Representations of Codeine Misuse on Instagram: Content Analysis

Cherian, Roy; Westbrook, Marisa; Ramo, Danielle E.; Sarkar, Urmimala

doi:10.2196/publichealth.8144

Cited by 60 publications

(60 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As Instagram was designed as a mobile app, it is frequently and repeatedly accessed. For example, globally, at least 60% of users log in daily [ 26 ], and in countries such as Australia, users check their accounts multiple times per day and an average of 26 times per week [ 20 ], which again demonstrates the potential for high reach of branded messages and normalize behavior [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Junk Food Marketing on Instagram: Content Analysis

Vassallo¹,

Kelly²,

Zhang³

et al. 2018

JMIR Public Health Surveill

113

107

View full text Add to dashboard Cite

BackgroundOmnipresent marketing of processed foods is a key driver of dietary choices and brand loyalty. Market data indicate a shift in food marketing expenditures to digital media, including social media. These platforms have greater potential to influence young people, given their unique peer-to-peer transmission and youths’ susceptibility to social pressures.ObjectiveThe aim of this study was to investigate the frequency of images and videos posted by the most popular, energy-dense, nutrient-poor food and beverage brands on Instagram and the marketing strategies used in these images, including any healthy choice claims.MethodsA content analysis of 15 accounts was conducted, using 12 months of Instagram posts from March 15, 2015, to March 15, 2016. A pre-established hierarchical coding guide was used to identify the primary marketing strategy of each post.ResultsEach brand used 6 to 11 different marketing strategies in their Instagram accounts; however, they often adhered to an overall theme such as athleticism or relatable consumers. There was a high level of branding, although not necessarily product information on all accounts, and there were very few health claims.ConclusionsBrands are using social media platforms such as Instagram to market their products to a growing number of consumers, using a high frequency of targeted and curated posts that manipulate consumer emotions rather than present information about their products. Policy action is needed that better reflects the current media environment. Public health bodies also need to engage with emerging media platforms and develop compelling social counter-marketing campaigns.

show abstract

Section: Introductionmentioning

confidence: 99%

Junk Food Marketing on Instagram: Content Analysis

Vassallo¹,

Kelly²,

Zhang³

et al. 2018

JMIR Public Health Surveill

113

107

View full text Add to dashboard Cite

show abstract

“…Most fatal prescription opioid overdoses involve co‐use of other drugs and even co‐use of stimulants such as cocaine can increase risk of poisoning or fatal overdose . Concomitant use of alcohol with Lean is already reportedly prevalent, which can increase risk of adverse outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…EDM party attendees appear to be increasingly aware about the dangers of drugs such as ecstasy being adulterated with other drugs (hence increased interest in drug testing); however, better education about all drugs (including Lean) may be needed both in this population and in the general population. Lean has already become glamorized and somewhat integrated with popular culture (eg, it is often displayed in a “double” Styrofoam cup throughout popular culture to indicate use) . Although artists have begun to speak out against the potential dangers associated with use, more public education is needed to warn against the addictive potential of this concoction and the risk of overdose or poisoning when the concoction is combined with other drugs such as alcohol.…”

Section: Discussionmentioning

confidence: 99%

“…“Lean,” also commonly referred to as “Sizzurp” or “Purple Drank,” is a soft drink concoction that often contains codeine cough syrup in order to get the user high . The use of Lean appears to be particularly prevalent in the hip‐hop music scene, and popular rap artists have discussed their struggles with addiction to the concoction, including Mac Miller who recently died from a fentanyl‐related overdose…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of “Lean” Among Electronic Dance Music Party Attendees

Palamar

2019

American J Addict

View full text Add to dashboard Cite

Background/Objectives Lean (a.k.a.: Sizzurp, Purple Drank) is a recreational beverage that commonly contains codeine cough syrup. Despite its popularization in the hip‐hop music scene, few epidemiologic studies have examined use. This study examined prevalence and correlates of use among a population at high‐risk for drug use—electronic dance music (EDM) party attendees. Methods A total of 1029 EDM party attendees (ages 18‐40) were surveyed in New York City in 2018 using time‐space sampling. Prevalence and correlates of use of Lean were estimated. Results An estimated 15.5% of attendees have ever used Lean, and 3.4% of attendees have used in the past year. Only an estimated 0.2% have used in the past month, but 14.2% would use in the next month if offered by a friend. Three‐quarters (75.4%) of users believed their Lean ever contained codeine and 32.4% believed it always or usually contained codeine. Past‐year use was strongly associated with past‐year nonmedical prescription opioid use (adjusted odds ratio = 10.77, P = 0.003), but not past‐year use of other illegal drugs. Attendees who are black or bisexual are at higher odds for past‐year use, and those with a college degree or higher are at lower odds for past‐year use. Discussion and Conclusions While use of Lean is not as prevalent as use of various other drugs (eg, ecstasy) in this high‐risk population, over a tenth have tried it and/or are willing to use it if offered. Scientific Significance Prevention efforts need to target potential users as frequent use of beverages containing codeine products can lead to dependence. (Am J Addict 2019;28:347–352)

show abstract

“…Movember) to drive sampling could be a fruitful approach for identifying narratives and representations of interest. [29,30] Using a previously published method of hashtag identification, [31] we identified 9 relevant hashtags, or words or phrases preceded by the "#" symbol that allow social media platforms to aggregate posts, [32] from Twitter and Instagram (#nationalcancersurviorsday, #ncsd2018, #survivorshipmonth, #endcancer, #cancersurvivorsday, #cancersurvivor, #cancercommunity, #bethebossovercancer, #celebratelife). Two researchers (GL and RC) identified these hashtags by first finding which hashtags were trending on June 3, 2018 (e.g.…”

Section: Data Collectionmentioning

confidence: 99%

Content shared on social media for national cancer survivors day 2018

Cherian

Whall

et al. 2020

PLoS ONE

Self Cite

View full text Add to dashboard Cite

Background Studies estimate that the number of cancer survivors will double by 2050 due to improvements in diagnostic accuracy and treatment efficacy. Despite the growing population of cancer survivors, there is a paucity of research regarding how these individuals experience the transition from active treatment to long-term surveillance. While research has explored this transition from more organized venues, such as support groups for cancer survivors, this paper explores the discourses surrounding cancer survivorship on social media, paying particular attention to how individuals who identify as cancer survivors represent their experience. Methods We identified social media posts relating to cancer survivorship on Twitter and Instagram in early June 2018, in order to coincide with National Cancer Survivorship Day on June 3, 2018. We used nine pre-selected hashtags to identify content. For each hashtag, we manually collected the 150 most recent posts from Twitter and the 100 most recent plus the top 9 posts from Instagram. Our preliminary sample included 1172 posts; after eliminating posts from one hashtag due to irrelevance, we were left with 1063 posts. We randomly sampled 200 of these to create a subset for analysis; after review for irrelevant posts, 193 posts remained for analysis (118 from Instagram and 75 from Twitter). We utilized a grounded theory approach to analyze the posts, first open-coding a subset to develop a codebook, then applying the codebook to the rest of the sample and finally memo writing to develop themes. Results Overall, there is substantial difference in the tone and thematic content between Instagram and Twitter posts, Instagram takes on a more narrative form that represents journeys through cancer treatment and subsequent survivorship, whereas Twitter is more factual, leaning towards advocacy, awareness and fundraising. In terms of content type, 120 posts (62%) of the sample were images, of which 42 (35%) were images of the individual posting

show abstract

Representations of Codeine Misuse on Instagram: Content Analysis

Cited by 60 publications

References 29 publications

Junk Food Marketing on Instagram: Content Analysis

Junk Food Marketing on Instagram: Content Analysis

Use of “Lean” Among Electronic Dance Music Party Attendees

Content shared on social media for national cancer survivors day 2018

Contact Info

Product

Resources

About