<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.0 20040830//EN" "http://dtd.nlm.nih.gov/publishing/2.0/journalpublishing.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="2.0">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPH</journal-id>
      <journal-id journal-id-type="nlm-ta">JMIR Public Health Surveill</journal-id>
      <journal-title>JMIR Public Health and Surveillance</journal-title>
      <issn pub-type="epub">2369-2960</issn>
      <publisher>
        <publisher-name>JMIR Publications</publisher-name>
        <publisher-loc>Toronto, Canada</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
    <article-id pub-id-type="publisher-id">v4i1e5</article-id>
    <article-id pub-id-type="pmid">29326096</article-id>
    <article-id pub-id-type="doi">10.2196/publichealth.7444</article-id>
    <article-categories>
      <subj-group subj-group-type="heading">
        <subject>Original Paper</subject>
      </subj-group>
      <subj-group subj-group-type="article-type">
        <subject>Original Paper</subject>
      </subj-group>
    </article-categories>
    <title-group>
      <article-title>Monitoring Freshman College Experience Through Content Analysis of Tweets: Observational Study</article-title>
    </title-group>
    <contrib-group>
      <contrib contrib-type="editor">
        <name>
          <surname>Eysenbach</surname>
          <given-names>Gunther</given-names>
        </name>
      </contrib>
    </contrib-group>
    <contrib-group>
      <contrib contrib-type="reviewer">
        <name>
          <surname>Lewis</surname>
          <given-names>Bryan</given-names>
        </name>
      </contrib>
      <contrib contrib-type="reviewer">
        <name>
          <surname>Hall</surname>
          <given-names>Eric</given-names>
        </name>
      </contrib>
    </contrib-group>
    <contrib-group>
      <contrib contrib-type="author" id="contrib1" corresp="yes" equal-contrib="yes">
      <name name-style="western">
        <surname>Liu</surname>
        <given-names>Sam</given-names>
      </name>
      <degrees>PhD</degrees>
      <xref rid="aff1" ref-type="aff">1</xref>
      <address>
        <institution>School of Exercise Science, Physical and Health Education</institution>
        <institution>University of Victoria</institution>
        <addr-line>PO Box 1700 STN CSC</addr-line>
        <addr-line>Victoria, BC,</addr-line>
        <country>Canada</country>
        <phone>1 250 721 8392</phone>
        <fax>1 250 721 8392</fax>
        <email>samliu@uvic.ca</email>
      </address>  
      <ext-link ext-link-type="orcid">http://orcid.org/0000-0003-2364-7774</ext-link></contrib>
      <contrib contrib-type="author" id="contrib2">
        <name name-style="western">
          <surname>Zhu</surname>
          <given-names>Miaoqi</given-names>
        </name>
        <degrees>PhD</degrees>
        <xref rid="aff2" ref-type="aff">2</xref>
        <ext-link ext-link-type="orcid">http://orcid.org/0000-0002-9812-2350</ext-link>
      </contrib>
      <contrib contrib-type="author" id="contrib3">
        <name name-style="western">
          <surname>Young</surname>
          <given-names>Sean D</given-names>
        </name>
        <degrees>PhD</degrees>
        <xref rid="aff3" ref-type="aff">3</xref>
        <ext-link ext-link-type="orcid">http://orcid.org/0000-0001-6052-4875</ext-link>
      </contrib>
    </contrib-group>
    <aff id="aff1">
    <sup>1</sup>
    <institution>School of Exercise Science, Physical and Health Education</institution>
    <institution>University of Victoria</institution>  
    <addr-line>Victoria, BC</addr-line>
    <country>Canada</country></aff>
    <aff id="aff2">
    <sup>2</sup>
    <institution>College of Computing and Digital Media</institution>
    <institution>DePaul University</institution>  
    <addr-line>Chicago, IL</addr-line>
    <country>United States</country></aff>
    <aff id="aff3">
    <sup>3</sup>
    <institution>Family Medicine</institution>
    <institution>University of California Los Angeles</institution>  
    <addr-line>Los Angeles, CA</addr-line>
    <country>United States</country></aff>
    <author-notes>
      <corresp>Corresponding Author: Sam Liu 
      <email>samliu@uvic.ca</email></corresp>
    </author-notes>
    <pub-date pub-type="collection"><season>Jan-Mar</season><year>2018</year></pub-date>
    <pub-date pub-type="epub">
      <day>11</day>
      <month>01</month>
      <year>2018</year>
    </pub-date>
    <volume>4</volume>
    <issue>1</issue>
    <elocation-id>e5</elocation-id>
    <!--history from ojs - api-xml-->
    <history>
      <date date-type="received">
        <day>7</day>
        <month>2</month>
        <year>2017</year>
      </date>
      <date date-type="rev-request">
        <day>9</day>
        <month>3</month>
        <year>2017</year>
      </date>
      <date date-type="rev-recd">
        <day>17</day>
        <month>5</month>
        <year>2017</year>
      </date>
      <date date-type="accepted">
        <day>14</day>
        <month>7</month>
        <year>2017</year>
      </date>
    </history>
    <!--(c) the authors - correct author names and publication date here if necessary. Date in form ', dd.mm.yyyy' after jmir.org-->
    <copyright-statement>©Sam Liu, Miaoqi Zhu, Sean D Young. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 11.01.2018.</copyright-statement>
    <copyright-year>2018</copyright-year>
    <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
      <p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Public Health and Surveillance, is properly cited. The complete bibliographic information, a link to the original publication on http://publichealth.jmir.org, as well as this copyright and license information must be included.</p>
    </license>  
    <self-uri xlink:href="http://publichealth.jmir.org/2018/1/e5/" xlink:type="simple"/>
    <abstract>
      <sec sec-type="background">
        <title>Background</title>
        <p>Freshman experiences can greatly influence students’ success. Traditional methods of monitoring the freshman experience, such as conducting surveys, can be resource intensive and time consuming. Social media, such as Twitter, enable users to share their daily experiences. Thus, it may be possible to use Twitter to monitor students’ postsecondary experience.</p>
      </sec>
      <sec sec-type="objective">
        <title>Objective</title>
        <p>Our objectives were to (1) describe the proportion of content posted on Twitter by college students relating to academic studies, personal health, and social life throughout the semester; and (2) examine whether the proportion of content differed by demographics and during nonexam versus exam periods.</p>
      </sec>
      <sec sec-type="methods">
        <title>Methods</title>
        <p>Between October 5 and December 11, 2015, we collected tweets from 170 freshmen attending the University of California Los Angeles, California, USA, aged 18 to 20 years. We categorized the tweets into topics related to academic, personal health, and social life using keyword searches. Mann-Whitney <italic>U</italic> and Kruskal-Wallis <italic>H</italic> tests examined whether the content posted differed by sex, ethnicity, and major. The Friedman test determined whether the total number of tweets and percentage of tweets related to academic studies, personal health, and social life differed between nonexam (weeks 1-8) and final exam (weeks 9 and 10) periods.</p>
      </sec>
      <sec sec-type="results">
        <title>Results</title>
        <p>Participants posted 24,421 tweets during the fall semester. Academic-related tweets (n=3433, 14.06%) were the most prevalent during the entire semester, compared with tweets related to personal health (n=2483, 10.17%) and social life (n=1646, 6.74%). The proportion of academic-related tweets increased during final-exam compared with nonexam periods (mean rank 68.9, mean 18%, standard error (SE) 0.1% vs mean rank 80.7, mean 21%, SE 0.2%; Z=–2.1, <italic>P</italic>=.04). Meanwhile, the proportion of tweets related to social life decreased during final exams compared with nonexam periods (mean rank 70.2, mean 5.4%, SE 0.01% vs mean rank 81.8, mean 7.4%, SE 0.01%; Z=–4.8, <italic>P</italic>&#60;.001). Women tweeted more often than men during both nonexam (mean rank 95.8 vs 76.8; <italic>U</italic>=2876, <italic>P</italic>=.02) and final-exam periods (mean rank 96.2 vs 76.2; <italic>U</italic>=2832, <italic>P</italic>=.01). The percentages of academic-related tweets were similar between ethnic groups during nonexam periods (<italic>P</italic>&#62;.05). However, during the final-exam periods, the percentage of academic tweets was significantly lower among African Americans than whites (χ<sup>2</sup><sub>4</sub>=15.1, <italic>P</italic>=.004). The percentages of tweets related to academic studies, personal health, and social life were not significantly different between areas of study during nonexam and exam periods (<italic>P</italic>&#62;.05).</p>
      </sec>
      <sec sec-type="conclusions">
        <title>Conclusions</title>
        <p>The results suggest that the number of tweets related to academic studies and social life fluctuates to reflect real-time events. Student’s ethnicity influenced the proportion of academic-related tweets posted. The findings from this study provide valuable information on the types of information that could be extracted from social media data. This information can be valuable for school administrators and researchers to improve students’ university experience.</p>
      </sec>
    </abstract>
    <kwd-group>
      <kwd>social networking</kwd>
      <kwd>big data</kwd>
      <kwd>population surveillance</kwd>
      <kwd>education</kwd>
      <kwd>students</kwd>
      <kwd>social media</kwd>
      <kwd>Twitter</kwd>
    </kwd-group></article-meta>
  </front>
  <body>
    <sec sec-type="introduction">
      <title>Introduction</title>
      <p>The first year of university is a critical period for students to get acclimated to the postsecondary environment [<xref ref-type="bibr" rid="ref1">1</xref>]. Studies have shown that students’ success is largely influenced by their freshman experiences (eg, academic studies, personal health, and social life) during their first year [<xref ref-type="bibr" rid="ref1">1</xref>,<xref ref-type="bibr" rid="ref2">2</xref>]. However, traditional methods of monitoring the freshman experience, such as conducting surveys, can be resource intensive and time consuming. Reports of students’ experiences may not be available until the following semester [<xref ref-type="bibr" rid="ref3">3</xref>]. Consequently, this can significantly limit the ability of schools to understand students’ experiences in real time and rapidly offer assistance to help improve the students’ experiences.</p>
      <p>Social media technology may be well suited to address this challenge. Use of social media, such as Twitter, has been rapidly growing among postsecondary students [<xref ref-type="bibr" rid="ref4">4</xref>]. In the past 3 years, Twitter use among college students in the United States has increased by 20% [<xref ref-type="bibr" rid="ref4">4</xref>]. Users often share their daily lives on these social media platforms and, as a result, social media data may be used to provide useful information about student experiences. However, to our knowledge, no studies have examined how frequently postsecondary students talk about topics related to academic studies, personal health, and social life on Twitter. Furthermore, little is known about whether these topic discussions differ by demographics (eg, sex, ethnicity, and major area of study) or whether the topic discussion changes throughout the semester (eg, nonexam vs exam periods). Understanding the types of content and frequency of content discussion is an important first step to determining whether it is feasible to use Twitter data to monitor students’ college experience in real time. Therefore, the primary objective of this study was to describe the proportion of content posted on Twitter by college students relating to academic studies, personal health, and social life throughout the semester. The secondary objective was to examine whether the proportion of content differed by demographics and during nonexam versus exam periods.</p>
    </sec>
    <sec sec-type="methods">
      <title>Methods</title>
      <sec>
        <title>Overview</title>
        <p>This was an observational study that took place from September 21, 2015 to December 11, 2015. We recruited 197 first-year undergraduate freshman students at the University of California Los Angeles (UCLA), California, USA, aged 18 to 20 years. A total of 170 participants were active Twitter users who posted at least 3 tweets per week, and they were included in the analysis. We obtained ethics approval from the UCLA Research Ethics Board.</p>
      </sec>
      <sec>
        <title>Recruitment and Study Protocol</title>
        <p>We recruited participants from September 21 to October 4, 2015. Participants were informed about the study through flyers on social media websites and on the UCLA campus. Eligible participants who provided consent were asked to complete an online questionnaire that assessed their demographic characteristics, which included age, sex, ethnicity, and area of study. Participants were asked to share their Twitter handle. We extracted all participants’ tweets from October 5 to December 11, 2015, for analysis using the Twitter streaming application program interface.</p>
      </sec>
      <sec>
        <title>Content Analysis</title>
        <p>We converted data to lowercase and removed punctuation. We then stemmed all words to remove suffixes; for example, “studied” and “studying” simply became “study.” All English stop words were also removed from the data. Any retweeted tweets using the notation “RT” were excluded to prevent popular posts or spam from saturating the sample. Only English tweets were included in our analyses. We then created an algorithm that counted the most frequently used words. Using an iterative process, we manually categorized the words into topic contents related to academic, personal health, and social life. Each tweet was then classified, using a search algorithm, into the topics if it contained at least one keyword. The topics were nonmutually exclusive. A sample of randomly selected (20%) tweets was manually checked to ensure they were accurately related to the categories.</p>
      </sec>
      <sec>
        <title>Statistical Analysis</title>
        <p>We used descriptive statistics to tabulate types of tweets. Our data were not normally distribution; thus, we used nonparametric statistics that compare mean ranks rather than medians to compare differences between groups. Specifically, we used the Mann-Whitney <italic>U</italic> and Kruskal-Wallis <italic>H</italic> tests to examine whether the posted content differed by sex, ethnicity, and major. The Friedman test was used to determine whether the total number of tweets and percentage of tweets related to academic studies, personal health, and social life differed between nonexam (weeks 1-8) and final-exam (weeks 9 and 10) periods. To protect against type I error, we used the Bonferroni adjustment for post hoc comparison. Statistical significance was defined by a 2-tailed test with a <italic>P</italic> value &#60;.05. All analyses were performed using IBM SPSS 20.0 (IBM Corporation).</p>
      </sec>
    </sec>
    <sec sec-type="results">
      <title>Results</title>
      <sec>
        <title>Participants</title>
        <p>A total of 170 participants (women: 104, 61.2%) were included in our analysis. The mean age was 18.1, standard deviation (SD) 0.34 years. There was a wide range of distribution for ethnicity (white: n=33, 19.4%; African American: n=22, 12.9%; Latino: n=50, 29.4%; Asian: n=43, 25.3%; other minorities: n=27, 15.9%). The areas of study were health science (n=78, 45.9%), business (n=16, 9.4%), mathematics and engineering (n=21, 12.4%), social science and arts (n=30, 17.6%), and undeclared (n=30, 17.6%).</p>
      </sec>
      <sec>
        <title>Tweet Content During the Semester</title>
        <p>There were 24,421 tweets posted during the fall semester (October 5 to December 13; <xref ref-type="fig" rid="figure1">Figure 1</xref>). The mean number of tweets posted per participant throughout the fall semester was 138 (SD 210, range 3-1310). <xref ref-type="table" rid="table1">Table 1</xref> displays the 10 most frequently used keywords related to academic study, personal health, and social life. Most of the participants tweeted about personal health, academic study, and social life. Specifically, we extracted tweets related to academic study, personal health, and social life-related tweets from 94.7% (n=161), 87.6% (n=149), and 94.1% (n=160) of the participants, respectively. <xref ref-type="fig" rid="figure2">Figure 2</xref> shows the total percentage of weekly tweets related to academic study, personal health, and social life throughout the semester. Overall, academic-related tweets (n=3433, 14.06%) were the most prevalent during the entire semester, compared with tweets related to personal health (n=2483, 10.17%) and social life (n=1646, 6.74%). Since categories were not mutually exclusive, some tweets contained keywords from multiple categories. The overall overlap between all the categories was low: academic and social life overlap: 4.43% (n=223 tweets); academic and personal health overlap: 3.72% (n=446 tweets); social life and personal health overlap: 7.41% (n=308 tweets); and academic, social, and personal health overlap: 0.64% (n=49 tweets). We found that significantly fewer weekly tweets were posted during the final-exam period than the rest of the semester (final-exam weeks: mean rank 78.6, mean 13.3, standard error (SE) 1.5; nonfinal-exam weeks: mean rank 96.4, mean 14.0, SE 1.7; <italic>Z</italic>=–2.0, <italic>P</italic>=.04). The proportion of academic-related tweets increased during final-exam period compared with nonexam periods (final-exam weeks: mean rank 68.9, mean 18%, SE 0.1%; nonexam weeks: mean rank 80.7, mean 21%, SE 0.2%; <italic>Z</italic>=–2.1, <italic>P</italic>=.04). Meanwhile, the proportion of tweets related to social life decreased during final exams compared with nonexam periods (final-exam weeks: mean rank 70.2, mean 5.4%, SE 0.01%; nonfinal weeks: mean rank 81.8, mean 7.4%, SE 0.01%; <italic>Z</italic>=–4.8, <italic>P</italic>&#60;.001). We found no significant difference for the proportion of personal health-related tweets between the final-exam and nonfinal-exam periods.</p>

 <fig id="figure1" position="float">
          <label>Figure 1</label>
          <caption>
            <p>Total number of tweets throughout the semester (October 5 to December 13, 2015).</p>
          </caption>
          <graphic xlink:href="publichealth_v4i1e5_fig1.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>

        <table-wrap position="float" id="table1">
          <label>Table 1</label>
          <caption>
            <p>The 10 most popular words in tweets associated with each category.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="270"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="100"/>
            <thead>
              <tr valign="top">
                <td rowspan="2">Rank</td>
                <td colspan="2">Academic study</td>
                <td colspan="2">Personal health and lifestyle</td>
                <td colspan="2">Social life</td>
              </tr>
              <tr valign="top">
                <td>Word</td>
                <td>Frequency</td>
                <td>Word</td>
                <td>Frequency</td>
                <td>Word</td>
                <td>Frequency</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td>1</td>
                <td>Class</td>
                <td>634</td>
                <td>Sleep</td>
                <td>375</td>
                <td>Friends</td>
                <td>373</td>
              </tr>
              <tr valign="top">
                <td>2</td>
                <td>College</td>
                <td>403</td>
                <td>Running</td>
                <td>163</td>
                <td>Birthday</td>
                <td>290</td>
              </tr>
              <tr valign="top">
                <td>3</td>
                <td>School</td>
                <td>368</td>
                <td>Stress</td>
                <td>100</td>
                <td>Music</td>
                <td>156</td>
              </tr>
              <tr valign="top">
                <td>4</td>
                <td>Final</td>
                <td>350</td>
                <td>Sick</td>
                <td>90</td>
                <td>Weekend</td>
                <td>153</td>
              </tr>
              <tr valign="top">
                <td>5</td>
                <td>Midterm</td>
                <td>322</td>
                <td>Hurt</td>
                <td>70</td>
                <td>Chill</td>
                <td>132</td>
              </tr>
              <tr valign="top">
                <td>6</td>
                <td>Study</td>
                <td>260</td>
                <td>Walking</td>
                <td>62</td>
                <td>Party</td>
                <td>113</td>
              </tr>
              <tr valign="top">
                <td>7</td>
                <td>Work</td>
                <td>227</td>
                <td>Gym</td>
                <td>61</td>
                <td>Friday</td>
                <td>104</td>
              </tr>
              <tr valign="top">
                <td>8</td>
                <td>Quarter</td>
                <td>225</td>
                <td>Healthy</td>
                <td>48</td>
                <td>Concert</td>
                <td>58</td>
              </tr>
              <tr valign="top">
                <td>9</td>
                <td>Essay</td>
                <td>210</td>
                <td>Workout</td>
                <td>25</td>
                <td>Drunk</td>
                <td>54</td>
              </tr>
              <tr valign="top">
                <td>10</td>
                <td>Paper</td>
                <td>182</td>
                <td>Weights</td>
                <td>14</td>
                <td>Sex</td>
                <td>24</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
       
        <fig id="figure2" position="float">
          <label>Figure 2</label>
          <caption>
            <p>Proportion of total tweets related to academic studies, personal health, and social life during the semester (October 5 to December 13, 2015).</p>
          </caption>
          <graphic xlink:href="publichealth_v4i1e5_fig2.png" alt-version="no" mimetype="image" position="float" xlink:type="simple"/>
        </fig>

        <table-wrap position="float" id="table2">
          <label>Table 2</label>
          <caption>
            <p>Weekly number of tweets posted during nonexam and exam periods by participants, by sex, ethnicity, and area of study.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="30"/>
            <col width="240"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="100"/>
            <thead>
              <tr valign="top">
                <td rowspan="2" colspan="2">Characteristics</td>
                <td colspan="3">Nonexam period (weeks 1-8)</td>
                <td colspan="3">Exam period (weeks 9 and 10)</td>
              </tr>
              <tr valign="top">
                <td><break/>Mean</td>
                <td>SE<sup>a</sup></td>
                <td><break/>Range</td>
                <td><break/>Mean</td>
                <td><break/>SE</td>
                <td><break/>Range</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td colspan="8"><bold>Sex</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Female</td>
                <td>14.7</td>
                <td>11.9</td>
                <td>0-90</td>
                <td>14.9</td>
                <td>2.1</td>
                <td>0-98</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Male</td>
                <td>12.8</td>
                <td>13.0</td>
                <td>0-148</td>
                <td>10.8</td>
                <td>2.2</td>
                <td>0-96</td>
              </tr>
              <tr valign="top">
                <td colspan="8"><bold>Ethnicity</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>White</td>
                <td>7.0</td>
                <td>2.3</td>
                <td>0-77</td>
                <td>7.6</td>
                <td>2.7</td>
                <td>0-83</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>African American</td>
                <td>23.4</td>
                <td>5.9</td>
                <td>0-93</td>
                <td>17.5</td>
                <td>3.3</td>
                <td>0-95</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Latino</td>
                <td>19.0</td>
                <td>14.0</td>
                <td>0-148</td>
                <td>17.3</td>
                <td>4.2</td>
                <td>0-84</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Asian</td>
                <td>10.5</td>
                <td>12.8</td>
                <td>0-114</td>
                <td>9.8</td>
                <td>2.6</td>
                <td>0-94</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Other minorities</td>
                <td>12.3</td>
                <td>12.8</td>
                <td>0-48</td>
                <td>15.8</td>
                <td>5.3</td>
                <td>0-98</td>
              </tr>
              <tr valign="top">
                <td colspan="8"><bold>Area of study</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Health science</td>
                <td>14.3</td>
                <td>12.4</td>
                <td>0-113</td>
                <td>14.6</td>
                <td>2.3</td>
                <td>0-94</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Business</td>
                <td>16.1</td>
                <td>7.4</td>
                <td>0-93</td>
                <td>14.4</td>
                <td>7.2</td>
                <td>0-92</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Mathematics and engineering</td>
                <td>9.1</td>
                <td>2.1</td>
                <td>1-33</td>
                <td>8.3</td>
                <td>1.9</td>
                <td>0-31</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Social science and arts</td>
                <td>19.0</td>
                <td>5.3</td>
                <td>0-148</td>
                <td>16.8</td>
                <td>4.0</td>
                <td>0-98</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Undeclared</td>
                <td>11.1</td>
                <td>3.4</td>
                <td>0-88</td>
                <td>9.4</td>
                <td>3.6</td>
                <td>0-95</td>
              </tr>
            </tbody>
          </table>
         <table-wrap-foot>
            <fn id="table2fn1">
              <p><sup>a</sup>SE: standard error.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>

      </sec>
      <sec>
        <title>Sex and Tweet content</title>
        <p>Women tweeted more often than men during both nonexam (women: mean rank 95.8; men: mean rank 76.8; <italic>U</italic>=2876, <italic>P</italic>=.02) and final-exam periods (women: mean rank 96.2; men mean rank 76.2; <italic>U</italic>=2832, <italic>P</italic>=.01; <xref ref-type="table" rid="table2">Table 2</xref>). However, during both nonexam and exam periods, the proportion of the tweets related to academic studies (nonexam: women’s mean rank 83.7, men’s mean rank 96.1, <italic>U</italic>=3157, <italic>P</italic>=.12; exam: women’s mean rank 77.4, men’s mean rank 84.7, <italic>U</italic>=2618, <italic>P</italic>=.34), personal health (nonexam: women’s mean rank 83.7, men’s mean rank 96.1, <italic>U</italic>=3157, <italic>P</italic>=.12; exam: women’s mean rank 75.8; men’s mean rank 87.7, <italic>U</italic>=2451, <italic>P</italic>=.11), and social life (nonexam: women’s mean rank 89.6, men’s mean rank 96.7, <italic>U</italic>=3549, <italic>P</italic>=.78; exam: women’s mean rank 80.1, men’s mean rank 80.0, <italic>U</italic>=2878, <italic>P</italic>=.98) were similar between the sexes (<xref ref-type="table" rid="table3">Table 3</xref>).</p>

        <table-wrap position="float" id="table3">
          <label>Table 3</label>
          <caption>
            <p>Weekly percentage of tweets posted during nonexam and exam periods by participants, by sex, ethnicity, and area of study.</p>
          </caption>
          <table width="1000" cellpadding="5" cellspacing="0" border="1" rules="groups" frame="hsides">
            <col width="30"/>
            <col width="240"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="120"/>
            <col width="130"/>
            <col width="100"/>
            <thead>
              <tr valign="top">
                <td rowspan="2" colspan="2"><break/>Characteristics</td>
                <td colspan="2">Academic tweets, mean % (SE<sup>a</sup>)</td>
                <td colspan="2"><break/>Personal health tweets, mean % (SE)</td>
                <td colspan="2"><break/>Social life tweets, mean % (SE)</td>
              </tr>
              <tr valign="top">
                <td>Nonexam period</td>
                <td>Exam period</td>
                <td>Nonexam period</td>
                <td>Exam period</td>
                <td>Nonexam period</td>
                <td>Exam period</td>
              </tr>
            </thead>
            <tbody>
              <tr valign="top">
                <td colspan="8"><bold>Sex</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Female</td>
                <td>16.1 (1)</td>
                <td>19 (1.9)</td>
                <td>10.2 (1)</td>
                <td>8.2 (0.9)</td>
                <td>7.6 (0.6)</td>
                <td>5.0 (1)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Male</td>
                <td>20 (2)</td>
                <td>24 (3.3)</td>
                <td>11 (0.9)</td>
                <td>12.3 (2.2)</td>
                <td>7.0 (0.7)</td>
                <td>6.2 (2)</td>
              </tr>
              <tr valign="top">
                <td colspan="8"><bold>Ethnicity</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>White</td>
                <td>19 (2.4)</td>
                <td>32 (0.5)</td>
                <td>10.4 (1.1)</td>
                <td>6.7 (1.6)</td>
                <td>8.9 (1.1)</td>
                <td>7.4 (2.9)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>African American</td>
                <td>16.5 (0.2)</td>
                <td>12 (3)</td>
                <td>10.1 (1.1)</td>
                <td>6.9 (1.4)</td>
                <td>8.2 (1.6)</td>
                <td>5.9 (1.5)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Latino</td>
                <td>20 (2.4)</td>
                <td>18.7 (2.1)</td>
                <td>11.5 (1)</td>
                <td>11.2 (2.0)</td>
                <td>7.5 (1.0)</td>
                <td>6.5 (1.8)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Asian</td>
                <td>18 (1.6)</td>
                <td>23 (3.9)</td>
                <td>9.2 (0.8)</td>
                <td>11.4 (2.8)</td>
                <td>5.3 (0.5)</td>
                <td>2.5 (0.6)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Other minorities</td>
                <td>12 (2.0)</td>
                <td>15.1 (4.5)</td>
                <td>10.0 (2.6)</td>
                <td>10.1 (2.7)</td>
                <td>7.8 (1.1)</td>
                <td>4.9 (1.9)</td>
              </tr>
              <tr valign="top">
                <td colspan="8"><bold>Areas of study</bold></td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Health science</td>
                <td>11.5 (1.0)</td>
                <td>18.8 (1.7)</td>
                <td>11.5 (1.0)</td>
                <td>11.5 (1.9)</td>
                <td>6.8 (1.1)</td>
                <td>6.6 (1.4)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Business</td>
                <td>10.0 (2.1)</td>
                <td>20.2 (0.4)</td>
                <td>10.0 (2.1)</td>
                <td>2.7 (1.2)</td>
                <td>7.9 (1.1)</td>
                <td>2.2 (1.2)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Mathematics and <break/>engineering</td>
                <td>9.3 (0.8)</td>
                <td>21 (2.5)</td>
                <td>9.3 (0.8)</td>
                <td>7.4 (1.7)</td>
                <td>7.9 (1.2)</td>
                <td>4.9 (2.0)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Social science and arts</td>
                <td>8.1 (0.7)</td>
                <td>13 (1.6)</td>
                <td>8.0 (0.7)</td>
                <td>5.7 (1.1)</td>
                <td>6.9 (1.2)</td>
                <td>6.5 (2.6)</td>
              </tr>
              <tr valign="top">
                <td><break/></td>
                <td>Undeclared</td>
                <td>10 (1.4)</td>
                <td>15.5 (2.3)</td>
                <td>10.4 (1.4)</td>
                <td>14.5 (2.6)</td>
                <td>7.2 (1.0)</td>
                <td>4.9 (2.0)</td>
              </tr>
            </tbody>
          </table>
         <table-wrap-foot>
            <fn id="table1fn1">
              <p><sup>a</sup>SE: standard error.</p>
            </fn>
          </table-wrap-foot>
        </table-wrap>
      </sec>
      <sec>
        <title>Ethnicity and Tweet Content</title>
        <p>African Americans tweeted most frequently compared with other ethnic groups during both nonexam (χ<sup>2</sup><sub>4</sub>=13.3, <italic>P</italic>=.01) and exam periods (χ<sup>2</sup><sub>4</sub>=11.1, <italic>P</italic>=.03; <xref ref-type="table" rid="table2">Table 2</xref>). Interestingly, the percentages of academic-related tweets were similar between the ethnic groups during nonexam periods (χ<sup>2</sup><sub>4</sub>=7.3, <italic>P=</italic>.12). However, during the final-exam periods, the percentage of academic tweets was significantly lower among African Americans than among whites (χ<sup>2</sup><sub>4</sub>=15.1, <italic>P</italic>=.004). The proportion of academic-related tweets decreased only among African Americans and Latinos during the exam period compared with the nonexam period. During nonexam and exam periods, the percentages of tweets related to personal health (nonexam: χ<sup>2</sup><sub>4</sub>=8.9, <italic>P=</italic>.08; exam: χ<sup>2</sup><sub>4</sub>=3.8, <italic>P</italic>=.43) and social life (nonexam: χ<sup>2</sup><sub>4</sub>=7.3, <italic>P</italic>=.11; exam: χ<sup>2</sup><sub>4</sub>=6.9, <italic>P</italic>&#62;.13) were not significantly different between ethnic groups (<xref ref-type="table" rid="table2">Table 2</xref>).</p>
      </sec>
      <sec>
        <title>Area of Study and Tweet Content</title>
        <p>Students in social science and arts had the highest number of weekly tweets throughout the semester compared with participants in other majors. However, the mean difference was not significant (χ<sup>2</sup><sub>4</sub>=3.5, <italic>P=</italic>.48). During nonexam and exam periods, the percentages of tweets related to academic studies (nonexam: χ<sup>2</sup><sub>4</sub>=7.5, <italic>P=</italic>.11; exam: χ<sup>2</sup><sub>4</sub>=9.1, <italic>P</italic>=.06), personal health (nonexam: χ<sup>2</sup><sub>4</sub>=4.4, <italic>P=</italic>.35; exam: χ<sup>2</sup><sub>4</sub>=4.6, <italic>P</italic>=.30), and social life (nonexam: χ<sup>2</sup><sub>4</sub>=3.0, <italic>P=</italic>.55; exam: χ<sup>2</sup><sub>4</sub>=5.2, <italic>P=</italic>.27) were not significantly different between areas of study (<xref ref-type="table" rid="table3">Table 3</xref>).</p>
      </sec>
    </sec>
    <sec sec-type="discussion">
      <title>Discussion</title>
      <sec>
        <title>Principal Findings</title>
        <p>This study examined the content of the tweets of college freshman throughout a single semester. To our knowledge, this is the first study that examined the types of social media content posted and the frequency of content discussed among college freshmen. These results could have several important implications for academic researchers and school administrators.</p>
        <p>First, our results suggest that the number of tweets related to academic studies and social life fluctuates to reflect real-time events. The proportion of academic tweets increased while the proportion of tweets related to social life decreased during the exam period compared with the nonexam period. This change in the proportion of tweets reflects the types of activities that students are experiencing at these different points in time and thus suggests that it may be possible to monitor students’ college experience through the study of their tweets. Previous studies have shown that the analysis of tweet sentiment (positive, negative, or neutral) can be used to monitor user experience [<xref ref-type="bibr" rid="ref5">5</xref>-<xref ref-type="bibr" rid="ref7">7</xref>]. A possible future application to monitoring student experience in real time is to combine the Twitter analytic methods used in this study with sentiment analysis. For example, tweets related to academic studies, personal health, or social life could be extracted. Sentiment analysis could then be applied to the categories to determine whether an individual’s attitude toward or perception of that category (eg, academic study or personal health) is positive, negative, or neutral. This study provides preliminary evidence to suggest that Twitter data can be used to monitor students’ experience related to academic study, personal health, social life. Future studies in this area are warranted.</p>
        <p>Second, our results suggest that students’ ethnicity influenced the proportion of academic-related tweets they posted. During exam periods, African American students tweeted significantly less about academic studies than did white students, even though African American students tweeted more often in total than other ethnic groups. The difference in academic-related content may suggest academic disengagement [<xref ref-type="bibr" rid="ref8">8</xref>]. Previous studies have shown that African Americans and Latinos have underperformed compared with white students due to factors such as differences in cultural patterns or socioeconomic status [<xref ref-type="bibr" rid="ref9">9</xref>-<xref ref-type="bibr" rid="ref11">11</xref>]. Social media data can offer an alternative method to study the influence of ethnicity and academic disengagement by providing another tool for understanding organic, real-time data on racial and ethnic differences. Furthermore, talking about academic studies on social media may be a way for students to share their academic experience and cope with academic-related stress. Previous studies have found that Latinos are more likely than whites to turn to family and friends for coping with academic-related stress [<xref ref-type="bibr" rid="ref1">1</xref>,<xref ref-type="bibr" rid="ref12">12</xref>]. Therefore, the difference in coping strategy (eg, family, friends, and online) between ethnic groups could be a contributing factor to differences in the academic-related tweets we observed. A potential future application for academic researchers and school administrators is to use social media to understand student behavior and engage with the students to promote academic studies.</p>
        <p>Third, the overall number of weekly tweets of individual students related to academic studies, personal health, and social life remained relatively low, and the data were sparse. This means that a longer period of data collection would be required to reach a sufficient sample size to monitor students’ college experience on an individual level. The optimal amount of time required for data collection remains unclear. De Choudhury et al [<xref ref-type="bibr" rid="ref13">13</xref>] conducted one of the first studies that used an individual’s tweets to predict risk of depression. The authors collected Twitter data over a 1-year period to build a model that was able to monitor and predict risk of depression in adults. Despite the small sample size and sparse data on an individual level observed in our study, Twitter data could be well suited to monitor students’ college experience on a population level. Study participants (n=170) posted between 100 and 300 weekly tweets related to academic study, personal health, and social life. A previous study found that the number of tweets related to risky sexual behavior and drug use was associated with HIV prevalence on a countywide level in the Untied states [<xref ref-type="bibr" rid="ref14">14</xref>]. Similarly, tweets related to physical activity were negatively associated with obesity rates on a countywide level [<xref ref-type="bibr" rid="ref15">15</xref>]. Academic researchers and school administrators could use similar methods to monitor students’ college experience by combining other data sources (eg, grade point average or stress level) with Twitter data. Future studies need to examine whether this method could offer real-time information on students’ college experience that school administrators and researchers could use to help improve this experience.</p>
      </sec>
      <sec>
        <title>Limitations</title>
        <p>The study was not without limitations. We collected data during freshmen’s first semester at one university, and this was because this study was part of a larger study in which only freshman students were recruited. It is possible that the types and frequency of content expressed by students in other universities or upper years would be different. The students were aware that their tweets were being collected for research, which may have led to a bias in the form of self-censoring during the study period. Furthermore, 25% of Internet users are registered on Twitter [<xref ref-type="bibr" rid="ref16">16</xref>]. It may be possible that these users differ from non-Twitter users in demographic characteristics, cultural background, or socioeconomic status. Nevertheless, the sample that we collected in this study included a wide range of ethnic groups and study majors. These factors need to be taken into consideration to ensure that Twitter content analyses are generalizable. Additionally, we were able to categorize up to 34% of all tweets into categories of academic studies, personal health, and social life by using keyword searches. It is possible that we missed certain tweets by excluding other keywords from our analyses. Future studies should also examine other topic modeling methods such as latent Dirichlet allocation.</p>
      </sec>
      <sec>
        <title>Conclusion</title>
        <p>The ability to use social media data to provide real-time information on students’ postsecondary experience has significant implications for universities and school administrators. In this study, we found that it is feasible to extract tweets related to academic studies, personal health, and social life posted by college freshmen. The proportion of academic-related tweets increased, while tweets related to social life decreased during the exam period versus nonexam period. Finally, ethnicity influenced the types of tweet content. Specifically, during the exam period, African Americans tweeted less content related to academic studies than did whites. The findings from this study provide valuable information on the types of information that could be extracted from social media data posted by postsecondary students. Future studies need to examine whether school administrators and researchers may use this method combined with other Twitter analysis techniques (eg, sentiment analysis) to monitor students’ university experience in real time.</p>
      </sec>
    </sec>
  </body>
  <back>
    <glossary>
      <title>Abbreviations</title>
      <def-list>

<def-item>
          <term id="abb1">SD</term>
          <def>
            <p>standard deviation</p>
          </def>
        </def-item>


<def-item>
          <term id="abb2">SE</term>
          <def>
            <p>standard error</p>
          </def>
        </def-item>


        <def-item>
          <term id="abb3">UCLA</term>
          <def>
            <p>University of California Los Angeles</p>
          </def>
        </def-item>
      </def-list>
    </glossary>
    <fn-group>
      <fn fn-type="conflict">
        <p>None declared.</p>
      </fn>
    </fn-group>
    <ref-list>
      <ref id="ref1">
        <label>1</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Hernandez</surname>
            <given-names>J</given-names>
          </name>
        </person-group>
        <article-title>A qualitative exploration of the first-year experience of Latino college students</article-title>
        <source>NASPA J</source>  
        <year>2002</year>  
        <volume>40</volume>  
        <issue>1</issue>  
        <fpage>69</fpage>  
        <lpage>84</lpage> </nlm-citation>
      </ref>
      <ref id="ref2">
        <label>2</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Anderson</surname>
            <given-names>DA</given-names>
          </name>
          <name name-style="western">
            <surname>Shapiro</surname>
            <given-names>JR</given-names>
          </name>
          <name name-style="western">
            <surname>Lundgren</surname>
            <given-names>JD</given-names>
          </name>
        </person-group>
        <article-title>The freshman year of college as a critical period for weight gain: an initial evaluation</article-title>
        <source>Eat Behav</source>  
        <year>2003</year>  
        <month>11</month>  
        <volume>4</volume>  
        <issue>4</issue>  
        <fpage>363</fpage>  
        <lpage>7</lpage>  
        <pub-id pub-id-type="doi">10.1016/S1471-0153(03)00030-8</pub-id>
        <pub-id pub-id-type="medline">15000962</pub-id>
        <pub-id pub-id-type="pii">S1471015303000308</pub-id></nlm-citation>
      </ref>
      <ref id="ref3">
        <label>3</label>
        <nlm-citation citation-type="book">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Eagan</surname>
            <given-names>K</given-names>
          </name>
          <name name-style="western">
            <surname>Stolzenberg</surname>
            <given-names>E</given-names>
          </name>
          <name name-style="western">
            <surname>Ramirez</surname>
            <given-names>J</given-names>
          </name>
          <name name-style="western">
            <surname>Aragon</surname>
            <given-names>M</given-names>
          </name>
          <name name-style="western">
            <surname>Suchard</surname>
            <given-names>R</given-names>
          </name>
          <name name-style="western">
            <surname>Hurtado</surname>
            <given-names>S</given-names>
          </name>
        </person-group>
        <source>The American Freshman: National Norms Fall 2014</source>  
        <year>2015</year>  
        <publisher-loc>Los Angeles, CA</publisher-loc>
        <publisher-name>Higher Education Research Institute, UCLA</publisher-name></nlm-citation>
      </ref>
      <ref id="ref4">
        <label>4</label>
        <nlm-citation citation-type="web">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Duggan</surname>
            <given-names>M</given-names>
          </name>
          <name name-style="western">
            <surname>Ellison</surname>
            <given-names>N</given-names>
          </name>
          <name name-style="western">
            <surname>Lampe</surname>
            <given-names>C</given-names>
          </name>
          <name name-style="western">
            <surname>Lenhart</surname>
            <given-names>A</given-names>
          </name>
          <name name-style="western">
            <surname>Madden</surname>
            <given-names>M</given-names>
          </name>
        </person-group>
        <source>Social media update 2014</source>  
        <year>2015</year>  
        <month>01</month>  
        <day>09</day>  
        <access-date>2017-12-22</access-date>
        <publisher-loc>Washington, DC</publisher-loc>
        <publisher-name>Pew Research Center</publisher-name>
        <comment>
          <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:type="simple" xlink:href="http://www.pewinternet.org/files/2015/01/PI_SocialMediaUpdate20144.pdf">http://www.pewinternet.org/files/2015/01/PI_SocialMediaUpdate20144.pdf</ext-link>
          <ext-link ext-link-type="webcite" xlink:href="6vuHjYItD"/>
        </comment> </nlm-citation>
      </ref>
      <ref id="ref5">
        <label>5</label>
        <nlm-citation citation-type="confproc">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Pak</surname>
            <given-names>A</given-names>
          </name>
          <name name-style="western">
            <surname>Paroubek</surname>
            <given-names>P</given-names>
          </name>
        </person-group>
        <article-title>Twitter as a corpus for sentiment analysis and opinion mining</article-title>
        <year>2010</year>  
        <conf-name>LREC 2010, Seventh International Conference on Language Resources and Evaluation</conf-name>
        <conf-date>May 17-23, 2010</conf-date>
        <conf-loc>Malta</conf-loc>
        <fpage>17</fpage>  
        <lpage>23</lpage> </nlm-citation>
      </ref>
      <ref id="ref6">
        <label>6</label>
        <nlm-citation citation-type="confproc">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Kouloumpis</surname>
            <given-names>E</given-names>
          </name>
          <name name-style="western">
            <surname>Wilson</surname>
            <given-names>T</given-names>
          </name>
          <name name-style="western">
            <surname>Moore</surname>
            <given-names>J</given-names>
          </name>
        </person-group>
        <article-title>Twitter sentiment analysis: the good the bad and the OMB!</article-title>
        <year>2011</year>  
        <conf-name>Fifth International Conference on Weblogs and Social Media</conf-name>
        <conf-date>July 17-21, 2011</conf-date>
        <conf-loc>Barcelona, Spain</conf-loc>
        <publisher-loc>Palo Alto, CA</publisher-loc>
        <publisher-name>AAAI Press</publisher-name>
        <fpage>538</fpage>  
        <lpage>541</lpage> </nlm-citation>
      </ref>
      <ref id="ref7">
        <label>7</label>
        <nlm-citation citation-type="confproc">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Hu</surname>
            <given-names>X</given-names>
          </name>
          <name name-style="western">
            <surname>Tang</surname>
            <given-names>L</given-names>
          </name>
          <name name-style="western">
            <surname>Tang</surname>
            <given-names>J</given-names>
          </name>
          <name name-style="western">
            <surname>Liu</surname>
            <given-names>H</given-names>
          </name>
        </person-group>
        <article-title>Exploiting social relations for sentiment analysis in microblogging</article-title>
        <year>2013</year>  
        <conf-name>Sixth ACM International Conference on Web Search and Data Mining</conf-name>
        <conf-date>Feb 4-8, 2013</conf-date>
        <conf-loc>Rome, Italy</conf-loc></nlm-citation>
      </ref>
      <ref id="ref8">
        <label>8</label>
        <nlm-citation citation-type="book">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Ogbu</surname>
            <given-names>J</given-names>
          </name>
        </person-group>
        <source>Black American Students in an Affluent Suburb: A Study of Academic Disengagement</source>  
        <year>2003</year>  
        <publisher-loc>New York, NY</publisher-loc>
        <publisher-name>Routledge</publisher-name></nlm-citation>
      </ref>
      <ref id="ref9">
        <label>9</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Noguera</surname>
            <given-names>P</given-names>
          </name>
        </person-group>
        <article-title>The trouble with black boys: the role and influence of environmental and cultural factors on the academic performance of African American males</article-title>
        <source>Urban Educ</source>  
        <year>2003</year>  
        <volume>38</volume>  
        <issue>4</issue>  
        <fpage>431</fpage>  
        <lpage>59</lpage> </nlm-citation>
      </ref>
      <ref id="ref10">
        <label>10</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Strayhorn</surname>
            <given-names>T</given-names>
          </name>
        </person-group>
        <article-title>When race and gender collideocial and cultural capital's influence on the academic achievement of African American and Latino males</article-title>
        <source>Rev Higher Educ</source>  
        <year>2010</year>  
        <volume>33</volume>  
        <issue>3</issue>  
        <fpage>307</fpage>  
        <lpage>32</lpage> </nlm-citation>
      </ref>
      <ref id="ref11">
        <label>11</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Massey</surname>
            <given-names>D</given-names>
          </name>
          <name name-style="western">
            <surname>Fischer</surname>
            <given-names>M</given-names>
          </name>
        </person-group>
        <article-title>Stereotype threat and academic performance: new findings from a racially diverse sample of college freshmen</article-title>
        <source>Du Bois Rev</source>  
        <year>2005</year>  
        <volume>2</volume>  
        <issue>1</issue>  
        <fpage>45</fpage>  
        <lpage>67</lpage> </nlm-citation>
      </ref>
      <ref id="ref12">
        <label>12</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Renk</surname>
            <given-names>K</given-names>
          </name>
          <name name-style="western">
            <surname>Smith</surname>
            <given-names>T</given-names>
          </name>
        </person-group>
        <article-title>Predictors of academic-related stress in college students: an examination of coping, social support, parenting,anxiety</article-title>
        <source>NASPA J</source>  
        <year>2007</year>  
        <volume>44</volume>  
        <issue>3</issue>  
        <fpage>405</fpage>  
        <lpage>431</lpage> </nlm-citation>
      </ref>
      <ref id="ref13">
        <label>13</label>
        <nlm-citation citation-type="confproc">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>De Choudhury</surname>
            <given-names>M</given-names>
          </name>
          <name name-style="western">
            <surname>Gamon</surname>
            <given-names>M</given-names>
          </name>
          <name name-style="western">
            <surname>Counts</surname>
            <given-names>S</given-names>
          </name>
          <name name-style="western">
            <surname>Horvitz</surname>
            <given-names>E</given-names>
          </name>
        </person-group>
        <article-title>Predicting depression via social media</article-title>
        <year>2013</year>  
        <conf-name>7th International AAAI Conference on Weblogs and Social Media</conf-name>
        <conf-date>Jul 8-10, 2013</conf-date>
        <conf-loc>Ann Arbor, MI, USA</conf-loc>
        <publisher-loc>Palo Alto, CA</publisher-loc>
        <publisher-name>AAAI Press</publisher-name>
        <fpage>1</fpage>  
        <lpage>10</lpage> </nlm-citation>
      </ref>
      <ref id="ref14">
        <label>14</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Young</surname>
            <given-names>SD</given-names>
          </name>
          <name name-style="western">
            <surname>Rivers</surname>
            <given-names>C</given-names>
          </name>
          <name name-style="western">
            <surname>Lewis</surname>
            <given-names>B</given-names>
          </name>
        </person-group>
        <article-title>Methods of using real-time social media technologies for detection and remote monitoring of HIV outcomes</article-title>
        <source>Prev Med</source>  
        <year>2014</year>  
        <month>06</month>  
        <volume>63</volume>  
        <fpage>112</fpage>  
        <lpage>5</lpage>  
        <comment>
          <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:type="simple" xlink:href="http://europepmc.org/abstract/MED/24513169"/>
        </comment>  
        <pub-id pub-id-type="doi">10.1016/j.ypmed.2014.01.024</pub-id>
        <pub-id pub-id-type="medline">24513169</pub-id>
        <pub-id pub-id-type="pii">S0091-7435(14)00055-3</pub-id>
        <pub-id pub-id-type="pmcid">PMC4031268</pub-id></nlm-citation>
      </ref>
      <ref id="ref15">
        <label>15</label>
        <nlm-citation citation-type="journal">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Gore</surname>
            <given-names>RJ</given-names>
          </name>
          <name name-style="western">
            <surname>Diallo</surname>
            <given-names>S</given-names>
          </name>
          <name name-style="western">
            <surname>Padilla</surname>
            <given-names>J</given-names>
          </name>
        </person-group>
        <article-title>You are what you tweet: connecting the geographic variation in America's obesity rate to Twitter content</article-title>
        <source>PLoS One</source>  
        <year>2015</year>  
        <volume>10</volume>  
        <issue>9</issue>  
        <fpage>e0133505</fpage>  
        <pub-id pub-id-type="doi">10.1371/journal.pone.0133505</pub-id>
        <pub-id pub-id-type="medline">26332588</pub-id>
        <pub-id pub-id-type="pmcid">PMC4557976</pub-id></nlm-citation>
      </ref>
      <ref id="ref16">
        <label>16</label>
        <nlm-citation citation-type="web">
        <person-group person-group-type="author">
          <name name-style="western">
            <surname>Greenwood</surname>
            <given-names>S</given-names>
          </name>
          <name name-style="western">
            <surname>Perrin</surname>
            <given-names>A</given-names>
          </name>
          <name name-style="western">
            <surname>Duggan</surname>
            <given-names>M</given-names>
          </name>
        </person-group>
        <source>Social media update 2016</source>  
        <year>2016</year>  
        <month>11</month>  
        <day>11</day>  
        <access-date>2018-01-08</access-date>
        <publisher-loc>Washington, DC</publisher-loc>
        <publisher-name>Pew Research Center</publisher-name>
        <comment>
          <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:type="simple" xlink:href="http://assets.pewresearch.org/wp-content/uploads/sites/14/2016/11/10132827/PI_2016.11.11_Social-Media-Update_FINAL.pdf">http://assets.pewresearch.org/wp-content/uploads/sites/14/2016/11/10132827/PI_2016.11.11_Social-Media-Update_FINAL.pdf</ext-link>
          <ext-link ext-link-type="webcite" xlink:href="6wJwykfya"/>
        </comment> </nlm-citation>
      </ref>
    </ref-list>
  </back>
</article>