Exploring Online Communication About Cigarette Smoking Among Twitter Users Who Self-identify As Having Schizophrenia

Overview

Journal Psychiatry Res

Specialty Psychiatry

Date 2017 Aug 26

PMID 28841509

Citations 11

Authors

Yulin Hswen

John A Naslund

Pooja Chandrashekar

Robert Siegel

John S Brownstein

Jared B Hawkins

Affiliations

Soon will be listed here.

Abstract

Novel approaches are needed to address elevated tobacco use among people with schizophrenia. This exploratory study examined the frequency, timing, and type of communication about tobacco-related content on Twitter among users who self-identify as having schizophrenia compared with users from the general population. Over a 200-day period from January to July 2016, Twitter users who self-identify as having a schizophrenia spectrum disorder (n = 203) and a randomly selected group of general population control users (n = 173) posted 1,544,122 tweets. Communication frequency did not differ between groups. Tweets containing tobacco-related keywords were extracted. Twitter users with schizophrenia posted significantly more tweets containing any tobacco-related terms (mean = 3.74; SD = 16.3) compared with control users (mean = 0.82; SD = 1.8). A significantly greater proportion of Twitter users with schizophrenia (45%; n = 92) posted tweets containing any tobacco terms compared with control users (30%; n = 52). Schizophrenia users showed significantly greater odds of tweeting about tobacco compared with control users (OR = 1.99; 95% CI 1.29-3.07). These findings suggest that online communication about tobacco may parallel real world trends of elevated tobacco use observed among people with schizophrenia. By showing that Twitter users who self-identify as having schizophrenia discuss tobacco-related content online, popular social media could inform smoking cessation efforts targeting this at-risk group.

Citing Articles

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References

Naslund J, Grande S, Aschbrenner K, Elwyn G . Naturally occurring peer support through social media: the experiences of individuals with severe mental illness using YouTube. PLoS One. 2014; 9(10):e110171. PMC: 4198188. DOI: 10.1371/journal.pone.0110171. View

Millar J, Christie S, Anderson S, Lawson D, Devon R, Arveiler B . Genomic structure and localisation within a linkage hotspot of Disrupted In Schizophrenia 1, a gene disrupted by a translocation segregating with schizophrenia. Mol Psychiatry. 2001; 6(2):173-8. DOI: 10.1038/sj.mp.4000784. View

Ramo D, Thrul J, Chavez K, Delucchi K, Prochaska J . Feasibility and Quit Rates of the Tobacco Status Project: A Facebook Smoking Cessation Intervention for Young Adults. J Med Internet Res. 2016; 17(12):e291. PMC: 4736286. DOI: 10.2196/jmir.5209. View

Staring A, Van der Gaag M, van den Berge M, Duivenvoorden H, Mulder C . Stigma moderates the associations of insight with depressed mood, low self-esteem, and low quality of life in patients with schizophrenia spectrum disorders. Schizophr Res. 2009; 115(2-3):363-9. DOI: 10.1016/j.schres.2009.06.015. View

Stewart S, Cutler D, Rosen A . Forecasting the effects of obesity and smoking on U.S. life expectancy. N Engl J Med. 2009; 361(23):2252-60. PMC: 4394736. DOI: 10.1056/NEJMsa0900459. View

Kinney D, Yurgelun-Todd D, Woods B . Hard neurologic signs and psychopathology in relatives of schizophrenic patients. Psychiatry Res. 1991; 39(1):45-53. DOI: 10.1016/0165-1781(91)90007-c. View

. Annual smoking-attributable mortality, years of potential life lost, and productivity losses--United States, 1997-2001. MMWR Morb Mortal Wkly Rep. 2005; 54(25):625-8. View

Esterberg M, Compton M . Smoking behavior in persons with a schizophrenia-spectrum disorder: a qualitative investigation of the transtheoretical model. Soc Sci Med. 2005; 61(2):293-303. DOI: 10.1016/j.socscimed.2004.11.057. View

Prochaska J, Pechmann C, Kim R, Leonhardt J . Twitter=quitter? An analysis of Twitter quit smoking social networks. Tob Control. 2011; 21(4):447-9. PMC: 3310933. DOI: 10.1136/tc.2010.042507. View

10.

Walker E, McGee R, Druss B . Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2015; 72(4):334-41. PMC: 4461039. DOI: 10.1001/jamapsychiatry.2014.2502. View

11.

Dunbar M, Scharf D, Kirchner T, Shiffman S . Do smokers crave cigarettes in some smoking situations more than others? Situational correlates of craving when smoking. Nicotine Tob Res. 2010; 12(3):226-34. PMC: 2825101. DOI: 10.1093/ntr/ntp198. View

12.

Naslund J, Aschbrenner K, Marsch L, Bartels S . The future of mental health care: peer-to-peer support and social media. Epidemiol Psychiatr Sci. 2016; 25(2):113-22. PMC: 4830464. DOI: 10.1017/S2045796015001067. View

13.

Lee S, Lee M, Chiu M, Kleinman A . Experience of social stigma by people with schizophrenia in Hong Kong. Br J Psychiatry. 2005; 186:153-7. DOI: 10.1192/bjp.186.2.153. View

14.

Pechmann C, Delucchi K, Lakon C, Prochaska J . Randomised controlled trial evaluation of Tweet2Quit: a social network quit-smoking intervention. Tob Control. 2016; 26(2):188-194. PMC: 5112138. DOI: 10.1136/tobaccocontrol-2015-052768. View

15.

Chandra S, Scharf D, Shiffman S . Within-day temporal patterns of smoking, withdrawal symptoms, and craving. Drug Alcohol Depend. 2011; 117(2-3):118-25. PMC: 3123683. DOI: 10.1016/j.drugalcdep.2010.12.027. View

16.

Brohan E, Elgie R, Sartorius N, Thornicroft G . Self-stigma, empowerment and perceived discrimination among people with schizophrenia in 14 European countries: the GAMIAN-Europe study. Schizophr Res. 2010; 122(1-3):232-8. DOI: 10.1016/j.schres.2010.02.1065. View

17.

Naslund J, Aschbrenner K, Bartels S . How people with serious mental illness use smartphones, mobile apps, and social media. Psychiatr Rehabil J. 2016; 39(4):364-367. PMC: 5125865. DOI: 10.1037/prj0000207. View

18.

Phillips B, Danner F . Cigarette smoking and sleep disturbance. Arch Intern Med. 1995; 155(7):734-7. View

19.

Naslund J, Kim S, Aschbrenner K, McCulloch L, Brunette M, Dallery J . Systematic review of social media interventions for smoking cessation. Addict Behav. 2017; 73:81-93. PMC: 5556947. DOI: 10.1016/j.addbeh.2017.05.002. View

20.

McIver D, Hawkins J, Chunara R, Chatterjee A, Bhandari A, Fitzgerald T . Characterizing Sleep Issues Using Twitter. J Med Internet Res. 2015; 17(6):e140. PMC: 4526927. DOI: 10.2196/jmir.4476. View