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A critical content analysis of media reporting on opioids: The social construction of an epidemic.
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- Author(s): Webster F;Webster F; Rice K; Rice K; Sud A; Sud A
- Source:
Social science & medicine (1982) [Soc Sci Med] 2020 Jan; Vol. 244, pp. 112642. Date of Electronic Publication: 2019 Oct 31.- Publication Type:
Journal Article; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE
- Publication Information: Original Publication: Oxford ; New York : Pergamon, c1982-
- Subject Terms:
- Abstract: Background: The 2000s have seen a proliferation of media reporting about opioid use in North America. Given the significant role that popular media plays in shaping the public's perceptions and understandings of the issues that it represents, analysing the content of this media coverage can help understand public discourse about opioid use.
Methods: We conducted a critical content analysis of Canadian newsprint media reporting on opioids using a sociological lens. We performed a qualitative thematic analysis of these texts, coding 826 articles and applying a critical discourse analysis in our interpretation of the findings.
Findings: Our analysis showed a slow transition from a conversation primarily about clinical pain care towards a discussion of criminality, especially the increasingly fluidity of boundaries between prescription opioid use and the illegal drug trade. Patients tend to be dichotomized as either innocently following physician prescriptions or drug-seeking, as an aspect of lives characterized by addiction and street crime. These depictions map onto characterizations of physicians as naively following pharmaceutical industry advice or becoming irrelevant once criminality is introduced.
Discussion: The social construction of the opioid epidemic polarizes individuals as good or bad with little attention paid to underlying institutional interests both in the creation of the problem or in the solutions that are proposed. We show that as concerns about harms from opioids become more pronounced, the narrative shifts to home in on illicit street-use with a corresponding uptake of stigmatizing references to so-called addicts. Concurrently, most references to the pharmaceutical industry disappear from view. This framing of the problem defines the kinds of solutions that then seem natural. For example, increased criminalization is suggested for people who use drugs and stigmatizing those who suffer with chronic pain becomes a higher priority than implementing safer and more effective therapies for managing their pain.
(Copyright © 2019 The Authors. Published by Elsevier Ltd.. All rights reserved.) - Grant Information: 136625 Canada CIHR
- Contributed Indexing: Keywords: Canada; Content analysis; Narcotics; Opioids; Prescription drugs
- Accession Number: 0 (Analgesics, Opioid)
0 (Illicit Drugs) - Publication Date: Date Created: 20191116 Date Completed: 20201029 Latest Revision: 20201029
- Publication Date: 20240628
- Accession Number: 10.1016/j.socscimed.2019.112642
- Accession Number: 31731136
- Source:
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