An evaluation of online discussion relating to nonmedical use of prescription opioids within the UK
| Autor: | David M. Wood, Joanna Hockenhull, Richard C. Dart, Alex Bletz, Paul I. Dargan, Joshua C. Black, Zachary R Margolin, Rick Olson |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Online discussion media_common.quotation_subject 030226 pharmacology & pharmacy 03 medical and health sciences 0302 clinical medicine medicine Humans Pharmacology (medical) Hydrocodone 030212 general & internal medicine Medical prescription media_common Pharmacology business.industry Addiction Opioid-Related Disorders medicine.disease United Kingdom Analgesics Opioid Substance abuse Prescriptions Polysubstance dependence Family medicine business Oxycodone Buprenorphine medicine.drug |
| Zdroj: | British Journal of Clinical Pharmacology. 87:1637-1646 |
| ISSN: | 1365-2125 0306-5251 |
| DOI: | 10.1111/bcp.14603 |
| Popis: | AIM To identify and describe the nature of online discussion relating to prescription opioids within the UK. METHODS We performed analysis of posts originating in the UK related to buprenorphine, hydrocodone, oxycodone and tramadol using Social Studio, a web-monitoring platform. The study included posts published between January 2014 and December 2016. The data were cleaned to produce a final dataset consisting only of substantive mentions, which were then categorised by defined themes. RESULTS The final dataset included a total of 17 361 substantive mentions (2936 buprenorphine, 2894 hydrocodone, 3826 oxycodone and 7705 tramadol). The most common theme for all 4 drugs was sharing experience or opinion comprising over 90% of mentions for each drug, while discussion related to polysubstance use was present in >1/4 of mentions across drug substances. Mentions related to diversion were more common for hydrocodone and oxycodone (8.1% [6.3-10.1 95% confidence interval] and 7.8% [6.5-9.2], respectively) than buprenorphine or tramadol (4.1 and 3.9% [3.5-4.3], respectively). CONCLUSION This investigation shows that there is substantial online discussion relating to a variety of nonmedical use (NMU) behaviours of prescription opioids within the UK, including for hydrocodone, which is not medically available. Web monitoring provides useful data and merits future investigation; this could include expansion to other categories of drugs and a more in-depth analysis of motivations behind NMU, both of which could add timely evidence regarding the current situation in the UK and help inform public health interventions for NMU of prescription drugs. |
| Databáze: | OpenAIRE |
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