Academic Journal
Investigation of Geographic and Macrolevel Variations in LGBTQ Patient Experiences: Longitudinal Social Media Analysis
| Title: | Investigation of Geographic and Macrolevel Variations in LGBTQ Patient Experiences: Longitudinal Social Media Analysis |
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| Authors: | Hswen, Yulin, Zhang, Amanda, Sewalk, Kara C, Tuli, Gaurav, Brownstein, John S, Hawkins, Jared B |
| Source: | Journal of Medical Internet Research, Vol 22, Iss 7, p e17087 (2020) |
| Publisher Information: | JMIR Publications, 2020. |
| Publication Year: | 2020 |
| Collection: | LCC:Computer applications to medicine. Medical informatics LCC:Public aspects of medicine |
| Subject Terms: | Computer applications to medicine. Medical informatics, R858-859.7, Public aspects of medicine, RA1-1270 |
| More Details: | BackgroundDiscrimination in the health care system contributes to worse health outcomes among lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. ObjectiveThe aim of this study is to examine disparities in patient experience among LGBTQ persons using social media data. MethodsWe collected patient experience data from Twitter from February 2013 to February 2017 in the United States. We compared the sentiment of patient experience tweets between Twitter users who self-identified as LGBTQ and non-LGBTQ. The effect of state-level partisan identity on patient experience sentiment and differences between LGBTQ users and non-LGBTQ users were analyzed. ResultsWe observed lower (more negative) patient experience sentiment among 13,689 LGBTQ users compared to 1,362,395 non-LGBTQ users. Increasing state-level liberal political identification was associated with higher patient experience sentiment among all users but had stronger effects for LGBTQ users. ConclusionsOur findings highlight that social media data can yield insights about patient experience for LGBTQ persons and suggest that a state-level sociopolitical environment influences patient experience for this group. Efforts are needed to reduce disparities in patient care for LGBTQ persons while taking into context the effect of the political climate on these inequities. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1438-8871 |
| Relation: | http://www.jmir.org/2020/7/e17087/; https://doaj.org/toc/1438-8871 |
| DOI: | 10.2196/17087 |
| Access URL: | https://doaj.org/article/a5e4aa0ad4cf409baf8c67650a4f3560 |
| Accession Number: | edsdoj.5e4aa0ad4cf409baf8c67650a4f3560 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 14388871 |
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| DOI: | 10.2196/17087 |
| Published in: | Journal of Medical Internet Research |
| Language: | English |