An Instagram-Based Study to Understand Betel Nut Use Culture in Micronesia: Exploratory Content Analysis.

Abstract:

BACKGROUND:A 2012 World Health Organization report recognizes betel nut use as an urgent public health threat faced by the Western Pacific region. However, compared with other addictive substances, little is known about how betel nuts are depicted on social media platforms. In particular, image-based social media platforms can be powerful tools for health communication. Studying the content of substance use on visual social media may provide valuable insights into public health interventions. OBJECTIVE:This study aimed to explore and document the ways that betel nut is portrayed on the photo-sharing site Instagram. The analysis focuses on the hashtag #pugua, which refers to the local term for betel nut in Guam and other parts of Micronesia. METHODS:An exploratory content analysis of 242 Instagram posts tagged #pugua was conducted based on previous research on substance use and Instagram and betel nut practices in Micronesia. In addition, the study examined the social engagement of betel nut content on the image-based platform. RESULTS:The study findings revealed content themes referencing the betel nut or betel nut tree, betel nut preparation practices, and the unique social and cultural context surrounding betel nut activity in Guam and Micronesia. In addition, certain practices and cultural themes encouraged social engagement on Instagram. CONCLUSIONS:The findings from this study emphasize the cultural relevance of betel nut use in Micronesia. These findings provide a basis for empirically testing hypotheses related to the etiological roles of cultural identity and pride in shaping betel nut use behavior among Micronesians, particularly youths and young adults. Such research is likely to inform the development of culturally relevant betel nut prevention and cessation programs.

journal_name

J Med Internet Res

authors

Buente W,Dalisay F,Pokhrel P,Kramer HK,Pagano I

doi

10.2196/13954

subject

Has Abstract

pub_date

2020-07-09 00:00:00

pages

e13954

issue

7

eissn

1439-4456

issn

1438-8871

pii

v22i7e13954

journal_volume

22

pub_type

杂志文章
  • Mobile Health, Information Preferences, and Surrogate Decision-Making Preferences of Family Caregivers of People With Dementia in Rural Hispanic Communities: Cross-Sectional Questionnaire Study.

    abstract:BACKGROUND:Mobile health (mHealth) technology holds promise for promoting health education and reducing health disparities and inequalities in underserved populations. However, little research has been done to develop mHealth interventions for family caregivers of people with dementia, particularly those in rural Hispa...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/11682

    authors: Xie B,Champion JD,Kwak J,Fleischmann KR

    更新日期:2018-12-10 00:00:00

  • Use of GetCheckedOnline, a Comprehensive Web-based Testing Service for Sexually Transmitted and Blood-Borne Infections.

    abstract:BACKGROUND:The British Columbia Centre for Disease Control implemented a comprehensive Web-based testing service GetCheckedOnline (GCO) in September 2014 in Vancouver, Canada. GCO's objectives are to increase testing for sexually transmitted and blood-borne infections (STBBIs), reach high-prevalence populations facing ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.7097

    authors: Gilbert M,Salway T,Haag D,Fairley CK,Wong J,Grennan T,Uddin Z,Buchner CS,Wong T,Krajden M,Tyndall M,Shoveller J,Ogilvie G

    更新日期:2017-03-20 00:00:00

  • Global Reach of an Online COVID-19 Course in Multiple Languages on OpenWHO in the First Quarter of 2020: Analysis of Platform Use Data.

    abstract:BACKGROUND:At the onset of the coronavirus outbreak, the World Health Organization's (WHO) Health Emergencies Learning and Capacity Development Unit, together with the WHO's health technical lead on coronaviruses, developed a massive open online course within 3 weeks as part of the global response to the emergency. The...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/19076

    authors: Utunen H,Ndiaye N,Piroux C,George R,Attias M,Gamhewage G

    更新日期:2020-04-27 00:00:00

  • Adapting the eHealth Literacy Scale for Carers of People With Chronic Diseases (eHeals-Carer) in a Sample of Greek and Cypriot Carers of People With Dementia: Reliability and Validation Study.

    abstract:BACKGROUND:As the population ages, many more people will be in need of long-term care. According to a recent report by Alzheimer's Disease International and the Karolinska Institute, 84% of people with dementia are cared for at home and 16% in nursing homes. Several Web-based interventions have been developed to assist...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/12504

    authors: Efthymiou A,Middleton N,Charalambous A,Papastavrou E

    更新日期:2019-11-28 00:00:00

  • Patient and Consumer Safety Risks When Using Conversational Assistants for Medical Information: An Observational Study of Siri, Alexa, and Google Assistant.

    abstract:BACKGROUND:Conversational assistants, such as Siri, Alexa, and Google Assistant, are ubiquitous and are beginning to be used as portals for medical services. However, the potential safety issues of using conversational assistants for medical information by patients and consumers are not understood. OBJECTIVE:To determ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/11510

    authors: Bickmore TW,Trinh H,Olafsson S,O'Leary TK,Asadi R,Rickles NM,Cruz R

    更新日期:2018-09-04 00:00:00

  • Title Correction: The Association Between Willingness of Frontline Care Providers' to Adaptively Use Telehealth Technology and Virtual Service Performance in Provider-to-Provider Communication: Quantitative Study.

    abstract::[This corrects the article DOI: .]. ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,已发布勘误

    doi:10.2196/17123

    authors: Hah H,Goldin D,Ha S

    更新日期:2019-11-19 00:00:00

  • Association Between Acute Medical Exacerbations and Consuming or Producing Web-Based Health Information: Analysis From Pew Survey Data.

    abstract:BACKGROUND:The Internet is an increasingly important resource for individuals who seek information from both health professionals and peers. While the demographic and health characteristics of persons who use health information technology has been well described, less is known about the relationship between these healt...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.3801

    authors: Gidwani R,Zulman D

    更新日期:2015-06-23 00:00:00

  • Visibility of Community Nursing Within an Administrative Health Classification System: Evaluation of Content Coverage.

    abstract:BACKGROUND:The World Health Organization is in the process of developing an international administrative classification for health called the International Classification of Health Interventions (ICHI). The purpose of ICHI is to provide a tool for supporting intervention reporting and analysis at a global level for pol...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/12847

    authors: Block LJ,Currie LM,Hardiker NR,Strudwick G

    更新日期:2019-06-26 00:00:00

  • Social Drinking on Social Media: Content Analysis of the Social Aspects of Alcohol-Related Posts on Facebook and Instagram.

    abstract:BACKGROUND:Alcohol is often consumed in social contexts. An emerging social context in which alcohol is becoming increasingly apparent is social media. More and more young people display alcohol-related posts on social networking sites such as Facebook and Instagram. OBJECTIVE:Considering the importance of the social ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.9355

    authors: Hendriks H,Van den Putte B,Gebhardt WA,Moreno MA

    更新日期:2018-06-22 00:00:00

  • Global Infodemiology of COVID-19: Analysis of Google Web Searches and Instagram Hashtags.

    abstract:BACKGROUND:Although "infodemiological" methods have been used in research on coronavirus disease (COVID-19), an examination of the extent of infodemic moniker (misinformation) use on the internet remains limited. OBJECTIVE:The aim of this paper is to investigate internet search behaviors related to COVID-19 and examin...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/20673

    authors: Rovetta A,Bhagavathula AS

    更新日期:2020-08-25 00:00:00

  • A Web-Based Mental Health Platform for Individuals Seeking Specialized Mental Health Care Services: Multicenter Pragmatic Randomized Controlled Trial.

    abstract:BACKGROUND:Web-based self-directed mental health applications are rapidly emerging to address health service gaps and unmet needs for information and support. OBJECTIVE:The aim of this study was to determine if a multicomponent, moderated Web-based mental health application could benefit individuals with mental health...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.2196/10838

    authors: Hensel JM,Shaw J,Ivers NM,Desveaux L,Vigod SN,Cohen A,Onabajo N,Agarwal P,Mukerji G,Yang R,Nguyen M,Bouck Z,Wong I,Jeffs L,Jamieson T,Bhatia RS

    更新日期:2019-06-04 00:00:00

  • Comparison of YouthCHAT, an Electronic Composite Psychosocial Screener, With a Clinician Interview Assessment for Young People: Randomized Controlled Trial.

    abstract:BACKGROUND:Psychosocial problems such as depression, anxiety, and substance abuse are common and burdensome in young people. In New Zealand, screening for such problems is undertaken routinely only with year 9 students in low-decile schools and opportunistically in pediatric settings using a nonvalidated and time-consu...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/13911

    authors: Thabrew H,D'Silva S,Darragh M,Goldfinch M,Meads J,Goodyear-Smith F

    更新日期:2019-12-03 00:00:00

  • Developing a Hypothetical Implementation Framework of Expectations for Monitoring Early Signs of Psychosis Relapse Using a Mobile App: Qualitative Study.

    abstract:BACKGROUND:Relapse is a common experience for people diagnosed with psychosis, which is associated with increased service costs and profound personal and familial distress. EMPOWER (Early signs Monitoring to Prevent relapse in psychosis and prOmote Well-being, Engagement, and Recovery) is a peer worker-supported digita...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/14366

    authors: Allan S,Bradstreet S,Mcleod H,Farhall J,Lambrou M,Gleeson J,Clark A,EMPOWER Group.,Gumley A

    更新日期:2019-10-24 00:00:00

  • Benefits of Massive Open Online Course Participation: Deductive Thematic Analysis.

    abstract:BACKGROUND:Massive open online courses (MOOCs), as originally conceived, promised to provide educational access to anyone with an internet connection. However, the expansiveness of MOOC education has been found to be somewhat limited. Nonetheless, leading universities continue to offer MOOCs, including many in the heal...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/17318

    authors: Blum ER,Stenfors T,Palmgren PJ

    更新日期:2020-07-08 00:00:00

  • Feasibility of internet-based health-related quality of life data collection in a large patient cohort.

    abstract:BACKGROUND:Patient registries are commonly used to track survival and medical outcomes in large cohorts. However, large-scale collection of health-related quality of life (HRQOL) data is more challenging because such data must be collected directly from patients. Internet-based HRQOL questionnaires are a potential solu...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.1214

    authors: Bhinder S,Chowdhury N,Granton J,Krahn M,Tullis DE,Waddell TK,Singer LG

    更新日期:2010-08-19 00:00:00

  • How adolescents use technology for health information: implications for health professionals from focus group studies.

    abstract:BACKGROUND:Adolescents present many challenges in providing them effective preventive services and health care. Yet, they are typically the early adopters of new technology (eg, the Internet). This creates important opportunities for engaging youths via eHealth. OBJECTIVE:To describe how adolescents use technology for...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.5.4.e32

    authors: Skinner H,Biscope S,Poland B,Goldberg E

    更新日期:2003-12-18 00:00:00

  • Quality of online pharmacies and websites selling prescription drugs: a systematic review.

    abstract:BACKGROUND:Online pharmacies are companies that sell pharmaceutical preparations, including prescription-only drugs, on the Internet. Very little is known about this phenomenon because many online pharmacies operate from remote countries, where legal bases and business practices are largely inaccessible to internationa...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,评审

    doi:10.2196/jmir.1795

    authors: Orizio G,Merla A,Schulz PJ,Gelatti U

    更新日期:2011-09-30 00:00:00

  • A Peer-Led, Social Media-Delivered, Safer Sex Intervention for Chinese College Students: Randomized Controlled Trial.

    abstract:BACKGROUND:The peer-led, social media-delivered intervention is an emerging method in sexual health promotion. However, no research has yet investigated its effectiveness as compared with other online channels or in an Asian population. OBJECTIVE:The objective of this study is to compare a peer-led, social media-deliv...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.7403

    authors: Sun WH,Wong CKH,Wong WCW

    更新日期:2017-08-09 00:00:00

  • Searching for truth: internet search patterns as a method of investigating online responses to a Russian illicit drug policy debate.

    abstract:BACKGROUND:This is a methodological study investigating the online responses to a national debate over an important health and social problem in Russia. Russia is the largest Internet market in Europe, exceeding Germany in the absolute number of users. However, Russia is unusual in that the main search provider is not ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.2270

    authors: Zheluk A,Gillespie JA,Quinn C

    更新日期:2012-12-13 00:00:00

  • The Absence of Evidence is Evidence of Non-Sense: Cross-Sectional Study on the Quality of Psoriasis-Related Videos on YouTube and Their Reception by Health Seekers.

    abstract:BACKGROUND:Approximately 80% of internet users access health information online and patients with chronic illnesses especially rely on internet-based resources. YouTube ranks second among the most accessed websites worldwide and hosts an increasing number of videos with medical information. However, their quality is so...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/11935

    authors: Mueller SM,Jungo P,Cajacob L,Schwegler S,Itin P,Brandt O

    更新日期:2019-01-16 00:00:00

  • Engagement in an Interactive App for Symptom Self-Management during Treatment in Patients With Breast or Prostate Cancer: Mixed Methods Study.

    abstract:BACKGROUND:Using mobile technology for symptom management and self-care can improve patient-clinician communication and clinical outcomes in patients with cancer. The interactive app Interaktor has been shown to reduce symptom burden during cancer treatment. It includes symptom assessment, an alert system for contact w...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/17058

    authors: Crafoord MT,Fjell M,Sundberg K,Nilsson M,Langius-Eklöf A

    更新日期:2020-08-10 00:00:00

  • Differences in reach and attrition between Web-based and print-delivered tailored interventions among adults over 50 years of age: clustered randomized trial.

    abstract:BACKGROUND:The Internet has the potential to provide large populations with individual health promotion advice at a relatively low cost. Despite the high rates of Internet access, actual reach by Web-based interventions is often disappointingly low, and differences in use between demographic subgroups are present. Furt...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.2229

    authors: Peels DA,Bolman C,Golsteijn RH,De Vries H,Mudde AN,van Stralen MM,Lechner L

    更新日期:2012-12-17 00:00:00

  • Methodological and Ethical Challenges in a Web-Based Randomized Controlled Trial of a Domestic Violence Intervention.

    abstract::The use of Web-based methods to deliver and evaluate interventions is growing in popularity, particularly in a health care context. They have shown particular promise in responding to sensitive or stigmatized issues such as mental health and sexually transmitted infections. In the field of domestic violence (DV), howe...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,随机对照试验

    doi:10.2196/jmir.7039

    authors: Tarzia L,Valpied J,Koziol-McLain J,Glass N,Hegarty K

    更新日期:2017-03-28 00:00:00

  • Online social network use by health care providers in a high traffic patient care environment.

    abstract:BACKGROUND:The majority of workers, regardless of age or occupational status, report engaging in personal Internet use in the workplace. There is little understanding of the impact that personal Internet use may have on patient care in acute clinical settings. OBJECTIVE:The objective of this study was to investigate t...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.2421

    authors: Black E,Light J,Paradise Black N,Thompson L

    更新日期:2013-05-17 00:00:00

  • Risk Assessment for Parents Who Suspect Their Child Has Autism Spectrum Disorder: Machine Learning Approach.

    abstract:BACKGROUND:Parents are likely to seek Web-based communities to verify their suspicions of autism spectrum disorder markers in their child. Automated tools support human decisions in many domains and could therefore potentially support concerned parents. OBJECTIVE:The objective of this study was to test the feasibility...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.9496

    authors: Ben-Sasson A,Robins DL,Yom-Tov E

    更新日期:2018-04-24 00:00:00

  • Mapping Power Law Distributions in Digital Health Social Networks: Methods, Interpretations, and Practical Implications.

    abstract:BACKGROUND:Social networks are common in digital health. A new stream of research is beginning to investigate the mechanisms of digital health social networks (DHSNs), how they are structured, how they function, and how their growth can be nurtured and managed. DHSNs increase in value when additional content is added, ...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.4297

    authors: van Mierlo T,Hyatt D,Ching AT

    更新日期:2015-06-25 00:00:00

  • Common cold symptoms in children: results of an Internet-based surveillance program.

    abstract:BACKGROUND:Conducting and analyzing clinical studies of cough and cold medications is challenging due to the rapid onset and short duration of the symptoms. The use of Internet-based surveillance tools is a new approach in clinical studies that is gradually becoming popular and may become a useful method of recruitment...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.2868

    authors: Troullos E,Baird L,Jayawardena S

    更新日期:2014-06-19 00:00:00

  • Who Self-Weighs and What Do They Gain From It? A Retrospective Comparison Between Smart Scale Users and the General Population in England.

    abstract:BACKGROUND:Digital self-monitoring, particularly of weight, is increasingly prevalent. The associated data could be reused for clinical and research purposes. OBJECTIVE:The aim was to compare participants who use connected smart scale technologies with the general population and explore how use of smart scale technolo...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/jmir.4767

    authors: Sperrin M,Rushton H,Dixon WG,Normand A,Villard J,Chieh A,Buchan I

    更新日期:2016-01-21 00:00:00

  • Lifestyle Disease Surveillance Using Population Search Behavior: Feasibility Study.

    abstract:BACKGROUND:As the process of producing official health statistics for lifestyle diseases is slow, researchers have explored using Web search data as a proxy for lifestyle disease surveillance. Existing studies, however, are prone to at least one of the following issues: ad-hoc keyword selection, overfitting, insufficie...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章

    doi:10.2196/13347

    authors: Memon SA,Razak S,Weber I

    更新日期:2020-01-27 00:00:00

  • Web-Based Interventions to Improve Mental Health in Home Caregivers of People With Dementia: Meta-Analysis.

    abstract:BACKGROUND:Dementia is a major cause of disability and dependency in older adults worldwide. It is often accompanied by general psychological distress, such as depression and anxiety symptoms, among caregivers of people with dementia (PwD). The physical and mental health of the caregiver is a prerequisite and a promise...

    journal_title:Journal of medical Internet research

    pub_type: 杂志文章,meta分析,评审

    doi:10.2196/13415

    authors: Zhao Y,Feng H,Hu M,Hu H,Li H,Ning H,Chen H,Liao L,Peng L

    更新日期:2019-05-06 00:00:00