Trigger Sarah, Johnson Moronke Akinso, Zarndt Anh Nguyen, Hill Danielle K
US Food and Drug Administration, Center for Tobacco Products, Silver Spring, MD, United States.
Tob Regul Sci. 2021 Jan;7(1):46-58. doi: 10.18001/trs.7.1.4.
Intentional and unintentional exposures to electronic nicotine delivery system (ENDS) e-liquids can cause illness and death. In this study, we describe acute nicotine toxicity due to e-liquid exposure (ANTEE) information found on Twitter and contextualize ANTEE experiences to clarify conditions associated with exposure.
We obtained 20,180 ANTEE-relevant tweets from 2013-2018. We excluded retweets, suspected bots, non-English tweets, tweets not originating in the US, and advertisements. We coded relevant tweets qualitatively using domains for e-liquid exposure tweets and e-liquid-related non-exposure tweets (ie, posts reflecting hypothetical exposure, information about e-liquids).
Content analyses were based on 1656 e-liquid exposure tweets and 1210 non-exposure tweets. More than half of exposure tweets (61.3%) were classified as accidental exposures; subjects were predominately young people, assumed to be under age 18 (40.5%), and self (27.7%). The most common exposure route was ingestion (61.1%). Of exposure tweets, 13.9% described health effects and 12.7% described seeking assistance. Most non-exposure tweets were classified as likely or hypothetical exposure (49.9%) or presentation of advice, information, or warnings (40.5%).
Tweets can serve as a novel and complementary data source for learning more about e-liquid exposures.
有意或无意接触电子尼古丁传送系统（ENDS）电子烟液可导致疾病和死亡。在本研究中，我们描述了在推特上发现的因接触电子烟液导致的急性尼古丁中毒（ANTEE）信息，并将ANTEE经历背景化，以阐明与接触相关的情况。
我们从2013年至2018年获取了20180条与ANTEE相关的推文。我们排除了转发推文、疑似机器人账号、非英语推文、非美国来源的推文和广告。我们使用电子烟液接触推文和与电子烟液相关的非接触推文（即反映假设接触、电子烟液信息的帖子）的领域对相关推文进行定性编码。
内容分析基于1656条电子烟液接触推文和1210条非接触推文。超过一半的接触推文（61.3%）被归类为意外接触；受试者主要是年轻人，推测年龄在18岁以下（40.5%），以及自我接触（27.7%）。最常见的接触途径是摄入（61.1%）。在接触推文中，13.9%描述了健康影响，12.7%描述了寻求帮助。大多数非接触推文被归类为可能或假设接触（49.9%）或提供建议、信息或警告（40.5%）。
推文可作为一种新颖的补充数据源，用于更多地了解电子烟液接触情况。
