عنوان انگلیسی مقاله:
A critical content analysis of media reporting on opioids: The social construction of an epidemic
ترجمه فارسی عنوان مقاله:
تجزیه و تحلیل محتوای انتقادی از گزارش رسانه ها در مورد مواد مخدر : ساخت اجتماعی یک بیماری همه گیر
Sciencedirect - Elsevier - Social Science & Medicine, 244 (2020) 112642. doi:10.1016/j.socscimed.2019.112642
Fiona Webstera,∗, Kathleen Riceb, Abhimanyu Sudc
Background: The 2000s have seen a proliferation of media reporting about opioid use in North America. Given
the significant role that popular media plays in shaping the publics perceptions and understandings of the issues
that it represents, analysing the content of this media coverage can help understand public discourse about
Methods: We conducted a critical content analysis of Canadian newsprint media reporting on opioids using a
sociological lens. We performed a qualitative thematic analysis of these texts, coding 826 articles and applying a
critical discourse analysis in our interpretation of the findings.
Findings: Our analysis showed a slow transition from a conversation primarily about clinical pain care towards a
discussion of criminality, especially the increasingly fluidity of boundaries between prescription opioid use and
the illegal drug trade. Patients tend to be dichotomized as either innocently following physician prescriptions or
drug-seeking, as an aspect of lives characterized by addiction and street crime. These depictions map onto
characterizations of physicians as naively following pharmaceutical industry advice or becoming irrelevant once
criminality is introduced.
Discussion: The social construction of the opioid epidemic polarizes individuals as good or bad with little attention
paid to underlying institutional interests both in the creation of the problem or in the solutions that are
proposed. We show that as concerns about harms from opioids become more pronounced, the narrative shifts to
home in on illicit street-use with a corresponding uptake of stigmatizing references to so-called addicts.
Concurrently, most references to the pharmaceutical industry disappear from view. This framing of the problem
defines the kinds of solutions that then seem natural. For example, increased criminalization is suggested for
people who use drugs and stigmatizing those who suffer with chronic pain becomes a higher priority than
implementing safer and more effective therapies for managing their pain.
Keywords: Opioids | Prescription drugs | Narcotics | Content analysis | Canada