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Liu H, Li Q, Zhan Y, et al. Characterizing Social Media Messages Related to Underage JUUL E-Cigarette Buying and Selling: Cross-Sectional Analysis of Reddit Subreddits. J Med Internet Res. 2020;22(7):e16962doi: 10.2196/16962.
Liu, H., Li, Q., Zhan, Y., Zhang, Z., Zeng, D. D., & Leischow, S. J. (2020). Characterizing Social Media Messages Related to Underage JUUL E-Cigarette Buying and Selling: Cross-Sectional Analysis of Reddit Subreddits. Journal of medical Internet research, 22(7), e16962. https://doi.org/10.2196/16962
Liu, Hejing, et al. "Characterizing Social Media Messages Related to Underage JUUL E-Cigarette Buying and Selling: Cross-Sectional Analysis of Reddit Subreddits." Journal of medical Internet research vol. 22,7 (2020): e16962. doi: https://doi.org/10.2196/16962
Liu H, Li Q, Zhan Y, Zhang Z, Zeng DD, Leischow SJ. Characterizing Social Media Messages Related to Underage JUUL E-Cigarette Buying and Selling: Cross-Sectional Analysis of Reddit Subreddits. J Med Internet Res. 2020 Jul 20;22(7):e16962. doi: 10.2196/16962. PMID: 32706661; PMCID: PMC7400041.
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J Med Internet Res. 2020 Jul 20;22(7):e16962. doi: 10.2196/16962.

Characterizing Social Media Messages Related to Underage JUUL E-Cigarette Buying and Selling: Cross-Sectional Analysis of Reddit Subreddits.

Journal of medical Internet research

Hejing Liu, Qiudan Li, Yongcheng Zhan, Zhu Zhang, Daniel D Zeng, Scott J Leischow

Affiliations

  1. The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, China.
  2. School of Artificial Intelligence, University of Chinese Academy of Sciences, Beijing, China.
  3. Shenzhen Artificial Intelligence and Data Science Institute (Longhua), Shenzhen, China.
  4. Orfalea College of Business, California Polytechnic State University, San Luis Obispo, CA, United States.
  5. College of Health Solutions, Arizona State University, Phoenix, AZ, United States.

PMID: 32706661 PMCID: PMC7400041 DOI: 10.2196/16962

Abstract

BACKGROUND: Stopping the epidemic of e-cigarette use among youth has become the common goal of both regulatory authorities and health departments. JUUL is currently the most popular e-cigarette brand on the market. Young people usually obtain and exchange information about JUUL with the help of social media platforms. Along with the rising prevalence of JUUL, posts about underage JUUL buying and selling have appeared on social media platforms such as Reddit, which sharply increase the risk of minors being exposed to JUUL.

OBJECTIVE: This study aims to analyze Reddit messages about JUUL buying and selling among the users of the UnderageJuul subreddit, and to further summarize the characteristics of those messages. The findings and insights can contribute to a better understanding of the patterns of underage JUUL use, and help public health officials provide timely education and guidance to minors who have intentions of accessing JUUL.

METHODS: We used a novel cross-subreddit method to analyze the Reddit messages on 2 subreddits. From July 9, 2017, to January 7, 2018, we collected data from the UnderageJuul subreddit, which was created for underage JUUL use discussion. The data set included 716 threads, 2935 comments, and 844 Reddit users (ie, Redditors). We collected our second data set, comprising 23,840 threads and 162,106 comments posted between July 9, 2017, and January 8, 2019, from the JUUL subreddit. We conducted analyses including the following: (1) annotation of users with buying/selling intention, (2) posting patterns discovery and topic comparison, and (3) posting activeness observation of discovered Redditors. Term frequency-inverse document frequency and regular expression-enhanced keyword search methods were applied during the content analysis to extract the posting patterns. The public posting records of the discovered users on the JUUL subreddit during the year after the UnderageJuul subreddit was shut down were analyzed to determine whether they were still active and interested in obtaining JUUL.

RESULTS: Our study revealed the following: (1) Among the 716 threads on the UnderageJuul subreddit, there were 214 threads related to JUUL sale and 168 threads related to JUUL purchase, which accounted for 53.5% (382/714) of threads. (2) Among the 844 Redditors of the UnderageJuul subreddit, 23.82% (201/844) of users were annotated with buying intention, and 21.10% (178/844) of users were annotated with selling intention. There were 34 users with buying/selling intention that self-reported as being <21 years old. (3) The most common key phrases used in selling threads were "WTS," "want to sell," "for sale," and "selling" (154/214, 72.0%). The most common key phrases used in buying threads were "look for/get JUUL/pods" (58/168, 34.5%) and "WTB" (53/168, 31.5%). (4) The most important concern that UnderageJuul Redditors had in obtaining JUULs was the price (311/1306, 23.81%), followed by the delivery service (68/1306, 5.21%). (5) The most popular flavors among the users with buying/selling intention were mango, cucumber, and mint. The flavor preferences remained consistent on both subreddits. Adverse symptoms related to the mango flavor were reported by 3 users on the JUUL subreddit. (6) In total, 24.4% (49/201) of users wanted to buy JUULs and 46.6% (83/178) of users wanted to sell JUULs, including 11 self-reported underage users, who also participated in the discussions on the JUUL subreddit. (7) Within one year of the UnderageJuul subreddit shutting down, there were 40 users who continued to post 186 threads on the JUUL subreddit, including 10 threads indicating buying/selling willingness that were posted shortly after the UnderageJuul subreddit was closed.

CONCLUSIONS: There were overlapping users active in the JUUL and UnderageJuul subreddits. The buying/selling-related content appeared in multiple venues with certain posting patterns from July 9, 2017, to January 7, 2018. Such content might lead to a high risk of health problems for minors, such as nicotine addiction. Based on these findings, this study provided some insights and suggestions that might contribute to the decision-making processes of regulators and public health officials.

©Hejing Liu, Qiudan Li, Yongcheng Zhan, Zhu Zhang, Daniel D Zeng, Scott J Leischow. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 20.07.2020.

Keywords: JUUL; Reddit; cross-sectional analysis; e-cigarette; electronic nicotine delivery system; underage JUUL use

References

  1. Tob Control. 2019 Jan;28(1):110-112 - PubMed
  2. JAMA. 2018 Oct 2;320(13):1379-1380 - PubMed
  3. J Adolesc Health. 2018 Nov;63(5):582-586 - PubMed
  4. Respirol Case Rep. 2017 Apr 03;5(3):e00230 - PubMed
  5. Tob Control. 2020 Apr 9;: - PubMed
  6. Prev Med Rep. 2018 Nov 29;13:93-97 - PubMed
  7. Drug Alcohol Depend. 2018 Sep 1;190:1-5 - PubMed
  8. BMC Public Health. 2016 Jul 30;16:674 - PubMed
  9. Int J Environ Res Public Health. 2015 Nov 20;12(11):14916-35 - PubMed
  10. Tob Control. 2019 Mar;28(2):146-151 - PubMed
  11. JAMA. 2019 Nov 5;: - PubMed
  12. J Med Internet Res. 2017 Jan 20;19(1):e24 - PubMed
  13. JAMA Netw Open. 2018 Oct 5;1(6):e183535 - PubMed
  14. Drug Alcohol Depend. 2019 Jan 1;194:358-362 - PubMed
  15. Tob Control. 2016 Nov;25(Suppl 2):ii62-ii66 - PubMed
  16. J Med Internet Res. 2018 Jan 09;20(1):e7 - PubMed
  17. J Med Internet Res. 2019 Sep 09;21(9):e13038 - PubMed
  18. JAMA. 2014 Dec 17;312(23):2493-4 - PubMed
  19. JAMA. 2019 Nov 5;: - PubMed

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