Literature DB >> 28478354

Social media indicators of the food environment and state health outcomes.

Q C Nguyen1, H Meng2, D Li3, S Kath4, M McCullough5, D Paul4, P Kanokvimankul2, T X Nguyen6, F Li4.   

Abstract

OBJECTIVES: Contextual factors can influence health through exposures to health-promoting and risk-inducing factors. The aim of this study was to (1) build, from geotagged Twitter and Yelp data, a national food environment database and (2) to test associations between state food environment indicators and health outcomes. STUDY
DESIGN: This is a cross-sectional study based upon secondary analyses of publicly available data.
METHODS: Using Twitter's Streaming Application Programming Interface (API), we collected and processed 4,041,521 food-related, geotagged tweets between April 2015 and March 2016. Using Yelp's Search API, we collected data on 505,554 unique food-related businesses. In linear regression models, we examined associations between food environment characteristics and state-level health outcomes, controlling for state-level differences in age, percent non-Hispanic white, and median household income.
RESULTS: A one standard deviation increase in caloric density of food tweets was related to higher all-cause mortality (+46.50 per 100,000), diabetes (+0.75%), obesity (+1.78%), high cholesterol (+1.40%), and fair/poor self-rated health (2.01%). More burger Yelp listings were related to higher prevalence of diabetes (+0.55%), obesity (1.35%), and fair/poor self-rated health (1.12%). More alcohol tweets and Yelp bars and pub listings were related to higher state-level binge drinking and heavy drinking, but lower mortality and lower percent reporting fair/poor self-rated health. Supplemental analyses with county-level social media indicators and county health outcomes resulted in finding similar but slightly attenuated associations compared to those found at the state level.
CONCLUSIONS: Social media can be utilized to create indicators of the food environment that are associated with area-level mortality, health behaviors, and chronic conditions.
Copyright © 2017 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Entities:  

Keywords:  Chronic disease; Data mining; Food and nutrition; Geography; Social determinants; Social media

Mesh:

Year:  2017        PMID: 28478354      PMCID: PMC5492981          DOI: 10.1016/j.puhe.2017.03.013

Source DB:  PubMed          Journal:  Public Health        ISSN: 0033-3506            Impact factor:   2.427


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