State and Federal Legislators' Responses on Social Media to the Mental Health and Burnout of Health Care Workers Throughout the COVID-19 Pandemic: Natural Language Processing and Sentiment Analysis.

State and Federal Legislators' Responses on Social Media to the Mental Health and Burnout of Health Care Workers Throughout the COVID-19 Pandemic: Natural Language Processing and Sentiment Analysis.
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DOI:
10.2196/38676
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发表时间:
2023
期刊:
JMIR INFODEMIOLOGY
影响因子:
--
通讯作者:
Agarwal, Anish K.
Agarwal, Anish K.
中科院分区:
其他
文献类型:
--
作者:
Abrams, Matthew P.;Pelullo, Arthur P.;Meisel, Zachary F.;Merchant, Raina M.;Purtle, Jonathan;Agarwal, Anish K.

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COVID-19大流行的倦怠和心理健康负担对医护人员造成了不成比例的影响。各州政策、联邦法规、COVID-19病例数、医疗系统的压力以及医护人员的心理健康之间的联系仍在不断发展。州和联邦立法者在社交媒体等面向公众的场合使用的语言很重要,因为它会影响公众的意见和行为,也反映了当前的政策领导人的意见和计划的立法。这项研究的目的是检查立法者在整个COVID-19大流行期间在Twitter和Facebook上的社交媒体内容,以主题化地描述政策制定者对医疗保健工作人员心理健康和职业倦怠的态度和观点。立法者在社交媒体上发布的有关医疗保健工作人员心理健康和职业倦怠的帖子是使用Quorum(一个政策相关文件的数字数据库)从2020年1月至2021年11月收集的。计算了每个州议员每个日历月的相关社交媒体帖子总数,并与COVID-19病例量进行了比较。使用皮尔逊卡方检验估计民主党和共和党帖子中表达的主题之间的差异。确定了社交媒体帖子中与每个政党最相关的词。机器学习被用来评估与倦怠和心理健康相关的社交媒体帖子中自然出现的主题。共有4165个社交媒体帖子(1400个推文和2765个Facebook帖子)由2047个州和联邦立法者以及38个政府实体生成。大多数帖子(n=2319,55.68%)由民主党人生成,其次是共和党人(n=1600,40.34%)。在双方中,在COVID-19最初激增期间,与倦怠相关的职位数量最多。然而,两个主要政党表达的主题差异很大。与民主党职位最相关的主题是(1)前线护理和倦怠,(2)疫苗,(3)COVID-19爆发,(4)心理健康服务。与共和党社交媒体帖子最相关的主题是(1)立法,(2)呼吁地方行动,(3)政府支持,(4)医疗保健工作者测试和心理健康。州和联邦立法者利用社交媒体分享对关键话题的意见和想法,包括医护人员的倦怠和心理健康压力。员额数量的变化表明,在大流行病早期就存在对保健工作人员的倦怠和心理健康的关注,但现在已经减弱。美国两大政党发布的内容出现了重大差异,强调了各自如何优先考虑危机的不同方面。
Burnout and the mental health burden of the COVID-19 pandemic have disproportionately impacted health care workers. The links between state policies, federal regulations, COVID-19 case counts, strains on health care systems, and the mental health of health care workers continue to evolve. The language used by state and federal legislators in public-facing venues such as social media is important, as it impacts public opinion and behavior, and it also reflects current policy-leader opinions and planned legislation. The objective of this study was to examine legislators’ social media content on Twitter and Facebook throughout the COVID-19 pandemic to thematically characterize policy makers’ attitudes and perspectives related to mental health and burnout in the health care workforce. Legislators’ social media posts about mental health and burnout in the health care workforce were collected from January 2020 to November 2021 using Quorum, a digital database of policy-related documents. The total number of relevant social media posts per state legislator per calendar month was calculated and compared with COVID-19 case volume. Differences between themes expressed in Democratic and Republican posts were estimated using the Pearson chi-square test. Words within social media posts most associated with each political party were determined. Machine-learning was used to evaluate naturally occurring themes in the burnout- and mental health–related social media posts. A total of 4165 social media posts (1400 tweets and 2765 Facebook posts) were generated by 2047 unique state and federal legislators and 38 government entities. The majority of posts (n=2319, 55.68%) were generated by Democrats, followed by Republicans (n=1600, 40.34%). Among both parties, the volume of burnout-related posts was greatest during the initial COVID-19 surge. However, there was significant variation in the themes expressed by the 2 major political parties. Themes most correlated with Democratic posts were (1) frontline care and burnout, (2) vaccines, (3) COVID-19 outbreaks, and (4) mental health services. Themes most correlated with Republican social media posts were (1) legislation, (2) call for local action, (3) government support, and (4) health care worker testing and mental health. State and federal legislators use social media to share opinions and thoughts on key topics, including burnout and mental health strain among health care workers. Variations in the volume of posts indicated that a focus on burnout and the mental health of the health care workforce existed early in the pandemic but has waned. Significant differences emerged in the content posted by the 2 major US political parties, underscoring how each prioritized different aspects of the crisis.
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影响因子: 2.8
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