Evidence map›Paper›PMID 33137713›Full record

ArticleJournal of medical Internet research2020

Investigation of Geographic and Macrolevel Variations in LGBTQ Patient Experiences: Longitudinal Social Media Analysis.

Yulin Hswen, Amanda Zhang, Kara C Sewalk, Gaurav Tuli, John S Brownstein, Jared B Hawkins

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 16 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Yulin HswenBakar Computational Health Sciences Institute, Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, United States.ORCID 0000-0003-3203-1322
Amanda ZhangInnovation Program, Boston Children's Hospital, Boston, MA, United States.ORCID 0000-0002-1639-8856
Kara C SewalkInnovation Program, Boston Children's Hospital, Boston, MA, United States.ORCID 0000-0002-2917-0869
Gaurav TuliInnovation Program, Boston Children's Hospital, Boston, MA, United States.ORCID 0000-0002-5626-7463
John S BrownsteinComputational Epidemiology Lab, Harvard Medical School, Boston, MA, United States.ORCID 0000-0001-8568-5317
Jared B HawkinsComputational Epidemiology Lab, Harvard Medical School, Boston, MA, United States.ORCID 0000-0002-6352-1618
Boston Children's Hospital · USHarvard University · US

Funding

TrainingU54HG007963 · NHGRI · HARVARD MEDICAL SCHOOL · PI KOHANE, ISAAC S. · 2014 to 2018
$18.3M
NHGRI NIH HHS U54 HG007963
6 · The paper itself

Abstract

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.

Indexed as

AdultFemaleHealthcare DisparitiesHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial Mediadigital healthhealth care disparitieshealth care qualityinfodemiologyLGBTQsentiment analysissexual and gender minoritiessocial media

Identifiers

PMID33137713
PMCPMC7428906
OpenAlexW3018948354

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.