Linguistic Markers of Pain Communication on X (Formerly Twitter) in US States With High and Low Opioid Mortality: Machine Learning and Semantic Network Analysis.
Journal:
Journal of medical Internet research
PMID:
40360163
Abstract
BACKGROUND: The opioid epidemic in the United States remains a major public health concern, with opioid-related deaths increasing more than 8-fold since 1999. Chronic pain, affecting 1 in 5 US adults, is a key contributor to opioid use and misuse. While previous research has explored clinical and behavioral predictors of opioid risk, less attention has been given to large-scale linguistic patterns in public discussions of pain. Social media platforms such as X (formerly Twitter) offer real-time, population-level insights into how individuals express pain, distress, and coping strategies. Understanding these linguistic markers matters because they can reveal underlying psychological states, perceptions of health care access, and community-level opioid risk factors, offering new opportunities for early detection and targeted public health response.