“…Twitter has been used to examine a range of health behaviors, including e-cigarettes and tobacco use (Aphinyanaphongs, Lulejian, Brown, Bonneau, & Krebs, 2016;Jo, Kornfield, Kim, Emery, & Ribisl, 2015;Myslín, Zhu, Chapman, & Conway, 2013;Sofean & Smith, 2013;Step, Bracken, Trapl, & Flocke, 2016); drug use and abuse (Cavazos-Rehg, Krauss, Grucza, & Bierut, 2014;Daniulaityte et al, 2015;Hanson et al, 2013;Katsuki, Mackey, & Cuomo, 2015); suicide (O'Dea et al, 2015); and HPV vaccination (Zhou et al, 2015). It has also been used to study a range of physical health outcomes (Aslam et al, 2014;Bosley et al, 2013;Broniatowski, Paul, & Dredze, 2013;Chew & Eysenbach, 2010;Chorianopoulos & Talvis, 2015;Collier, Son, & Nguyen, 2011;Fung et al, 2013;Gesualdo et al, 2013;Heaivilin, Gerbert, Page, & Gibbs, 2011;Jain & Kumar, 2015;Nagel et al, 2013;Signorini, Segre, & Polgreen, 2011;Velardi, Stilo, Tozzi, & Gesualdo, 2014). It was rare in these studies to compare Twitter data to other sources of surveillance data so the validity of inferences based on Twitter data was not clear.…”