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. By aggregating self-reported health statuses across millions of users, we seek to characterize the variety of health information discussed in Twitter. We describe a topic modeling framework for discovering health topics in Twitter, a social media website. This is an exploratory approach with the goal of understanding what health topics are commonly discussed in social media. This paper describes in detail a statistical topic model created for this purpose, the Ailment Topic Aspect Model (ATAM), as well as our system for filtering general Twitter data based on health keywords and supervised classification. We show how ATAM and other topic models can automatically infer health topics in 144 million Twitter messages from 2011 to 2013. ATAM discovered 13 coherent clusters of Twitter messages, some of which correlate with seasonal influenza (r = 0.689) and allergies (r = 0.810) temporal surveillance data, as well as exercise (r = .534) and obesity (r = −.631) related geographic survey data in the United States. These results demonstrate that it is possible to automatically discover topics that attain statistically significant correlations with ground truth data, despite using minimal human supervision and no historical data to train the model, in contrast to prior work. Additionally, these results demonstrate that a single general-purpose model can identify many different health topics in social media. We present a large-scale analysis of Instagram pictures taken at 164,753 restaurants by millions of users. Motivated by the obesity epidemic in the United States, our aim is three-fold: (i) to assess the relationship between fast food and chain restaurants and obesity, (ii) to better understand people's thoughts on and perceptions of their daily dining experiences, and (iii) to reveal the nature of social reinforcement and approval in the context of dietary health on social media. When we correlate the prominence of fast food restaurants in US counties with obesity, we find the Foursquare data to show a greater correlation at 0.424 than official survey data from the County Health Rankings would show. Our analysis further reveals a relationship between small businesses and local foods with better dietary health, with such restaurants getting more attention in areas of lower obesity. However, even in such areas, social approval favors the unhealthy foods high in sugar, with donut shops producing the most liked photos. Thus, the dietary landscape our study reveals is a complex ecosystem, with fast food playing a role alongside social interactions and personal perceptions, which often may be at odds.