Evidence map›Paper›PMID 41875243›Full record

ArticleOnline journal of public health informatics2026

Instagram Memes of Oral Nicotine Pouches: Content Analysis Study.

Samia Amin, Yunping Wu, Samantha Baptista, Scott K Okamoto, Thaddeus A Herzog, Crissy Terawaki Kawamoto, Pallav Pokhrel

Abstract read
In one paragraph

Article in Online journal of public health informatics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Samia AminDepartment of Biology, Southern Arkansas University, Magnolia, AR, United States.ORCID http://orcid.org/0000-0001-9526-1606
Yunping WuPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0009-0004-7918-3811
Samantha BaptistaPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0009-0001-0806-2375
Scott K OkamotoPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0000-0003-0638-5354
Thaddeus A HerzogPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0000-0002-2946-1957
Crissy Terawaki KawamotoPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0000-0003-0335-6275
Pallav PokhrelPopulation Sciences in the Pacific Program, University of Hawaii Cancer Center, 701 Ilalo Street, Honolulu, HI, 96813-5516, United States, 1 8085645866.ORCID http://orcid.org/0000-0002-7906-0799

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Oral nicotine pouches (ONPs), such as Zyn, have gained popularity among young people; however, their portrayal on social media remains under-studied. Instagram memes, a widely shared form of digital communication, may shape young people's perceptions about ONPs and contribute to the widespread acceptance of ONP use. Objective: This study examines the thematic content of Instagram memes related to ONPs to understand how these products are represented online. Methods: The content of Instagram memes tagged with ONP-related hashtags-#oralnicotinepouch, #zyn, #on, #velo, and #nicotinepouch-was systematically analyzed. After screening, a total of 244 photo- and text-based memes were included in the final dataset. Using a structured coding framework, 3 researchers categorized the memes into key themes using NVivo software. Results: Three dominant themes emerged: (1) the Zyn community (35.6%)-memes fostered a sense of belonging among users; (2) marketing and branding (27.8%)-humorous critiques of product advertising and accessibility; and (3) perceived consequences of use (13.9%)-memes highlighted perceived positive or negative consequences of ONP use. Engagement metrics revealed high levels of interaction, with the Zyn community theme garnering the most user engagement. Conclusions: ONP-related Instagram memes are primarily focused on community identity, humor, and marketing, with community-centered content receiving the highest engagement. These findings indicate that social belonging and humor are central to the online representation of ONPs.

Indexed as

Instagrammemesnicotineoral nicotine pouchestobaccoZyn

Identifiers

PMID41875243
PMCPMC13012227

What OpenQuestion holds

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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.