A critical content analysis of media reporting on opioids: The social construction of an epidemic

Webster, Fiona; Rice, Kathleen; Sud, Abhimanyu

doi:10.1016/j.socscimed.2019.112642

Cited by 77 publications

(95 citation statements)

References 22 publications

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“…Media organizations have responded with expanded coverage of the opioid epidemic (McGinty et al, 2015; Webster et al, 2019; Willis & Painter, 2019). This coverage has swelled alongside increasing mortality associated with opioids (Dasgupta et al, 2009) and plays an important role in framing and defining the opioid epidemic as a social problem.…”

Section: Introductionmentioning

confidence: 99%

“…Popular media topics have included a presidential address to raise awareness of the opioid epidemic, news emphasizing the responsibility of drug companies and foreign governments in fueling the rise in opioid use, and debates about alternative treatments and opioid substitutes (Glowacki et al, 2018). Drug addiction tends to be presented within media coverage in a negative light, emphasizing individual culpability and stigmatizing language to refer to persons experiencing addiction (McGinty, Kennedy-Hendricks et al, 2019; Webster et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Where the Fault Lies: Representations of Addiction in Audience Reactions to Media Coverage of the Opioid Epidemic

Russell

Thames

Spence

et al. 2020

Contemporary Drug Problems

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The unprecedented number of deaths in the U.S. attributed to opioids has been referred to as an “epidemic of addiction.” Media coverage of the epidemic has stoked public discussion of addiction on social media platforms. This article describes how addiction is represented in comments on media coverage of the “opioid epidemic” and examines the relationship between media framing and audience representations of addiction. Content analysis methods were applied to data obtained from news posts ( n = 397) and comments ( n = 2,836) on the Facebook pages of 42 newspapers in Ohio, where overdose deaths are among the highest in the U.S. Eleven percent of comments were identified as referencing addiction ( n = 319). These comments were classified into two overarching categories: (1) support, disease, and contributing factors expressed support for persons affected by the epidemic, represented addiction as a disease requiring treatment, and highlighted social and structural factors seen as contributing to the epidemic (61.1% of comments referencing addiction); and (2) misdirected attention and individual blame questioned the media focus on addiction and overdose deaths, highlighted individual choices to misuse opioids, and suggested that media coverage of the epidemic diverts attention away from other social problems viewed as being more worthy of public attention (38.9% of comments). Representations of addiction in comments were found to be independent of (not associated with) frames in media coverage ( p = .945). Together, these results suggest that while a majority of commenters represent addiction as a legitimate social problem that warrants intervention and support, a substantial minority are dismissive of the epidemic, express anger and disdain for persons who use opioids, and seek to counter popular narratives of social and structural factors contributing to addiction.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Where the Fault Lies: Representations of Addiction in Audience Reactions to Media Coverage of the Opioid Epidemic

Russell

Thames

Spence

et al. 2020

Contemporary Drug Problems

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“…Continuing health professional education (CHPE) without industry involvement has been considered an important rectifying intervention as identi ed by a variety of national and regional policy documents (10)(11)(12), editorialists (13,14), and national media (15). The Canadian government has made continued major investments in chronic pain and opioid CHPE as part of its opioid crisis response strategy (16).…”

Section: Introductionmentioning

confidence: 99%

A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program

Sud

Doukas

Hodgson

et al. 2020

Preprint

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BackgroundContinuing health professions education (CHPE) is an important policy intervention for the opioid epidemic. Besides effectiveness or impact, health policy implementation should be studied to understand how an intervention was delivered within complex environments. Implementation outcomes can be used to help interpret CHPE effects and impacts, help answer questions of “how” and “why” programs work, and inform transferability. We evaluated Safer Opioid Prescribing (SOP), a national CHPE program, along the implementation outcomes of reach, dose, fidelity, and participant responsiveness.MethodsWe conducted a retrospective quantitative implementation evaluation of the 2014-2017 cohorts of SOP. To measure reach and dose, we examined participation and completion data. We used Ontario physician demographic data, including regulatory status with respect to controlled substances, to examine relevant trends. To measure fidelity and participant responsiveness, we analyzed participant-provided evaluations of bias, active learning, and relevance to practice. We used descriptive statistics and measures of association for both continuous and categorical variables. We used logistic regression to determine predictors of workshop participation and analysis of covariance to examine variation in satisfaction across different-sized sessions.ResultsIn total, there were 472 unique participants, 84.0% of whom were family physicians. Among Ontario physician participants, 90.0% were family physicians with characteristics representative of province-wide demographics. Webinar completion rate was 86.2% with no differences in completion based on rurality, gender, or controlled substance prescribing status with medical regulatory authorities. Nearly all participants rated the three webinars and workshop as balanced, and each element of SOP was also rated as highly relevant to clinical practice.ConclusionsThis evaluation demonstrates that Safer Opioid Prescribing was implemented as intended. Over a short period and without any external funding, the program reached more than 1% of the Ontario physician workforce. This suggests that the program may be a good model for using virtual CHPE to reach a critical mass of prescribers to drive population-level opioid utilization changes. This study represents a methodological advance of adapting evaluation methods from health policy and complex interventions for continuing health professions education. Future studies will assess effectiveness and impact on opioid prescribing and utilization within evaluation models of complex interventions.

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“…Within this framework, in countries where there is a risk of spreading of these types of pandemic diseases, tourism, transportation, trade and services may be adversely affected due to lower customer demands [5].…”

Section: Introductionmentioning

confidence: 99%

Multi-dimensional Strategic Approach to the Communicable Diseases With Systemic Risks by Using IT2 Fuzzy Decision-making Modelling

Wang¹,

Yang²,

Yüksel³

et al. 2020

Preprint

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Background Communicable diseases lead to significant social and financial burden for the countries. Therefore, countries should define their social and technical factors for struggling these problems. The main purpose of this study is to determine the effective strategies to minimize socio-economic burden of these diseases. Methods For this purpose, 8 different criteria are identified based on the literature analysis. In the evaluation process, the significance levels of these factors are calculated by considering interval-valued intuitionistic fuzzy (IVIF) DEMATEL. Findings: The findings show that technological infrastructure, social distance, and tendency of obeying rules are the most significant items to control these problems. This situation explains that countries should have the necessary equipment to make the diagnosis quickly and effectively. In addition, countries that have effective laboratories in which vaccines and drugs can be developed can be more successful in combating these pandemics. Additionally, it is also defined that cultural factors play also key role to control these problems. Conclusions In this framework, it is vital that the people in the country take the rules set by the government seriously and without exception. For this purpose, it should be explained to citizens living in the country that personal hygiene, social distance and not entering crowded environments are very important to manage these problems. For this purpose, role model people in the country can be preferred in different platforms so that it can be more effective on the citizens.

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A critical content analysis of media reporting on opioids: The social construction of an epidemic

Cited by 77 publications

References 22 publications

Where the Fault Lies: Representations of Addiction in Audience Reactions to Media Coverage of the Opioid Epidemic

Where the Fault Lies: Representations of Addiction in Audience Reactions to Media Coverage of the Opioid Epidemic

A retrospective quantitative implementation evaluation of Safer Opioid Prescribing, a Canadian continuing education program

Multi-dimensional Strategic Approach to the Communicable Diseases With Systemic Risks by Using IT2 Fuzzy Decision-making Modelling

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