State-level Google search volumes for neck and shoulder pain correlate with psychosocial and behavioral health indicators.


Journal

Journal of the National Medical Association
ISSN: 1943-4693
Titre abrégé: J Natl Med Assoc
Pays: United States
ID NLM: 7503090

Informations de publication

Date de publication:
Oct 2021
Historique:
received: 27 01 2021
revised: 22 03 2021
accepted: 05 04 2021
pubmed: 9 5 2021
medline: 25 11 2021
entrez: 8 5 2021
Statut: ppublish

Résumé

There is growing interest in passively-generated online search data for health sciences research, but limited use to address musculoskeletal illness. (1) To determine geographic and seasonal patterns in Google queries for shoulder, knee, hip, and neck pain across the United States, and (2) to quantify the state-level correlation of the volume of online symptom searches with rates of various population health indicators. Using Google trends, we identified queries for shoulder, knee, hip, and neck pain in every state of the United States during 2018. We assessed the correlation of state-level Google search volumes with 9 population health indicators extracted from the 2018 Behavioral Risk Factor Surveillance System survey: tobacco use, obesity, diabetes, hyperlipidemia, depression, arthritis, cardiovascular disease, participation in physical activities, and college education. Neck and shoulder pain were the most common queries in most Southern states, while knee pain was generally the top query elsewhere. Queries for neck and shoulder pain peaked during the late fall and winter, while searches for knee and hip pain peaked in the spring. State-level search volumes for shoulder and neck pain correlated closely with all health indicators--particularly with tobacco use, obesity, cardiovascular disease, hyperlipidemia, participation in physical activities and college education. The only strong correlation of hip pain queries was with self-reported prevalence of arthritis. Knee pain queries were not associated with any of the studied health indicators. This study highlights the potential of search engine data to be utilized as population-level health indicators. The state-level correlation of psychosocial and behavioral health indicators with online search volumes for neck and shoulder pain may reflect the influence of mental and social health on the experience of pain.

Sections du résumé

BACKGROUND BACKGROUND
There is growing interest in passively-generated online search data for health sciences research, but limited use to address musculoskeletal illness.
QUESTIONS/PURPOSES OBJECTIVE
(1) To determine geographic and seasonal patterns in Google queries for shoulder, knee, hip, and neck pain across the United States, and (2) to quantify the state-level correlation of the volume of online symptom searches with rates of various population health indicators.
METHODS METHODS
Using Google trends, we identified queries for shoulder, knee, hip, and neck pain in every state of the United States during 2018. We assessed the correlation of state-level Google search volumes with 9 population health indicators extracted from the 2018 Behavioral Risk Factor Surveillance System survey: tobacco use, obesity, diabetes, hyperlipidemia, depression, arthritis, cardiovascular disease, participation in physical activities, and college education.
RESULTS RESULTS
Neck and shoulder pain were the most common queries in most Southern states, while knee pain was generally the top query elsewhere. Queries for neck and shoulder pain peaked during the late fall and winter, while searches for knee and hip pain peaked in the spring. State-level search volumes for shoulder and neck pain correlated closely with all health indicators--particularly with tobacco use, obesity, cardiovascular disease, hyperlipidemia, participation in physical activities and college education. The only strong correlation of hip pain queries was with self-reported prevalence of arthritis. Knee pain queries were not associated with any of the studied health indicators.
CONCLUSION CONCLUSIONS
This study highlights the potential of search engine data to be utilized as population-level health indicators. The state-level correlation of psychosocial and behavioral health indicators with online search volumes for neck and shoulder pain may reflect the influence of mental and social health on the experience of pain.

Identifiants

pubmed: 33962802
pii: S0027-9684(21)00069-9
doi: 10.1016/j.jnma.2021.04.001
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

522-527

Informations de copyright

Copyright © 2021 National Medical Association. Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest MEM certifies that he had nothing of value related to this study. MAM certified that he had nothing of value related to this study. ASM certified that he had nothing of value related to this study. DR certified that he had nothing of value related to this study.

Auteurs

Mariano E Menendez (ME)

Department of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, 800 Washington St, TMC Box #306, Boston, MA 02111, USA. Electronic address: marianofurrer@gmail.com.

Michael A Moverman (MA)

Department of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, 800 Washington St, TMC Box #306, Boston, MA 02111, USA.

Andrew S Moon (AS)

Department of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, 800 Washington St, TMC Box #306, Boston, MA 02111, USA.

David Ring (D)

Department of Surgery and Perioperative Care, Dell Medical School at the University of Texas at Austin, TX, USA.

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