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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Apr 9, 2024
Date Accepted: Dec 16, 2024

The final, peer-reviewed published version of this preprint can be found here:

Teenager Substance Use on Reddit: Mixed Methods Computational Analysis of Frames and Emotions

Zhang X, Zhu J, Kenne DR, Jin R

Teenager Substance Use on Reddit: Mixed Methods Computational Analysis of Frames and Emotions

J Med Internet Res 2025;27:e59338

DOI: 10.2196/59338

PMID: 39970428

PMCID: 11888000

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Substance Use Discussions Among Teenagers on Reddit: Frames and Emotions

  • Xinyu Zhang; 
  • Jianfeng Zhu; 
  • Deric R. Kenne; 
  • Ruoming Jin

ABSTRACT

The COVID-19 pandemic has exacerbated substance use among teenagers in the United States, aligning with escalating mental health challenges and broader societal impacts. Recognizing a gap in understanding teenagers’ perspectives on this issue, this study investigates discussions within the r/Teenagers subreddit. By employing a frame approach, we systematically categorize topics and emotional undertones using BERT models, analyzing over 2 million posts from 2018 to 2022. Our analysis identified six primary frames through which teenagers discuss substance use, including psycho-social impacts (52.1%), external risk attribution (21.3%), addiction (16.3%), stigma (5.3%), institutional impact (2.5%), functional uses (2.2%). The emotional undertones linked to each frame offer insights crucial for developing tailored interventions. This study offers insights in developing tailored interventions that resonate with teenagers, contributing to more effective health communication strategies.


 Citation

Please cite as:

Zhang X, Zhu J, Kenne DR, Jin R

Teenager Substance Use on Reddit: Mixed Methods Computational Analysis of Frames and Emotions

J Med Internet Res 2025;27:e59338

DOI: 10.2196/59338

PMID: 39970428

PMCID: 11888000

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