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What Should I Do

Information and Support Needs Relating to Substance Use on Reddit

Bibliographic Data

ID21646156
AuthorsBogeum Choi (0000-0002-9602-233X, School of Information and Library Science, University of North Carolina, corresponding author), Lexie C Wang (0009-0002-9463-0769, University of Washington), Ryan A Kang (0009-0009-4876-1697, University of Washington), Isabelle Y Ho (0009-0002-7393-1968, School of Public Health, University of Washington), Shana Johnny (0000-0003-3516-9730, School of Nursing, University of Washington), Rahul Chaliparambil (0000-0002-4345-5393, Northwestern University), Annie T Chen (0000-0003-3070-8336, University of Washington)
Year2026
Volume61
Issue7
Pages989-998
Publication date2026-06-07
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2588322
PMID41345963
OpenAlexW4417018197
LanguageEN
References cited68

BACKGROUND: Due to the stigma of substance use, individuals often turn to online forums like Reddit for informational and other types of support. While information is a primary unmet need for people who use substances, little research has examined the nature of these needs. This study aimed to identify and characterize the informational and other support needs expressed in Reddit posts related to substance use. METHODS: We constructed a dataset of Reddit posts from January 2013 to December 2019, sampling these to include at least one of three substances (alcohol, cannabis, and opioids). We conducted qualitative content analysis to identify the needs expressed by post authors. Two researchers iteratively the data, resolving disagreements through discussion. RESULTS: We examined 189 posts and identified four categories of themes: informational, emotional, coping, and contextual factors. Salient informational needs included quitting approaches and strategies, temporal information needs, barriers in quitting, and communication challenges. Regarding emotional needs, users sought validation and affirmation of progress from others. Additionally, users leveraged the platform to build accountability, regulate emotions in the moment, and share experiences. Contextual factors such as interpersonal challenges, stigma, and low self-worth were also prominent. CONCLUSION: Our findings highlight the diverse needs of individuals with substance use, including informational and emotional support, coping, and contextual factors. Our main contributions include presenting a typology of contextual dimensions of information needs relating to substance use, highlighting opportunities to improve the dissemination of relevant and personalized information in treatment, education, and prevention programs, and presenting implications for practice

Information needs · Information seeking · Information seeking behavior · Media use · Social media · Substance use · Typology · Health Literacy and Information Accessibility · Mental Health via Writing · Substance Abuse Treatment and Outcomes

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