TY - JOUR AU - Allem, Jon-Patrick AU - Dormanesh, Allison AU - Majmundar, Anuja AU - Unger, Jennifer B AU - Kirkpatrick, Matthew G AU - Choube, Akshat AU - Aithal, Aneesh AU - Ferrara, Emilio AU - Boley Cruz, Tess PY - 2021 DA - 2021/6/7 TI - Topics of Nicotine-Related Discussions on Twitter: Infoveillance Study JO - J Med Internet Res SP - e25579 VL - 23 IS - 6 KW - nicotine KW - electronic cigarettes KW - Twitter KW - social media KW - social bots KW - cessation AB - Background: Cultural trends in the United States, the nicotine consumer marketplace, and tobacco policies are changing. Objective: The goal of this study was to identify and describe nicotine-related topics of conversation authored by the public and social bots on Twitter, including any misinformation or misconceptions that health education campaigns could potentially correct. Methods: Twitter posts containing the term “nicotine” were obtained from September 30, 2018 to October 1, 2019. Methods were used to distinguish between posts from social bots and nonbots. Text classifiers were used to identify topics in posts (n=300,360). Results: Prevalent topics of posts included vaping, smoking, addiction, withdrawal, nicotine health risks, and quit nicotine, with mentions of going “cold turkey” and needing help in quitting. Cessation was a common topic, with mentions of quitting and stopping smoking. Social bots discussed unsubstantiated health claims including how hypnotherapy, acupuncture, magnets worn on the ears, and time spent in the sauna can help in smoking cessation. Conclusions: Health education efforts are needed to correct unsubstantiated health claims on Twitter and ultimately direct individuals who want to quit smoking to evidence-based cessation strategies. Future interventions could be designed to follow these topics of discussions on Twitter and engage with members of the public about evidence-based cessation methods in near real time when people are contemplating cessation. SN - 1438-8871 UR - https://www.jmir.org/2021/6/e25579 UR - https://doi.org/10.2196/25579 UR - http://www.ncbi.nlm.nih.gov/pubmed/34096875 DO - 10.2196/25579 ID - info:doi/10.2196/25579 ER -