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Record W4406817572 · doi:10.2196/56004

Shifting Narratives in Media Coverage Across a Decade of Drug Discourse in the Philadelphia Inquirer: Qualitative Sentiment Analysis

2025· article· en· W4406817572 on OpenAlexvenueno aff
Layla Bouzoubaa, Ramtin Ehsani, Preetha Chatterjee, Rezvaneh Rezapour

Bibliographic record

VenueJMIR Infodemiology · 2025
Typearticle
Languageen
FieldMedicine
TopicOpioid Use Disorder Treatment
Canadian institutionsnot available
Fundersnot available
KeywordsPreprintNarrativeMedia studiesSociologyPolitical scienceArtLiteratureComputer scienceWorld Wide Web

Abstract

fetched live from OpenAlex

BACKGROUND: The media has immense power in shaping public narratives surrounding sensitive topics such as substance use. Its portrayals can unintentionally fuel harmful stereotypes and stigma, negatively impacting individuals struggling with addiction, influencing policy decisions, and hindering broader public health efforts. OBJECTIVE: This study aimed to examine how the regional newspaper, The Philadelphia Inquirer, covered events related to illicit drug use between 2013 and 2022, focusing on linguistic patterns and themes associated with specific types of substances. METHODS: We collected a dataset of 157,476 articles published in The Philadelphia Inquirer between 2013 and 2022 and categorized mentioned substances into 8 classes: stimulants, narcotics, cannabis, hallucinogens, depressants, designer drugs, drugs of concern, and treatment medications. From these 157,476 articles, we identified 3661 (2.32%) that mentioned at least 1 substance with potential for misuse. Using dynamic topic modeling, we analyzed thematic evolution in coverage across different drug classes. We then applied aspect-based sentiment analysis to extract the most significant phrases mentioned in each distinct drug class annually and examined the sentiments around these aspects to understand shifting discourse patterns. RESULTS: Cannabis (1575/3661, 43.02%) and narcotics (1361/3661, 37.17%) dominated the coverage, with 2018 showing peak drug-related reporting (666/3661, 18.19%). Our substance co-occurrence analysis revealed that heroin was most frequently discussed alongside treatment medications (methadone, naloxone, and buprenorphine), reflecting evolving approaches to opioid use disorder. Topic modeling revealed distinct themes across drug classes: legislative and medical aspects dominated cannabis coverage, while narcotics coverage focused heavily on overdose deaths and safe injection sites, particularly during 2017 to 2018. Stimulant coverage centered on feature news and crime-related reporting, while treatment coverage showed an increasing focus on overdose prevention by 2021. The aspect-based sentiment analysis showed that 74.3% (165/222) of extracted aspects were portrayed negatively across all drug classes, with narcotics maintaining consistently negative sentiment throughout the period. However, some drug classes showed notable evolution: hallucinogens demonstrated a marked shift in sentiment score (SS) from negative coverage in 2013 (-0.79 SS) to positive coverage of therapeutic applications by 2021 (+0.47 SS), while cannabis coverage reflected complex societal debates, with industry and business aspects showing strong positive sentiment score peaks (0.64 SS in 2019) even as legislation and policy aspects remained volatile (-0.76 SS in 2013 to 0.61 SS in 2019 and declining to -0.31 SS by 2022). CONCLUSIONS: Our analysis revealed a predominance of negative and punitive language in drug-related news coverage, with limited representation of harm reduction principles. While some drug classes, particularly cannabis and hallucinogens, saw evolving narratives toward medical applications and policy reform, coverage of narcotics remained primarily focused on crime and overdose. These findings suggest a need for more balanced reporting that incorporates harm reduction perspectives and avoids potentially stigmatizing language when covering substance use disorders.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.248
Threshold uncertainty score0.636

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.032
GPT teacher head0.447
Teacher spread0.415 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2025
Admission routes1
Has abstractyes

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