Exploring discussions of health and risk and public sentiment in Massachusetts during COVID-19 pandemic mandate implementation: A Twitter analysis.

As policies are adjusted throughout the COVID-19 pandemic according to public health best practices, there is a need to balance the importance of social distancing in preventing viral spread with the strain that these governmental public safety mandates put on public mental health. Thus, there is need for continuous observation of public sentiment and deliberation to inform further adaptation of mandated interventions. In this study, we explore how public response may be reflected in Massachusetts (MA) via social media by specifically exploring temporal patterns in Twitter posts (tweets) regarding sentiment and discussion of topics. We employ interrupted time series centered on (1) Massachusetts State of Emergency declaration (March 10), (2) US State of Emergency declaration (March 13) and (3) Massachusetts public school closure (March 17) to explore changes in tweet sentiment polarity (net negative/positive), expressed anxiety and discussion on risk and health topics on a random subset of all tweets coded within Massachusetts and published from January 1 to May 15, 2020 (n = 2.8 million). We find significant differences between tweets published before and after mandate enforcement for Massachusetts State of Emergency (increased discussion of risk and health, decreased polarity and increased anxiety expression), US State of Emergency (increased discussion of risk and health, and increased anxiety expression) and Massachusetts public school closure (increased discussion of risk and decreased polarity). Our work further validates that Twitter data is a reasonable way to monitor public sentiment and discourse within a crisis, especially in conjunction with other observation data.