Abstract

Social media may provide new insight into our understanding of substance use and addiction. In this study, we developed a deep-learning method to automatically classify individuals’ risk for alcohol, tobacco, and drug use based on the content from their Instagram profiles. In total, 2287 active Instagram users participated in the study. Deep convolutional neural networks for images and long short-term memory (LSTM) for text were used to extract predictive features from these data for risk assessment. The evaluation of our approach on a held-out test set of 228 individuals showed that among the substances we evaluated, our method could estimate the risk of alcohol abuse with statistical significance. These results are the first to suggest that deep-learning approaches applied to social media data can be used to identify potential substance use risk behavior, such as alcohol use. Utilization of automated estimation techniques can provide new insights for the next generation of population-level risk assessment and intervention delivery.

Highlights

  • Substance use is a persistent and global public health issue, affecting millions of people across every socio-demographic category

  • We focused on building a machine learning method that can identify high substance use risk based on social media posts on Instagram

  • After agreeing to the online consent form, participants were directed to a website survey interface to collect demographic and substance use information based on the National Institute on Drug Abuse’s (NIDA) Modified ASSIST substance use screener (Table S1 in Supplementary Materials) [8]

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Summary

Introduction

Substance use is a persistent and global public health issue, affecting millions of people across every socio-demographic category. With lifestyle choices and metabolic risk factors, the use of alcohol, tobacco, and drugs are among the top ten causes of preventable deaths in the United States [4]. The report outlines the massive social (93 million people) and economic ($442 billion) impact of illicit drug and alcohol use, yet cites a cause for optimism that is partially centered in recent research advances. These advances include innovation in information technologies—with Internet connectivity and personal computing devices ubiquitous, there are many novel, emerging avenues for clinical research and treatment

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