Using Social Media to Assess the Consumer Nutrition Environment: Comparing Yelp Reviews with a Direct Observation Audit Instrument for Grocery Stores

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Using Social Media to Assess the Consumer Nutrition Environment: Comparing Yelp Reviews with a Direct Observation Audit Instrument for Grocery Stores Public Health Nutrition: 22(2), 257–264 doi:10.1017/S1368980018002872 Using social media to assess the consumer nutrition environment: comparing Yelp reviews with a direct observation audit instrument for grocery stores Ying Shen1, Philippa Clarke1,2,*, Iris N Gomez-Lopez2, Alex B Hill3, Daniel M Romero4, Robert Goodspeed5, Veronica J Berrocal6, VG Vinod Vydiswaran4,7 and Tiffany C Veinot4,8 1Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA: 2Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104, USA: 3Detroit Food Map Initiative, Detroit, MI, USA: 4School of Information, University of Michigan, Ann Arbor, MI, USA: 5Taubman College of Architecture and Urban Planning, University of Michigan, Ann Arbor, MI, USA: 6Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA: 7Department of Learning Health Sciences, University of Michigan, Ann Arbor, MI, USA: 8Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA Submitted 11 February 2018: Final revision received 21 September 2018: Accepted 25 September 2018: First published online 8 November 2018 Abstract Objective: To examine the feasibility of using social media to assess the consumer nutrition environment by comparing sentiment expressed in Yelp reviews with information obtained from a direct observation audit instrument for grocery stores. Design: Trained raters used the Nutrition Environment Measures Survey in Stores (NEMS-S) in 100 grocery stores from July 2015 to March 2016. Yelp reviews were available for sixty-nine of these stores and were retrieved in February 2017 using the Yelp Application Program Interface. A sentiment analysis was conducted to quantify the perceptions of the consumer nutrition environment in the review text. Pearson correlation coefficients (ρ) were used to compare NEMS-S scores with Yelp review text on food availability, quality, price and shopping experience. Setting: Detroit, Michigan, USA. Participants: None. Results: Yelp reviews contained more comments about food availability and the overall shopping experience than food price and food quality. Negative sentiment about food prices in Yelp review text and the number of dollar signs on Yelp were positively correlated with observed food prices in stores (ρ = 0·413 and 0·462, respectively). Stores with greater food availability were rated as more expensive on Yelp. Other aspects of the food store environment (e.g. overall quality and shopping experience) were captured only in Yelp. Keywords Conclusions: While Yelp cannot replace in-person audits for collecting detailed Social media information on the availability, quality and cost of specific food items, Yelp holds Consumer nutrition environment promise as a cost-effective means to gather information on the overall cost, quality Grocery stores and experience of food stores, which may be relevant for nutrition outcomes. Audits A large body of research indicates that the nutrition Measures of the nutrition environment are necessary for environment, including the availability of food stores and understanding the factors influencing healthy eating restaurants within a community, and the quality and price behaviour(10). Researchers have used geographic-based of healthy food choices within these establishments, measures to capture access to community food sources, – influences eating behaviour(1 7). Food stores that sell including distance to the nearest supermarket, density of foods and beverages that can be prepared at home are an food stores within a given area and gravity-based mea- – important element of the nutrition environment, particu- sures that also incorporate travel time and modality(11 18). larly in the light of evidence that suggests at-home food The availability, price and quality of healthy options within preparation is associated with better dietary intake and food stores represent the consumer nutrition environment, more family meals(8,9). which reflects what consumers actually encounter within a *Corresponding author: Email [email protected] © The Authors 2018 Downloaded from https://www.cambridge.org/core. 26 Sep 2021 at 20:51:02, subject to the Cambridge Core terms of use. 258 Y Shen et al. retail food store(10). However, measurement of the con- Detroit, Michigan, USA. Detroit is a rich focus for this work sumer nutrition environment can be challenging because since it has experienced dramatic structural and economic of the large number of potential factors that are believed to decline since the 1950s, with consequences for the avail- be related to the purchase of healthy foods (e.g. price, ability and quality of healthy food sources for local resi- promotions, placement of items within a store, range of dents(35). Using sentiment analysis(36) we mined the Yelp choices, freshness, visibility of nutritional informa- review text for indicators of the consumer nutrition tion)(10,19). In-person audits have therefore been con- environment, including healthy food availability, price and sidered the gold standard to fully document what quality. We then assessed the degree to which Yelp review consumers can actually purchase inside a store(20,21). metrics were consistent with NEMS-S scores obtained from Direct observational audits, such as the widely used a direct observation audit of these sixty-nine stores. Nutrition Environment Measures Survey in Stores (NEMS- S)(19,22), provide objective and rigorous assessments of the consumer nutrition environment(23). Trained raters use the NEMS-S to rate the price and availability of ten food Methods categories and assess the quality of fresh fruits and vege- ‘ ’ tables in food stores(24). The NEMS-S is one of the few We focused on full-line grocery stores, following the audit tools with demonstrated reliability and validity and Michigan Department of Agriculture & Rural Develop- ’ fi ‘ has been used repeatedly in research on the consumer ment sdenition as a store selling fresh produce, fresh ’(37) nutrition environment(22,24). However, onsite assessments meat, fresh bread, and fresh dairy . An enumerative list with in-person audits are time-intensive and costly, espe- of 102 full-line grocery stores in Detroit, Michigan was cially when auditing a large number of stores across a obtained from Detroit Food Map (http://www.detroit wide geographic area(22). foodmap.com/), a community-based initiative that asses- The vast amount of web-based information on social ses the quality of food stores as access points for nutritious media holds promise as a cost-effective alternative to in- and healthy food options in Metropolitan Detroit. Trained person audits of the consumer nutrition environment. raters conducted NEMS-S audits at 102 grocery stores from Social media, such as Twitter, Facebook and Yelp, are July 2015 to March 2016. Audits were not completed for web-based forms of communication where people share two stores, leaving 100 stores with complete NEMS-S information and create content(25). A growing body of audits. research has used geographically referenced social media A total of sixty-nine of the 100 grocery stores with to assess multiple aspects of the nutrition environment, complete audit data had records on Yelp. The Yelp including food-borne illness outbreaks(26,27), the relation- Application Program Interface (Yelp Fusion API; https:// ship between healthy food-related Twitter posts and www.yelp.com/fusion) was used in February 2017 to proximity to healthy food stores(28), and to create neigh- request the online public information for each of these bourhood indicators of healthy food availability(29,30). sixty-nine grocery stores. Metadata for each store Researchers have documented associations between the (including name, address, number of reviews and store prevalence of healthy food-related postings on social ratings) were retrieved using the Yelp API. Yelp review media and the socio-economic characteristics of the local text was retrieved by separately downloading and parsing neighbourhood(29,31,32). Recent work has also shown a the review pages for each store. relationship between food-related social media posts and county- and state-level health outcomes(25,33). However, no research to date has explored the use of NEMS-S measures social media for assessing the nutritional content and The NEMS-S scoring system considers the availability, offerings inside a community food store. The purpose of quality and price of healthy choices within ten food the present study was to examine the feasibility of using categories: milk, fruits, vegetables, ground beef, hot dogs, Yelp to assess the consumer nutrition environment. Yelp baked goods, beverages, bread, potato chips and cer- (www.yelp.com) is a popular social media site that pro- eal(19,38). Separate scores for availability, price and quality vides a platform for consumers to post reviews of local are created and summed to create an overall total score(19). businesses and services. In 2017, Yelp averaged over 75 Higher scores indicate greater availability and quality and million unique users per month(34). User-generated con- lower cost of healthy options. tent includes an overall business rating (1 to 5 stars), cost NEMS-S availability scores are based on the number of rating (1 to 4 dollar signs, representing ‘inexpensive’, different varieties of fruits and vegetables, as well as the ‘moderate’, ‘pricey’ and ‘ultra high-end’, respectively) and presence of healthier options within each of the non- detailed text reviews from users that capture cost, quality produce food categories (i.e. low-fat/skimmed milk, lean and other aspects of the business experience. ground beef, fat-free hot dogs, low-fat baked goods, 100 % We used Yelp reviews to assess the consumer nutrition juice or diet soda, wholegrain bread, baked chips and low- environment for sixty-nine grocery stores in the City of sugar cereal). The total availability score ranges from 0 to Downloaded from https://www.cambridge.org/core. 26 Sep 2021 at 20:51:02, subject to the Cambridge Core terms of use. Social media for the nutrition environment 259 27 with a higher score indicating a greater availability of (iii) quality and (iv) shopping experience.
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