left: the beginning of tweets, right: the end of tweets, bottom: negative (red), top: positive (green).



Full article at:  http://goo.gl/mj7Ufx

By:  Petra Kralj Novak, Jasmina Smailović, Borut Sluban, Igor Mozetič
Jožef Stefan Institute, Jamova 39, 1000 Ljubljana, Slovenia




Thursday, August 13, 2015

Associations Between Exposure to and Expression of Negative Opinions About Human Papillomavirus Vaccines on Social Media: An Observational Study

Below:  The network of 30,621 users that tweeted about HPV vaccines during the period between October 2013 and April 2014 organized via heuristic so that users are closer to other users with whom they are connected. The sizes of the nodes are proportional to the number of followers within the network. Users are colored according to information exposure (orange: those exposed to a majority of negative opinions; cyan: users that were exposed to mostly neutral/positive tweets; gray: users not exposed to HPV vaccine tweets).


During the 6-month period, 25.13% (20,994/83,551) of tweets were classified as negative; among the 30,621 users that tweeted about HPV vaccines, 9046 (29.54%) were exposed to a majority of negative tweets. The likelihood of a user posting a negative tweet after exposure to a majority of negative opinions was 37.78% (2780/7361) compared to 10.92% (1234/11,296) for users who were exposed to a majority of positive and neutral tweets corresponding to a relative risk of 3.46 (95% CI 3.25-3.67, P<.001).

The heterogeneous community structure on Twitter appears to skew the information to which users are exposed in relation to HPV vaccines. We found that among users that tweeted about HPV vaccines, those who were more often exposed to negative opinions were more likely to subsequently post negative opinions. Although this research may be useful for identifying individuals and groups currently at risk of disproportionate exposure to misinformation about HPV vaccines, there is a clear need for studies capable of determining the factors that affect the formation and adoption of beliefs about public health interventions.

Read more at:   http://ht.ly/QRKMH HT @Macquarie_Uni 

Monday, July 27, 2015

Influence of Social Media on Alcohol Use in Adolescents and Young Adults

Below:  Changes in social media use among Internet users by age group




Participation in online social media Web sites (e.g., Facebook and Twitter) has skyrocketed in recent years and created a new environment in which adolescents and young adults may be exposed to and influenced by alcohol-related content. Thus, young people are exposed to and display pro-alcohol messages and images through online portrayals of drinking on personal pages as well as unregulated alcohol marketing on social media sites that may reach underage people. Such online displays of alcohol behavior have been correlated with offline alcohol behavior and risky drinking. Health behavior theories have been used to describe the influence of social media sites, including Social Learning Theory, the Media Practice Model, and a more recent conceptual approach called the Facebook Influence Model. Researchers are beginning to assess the potential of social media sites in identifying high-risk drinkers through online display patterns as well as delivering prevention messages and interventions. Future studies need to further expand existing observational work to better understand the role of social media in shaping alcohol-related behaviors and fully exploit the potential of these media for alcohol-related interventions.

Via:  http://ht.ly/Pt3c0 HT @UW