Evidence map›Paper›PMID 29559422›Full record

ArticleJMIR public health and surveillance2018

Representations of Codeine Misuse on Instagram: Content Analysis.

Roy Cherian, Marisa Westbrook, Danielle Ramo, Urmimala Sarkar

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
10.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 65 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Lean/Sizzurp Ingredients, Use, and Coping With Mental Health Symptoms.Substance abuse : research and treatment · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Representations of Psychoactive Drugs' Use in Mass Culture and Their Impact on Audiences.International journal of environmental research and public health · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Infodemiology and Infoveillance: Scoping Review.Journal of medical Internet research · 2020
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Roy CherianCenter for Vulnerable Populations, Department of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID http://orcid.org/0000-0002-4257-8842
Marisa WestbrookDepartment of Health and Behavioral Sciences, University of Colorado, Denver, Denver, CO, United States.ORCID http://orcid.org/0000-0003-1010-1844
Danielle RamoWeill Institute for Neurosciences, Department of Psychiatry, University of California, San Francisco, San Francisco, CA, United States.ORCID http://orcid.org/0000-0002-9875-5713
Urmimala SarkarCenter for Vulnerable Populations, Department of General Internal Medicine, University of California, San Francisco, San Francisco, CA, United States.ORCID http://orcid.org/0000-0003-4213-4405
University of California, San Francisco · USUniversity of Colorado Denver · US

Funding

Influencing cervical cancer prevention and detection online through social mediaR01CA178875 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CENTOLA, DAMON, SARKAR, URMIMALA · 2014 to 2016
$1.3M
Social Media Intervention for Young Adult SmokersK23DA032578 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RAMO, DANIELLE E · 2012 to 2016
$927k
NCI NIH HHS R01 CA178875NIDA NIH HHS K23 DA032578
6 · The paper itself

Abstract

backgroundPrescription opioid misuse has doubled over the past 10 years and is now a public health epidemic. Analysis of social media data may provide additional insights into opioid misuse to supplement the traditional approaches of data collection (eg, self-report on surveys).

objectiveThe aim of this study was to characterize representations of codeine misuse through analysis of public posts on Instagram to understand text phrases related to misuse.

methodsWe identified hashtags and searchable text phrases associated with codeine misuse by analyzing 1156 sequential Instagram posts over the course of 2 weeks from May 2016 to July 2016. Content analysis of posts associated with these hashtags identified the most common themes arising in images, as well as culture around misuse, including how misuse is happening and being perpetuated through social media.

resultsA majority of images (50/100; 50.0%) depicted codeine in its commonly misused form, combined with soda (lean). Codeine misuse was commonly represented with the ingestion of alcohol, cannabis, and benzodiazepines. Some images highlighted the previously noted affinity between codeine misuse and hip-hop culture or mainstream popular culture images.

conclusionsThe prevalence of codeine misuse images, glamorizing of ingestion with soda and alcohol, and their integration with mainstream, popular culture imagery holds the potential to normalize and increase codeine misuse and overdose. To reduce harm and prevent misuse, immediate public health efforts are needed to better understand the relationship between the potential normalization, ritualization, and commercialization of codeine misuse.

Indexed as

Instagrampoly-substance useprescription opioid misusesocial media

Identifiers

PMID29559422
PMCPMC5883072
OpenAlexW2791842059

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.