scholarly journals “Trying to Avoid Fentanyl and Other Dangerous Fakes”: A Thematic Analysis of Risk-Mitigating Strategies in Opioid Reddit Posts

Author(s):  
Jennifer Nguyen ◽  
Lauren R. Gilbert ◽  
George Shaw

Abstract Background: The opioid crisis has fuelled dramatic increases in fatal drug overdoses, with illicitly manufactured fentanyl and fentanyl analogues driving the opioid-related overdose death rates among all groups. One way to address these overdose deaths is through increasing public awareness about opioid overdoses and encouraging people who use drugs to make safe choices about opioids. The ease, convenience, and privacy of social media sites provide an inside look into the world of opioid users. This study seeks to understand the nature and significance of Reddit discussions regarding opioid overdoses and safe choices. Methods: We systematically searched Reddit during the month of August (2019). We collected 4,844 posts, across 25 distinct r/opiates subreddit forums using the search terms “opioids,” “drugs,” and “fentanyl”. We then used qualitative thematic analysis methods to code 49 unique original posts. Results: The posts from these Reddit discussions provide insight into this online opioid community and how they are sharing and normalizing risk-mitigating strategies to avoid opioid-related overdoses through (1) recognizing the dangers and avoiding fentanyl; (2) knowing the signs and symptoms of opioid overdoses; and (3) having and using naloxone to treat opioid overdoses. Conclusions: These informal and social interactions provide insight into the complexity the opioid epidemic crisis and can inform future strategies and interventions to address the opioid crisis.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Babu Karavadra ◽  
Andrea Stockl ◽  
Edward Prosser-Snelling ◽  
Paul Simpson ◽  
Edward Morris

Abstract Background The aim of this national survey was to explore pregnant women’s perceptions of COVID-19 and their healthcare experiences. Methods Through patient and public involvement, a questionnaire was developed and advertised via the BBC website, Twitter and other online media during May 2020. The findings were analysed by qualitative thematic analysis. Women who are currently pregnant, or who have delivered during the COVID-19 pandemic were invited to partake in a national online survey. Results One thousand four hundred fifty-one participants replied to the online questionnaire. Participants provided significant insight into the perceived barriers to seeking healthcare during this pandemic. These include ‘not wanting to bother anyone’, ‘lack of wider support from allied healthcare workers’ and the influence of the media. Other concerns included the use of virtual clinics antenatally and their acceptability to patients, the presence of birthing partners, and the way in which information is communicated about rapidly changing and evolving services. The influence of the media has also had a significant impact on the way women perceive hospital care in light of COVID-19 and for some, this has shaped whether they would seek help. Conclusions This is the first ever reported study in the United Kingdom to explore pregnant women’s perceptions of COVID-19 and their subsequent healthcare experiences. It has also provided insight into perceived barriers into seeking care as well as maternal concerns antenatally, intrapartum and postpartum.


2021 ◽  
pp. 107769582110328
Author(s):  
T. J. Thomson ◽  
Jason Sternberg

What skills, attributes, and experiences are needed for a visual journalism job in a contemporary print and digital newsroom? Previous attempts at answering this question examine it through insights from hiring managers or news editors, often collected retrospectively or at arbitrary times of the year through surveys; analyses of position descriptions, which are often framed in normative terms; or through analyzing journalism curricula, which perpetually struggle to adapt nimbly to evolving industry demands. This signaling theory study adopts a novel approach by examining, through qualitative thematic analysis, all applicants’ resumes and cover letters submitted by candidates for a visual journalism job posted in 2019. The hiring organization sought a candidate who could not only tell newsworthy stories through images but also one who could “write their own stories,” “have strong organizational skills,” and be “knowledgeable about current digital technology and applications for smartphone photography.” The results provide insight into the types of applicants who apply to such a position; the skills, attributes, and experiences employers regard as worthy of shortlisting; and the strategies candidates adopted in addressing the position description and selection criteria.


BMJ Open ◽  
2017 ◽  
Vol 7 (6) ◽  
pp. e015245 ◽  
Author(s):  
Anna De Simoni ◽  
Robert Horne ◽  
Louise Fleming ◽  
Andrew Bush ◽  
Chris Griffiths

ObjectiveTo explore the barriers and facilitators to inhaled asthma treatment in adolescents with asthma.DesignQualitative analysis of posts about inhaler treatment in adolescents from an online forum for people with asthma. Analysis informed by the Perceptions and Practicalities Approach.ParticipantsFifty-four forum participants (39 adolescents ≥16 years, 5 parents of adolescents, 10 adults with asthma) identified using search terms ‘teenager inhaler’ and ‘adolescent inhaler’.SettingPosts from adolescents, parents and adults with asthma taking part in the Asthma UK online forum between 2006 and 2016, UK.ResultsPractical barriers reducing the ability to adhere included forgetfulness and poor routines, inadequate inhaler technique, organisational difficulties (such as repeat prescriptions), and families not understanding or accepting their child had asthma. Prompting and monitoring inhaler treatment by parents were described as helpful, with adolescents benefiting from self-monitoring, for example, by using charts logging adherence. Perceptions reducing the motivation to adhere included asthma representation as episodic rather than chronic condition with intermittent need of inhaler treatment. Adolescents and adults with asthma (but not parents) described concerns related to attributed side effects (eg, weight gain) and social stigma, resulting in ‘embarrassment of taking inhalers’. Facilitators to adherence included actively seeking general practitioners’/consultants’ adjustments if problems arose and learning to deal with the side effects and stigma. Parents were instrumental in creating a sense of responsibility for adherence.ConclusionsThis online forum reveals a rich and novel insight into adherence to asthma inhalers by adolescents. Interventions that prompt and monitor preventer inhaler use would be welcomed and hold potential. In clinical consultations, exploring parents’ beliefs about asthma diagnosis and their role in dealing with barriers to treatment might be beneficial. The social stigma of asthma and its role in adherence were prominent and continue to be underestimated, warranting further research and action to improve public awareness of asthma.


2019 ◽  
Vol 133 (7) ◽  
pp. 610-614 ◽  
Author(s):  
M Faoury ◽  
T Upile ◽  
N Patel

AbstractObjectiveMany people seek health information from internet sources. Understanding this behaviour can help inform healthcare delivery. This study aimed to review Google Trends as a method for investigating internet-based information-seeking behaviour related to throat cancer in terms of quantity, content and thematic analysis.MethodData was collected using Google Trends. Normalised data was created using the search terms ‘throat cancer’, ‘cancer’, ‘HPV’, ‘laryngeal cancer’ and ‘head and neck cancer’. The search data was used to analyse the temporal and geographical interest pattern of these terms from 2004 to 2015.ResultsThree important peaks in searches for ‘throat cancer’ were identified. The first and greatest increase in interest was in September 2010, and there were also peaks in June 2013 and in October 2011.ConclusionInternet-search analysis can provide an insight into the information-seeking behaviour of the public. Mass media can hugely affect this information-seeking behaviour. Possessing tools to investigate and understand information-seeking behaviour may be used to improve healthcare delivery.


2020 ◽  
Vol 5 (13) ◽  
pp. 285-290
Author(s):  
Nurul Ashikin Mabahwi ◽  
Hitoshi Nakamura

Objectives of this study is to identify the real issues and challenges of flood related agencies in Malaysia. By using qualitative thematic analysis, this study found that limited authorities, lack of enforcement power, lack of cooperation among agencies, lack of man-power and assets for logistics, insufficient funding for flood risk management and communication problems are the issues faced by the flood-related agencies. The government needs to solve the issues and challenges in order to strengthen the flood-related agencies capacities.Keywords: flood risk management; flood-related agencies; issues; authorityeISSN: 2398-4287 © 2020. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.DOI: https://doi.org/10.21834/e-bpj.v5i13.2069


2017 ◽  
Vol 7 (3) ◽  
pp. 46-66
Author(s):  
Irena Smetáčková ◽  
Petr Pavlík

Career choices of most pupils at the end of the primary school conform to gender norms. Only a few of them continue to study in a field traditionally considered appropriate for the opposite sex. The qualitative study presented here maps the reasons for such choices based on a sample of 25 female and 31 male students who study gender-atypical secondary school program for one to three years. The data were collected using a questionnaire with open-ended items and analysed using the qualitative thematic analysis. The results revealed that the reasons for school choices of boys and girls differ to certain extent. Their situation also differs with respect to the support they receive from their close ones and the acceptance by their classmates. The parents of girls disapproved of their choices more often than the parents of boys. Girls were also ridiculed more frequently by their peer groups.


Author(s):  
Cathy G. Bettman ◽  
Alexander Digiacomo

Abstract Currently, Australia’s school counsellors are increasingly being called upon to respond to adolescent mental health needs. Through semistructured interviews with seven school counsellors working with adolescents, this qualitative study aimed to capture the lived experiences of this group of practitioners. By adopting a phenomenological approach and using thematic analysis, this study provides insight into their profession: the current ambiguity surrounding their role; the opportunities and obstacles they face; as well as the often-present tension between stakeholders including parents, other school staff and external agencies. The findings of this study indicate that school counsellors are challenged by the need to be advocates not only for their students but also for themselves and their roles within the school context.


Author(s):  
Minna Lyons ◽  
Gayle Brewer

AbstractPrevious studies have demonstrated that there is an increase in Intimate Partner Violence (IPV) during times of crisis (e.g., financial, environmental, or socio-political situations). The COVID-19 pandemic has triggered an unprecedented global health and financial tragedy, but research is yet to establish exactly how the situation may impact on IPV. The present study investigates victims’ experience of IPV during lockdown and the COVID-19 pandemic. We report a qualitative thematic analysis of 50 discussion forum posts written by victims of IPV. Of these, 48 forum posts were written by female victims of male perpetrated violence. All forum posts were obtained from the popular online platform, Reddit. We identified four themes associated with IPV victims’ experiences during lockdown and the global pandemic: (i) Use of COVID-19 by the Abuser, (ii) Service Disruption, (iii) Preparation to Leave, and (iv) Factors Increasing Abuse or Distress. The COVID-19 pandemic has had a substantial impact on those living with IPV, often increasing the severity of IPV experienced. The experiences of those affected by IPV during this period inform interventions and the guidance and support provided to IPV victims during times of crisis.


2021 ◽  
pp. 104365962110263
Author(s):  
Bindu Joseph ◽  
Michael Olasoji ◽  
Cheryl Moss ◽  
Wendy Cross

Introduction: In the past decade, there has been an influx of migrant nurses from India to Australia. Migrant professionals have specific transition needs associated with working in Mental Health (MH). This study aimed to explore the transition experience of overseas trained nurses from India working in Australian MH settings. Method: Hermeneutic phenomenology was the methodological approach used in the study. The participants ( N = 16) were overseas trained nurses from India. Data were collected through in-depth interview and analysed using thematic analysis. Results: The findings resulted in the identification of the following themes: (1) Living in dual culture, (2) Loneliness, (3) Discrimination, and (4) Feeling incomplete. Discussion: It is evident that the transition to work in MH in Australia was a journey of mixed experiences. While certain findings of this study are comparable with experiences of migrant nurses in other settings, it provides insight into those that are working in MH.


2014 ◽  
Vol 26 (1) ◽  
pp. 123-129 ◽  
Author(s):  
Zohreh Shahhosseini ◽  
Zeinab Hamzehgardeshi

Abstract Background: Adolescent girls have little knowledge about health information, especially about more sensitive issues. We know little about the perspectives of adolescents about their educational health needs. Objective: The aim of this study is to explore the perceptions of Iranian female adolescents about their educational health needs. Subjects: The study participants were 67 female adolescents aged 12–19 years currently in junior high and high schools in the city of Sari, located in northern Iran. Methods: The present study is a qualitative study of thematic analysis. The 67 female adolescents participated in eight focus group discussions (FGDs). The participants were selected from schools in Mazandaran, Iran. The sampling methods were purposeful sampling and a maximum variance sampling method. All tape-recorded data was fully transcribed, and thematic analysis was performed to identify key themes. Results: The findings of this research around adolescent health education needs emphasized four overarching themes, including appropriate content, suitable method, well-informed sources and an appropriate age for education. Conclusion: Our results show that the promotion of reproductive health knowledge and life skills are the most important health education needs. Education about these issues via parents, schools and health care providers could promote the health status of adolescents.


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