Trends in Fentanyl Content on Reddit Substance Use Forums, 2013-2021

被引：3
作者：
Bunting, Amanda M. [1 ]
Krawczyk, Noa [1 ]
Lippincott, Thomas [2 ]
Gu, Yuanqi [3 ]
Arya, Simran [4 ]
Nagappala, Suhas [5 ]
Meacham, Meredith C. [6 ]
机构：
[1] New York Univ Grossman Sch Med, Dept Populat Hlth, New York, NY 10016 USA
[2] Johns Hopkins Univ, Krieger Sch Arts & Sci, Baltimore, MD USA
[3] NYU, Sch Global Publ Hlth, Dept Publ Hlth Nutr, Nyc, NY USA
[4] SUNY Stony Brook, Renaissance Sch Med, Stony Brook, NY USA
[5] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA USA
[6] Univ Calif San Francisco, Dept Psychiat & Behav Sci, San Francisco, CA USA
来源：
JOURNAL OF GENERAL INTERNAL MEDICINE | 2023年 / 38卷 / 15期
基金：
美国国家卫生研究院;
关键词：
Fentanyl; Reddit; Stimulants; Social media; Drug supply; Overdose;
D O I：
10.1007/s11606-023-08256-7
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
BACKGROUND: Fentanyl is a pressing concern in the current drug supply. Social media data can provide access to near real-time understanding of drug trends that may complement official mortality data. DESIGN: The total number of fentanyl-related posts and the total number of posts for eight drug subreddit categories (alcohol, cannabis, hallucinogens, multi-drug, opioids, over the counter, sedatives, stimulants) were collected from 2013 to 2021 using the Pushshift Reddit dataset. The proportion of fentanyl-related posts as a fragment of total subreddit posts was examined. Linear regressions described the rate of change in post volume over time. RESULTS: Overall, fentanyl-related content increased across drug-related subreddits from 2013 to 2021 (1292% increase, linear trend p <= 0.001). Opioid subreddits (30.62 per 1000 posts, linear trend p <= 0.001) had the most fentanyl-related content during the examined time period. Multi-drug (5.95 per 1000; p <= 0.01), sedative (3.23 per 1000, p <= 0.01), and stimulant (1.60 per 1000, p <= 0.01) subreddits also had substantial increases in fentanyl-related content. The greatest increases occurred in the multi-drug (1067% 2013:2021) and stimulant (1862% 2014:2021) subreddits. CONCLUSION: Fentanyl-related posts on Reddit trended upward, with the fastest rate of change for multi-substance and stimulant subreddits. Beyond opioids, harm reduction and public health messaging should ensure inclusion of individuals who use other drugs.
引用
收藏
页码：3283 / 3287
页数：5
相关论文
共 13 条
  • [1] Auxier B., SOCIAL MEDIA USE 202
  • [2] Online surveillance of novel psychoactive substances (NPS): Monitoring Reddit discussions as a predictor of increased NPS-related exposures
    Barenholtz, Elan
    Krotulski, Alex J.
    Morris, Paul
    Fitzgerald, Nicole D.
    Le, Austin
    Papsun, Donna M.
    Logan, Barry K.
    Hahn, William E.
    Goldberger, Bruce A.
    Cottler, Linda B.
    Palamar, Joseph J.
    [J]. INTERNATIONAL JOURNAL OF DRUG POLICY, 2021, 98
  • [3] Increases in Online Posts About Synthetic Opioids Preceding Increases in Synthetic Opioid Death Rates: a Retrospective Observational Study
    Bowen, Daniel A.
    O'Donnell, Julie
    Sumner, Steven A.
    [J]. JOURNAL OF GENERAL INTERNAL MEDICINE, 2019, 34 (12) : 2702 - 2704
  • [4] Socially-supportive norms and mutual aid of people who use opioids: An analysis of Reddit during the initial COVID-19 pandemic
    Bunting, Amanda M.
    Frank, David
    Arshonsky, Joshua
    Bragg, Marie A.
    Friedman, Samuel R.
    Krawczyk, Noa
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2021, 222
  • [5] The rise of illicit fentanyls, stimulants and the fourth wave of the opioid overdose crisis
    Ciccarone, Daniel
    [J]. CURRENT OPINION IN PSYCHIATRY, 2021, 34 (04) : 344 - 350
  • [6] The Evolving Overdose Epidemic: Synthetic Opioids and Rising Stimulant-Related Harms
    Jones, Christopher M.
    Bekheet, Faraah
    Park, Ju Nyeong
    Alexander, G. Caleb
    [J]. EPIDEMIOLOGIC REVIEWS, 2020, 42 (01) : 154 - 166
  • [7] "How will I get my next week's script ? " Reactions of Reddit opioid forum users to changes in treatment access in the early months of the coronavirus pandemic
    Krawczyk, Noa
    Bunting, Amanda M.
    Frank, David
    Arshonsky, Joshua
    Gu, Yuanqi
    Friedman, Samuel R.
    Bragg, Marie A.
    [J]. INTERNATIONAL JOURNAL OF DRUG POLICY, 2021, 92
  • [8] Understanding emerging forms of cannabis use through an online cannabis community: An analysis of relative post volume and subjective highness ratings
    Meacham, Meredith C.
    Paul, Michael J.
    Ramo, Danielle E.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2018, 188 : 364 - 369
  • [9] O'Donnell J, 2021, MMWR-MORBID MORTAL W, V70, P1740, DOI 10.15585/mmwr.mm7050e3
  • [10] Trends in seizures of powders and pills containing illicit fentanyl in the United States, 2018 through 2021
    Palamar, Joseph J.
    Ciccarone, Daniel
    Rutherford, Caroline
    Keyes, Katherine M.
    Carr, Thomas H.
    Cottler, Linda B.
    [J]. DRUG AND ALCOHOL DEPENDENCE, 2022, 234
12