Evidence map›Paper›PMID 31199298›Full record

ArticleJournal of medical Internet research2019

A Machine Learning Approach for the Detection and Characterization of Illicit Drug Dealers on Instagram: Model Evaluation Study.

Jiawei Li, Qing Xu, Neal Shah, Tim K Mackey

Open access · goldAbstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
19.7field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 94 citations in OpenAlex.

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  5. Pharmacovigilance in the digital age: gaining insight from social media data.Experimental biology and medicine (Maywood, N.J.) · 2025
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  10. Illicit Online Pharmacies: A Scoping Review.International journal of environmental research and public health · 2023
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  17. The Role of Artificial Intelligence in Fighting the COVID-19 Pandemic.Information systems frontiers : a journal of research and innovation · 2021
    Article
  18. Article
  19. Developing a framework regarding a complex risk based methodology in the evaluation of hazards associated with medicinal products sourced via the internet.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
    Article
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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.

Jiawei LiDepartment of Healthcare Research and Policy, University of California - San Diego, Extension, La Jolla, CA, United States.ORCID 0000-0001-9801-4715
Qing XuDepartment of Healthcare Research and Policy, University of California - San Diego, Extension, La Jolla, CA, United States.ORCID 0000-0002-4507-1094
Neal ShahGlobal Health Policy Institute, La Jolla, CA, United States.ORCID 0000-0001-8670-6124
Tim K MackeyDepartment of Healthcare Research and Policy, University of California - San Diego, Extension, La Jolla, CA, United States.ORCID 0000-0002-2191-7833
University of California San Diego · USGlobal Policy Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial media use is now ubiquitous, but the growth in social media communications has also made it a convenient digital platform for drug dealers selling controlled substances, opioids, and other illicit drugs. Previous studies and news investigations have reported the use of popular social media platforms as conduits for opioid sales. This study uses deep learning to detect illicit drug dealing on the image and video sharing platform Instagram.

objectiveThe aim of this study was to develop and evaluate a machine learning approach to detect Instagram posts related to illegal internet drug dealing.

methodsIn this paper, we describe an approach to detect drug dealers by using a deep learning model on Instagram. We collected Instagram posts using a Web scraper between July 2018 and October 2018 and then compared our deep learning model against 3 different machine learning models (eg, random forest, decision tree, and support vector machine) to assess the performance and accuracy of the model. For our deep learning model, we used the long short-term memory unit in the recurrent neural network to learn the pattern of the text of drug dealing posts. We also manually annotated all posts collected to evaluate our model performance and to characterize drug selling conversations.

resultsFrom the 12,857 posts we collected, we detected 1228 drug dealer posts comprising 267 unique users. We used cross-validation to evaluate the 4 models, with our deep learning model reaching 95% on F1 score and performing better than the other 3 models. We also found that by removing the hashtags in the text, the model had better performance. Detected posts contained hashtags related to several drugs, including the controlled substance Xanax (1078/1228, 87.78%), oxycodone/OxyContin (321/1228, 26.14%), and illicit drugs lysergic acid diethylamide (213/1228, 17.34%) and 3,4-methylenedioxy-methamphetamine (94/1228, 7.65%). We also observed the use of communication applications for suspected drug trading through user comments.

conclusionsOur approach using a combination of Web scraping and deep learning was able to detect illegal online drug sellers on Instagram, with high accuracy. Despite increased scrutiny by regulators and policymakers, the Instagram platform continues to host posts from drug dealers, in violation of federal law. Further action needs to be taken to ensure the safety of social media communities and help put an end to this illicit digital channel of sourcing.

Indexed as

Analgesics, OpioidHumansIllicit DrugsMachine LearningSocial MediaSubstance-Related DisordersAnalgesics, OpioidIllicit Drugsartificial intelligenceinternetmachine learningnarcoticsopioidsprescription drug abusesocial mediasubstance abuse

Identifiers

PMID31199298
PMCPMC6598421
OpenAlexW2950102488

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.