Evidence map›Paper›PMID 41725046›Full record

ArticleAlcohol, clinical & experimental research2026

Alcohol-cancer risk communication on social media: A content analysis of alcohol-related Instagram and TikTok posts.

Joseph Alejandro, Christina Mair, Robert W S Coulter, Kar-Hai Chu, Alexa Pierce, Kennedy Sawicki, Arpita Tripathi, Jaime E Sidani

Abstract read
In one paragraph

Article in Alcohol, clinical & experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. When Risk Is Invisible: Alcohol-Cancer Communication on Social Media.Alcohol, clinical & experimental research · 2026
    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

8 authors.

Joseph AlejandroDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0009-0006-2059-475X
Christina MairDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Robert W S CoulterDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kar-Hai ChuDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Alexa PierceDepartment of Health Policy and Management, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Kennedy SawickiDepartment of Human Genetics, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Arpita TripathiDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0009-0006-9930-3993
Jaime E SidaniDepartment of Behavioral and Community Health Sciences, School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Funding

Center for Social Dynamics and Community Health, School of Public Health, University of Pittsburgh
6 · The paper itself

Abstract

backgroundDespite consistent evidence of the relationship between alcohol use and cancer risk, awareness of the alcohol-cancer link remains low among American adults. Given the increasing prominence of social media as a health information source, this study systematically examined samples of alcohol-related Instagram and TikTok posts to identify mentions of the alcohol-cancer link and characterize post content.

methodsWe collected public Instagram and TikTok posts made on or before May 12, 2024, via a hashtag-based search for posts tagged with #alcohol, #beer, #wine, #liquor, and #cocktail. Following an iterative codebook development process, two independent coders qualitatively reviewed random 2% (n = 1666) samples of Instagram posts and 20% (n = 725) samples of TikTok posts. Cohen's κ for each coding category ranged from 0.65 to 1.00 for Instagram posts and 0.61 to 1.00 for TikTok posts, while percent agreement for codes with low training sample prevalence ranged from 96.0% to 100% for both platforms. We examined posts identified as featuring intoxication or binge or high-intensity drinking, having been made by an influencer, featuring alcohol products, and targeting specific groups using inductive thematic content analysis.

resultsAcross both platforms, only one post, a TikTok video, mentioned the relationship between alcohol use and increased cancer risk. Posts often positively depicted alcohol and commonly considered beverages containing large amounts of alcohol as single drinks. 48.6% of Instagram posts were made by commercial entities and 69.7% showed an alcohol product. 68.1% of TikTok posts were posted by influencers, 52.7% were comedic, and 24.7% referenced intoxication, binge, or high-intensity drinking.

conclusionsCancer risk communication is largely absent among Instagram and TikTok posts, which often portray alcohol use in a positive light. Social media represents a critical, yet underutilized, channel for disseminating public health information about the alcohol-cancer link. Content analyses can inform strategic, audience-tailored messaging for improving public awareness.

Indexed as

Alcohol DrinkingCommunicationNeoplasmsSocial MediaDigital MediaHumansMedia ExposurealcoholcancerInstagramsocial mediaTikTok

Identifiers

PMID41725046
PMCPMC12926520

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Registered trials

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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.