Abstract
Mental healthcare access continues to be a significant challenge in the United States, with marked disparities across socioeconomic divides. As technology and algorithms increasingly play pivotal roles in healthcare access, understanding unique symptom manifestations in socioeconomically disadvantaged communities is crucial. In this context, we embarked on a comprehensive analysis of mental health search patterns in Alabama counties, leveraging Google search data. Distinct trends emerged between socioeconomically advantaged and disadvantaged areas. The advantaged regions predominantly showed clinically specific searches, suggesting a higher degree of mental health literacy or more considerable access to healthcare professionals. Residents in disadvantaged areas primarily utilized generalized mental health symptom terms, such as anxiety and depression, hinting at a potential awareness or resource gap. A similar pattern was evident for somatic symptoms, with the disadvantaged showing a preference towards generalized and pain-related terms. This trend could signify disparities in access to specialized care or inappropriate clinical treatments, raising concerns like potential opioid misuse. Additionally, counties with higher population density had more mental health-related searches, while predominantly African American counties showed fewer, suggesting potential cultural or linguistic barriers. Our findings emphasize the potential of refining search engines to cater to diverse user needs and the importance of tailored health campaigns for marginalized communities. However, potential ethical challenges, such as unintentional exacerbation of existing biases, must consistently be recognized. Future research will elevate this analysis to a national scope, considering the effects of significant global occurrences, such as the COVID-19 pandemic, on search behaviors.
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For a full description of the method Google used to create this dataset, see: https://storage.googleapis.com/gcp-public-data-symptom-search/COVID-19%20Search%20Trends%20symptoms%20dataset%20documentation%20.pdf.
References
Centers for Disease Control and Prevention. About Mental Health (2023). https://www.cdc.gov/mentalhealth/learn/index.htm
National Institutes of Health. National Institute of Mental Health--Mental Health Information, Statistics (2022). https://www.nimh.nih.gov/health/statistics/mental-illness
Zangani, C., et al.: Impact of the COVID-19 pandemic on the global delivery of mental health services and telemental health: systematic review. JMIR Mental Health 9(8), e38600 (2022)
Jimenez, A.J., et al.: COVID-19 symptom-related Google searches and local COVID-19 incidence in Spain: correlational study. J. Med. Internet Res. 22(12), e23518 (2020)
Jong, W., Liang, O.S., Yang, C.C.: The exchange of informational support in online health communities at the onset of the COVID-19 pandemic: content analysis. JMIRX Med 2(3), e27485 (2021)
Haim, M., Scherr, S., Arendt, F.: How search engines may help reduce drug-related suicides. Drug Alcohol Depend. 226, 108874 (2021)
Atske, S., Perrin, A.: Home broadband adoption, computer ownership vary by race, ethnicity in the U.S (2021)
Faraj, S., Renno, W., Bhardwaj, A.: Unto the breach: what the COVID-19 pandemic exposes about digitalization. Inf. Organ. 31(1), 100337 (2021)
Li, F.: Disconnected in a pandemic: COVID-19 outcomes and the digital divide in the United States. Health Place 77, 102867 (2022)
Powell, J., Clarke, A.: Internet information-seeking in mental health: population survey. Br. J. Psychiatry 189(3), 273–277 (2006)
Wagner, T.H., Subak, L.L.: Talking about incontinence: the first step toward prevention and treatment. JAMA 303(21), 2184–2185 (2010)
De Choudhury, M., Morris, M.R., White, R.W.: Seeking and sharing health information online: comparing search engines and social media. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems (2014)
López, C.M., et al.: Technology as a means to address disparities in mental health research: a guide to “tele-tailoring” your research methods. Prof. Psychol. Res. Pract. 49(1), 57 (2018)
White, R.W., Horvitz, E.: Cyberchondria: studies of the escalation of medical concerns in web search. ACM Trans. Inf. Syst. (TOIS) 27(4), 1–37 (2009)
Ayers, S.L., Kronenfeld, J.J.: Chronic illness and health-seeking information on the Internet. Health 11(3), 327–347 (2007)
Vargas, L., Comello, M.L.G., Porter, J.H.: The web’s potential to provide depression literacy resources to latinx teens: a missed opportunity? Howard J. Commun. 32(4), 366–381 (2021)
Ybarra, M.L., Suman, M.: Help seeking behavior and the internet: a national survey. Int. J. Med. Inform. 75(1), 29–41 (2006)
Google, Google COVID-19 Search Trends Symptoms Dataset (2022)
Abbas, M., et al.: Associations between google search trends for symptoms and COVID-19 confirmed and death cases in the United States. Int. J. Environ. Res. Public Health 18(9), 4560 (2021)
The University of Wisconsin Population Health Institute, County Health Rankings & Roadmaps
Anderson, T.J., et al.: A cross-sectional study on health differences between rural and non-rural US counties using the county health rankings. BMC Health Serv. Res. 15, 1–8 (2015)
Peyer, K., et al.: Relationships between county health rankings and child overweight and obesity prevalence: a serial cross-sectional analysis. BMC Public Health 16, 1–10 (2016)
Spaulding, A., et al.: A community health case for psychiatric care: a cross-sectional study of county health rankings. Gen. Hosp. Psychiatry 57, 1–6 (2019)
Kennedy, B.P., et al.: Income distribution, socioeconomic status, and self rated health in the United States: multilevel analysis. BMJ 317(7163), 917–921 (1998)
Jarvandi, S., Yan, Y., Schootman, M.: Income disparity and risk of death: the importance of health behaviors and other mediating factors. PLoS ONE 7(11), e49929 (2012)
Braveman, P.A., et al.: Socioeconomic status in health research: one size does not fit all. JAMA 294(22), 2879–2888 (2005)
Shea, S., et al.: Independent associations of educational attainment and ethnicity with behavioral risk factors for cardiovascular disease. Am. J. Epidemiol. 134(6), 567–582 (1991)
Dooley, D., Catalano, R., Hough, R.: Unemployment and alcohol disorder in 1910 and 1990: drift versus social causation. J. Occup. Organ. Psychol. 65(4), 277–290 (1992)
Halford, W.K., Learner, E.: Correlates of coping with unemployment in young Australians. Aust. Psychol. 19(3), 333–344 (1984)
Lee, A.J., et al.: Cigarette smoking and employment status. Soc Sci Med 33(11), 1309–1312 (1991)
Ross, C.E., Mirowsky, J.: Does employment affect health? J. Health Soc. Behav. 36, 230–243 (1995)
American Psychiatric Association, Diagnostic and statistical manual of mental disorders: DSM-5: American psychiatric association Washington, DC, vol. 5 (2013)
Alang, S.M.: “Black folk don’t get no severe depression”: meanings and expressions of depression in a predominantly black urban neighborhood in Midwestern United States. Soc Sci Med 157, 1–8 (2016)
Bauer, A.G., et al.: “We are our own counselor”: Resilience, risk behaviors, and mental health service utilization among young African American men. Behav. Med. 46(3–4), 278–289 (2020)
Fu, H.: Decoding distress: how search engine data reveals socioeconomic disparities in mental health. In: ACM SIGIR Conference on Human Information Interaction and Retrieval Proceedings. Sheffield, United Kingdom: ACM (2024). https://doi.org/10.1145/3627508.3638323
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Appendix A
Appendix A
Alcoholism, Amnesia, Anxiety, Arthralgia, Attention deficit hyperactivity disorder, Auditory hallucination, Avoidant personality disorder, Back pain, Blurred vision, Binge eating, Bruxism, Cataplexy, Chest pain, Compulsive behavior, Compulsive hoarding, Chronic pain, Clouding of consciousness, Confusion, Dementia, Depression, Depersonalization, Dizziness, Dry eye syndrome, Dysphoria, Dyspareunia, Excessive daytime sleepiness, Eye strain, Fatigue, Fibromyalgia, Headache, Hypersomnia, Hyperventilation, Generalized anxiety disorder, Guilt, Hypochondriasis, Impulsivity, Insomnia, Itch, Lightheadedness, Major depressive disorder, Manic Disorder, Mood disorder, Mood swing, Muscle weakness, Myalgia, Nausea, Night sweats, Night terror, Pain, Palpitations, Panic attack, Paranoia, Psychosis, Photophobia, Rumination, Self-harm, Sensitivity to sound, Sleep deprivation, Shortness of breath, Suicidal ideation, Shyness, Sleep disorder, Tachycardia, Tinnitus, Tremor, Vertigo, Weakness, Weight gain, Yawn.
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Fu, H. (2024). Digital Footprints of Distress: An Analysis of Mental Health Search Patterns Across Socioeconomic Spectrums in Alabama Counties. In: Sserwanga, I., et al. Wisdom, Well-Being, Win-Win. iConference 2024. Lecture Notes in Computer Science, vol 14598. Springer, Cham. https://doi.org/10.1007/978-3-031-57867-0_9
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