Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
skip to main content
10.1145/3543873.3587642acmconferencesArticle/Chapter ViewAbstractPublication PagesthewebconfConference Proceedingsconference-collections
research-article

A Cross-Modal Study of Pain Across Communities in the United States

Published: 30 April 2023 Publication History

Abstract

Pain is one of the most prevalent reasons for seeking medical attention in the United States. Understanding how different communities report and express pain can aid in directing medical efforts and in advancing precision pain management. Using a large-scale self-report survey data set on pain from Gallup (2.5 million surveys) and social media posts from Twitter (1.8 million tweets), we investigate a) if Twitter posts could predict community-level pain and b) how expressions of pain differ across communities in the United States. Beyond observing an improvement of over 9% (in Pearson r) when using Twitter language over demographics to predict community-level pain, our study reveals that the discourse on pain varied significantly across communities in the United States. Evangelical Hubs frequently post about God, lessons from struggle, and prayers when expressing pain, whereas Working Class Country posts about regret and extreme endurance. Academic stresses, injuries, painkillers, and surgeries were the most commonly discussed pain themes in College Towns; Graying America discussed therapy, used emotional language around empathy and anger, and posted about chronic pain treatment; the African American South posted about struggles, patience, and faith when talking about pain. Our study demonstrates the efficacy of using Twitter to predict survey-based self-reports of pain across communities and has implications in aiding community-focused pain management interventions.

References

[1]
Rediet Abebe, Salvatore Giorgi, Anna Tedijanto, Anneke Buffone, and H. Andrew Schwartz. 2020. Quantifying Community Characteristics of Maternal Mortality Using Social Media. In The World Wide Web Conference.
[2]
Mohammad Al-Harthy, Richard Ohrbach, A Michelotti, and Thomas List. 2016. The effect of culture on pain sensitivity. Journal of oral rehabilitation 43, 2 (2016), 81–88.
[3]
Cecilia Åslund, Bengt Starrin, and Kent W Nilsson. 2010. Social capital in relation to depression, musculoskeletal pain, and psychosomatic symptoms: a cross-sectional study of a large population-based cohort of Swedish adolescents. BMC Public Health 10, 1 (2010), 1–10.
[4]
Yoav Benjamini and Yosef Hochberg. 1995. Controlling the false discovery rate: a practical and powerful approach to multiple testing. Journal of the Royal statistical society: series B (Methodological) 57, 1 (1995), 289–300. https://rss.onlinelibrary.wiley.com/doi/abs/10.1111/j.2517-6161.1995.tb02031.x
[5]
David M Blei, Andrew Y Ng, and Michael I Jordan. 2003. Latent dirichlet allocation. Journal of machine Learning research 3, Jan (2003), 993–1022.
[6]
Claudia M Campbell and Robert R Edwards. 2012. Ethnic differences in pain and pain management. Pain management 2, 3 (2012), 219–230.
[7]
Anne Case and Angus Deaton. 2015. Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences 112, 49 (2015), 15078–15083.
[8]
Anne Case, Angus Deaton, and Arthur A Stone. 2020. Decoding the mystery of American pain reveals a warning for the future. Proceedings of the National Academy of Sciences 117, 40 (2020), 24785–24789.
[9]
Dante Chinni and Ari Pinkus. 2019. A New Portrait of Rural America. American Communities Project (2019).
[10]
David R Cox. 1958. The regression analysis of binary sequences. Journal of the Royal Statistical Society: Series B (Methodological) 20, 2 (1958), 215–232.
[11]
Jesse Cui, Tingdan Zhang, Kokil Jaidka, Dandan Pang, Garrick Sherman, Vinit Jakhetiya, Lyle H Ungar, and Sharath Chandra Guntuku. 2022. Social Media Reveals Urban-Rural Differences in Stress across China. In Proceedings of the International AAAI Conference on Web and Social Media, Vol. 16. 114–124.
[12]
David C Currow, Jane Phillips, and Katherine Clark. 2016. Using opioids in general practice for chronic non-cancer pain: an overview of current evidence. Medical Journal of Australia 204, 8 (2016), 305–309.
[13]
James Gimpel Dante Chinni. 2011. Our Patchwork Nation: The Surprising Truth about the” Real” America. Penguin, New York, NY, USA.
[14]
Munmun De Choudhury, Scott Counts, and Eric Horvitz. 2013. Social media as a measurement tool of depression in populations. In Proceedings of the 5th annual ACM web science conference. 47–56.
[15]
Colette M DeMonte, William D DeMonte, and Beverly E Thorn. 2015. Future implications of eHealth interventions for chronic pain management in underserved populations. Pain management 5, 3 (2015), 207–214.
[16]
Matthew R DeVerna, Francesco Pierri, Bao Tran Truong, John Bollenbacher, David Axelrod, Niklas Loynes, Christopher Torres-Lugo, Kai-Cheng Yang, Filippo Menczer, and John Bryden. 2021. CoVaxxy: A Collection of English-Language Twitter Posts About COVID-19 Vaccines. In ICWSM. 992–999.
[17]
Adam G Dunn, Kenneth D Mandl, and Enrico Coiera. 2018. Social media interventions for precision public health: promises and risks. NPJ digital medicine 1, 1 (2018), 1–4.
[18]
Christopher L Edwards, Roger B Fillingim, and Francis Keefe. 2001. Race, ethnicity and pain. Pain 94, 2 (2001), 133–137.
[19]
Johannes C Eichstaedt, H Andrew Schwartz, Margaret L Kern, Gregory Park, Darwin R Labarthe, Raina M Merchant, Sneha Jha, Megha Agrawal, Lukasz A Dziurzynski, Maarten Sap, Christopher Weeg, Emily E Larson, Lyle H Ungar, and Martin EP Seligman. 2015. Psychological language on Twitter predicts county-level heart disease mortality. Psychological Science 26 (2015), 159–169. Issue 2.
[20]
Johannes C Eichstaedt, Garrick T Sherman, Salvatore Giorgi, Steven O Roberts, Megan E Reynolds, Lyle H Ungar, and Sharath Chandra Guntuku. 2021. The emotional and mental health impact of the murder of George Floyd on the US population. Proceedings of the National Academy of Sciences 118, 39 (2021), e2109139118.
[21]
Stephen E Fienberg 1970. An iterative procedure for estimation in contingency tables. The Annals of Mathematical Statistics 41, 3 (1970), 907–917.
[22]
Krzysztof Fiok, Waldemar Karwowski, Edgar Gutierrez, Maham Saeidi, Awad M Aljuaid, Mohammad Reza Davahli, Redha Taiar, Tadeusz Marek, and Ben D Sawyer. 2021. A study of the effects of the COVID-19 pandemic on the experience of back pain reported on Twitter® in the United States: a natural language processing approach. International Journal of Environmental Research and Public Health 18, 09 (2021), 4543.
[23]
Mary Moore Free. 2002. Cross-cultural conceptions of pain and pain control. In Baylor University Medical Center Proceedings, Vol. 15. Taylor & Francis, 143–145.
[24]
Pierre Geurts, Damien Ernst, and Louis Wehenkel. 2006. Extremely randomized trees. Machine learning 63, 1 (2006), 3–42.
[25]
Joseph Gibbons, Robert Malouf, Brian Spitzberg, Lourdes Martinez, Bruce Appleyard, Caroline Thompson, Atsushi Nara, and Ming-Hsiang Tsou. 2019. Twitter-based measures of neighborhood sentiment as predictors of residential population health. PloS one 14, 7 (2019), e0219550.
[26]
Salvatore Giorgi, Sharath Chandra Guntuku, Mckenzie Himelein-Wachowiak, Amy Kwarteng, Sy Hwang, Muhammad Rahman, and Brenda Curtis. 2022. Twitter Corpus of the #BlackLivesMatter Movement and Counter Protests: 2013 to 2021. Proceedings of the International AAAI Conference on Web and Social Media 16, 1 (May 2022), 1228–1235. https://ojs.aaai.org/index.php/ICWSM/article/view/19373
[27]
Salvatore Giorgi, Khoa Le Nguyen, Johannes C Eichstaedt, Margaret L Kern, David B Yaden, Michal Kosinski, Martin EP Seligman, Lyle H Ungar, H Andrew Schwartz, and Gregory Park. 2021. Regional personality assessment through social media language. Journal of Personality (2021).
[28]
Salvatore Giorgi, Daniel Preotiuc-Pietro, Anneke Buffone, Daniel Rieman, Lyle H. Ungar, and H. Andrew Schwartz. 2018. The Remarkable Benefit of User-Level Aggregation for Lexical-based Population-Level Predictions. In Proceedings of the 2018 Conference on Empirical Methods in Natural Language Processing.
[29]
Salvatore Giorgi, David B Yaden, Johannes C Eichstaedt, Robert D Ashford, Anneke EK Buffone, H Andrew Schwartz, Lyle H Ungar, and Brenda Curtis. 2020. Cultural Differences in Tweeting about Drinking Across the US. International Journal of Environmental Research and Public Health 17, 4 (2020), 1125.
[30]
Heather Griffis, David A Asch, H Andrew Schwartz, Lyle Ungar, Alison M Buttenheim, Frances K Barg, Nandita Mitra, Raina M Merchant, 2020. Using social media to track geographic variability in language about diabetes: Infodemiology analysis. JMIR diabetes 5, 1 (2020), e14431.
[31]
Sharath Chandra Guntuku, Anneke Buffone, Kokil Jaidka, Johannes C Eichstaedt, and Lyle H Ungar. 2019. Understanding and measuring psychological stress using social media. In Proceedings of the International AAAI Conference on Web and Social Media, Vol. 13. 214–225.
[32]
Sharath Chandra Guntuku, Garrick Sherman, Daniel C Stokes, Anish K Agarwal, Emily Seltzer, Raina M Merchant, and Lyle H Ungar. 2020. Tracking mental health and symptom mentions on Twitter during COVID-19. Journal of general internal medicine 35, 9 (2020), 2798–2800.
[33]
Laura Hawks, Candace Cosgrove, Mathew Neiman, Brita Roy, Christopher Wildeman, Sean Coady, and Emily A Wang. 2020. Five-Year Mortality among Americans Incarcerated in Privatized Versus Public Prisons: the Mortality Disparities in American Communities Project. Journal of General Internal Medicine (2020), 1–4.
[34]
N Heaivilin, B Gerbert, JE Page, and JL Gibbs. 2011. Public health surveillance of dental pain via Twitter. Journal of dental research 90, 9 (2011), 1047–1051.
[35]
Tin Kam Ho. 1995. Random decision forests. In Proceedings of 3rd international conference on document analysis and recognition, Vol. 1. IEEE, 278–282.
[36]
Kokil Jaidka, Salvatore Giorgi, H Andrew Schwartz, Margaret L Kern, Lyle H Ungar, and Johannes C Eichstaedt. 2020. Estimating geographic subjective well-being from Twitter: A comparison of dictionary and data-driven language methods. Proceedings of the National Academy of Sciences 117, 19 (2020), 10165–10171.
[37]
Kokil Jaidka, Sharath Guntuku, and Lyle Ungar. 2018. Facebook versus Twitter: Differences in self-disclosure and trait prediction. In Proceedings of the International AAAI Conference on Web and Social Media, Vol. 12.
[38]
Kenneth Jay and Lars L Andersen. 2018. Can high social capital at the workplace buffer against stress and musculoskeletal pain?: Cross-sectional study. Medicine 97, 12 (2018).
[39]
Dan Jones. 2010. A WEIRD view of human nature skews psychologists’ studies.
[40]
Dan Jurafsky, Victor Chahuneau, Bryan R Routledge, and Noah A Smith. 2014. Narrative framing of consumer sentiment in online restaurant reviews. First Monday (2014).
[41]
Mingyang Li, Louis Hickman, Louis Tay, Lyle Ungar, and Sharath Chandra Guntuku. 2020. Studying politeness across cultures using English Twitter and Mandarin Weibo. Proceedings of the ACM on Human-Computer Interaction 4, CSCW2 (2020), 1–15.
[42]
Yuchen Li, Ayaz Hyder, Lauren T Southerland, Gretchen Hammond, Adam Porr, and Harvey J Miller. 2020. 311 service requests as indicators of neighborhood distress and opioid use disorder. Scientific reports 10, 1 (2020), 1–11.
[43]
John Logan. 2006. Population displacement and post-Katrina politics: The New Orleans mayoral race, 2006. American Communities Project (2006).
[44]
Bertha K Madras. 2017. The surge of opioid use, addiction, and overdoses: responsibility and response of the US health care system. JAMA psychiatry 74, 5 (2017), 441–442.
[45]
Samantha M Meints, Alejandro Cortes, Calia A Morais, and Robert R Edwards. 2019. Racial and ethnic differences in the experience and treatment of noncancer pain. Pain management 9, 3 (2019), 317–334.
[46]
Ronald Melzack. 1990. The tragedy of needless pain. Scientific American 262, 2 (1990), 27–33.
[47]
Raina M Merchant, Eugenia C South, and Nicole Lurie. 2021. Public health messaging in an era of social media. Jama 325, 3 (2021), 223–224.
[48]
Lewis Mitchell, Morgan R Frank, Kameron Decker Harris, Peter Sheridan Dodds, and Christopher M Danforth. 2013. The geography of happiness: Connecting twitter sentiment and expression, demographics, and objective characteristics of place. PloS one 8, 5 (2013), e64417.
[49]
Feng Nan, Ran Ding, Ramesh Nallapati, and Bing Xiang. 2019. Topic modeling with wasserstein autoencoders. arXiv preprint arXiv:1907.12374 (2019).
[50]
International Pain Summit of the International Association for the Study of Pain 2011. Declaration of Montréal: declaration that access to pain management is a fundamental human right. Journal of pain & palliative care pharmacotherapy 25, 1 (2011), 29–31.
[51]
Cara Ostrom, Eric Bair, William Maixner, Ronald Dubner, Roger B Fillingim, Richard Ohrbach, Gary D Slade, and Joel D Greenspan. 2017. Demographic predictors of pain sensitivity: results from the OPPERA study. The Journal of Pain 18, 3 (2017), 295–307.
[52]
James W Pennebaker, Ryan L Boyd, Kayla Jordan, and Kate Blackburn. 2015. The development and psychometric properties of LIWC2015. Technical Report.
[53]
Mark H Pitcher, Michael Von Korff, M Catherine Bushnell, and Linda Porter. 2019. Prevalence and profile of high-impact chronic pain in the United States. The Journal of Pain 20, 2 (2019), 146–160.
[54]
Stanley Rachman and Arnold Arntz. 1991. The overprediction and underprediction of pain. Clinical Psychology Review 11, 4 (1991), 339–355.
[55]
Fatemeh Ramezani, Bijan Riazi Farzad, and Atousa Janzadeh. 2021. Personalized Pain Medicine: Turning Theory into Policy. Archives of Neuroscience 8, 4 (2021).
[56]
Radim Rehurek and Petr Sojka. 2010. Software framework for topic modelling with large corpora. In In Proceedings of the LREC 2010 workshop on new challenges for NLP frameworks. Citeseer.
[57]
Koustuv Saha, John Torous, Eric D Caine, Munmun De Choudhury, 2020. Psychosocial effects of the COVID-19 pandemic: large-scale quasi-experimental study on social media. Journal of medical internet research 22, 11 (2020), e22600.
[58]
Hansen Schwartz, Johannes Eichstaedt, Margaret Kern, Lukasz Dziurzynski, Richard Lucas, Megha Agrawal, Gregory Park, Shrinidhi Lakshmikanth, Sneha Jha, Martin Seligman, 2013. Characterizing geographic variation in well-being using tweets. In Proceedings of the International AAAI Conference on Web and Social Media, Vol. 7. 583–591.
[59]
H Andrew Schwartz, Salvatore Giorgi, Maarten Sap, Patrick Crutchley, Lyle Ungar, and Johannes Eichstaedt. 2017. Dlatk: Differential language analysis toolkit. In Proceedings of the 2017 conference on empirical methods in natural language processing: System demonstrations. 55–60.
[60]
Vickie L Shavers, Alexis Bakos, and Vanessa B Sheppard. 2010. Race, ethnicity, and pain among the US adult population. Journal of health care for the poor and underserved 21, 1 (2010), 177–220.
[61]
Shaheen Syed and Marco Spruit. 2017. Full-text or abstract? examining topic coherence scores using latent dirichlet allocation. In 2017 IEEE International conference on data science and advanced analytics (DSAA). IEEE, 165–174.
[62]
Patrick J Tighe, Ryan C Goldsmith, Michael Gravenstein, H Russell Bernard, and Roger B Fillingim. 2015. The painful tweet: text, sentiment, and community structure analyses of tweets pertaining to pain. Journal of medical Internet research 17, 4 (2015), e84.
[63]
Sacide Yildizeli Topcu. 2018. Relations among pain, pain beliefs, and psychological well-being in patients with chronic pain. Pain Management Nursing 19, 6 (2018), 637–644.
[64]
Dennis C Turk and Ronald Melzack. 2011. The measurement of pain and the assessment of people experiencing pain. (2011).
[65]
Emily O Wakefield, William T Zempsky, Rebecca M Puhl, and Mark D Litt. 2018. Conceptualizing pain-related stigma in adolescent chronic pain: A literature review and preliminary focus group findings. Pain reports 3, Suppl 1 (2018).
[66]
Tao Wang, Markus Brede, Antonella Ianni, and Emmanouil Mentzakis. 2017. Detecting and characterizing eating-disorder communities on social media. In Proceedings of the Tenth ACM International conference on web search and data mining. 91–100.
[67]
George Ward, Jan-Emmanuel De Neve, Lyle H Ungar, and Johannes C Eichstaedt. 2021. (Un) happiness and voting in US presidential elections.Journal of personality and social psychology 120, 2 (2021), 370.
[68]
Timothy H Wideman, Robert R Edwards, David M Walton, Marc O Martel, Anne Hudon, and David A Seminowicz. 2019. The multimodal assessment model of pain: a novel framework for further integrating the subjective pain experience within research and practice. The Clinical journal of pain 35, 3 (2019), 212.
[69]
Steven H Woolf and Heidi Schoomaker. 2019. Life expectancy and mortality rates in the United States, 1959-2017. Jama 322, 20 (2019), 1996–2016.
[70]
R Jason Yong, Peter M Mullins, and Neil Bhattacharyya. 2022. Prevalence of chronic pain among adults in the United States. Pain 163, 2 (2022), e328–e332.
[71]
Mohammadzaman Zamani, H. Andrew Schwartz, Johannes Eichstaedt, Sharath Chandra Guntuku, Adithya Virinchipuram Ganesan, Sean Clouston, and Salvatore Giorgi. 2020. Understanding Weekly COVID-19 Concerns through Dynamic Content-Specific LDA Topic Modeling. In Proceedings of the Fourth Workshop on Natural Language Processing and Computational Social Science. Association for Computational Linguistics, Online, 193–198. https://www.aclweb.org/anthology/2020.nlpcss-1.21

Cited By

View all
  • (2024)Am I Hurt?: Evaluating Psychological Pain Detection in Hindi Text Using Transformer-based ModelsACM Transactions on Asian and Low-Resource Language Information Processing10.1145/365020623:8(1-17)Online publication date: 5-Mar-2024

Recommendations

Comments

Information & Contributors

Information

Published In

cover image ACM Conferences
WWW '23 Companion: Companion Proceedings of the ACM Web Conference 2023
April 2023
1567 pages
ISBN:9781450394192
DOI:10.1145/3543873
Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

Sponsors

Publisher

Association for Computing Machinery

New York, NY, United States

Publication History

Published: 30 April 2023

Permissions

Request permissions for this article.

Check for updates

Author Tags

  1. American communities
  2. natural language processing
  3. pain
  4. social media

Qualifiers

  • Research-article
  • Research
  • Refereed limited

Funding Sources

Conference

WWW '23
Sponsor:
WWW '23: The ACM Web Conference 2023
April 30 - May 4, 2023
TX, Austin, USA

Acceptance Rates

Overall Acceptance Rate 1,899 of 8,196 submissions, 23%

Contributors

Other Metrics

Bibliometrics & Citations

Bibliometrics

Article Metrics

  • Downloads (Last 12 months)32
  • Downloads (Last 6 weeks)3
Reflects downloads up to 18 Feb 2025

Other Metrics

Citations

Cited By

View all
  • (2024)Am I Hurt?: Evaluating Psychological Pain Detection in Hindi Text Using Transformer-based ModelsACM Transactions on Asian and Low-Resource Language Information Processing10.1145/365020623:8(1-17)Online publication date: 5-Mar-2024

View Options

Login options

View options

PDF

View or Download as a PDF file.

PDF

eReader

View online with eReader.

eReader

HTML Format

View this article in HTML Format.

HTML Format

Figures

Tables

Media

Share

Share

Share this Publication link

Share on social media