Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter

(1) Background: perinatal alcohol use generates a variety of health risks. Social media platforms discuss fetal alcohol spectrum disorder (FASD) and other widespread outcomes, providing personalized user-generated content about the perceptions and behaviors related to alcohol use during pregnancy. D...

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Main Authors: Fritz Culp, Yuqi Wu, Dezhi Wu, Yang Ren, Phyllis Raynor, Peiyin Hung, Shan Qiao, Xiaoming Li, Kacey Eichelberger
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/12/2375
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author Fritz Culp
Yuqi Wu
Dezhi Wu
Yang Ren
Phyllis Raynor
Peiyin Hung
Shan Qiao
Xiaoming Li
Kacey Eichelberger
author_facet Fritz Culp
Yuqi Wu
Dezhi Wu
Yang Ren
Phyllis Raynor
Peiyin Hung
Shan Qiao
Xiaoming Li
Kacey Eichelberger
author_sort Fritz Culp
collection DOAJ
description (1) Background: perinatal alcohol use generates a variety of health risks. Social media platforms discuss fetal alcohol spectrum disorder (FASD) and other widespread outcomes, providing personalized user-generated content about the perceptions and behaviors related to alcohol use during pregnancy. Data collected from Twitter underscores various narrative structures and sentiments in tweets that reflect large-scale discourses and foster societal stigmas; (2) Methods: We extracted alcohol-related tweets from May 2019 to October 2021 using an official Twitter search API based on a set of keywords provided by our clinical team. Our exploratory study utilized thematic content analysis and inductive qualitative coding methods to analyze user content. Iterative line-by-line coding categorized dynamic descriptive themes from a random sample of 500 tweets; (3) Results: qualitative methods from content analysis revealed underlying patterns among inter-user engagements, outlining individual, interpersonal and population-level stigmas about perinatal alcohol use and negative sentiment towards drinking mothers. As a result, the overall silence surrounding personal experiences with alcohol use during pregnancy suggests an unwillingness and sense of reluctancy from pregnant adults to leverage the platform for support and assistance due to societal stigmas; (4) Conclusions: identifying these discursive factors will facilitate more effective public health programs that take into account specific challenges related to social media networks and develop prevention strategies to help Twitter users struggling with perinatal alcohol use.
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spelling doaj.art-435ca608f08e4eabba82715382d56c942023-11-24T15:08:53ZengMDPI AGHealthcare2227-90322022-11-011012237510.3390/healthcare10122375Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on TwitterFritz Culp0Yuqi Wu1Dezhi Wu2Yang Ren3Phyllis Raynor4Peiyin Hung5Shan Qiao6Xiaoming Li7Kacey Eichelberger8College of Engineering and Computing, University of South Carolina, Columbia, SC 29208, USAArnold School of Public Health, University of South Carolina, Columbia, SC 29208, USACollege of Engineering and Computing, University of South Carolina, Columbia, SC 29208, USACollege of Engineering and Computing, University of South Carolina, Columbia, SC 29208, USACollege of Nursing, University of South Carolina, Columbia, SC 29208, USAArnold School of Public Health, University of South Carolina, Columbia, SC 29208, USAArnold School of Public Health, University of South Carolina, Columbia, SC 29208, USAArnold School of Public Health, University of South Carolina, Columbia, SC 29208, USAPrisma Health Upstate, University of South Carolina School of Medicine Greenville, Greensville, SC 29605, USA(1) Background: perinatal alcohol use generates a variety of health risks. Social media platforms discuss fetal alcohol spectrum disorder (FASD) and other widespread outcomes, providing personalized user-generated content about the perceptions and behaviors related to alcohol use during pregnancy. Data collected from Twitter underscores various narrative structures and sentiments in tweets that reflect large-scale discourses and foster societal stigmas; (2) Methods: We extracted alcohol-related tweets from May 2019 to October 2021 using an official Twitter search API based on a set of keywords provided by our clinical team. Our exploratory study utilized thematic content analysis and inductive qualitative coding methods to analyze user content. Iterative line-by-line coding categorized dynamic descriptive themes from a random sample of 500 tweets; (3) Results: qualitative methods from content analysis revealed underlying patterns among inter-user engagements, outlining individual, interpersonal and population-level stigmas about perinatal alcohol use and negative sentiment towards drinking mothers. As a result, the overall silence surrounding personal experiences with alcohol use during pregnancy suggests an unwillingness and sense of reluctancy from pregnant adults to leverage the platform for support and assistance due to societal stigmas; (4) Conclusions: identifying these discursive factors will facilitate more effective public health programs that take into account specific challenges related to social media networks and develop prevention strategies to help Twitter users struggling with perinatal alcohol use.https://www.mdpi.com/2227-9032/10/12/2375perinatal alcohol usethematic content analysissocial mediasentimentstigmadiscourse
spellingShingle Fritz Culp
Yuqi Wu
Dezhi Wu
Yang Ren
Phyllis Raynor
Peiyin Hung
Shan Qiao
Xiaoming Li
Kacey Eichelberger
Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
Healthcare
perinatal alcohol use
thematic content analysis
social media
sentiment
stigma
discourse
title Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
title_full Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
title_fullStr Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
title_full_unstemmed Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
title_short Understanding Alcohol Use Discourse and Stigma Patterns in Perinatal Care on Twitter
title_sort understanding alcohol use discourse and stigma patterns in perinatal care on twitter
topic perinatal alcohol use
thematic content analysis
social media
sentiment
stigma
discourse
url https://www.mdpi.com/2227-9032/10/12/2375
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