TY  - JOUR
AU  - Wu, Dezhi
AU  - Ng, Minnie
AU  - Gupta, Saborny Sen
AU  - Raynor, Phyllis
AU  - Tao, Youyou
AU  - Ren, Yang
AU  - Hung, Peiyin
AU  - Qiao, Shan
AU  - Zhang, Jiajia
AU  - Fillo, Jennifer
AU  - Li, Xiaoming
AU  - Guille, Constance
AU  - Eichelberger, Kacey
AU  - Olatosi, Bankole
PY  - 2024
DA  - 2024/10/7
TI  - Disclosure Patterns of Opioid Use Disorders in Perinatal Care During the Opioid Epidemic on X From 2019 to 2021: Thematic Analysis
JO  - JMIR Pediatr Parent
SP  - e52735
VL  - 7
KW  - X
KW  - Twitter
KW  - opioid use disorder
KW  - thematic analysis
KW  - pregnancy
KW  - perinatal care
KW  - women and child health
KW  - maternal health
KW  - COVID-19
KW  - opioid epidemic
AB  - Background: In 2021, the United States experienced a 14% rise in fatal drug overdoses totaling 106,699 deaths, driven by harmful opioid use, particularly among individuals in the perinatal period who face increased risks associated with opioid use disorders (OUDs). Increased concerns about the impacts of escalating harmful opioid use among pregnant and postpartum persons are rising. Most of the current limited perinatal OUD studies were conducted using traditional methods, such as interviews and randomized controlled trials to understand OUD treatment, risk factors, and associated adverse effects. However, little is known about how social media data, such as X, formerly known as Twitter, can be leveraged to explore and identify broad perinatal OUD trends, disclosure and communication patterns, and public health surveillance about OUD in the perinatal period. Objective: The objective is 3-fold: first, we aim to identify key themes and trends in perinatal OUD discussions on platform X. Second, we explore user engagement patterns, including replying and retweeting behaviors. Third, we investigate computational methods that could potentially streamline and scale the labor-intensive manual annotation effort. Methods: We extracted 6 million raw perinatal-themed tweets posted by global X users during the opioid epidemic from May 2019 to October 2021. After data cleaning and sampling, we used 500 tweets related to OUD in the perinatal period by US X users for a thematic analysis using NVivo (Lumivero) software. Results: Seven major themes emerged from our thematic analysis: (1) political views related to harmful opioid and other substance use, (2) perceptions of others’ substance use, (3) lived experiences of opioid and other substance use, (4) news reports or papers related to opioid and other substance use, (5) health care initiatives, (6) adverse effects on children’s health due to parental substance use, and (7) topics related to nonopioid substance use. Among these 7 themes, our user engagement analysis revealed that themes 4 and 5 received the highest average retweet counts, and theme 3 received the highest average tweet reply count. We further found that different computational methods excel in analyzing different themes. Conclusions: Social media platforms such as X can serve as a valuable tool for analyzing real-time discourse and exploring public perceptions, opinions, and behaviors related to maternal substance use, particularly, harmful opioid use in the perinatal period. More health promotion strategies can be carried out on social media platforms to provide educational support for the OUD perinatal population. 
SN  - 2561-6722
UR  - https://pediatrics.jmir.org/2024/1/e52735
UR  - https://doi.org/10.2196/52735
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39374068
DO  - 10.2196/52735
ID  - info:doi/10.2196/52735
ER  -