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Accepted for/Published in: Online Journal of Public Health Informatics

Date Submitted: Sep 12, 2025
Date Accepted: Dec 19, 2025

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

Instagram Memes of Oral Nicotine Pouches: Content Analysis Study

Amin S, Wu Y, Baptista S, Okamoto SK, Herzog TA, Kawamoto CT, Pokhrel P

Instagram Memes of Oral Nicotine Pouches: Content Analysis Study

Online J Public Health Inform 2026;18:e84025

DOI: 10.2196/84025

PMID: 41875243

PMCID: 13012227

Instagram memes of oral nicotine pouches: A content analysis

  • Samia Amin; 
  • Yunping Wu; 
  • Samantha Baptista; 
  • Scott K Okamoto; 
  • Thaddeus A. Herzog; 
  • Crissy Terawaki Kawamoto; 
  • Pallav Pokhrel

ABSTRACT

Background:

Instagram memes may influence youth perceptions and acceptance of oral nicotine pouches such as Zyn.

Objective:

This study examines the thematic content of Instagram memes related to ONPs to understand how these products are represented online.

Methods:

The content of Instagram memes tagged with ONP-related hashtags #oralnicotinepouch, #zyn, #on, #velo, and #nicotinepouch was systematically analyzed. After screening, a total of 244 photo and text-based memes were included in the final dataset. Using a structured coding framework, three researchers categorized the memes into key themes using the NVivo software.

Results:

Three dominant themes emerged: (1) Zyn community (35.66%)—memes fostering a sense of belonging among users; (2) Marketing & branding (27.87%)—humorous critiques of product advertising and accessibility; and (3) Perceived consequences of use (13.93%)—memes highlighting perceived positive or negative consequences of ONP use. Engagement metrics revealed high interaction levels, with the ‘Zyn community’ theme garnering the most user engagement.

Conclusions:

Instagram memes might appeal ONP use by reinforcing their social acceptance through humor and shared identity. Public health campaigns should explore innovative digital strategies, including collaborations with social media influencers and digital content creators, to challenge pro-nicotine messaging, to disrupt the cultural appeal of ONPs among young users. Clinical Trial: Not applicable


 Citation

Please cite as:

Amin S, Wu Y, Baptista S, Okamoto SK, Herzog TA, Kawamoto CT, Pokhrel P

Instagram Memes of Oral Nicotine Pouches: Content Analysis Study

Online J Public Health Inform 2026;18:e84025

DOI: 10.2196/84025

PMID: 41875243

PMCID: 13012227

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