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Internet-Based Inquiries From Users With the Intention to Overdose With Over-the-Counter Drugs: Qualitative Analysis of Yahoo! Chiebukuro

Kariya, Azusa Okada, Hiroshi Suzuki, Shota Dote, Satoshi Nishikawa, Yoshitaka Araki, Kazuo Takahashi, Yoshimitsu Nakayama, Takeo 京都大学 DOI:10.2196/45021

2023.11.22

概要

[Background:] Public concern with regard to over-the-counter (OTC) drug abuse is growing rapidly across countries. OTC drug abuse has serious effects on the mind and body, such as poisoning symptoms, and often requires specialized treatments. In contrast, there is concern about people who potentially abuse OTC drugs whose symptoms are not serious enough to consult medical institutions or drug addiction rehabilitation centers yet are at high risk of becoming drug dependent in the future. [Objective:] Consumer-generated media (CGM), which allows users to disseminate information, is being used by people who abuse (and those who are trying to abuse) OTC drugs to obtain information about OTC drug abuse. This study aims to analyze the content of CGM to explore the questions of people who potentially abuse OTC drugs. [Methods:] The subject of this research was Yahoo! Chiebukuro, the largest question and answer website in Japan. A search was performed using the names of drugs commonly used in OTC drug abuse and the keywords overdose and OD, and the number of questions posted on the content of OTC drug abuse was counted. Furthermore, a thematic analysis was conducted by extracting text data on the most abused antitussive and expectorant drug, BRON. [Results:] The number of questions about the content of overdose medications containing the keyword BRON has increased sharply as compared with other product names. Furthermore, 467 items of question data that met the eligibility criteria were obtained from 528 items of text data on BRON; 26 codes, 6 categories, and 3 themes were generated from the 578 questions contained in these items. Questions were asked about the effects they would gain from abusing OTC drugs and the information they needed to obtain the effects they sought, as well as about the effects of abuse on their bodies. Moreover, there were questions on how to stop abusing and what is needed when seeking help from a health care provider if they become dependent. It has become clear that people who abuse OTC drugs have difficulty in consulting face-to-face with others, and CGM is used as a means to obtain the necessary information anonymously. [Conclusions:] On CGM, people who abused or tried to abuse OTC drugs were asking questions about their abuse expectations and anxieties. In addition, when they became dependent, they sought advice to quit their abuse. CGM was used to exchange information about OTC drug abuse, and many questions on anxieties and hesitations were posted. This study suggests that it is necessary to produce and disseminate information on OTC drug abuse, considering the situation of those who abuse or are willing to abuse OTC drugs. Support from pharmacies and drugstores would also be essential to reduce opportunities for OTC drug abuse.

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Abbreviations

CGM: consumer-generated media

FY: fiscal year

OTC: over-the-counter

Q&A: question and answer

Edited by A Mavragani; submitted 22.12.22; peer-reviewed by K Taira, S Gordon; comments to author 27.07.23; revised version

received 17.08.23; accepted 18.09.23; published 22.11.23

Please cite as:

Kariya A, Okada H, Suzuki S, Dote S, Nishikawa Y, Araki K, Takahashi Y, Nakayama T

Internet-Based Inquiries From Users With the Intention to Overdose With Over-the-Counter Drugs: Qualitative Analysis of Yahoo!

Chiebukuro

JMIR Form Res 2023;7:e45021

URL: https://formative.jmir.org/2023/1/e45021

doi: 10.2196/45021

PMID: 37991829

©Azusa Kariya, Hiroshi Okada, Shota Suzuki, Satoshi Dote, Yoshitaka Nishikawa, Kazuo Araki, Yoshimitsu Takahashi, Takeo

Nakayama. Originally published in JMIR Formative Research (https://formative.jmir.org), 22.11.2023. This is an open-access

article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/),

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR

Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on

https://formative.jmir.org, as well as this copyright and license information must be included.

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