The fentanyl crisis & the dark side of social media

Telling the story of the opioid crisis: A narrative analysis of the TV series Dopesick

Dopesick (2021) is the first TV series whose plot deals exclusively with the opioid crisis in the United States. The current study uses narrative analysis and framing theory to explore this series, discussing its portrayal of the people and themes involved in the opioid crisis. Our analysis found that although Dopesick attempts to portray multiple dimensions of the opioid crisis, its narrative oversimplifies the story in attributing the cause of the problem almost exclusively to Purdue Pharma and its director Richard Sackler, while downplaying other factors that contributed to the opioid crisis. Thus, the narrative in this TV series tends to offer simple explanations to a complex problem for which simple solutions are likely to be inadequate.

Understanding and preventing the advertisement and sale of illicit drugs to young people through social media: A multidisciplinary scoping review

ISSUES

The sale of illicit drugs online has expanded to mainstream social media apps. These platforms provide access to a wide audience, especially children and adolescents. Research is in its infancy and scattered due to the multidisciplinary aspects of the phenomena.

APPROACH

We present a multidisciplinary systematic scoping review on the advertisement and sale of illicit drugs to young people. Peer-reviewed studies written in English, Spanish and French were searched for the period 2015 to 2022. We extracted data on users, drugs studied, rate of posts, terminology used and study methodology.

KEY FINDINGS

A total of 56 peer-reviewed papers were included. The analysis of these highlights the variety of drugs advertised and platforms used to do so. Various methodological designs were considered. Approaches to detecting illicit content were the focus of many studies as algorithms move from detecting drug-related keywords to drug selling behaviour. We found that on average, for the studies reviewed, 13 in 100 social media posts advertise illicit drugs. However, popular platforms used by adolescents are rarely studied.

IMPLICATIONS

Promotional content is increasing in sophistication to appeal to young people, shifting towards healthy, glamourous and seemingly legal depictions of drugs. Greater inter-disciplinary collaboration between computational and qualitative approaches are needed to comprehensively study the sale and advertisement of illegal drugs on social media across different platforms. This requires coordinated action from researchers, policy makers and service providers.

Using Social Media to Examine Themes Surrounding Fentanyl Misuse and Risk Indicators

Background: Opioid misuse is a crisis in the United States, and synthetic opioids such as fentanyl pose risks for overdose and mortality. Individuals who misuse substances commonly seek information and support online due to stigma and legal concerns, and this online networking may provide insight for substance misuse prevention and treatment. We aimed to characterize topics in substance-misuse related discourse among members of an online fentanyl community. Method: We investigated posts on a fentanyl-specific forum on the platform Reddit to identify emergent substance misuse-related themes potentially indicative of heightened risk for overdose and other adverse health outcomes. We analyzed 27 posts and 338 comments with a qualitative codebook established using a subset of user posts via inductive and deductive methods. Posts and comments were independently reviewed by two coders with a third coder resolving discrepancies. The top 200 subreddits with the most activity by r/fentanyl members were also inductively analyzed to understand interests of r/fentanyl users. Results: Functional/quality of life impairments due to substance misuse (29%) was the most commonly occurring theme, followed by polysubstance use (27%) and tolerance/dependence/withdrawal (20%). Additional themes included drug identification with photos, substances cut with other drugs, injection drugs, and past overdoses. Media-focused subreddits and other drug focused communities were among the communities most often followed by r/fentanyl users. Conclusion: Themes closely align with DSM-V substance use disorder symptoms for fentanyl and other substances. High involvement in media-focused subreddits and other substance-misuse-related communities suggests digital platforms as acceptable for overdose prevention and recovery support interventions.

The gendered dimensions of the anti-mask and anti-lockdown movement on social media

This paper examines the anti-mask and anti-lockdown online movement in connection to the COVID-19 pandemic. To combat the spread of the coronavirus, health officials around the world urged and/or mandated citizens to wear facemasks and adopt physical distancing measures. These health policies and guidelines have become highly politicized in some parts of the world, often discussed in association with freedom of choice and independence. We downloaded references to the anti-mask and anti-lockdown social media posts using 24 search terms. From a total of 4209 social media posts, the researchers manually filtered the explicit visual and textual content that is related to discussions of different genders. We used multimodal discourse analysis (MDM) which analyzes diverse modes of communicative texts and images and focuses on appeals to emotions and reasoning. Using the MDM approach, we analysed posts taken from Facebook and Instagram from active anti-mask and anti-lockdown users, and we identified three main discourses around the gendered discussion of the anti-mask movement including hypermasculine, sexist and pejorative portrayals of "Karen", and appropriating freedom and feminism discourses. A better understanding of how social media users evoke gendered discourses to spread anti-mask and anti-lockdown messages can help researchers identify differing reactions toward pandemic measures.

Hashtagged Trolling and Emojified Hate against Muslims on Social Media

This empirical exploratory study examines a number of insulting hashtags used against Islam and Christianity on Twitter and Instagram. Using a mixed method, the findings of the study show that Islam is more aggressively attacked than Christianity by three major communities, unlike Christianity, which is targeted much less by two main online groups. The online discussion around the two religions is politically polarized, and the negative language especially used against Islam includes the strategic use of hashtags and emojis, which have been weaponized to communicate violent messages and threats. The study is situated within the discussion of trolling and hateful content on social media. Aside from the empirical examination, the study refers to the differences in Twitter’s and Instagram’s policies, for the latter does not allow using hashtags such as #f***Christians and #f***Muslims, unlike Twitter, which accepts all types of hashtags to be used.

Synthetic opioids: a review and clinical update

The term 'opioids' refers to both the natural compounds ('opiates') which are extracted from the opium poppy plant (Papaver somniferum) and their semi-synthetic and synthetic derivatives. They all possess relatively similar biochemical profiles and interact with the opioid receptors within the human body to produce a wide range of physiological effects. They have historically been used for medicinal purposes, their analgesic and sedative effects, and in the management of chronic and severe pain. They have also been used for non-medicinal and recreational purposes to produce feelings of relaxation, euphoria and well-being. Over the last decade, the emergence of an illegal market in new synthetic opioids has become a major global public health issue, associated with a substantial increase in unintentional overdoses and drug-related deaths. Synthetic opioids include fentanyl, its analogues and emerging non-fentanyl opioids. Their popularity relates to changes in criminal markets, pricing, potency, availability compared to classic opioids, ease of transport and use, rapid effect and lack of detection by conventional testing technologies. This article expands on our previous review on new psychoactive substances. We now provide a more in-depth review on synthetic opioids and explore the current challenges faced by people who use drugs, healthcare professionals, and global public health systems.

Dark side of instant messaging: an empirical investigation from technology and society perspective

Purpose

The purpose of this study is to examine the dark side of instant messaging from the technological and societal perspectives.

Design/methodology/approach

With the help of literature review and different theories, a model has been developed conceptually. Later the model has been validated using statistical method. The authors have used 304 responses from the survey method, and this sample has been used to statistically validate the conceptual model.

Findings

This paper has been able to explicitly investigate and identify how different instant messaging platforms such as WhatsApp, WeChat in the form of electronic word of mouth (e-WOM) are contributing toward increase of mob lynching cases. The paper also highlights the important to have effective and enforceable regulation to regulate instant messaging services to the citizens.

Research limitations/implications

The findings cannot be generalized as the data is collected from India only. Moreover, the study is cross-sectional in nature. To get the comprehensive results, a longitudinal study needs to be conducted. This study considered seven constructs with one moderator. Having more predictors with other boundary conditions might have increased the explanative power of the model.

Practical implications

Instant messaging platforms such as WhatsApp, WeChat and so on are disseminating quick unverified information to the common people. This information sometimes is disseminated in inappropriate and exaggerated forms. This makes the instant messaging (WhatsApp) users' sentiment readily heated in some cases. They take such an action as mob lynching. This study determines the predictors of mob lynching along with the moderator impact of instant messaging in the society.

Originality/value

There are only a few studies those have explored the dark side of instant messaging. The proposed theoretical model is a unique model, which shows the predictors of mob lynching along with the negative consequences of the instant messaging (WhatsApp) in the society. From this perspective, this study can be considered as a unique study.

The convergence of social media and other communication technologies in the promotion of illicit and controlled drugs

Some social media platforms have strict regulations regarding the promotion of illicit and controlled drug on their sites. This study attempts to examine whether social media outlets like Twitter, Flickr and Tumblr have implemented practical measures to stop the active promotion of such drugs. We examined over 2.6 million social media posts taken from these three platforms. By focusing on keyword searches around mobile apps and communication means, we found evidence of ongoing opioid drug promotion, especially on Twitter followed by Flickr and Tumblr; we discuss our approach which effectively identifies posts related to the promotion of opioids and controlled drugs.

Bots as Active News Promoters: A Digital Analysis of COVID-19 Tweets

In this study, we examined the activities of automated social media accounts or bots that tweet or retweet referencing #COVID-19 and #COVID19. From a total sample of over 50 million tweets, we used a mixed method to extract more than 185,000 messages posted by 127 bots. Our findings show that the majority of these bots tweet, retweet and mention mainstream media outlets, promote health protection and telemedicine, and disseminate breaking news on the number of casualties and deaths caused by COVID-19. We argue that some of these bots are motivated by financial incentives, while other bots actively support the survivalist movement by emphasizing the need to prepare for the pandemic and learn survival skills. We only found a few bots that showed some suspicious activity probably due to the fact that our dataset was limited to two hashtags often used by official health bodies and academic communities.