Several projects have shown the feasibility to use textual social media data to track public health concerns, such as temporal influenza patterns or geographical obesity patterns. In this paper, we look at whether geo-tagged images from Instagram also provide a viable data source. Especially for "lifestyle" diseases, such as obesity, drinking or smoking, images of social gatherings could provide information that is not necessarily shared in, say, tweets. In this study, we explore whether (i) tags provided by the users and (ii) annotations obtained via automatic image tagging are indeed valuable for studying public health. We find that both user-provided and machine-generated tags provide information that can be used to infer a county's health statistics. Whereas for most statistics user-provided tags are better features, for predicting excessive drinking machine-generated tags such as "liquid" and "glass" yield better models. This hints at the potential of using machine-generated tags to study substance abuse.
Culotta @cite_21 and @cite_9 used Twitter in conjunction with psychometric lexicons such as LIWC and PERMA to predict county-level health statistics such as obesity, teen pregnancy and diabetes. @cite_6 make use of Twitter data to identify health related topics and use these to characterize the discussion of health online. @cite_11 use Foursquare and Instagram images to study food consumption patterns in the US, and find a correlation between obesity and fast food restaurants.
@cite_9 @cite_21 @cite_6 @cite_11
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Food is an integral part of our lives, cultures, and well-being, and is of major interest to public health. The collection of daily nutritional data involves keeping detailed diaries or periodic surveys and is limited in scope and reach. Alternatively, social media is infamous for allowing its users to update the world on the minutiae of their daily lives, including their eating habits. In this work we examine the potential of Twitter to provide insight into US-wide dietary choices by linking the tweeted dining experiences of 210K users to their interests, demographics, and social networks. We validate our approach by relating the caloric values of the foods mentioned in the tweets to the state-wide obesity rates, achieving a Pearson correlation of 0.77 across the 50 US states and the District of Columbia. We then build a model to predict county-wide obesity and diabetes statistics based on a combination of demographic variables and food names mentioned on Twitter. Our results show significant improvement over previous CHI research (Culotta 2014). We further link this data to societ al and economic factors, such as education and income, illustrating that areas with higher education levels tweet about food that is significantly less caloric. Finally, we address the somewhat controversial issue of the social nature of obesity (Christakis & Fowler 2007) by inducing two social networks using mentions and reciprocal following relationships. Understanding the relationships among environment, behavior, and health is a core concern of public health researchers. While a number of recent studies have investigated the use of social media to track infectious diseases such as influenza, little work has been done to determine if other health concerns can be inferred. In this paper, we present a large-scale study of 27 health-related statistics, including obesity, health insurance coverage, access to healthy foods, and teen birth rates. We perform a linguistic analysis of the Twitter activity in the top 100 most populous counties in the U.S., and find a significant correlation with 6 of the 27 health statistics. When compared to traditional models based on demographic variables alone, we find that augmenting models with Twitter-derived information improves predictive accuracy for 20 of 27 statistics, suggesting that this new methodology can complement existing approaches. Abstract Social media provide a platform for users to express their opinions and share information. Understanding public health opinions on social media, such as Twitter, offers a unique approach to characterizing common health issues such as diabetes, diet, exercise, and obesity (DDEO); however, collecting and analyzing a large scale conversational public health data set is a challenging research task. The goal of this research is to analyze the characteristics of the general public's opinions in regard to diabetes, diet, exercise and obesity (DDEO) as expressed on Twitter. A multi-component semantic and linguistic framework was developed to collect Twitter data, discover topics of interest about DDEO, and analyze the topics. From the extracted 4.5 million tweets, 8 of tweets discussed diabetes, 23.7 diet, 16.6 exercise, and 51.7 obesity. The strongest correlation among the topics was determined between exercise and obesity ( p p p Analyzing user messages in social media can measure different population characteristics, including public health measures. For example, recent work has correlated Twitter messages with influenza rates in the United States; but this has largely been the extent of mining Twitter for public health. In this work, we consider a broader range of public health applications for Twitter. We apply the recently introduced Ailment Topic Aspect Model to over one and a half million health related tweets and discover mentions of over a dozen ailments, including allergies, obesity and insomnia. We introduce extensions to incorporate prior knowledge into this model and apply it to several tasks: tracking illnesses over times (syndromic surveillance), measuring behavioral risk factors, localizing illnesses by geographic region, and analyzing symptoms and medication usage. We show quantitative correlations with public health data and qualitative evaluations of model output. Our results suggest that Twitter has broad applicability for public health research.