Mapping and Modeling of Discussions Related to Gastrointestinal Discomfort in French-Speaking Online Forums: Results of a 15-Year Retrospective Infodemiology Study

Autor: Matthieu Najm, Guy Fagherazzi, Carole Faviez, P. Foulquié, Paméla Voillot, Florent Schäfer, Jean-François Jeanne, Boris Le Nevé, Stéphane Schück
Přispěvatelé: Danone Nutricia Research [Utrecht], Kappa, Centre de recherche en épidémiologie et santé des populations (CESP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), Luxembourg Institute of Health (LIH), Faviez, Carole, Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Adult
Male
Topic model
Time Factors
Gastrointestinal Diseases
social media
[SHS.INFO]Humanities and Social Sciences/Library and information sciences
Applied psychology
topic modeling
Health Informatics
lcsh:Computer applications to medicine. Medical informatics
Latent Dirichlet allocation
infodemiology
[SHS.INFO] Humanities and Social Sciences/Library and information sciences
Infodemiology
Young Adult
03 medical and health sciences
symbols.namesake
0302 clinical medicine
Quality of life
gastrointestinal discomfort
Humans
Social media
030212 general & internal medicine
Everyday life
Language
Retrospective Studies
Original Paper
Internet
lcsh:Public aspects of medicine
lcsh:RA1-1270
Middle Aged
Causality
Telemedicine
disorders of gut-brain interactions
[SDV.AEN] Life Sciences [q-bio]/Food and Nutrition
Identification (information)
Quality of Life
symbols
lcsh:R858-859.7
Female
030211 gastroenterology & hepatology
Psychology
[SDV.AEN]Life Sciences [q-bio]/Food and Nutrition
Zdroj: Journal of Medical Internet Research
Journal of Medical Internet Research, JMIR Publications, 2020, 22, ⟨10.2196/17247⟩
Journal of Medical Internet Research, Vol 22, Iss 11, p e17247 (2020)
ISSN: 1438-8871
DOI: 10.2196/17247⟩
Popis: Background Gastrointestinal (GI) discomfort is prevalent and known to be associated with impaired quality of life. Real-world information on factors of GI discomfort and solutions used by people is, however, limited. Social media, including online forums, have been considered a new source of information to examine the health of populations in real-life settings. Objective The aims of this retrospective infodemiology study are to identify discussion topics, characterize users, and identify perceived determinants of GI discomfort in web-based messages posted by users of French social media. Methods Messages related to GI discomfort posted between January 2003 and August 2018 were extracted from 14 French-speaking general and specialized publicly available online forums. Extracted messages were cleaned and deidentified. Relevant medical concepts were determined on the basis of the Medical Dictionary for Regulatory Activities and vernacular terms. The identification of discussion topics was carried out by using a correlated topic model on the basis of the latent Dirichlet allocation. A nonsupervised clustering algorithm was applied to cluster forum users according to the reported symptoms of GI discomfort, discussion topics, and activity on online forums. Users’ age and gender were determined by linear regression and application of a support vector machine, respectively, to characterize the identified clusters according to demographic parameters. Perceived factors of GI discomfort were classified by a combined method on the basis of syntactic analysis to identify messages with causality terms and a second topic modeling in a relevant segment of phrases. Results A total of 198,866 messages associated with GI discomfort were included in the analysis corpus after extraction and cleaning. These messages were posted by 36,989 separate web users, most of them being women younger than 40 years. Everyday life, diet, digestion, abdominal pain, impact on the quality of life, and tips to manage stress were among the most discussed topics. Segmentation of users identified 5 clusters corresponding to chronic and acute GI concerns. Diet topic was associated with each cluster, and stress was strongly associated with abdominal pain. Psychological factors, food, and allergens were perceived as the main causes of GI discomfort by web users. Conclusions GI discomfort is actively discussed by web users. This study reveals a complex relationship between food, stress, and GI discomfort. Our approach has shown that identifying web-based discussion topics associated with GI discomfort and its perceived factors is feasible and can serve as a complementary source of real-world evidence for caregivers.
Databáze: OpenAIRE