Abstract

News media monitoring is an important scientific tool. By treating news reporters as data collectors and their reports as qualitative accounts of a fast changing public health landscape, researchers can glean many valuable insights. Yet, there have been surprisingly few innovations in public health media monitoring, with nearly all studies relying on labor-intensive content analyses limited to a small number of media reports. We propose to advance this subfield by using scalable machine learning. In potentially the largest contemporary public health media monitoring study to date, we systematically characterize global news reports surrounding electronic cigarettes or electronic nicotine delivery systems (ENDS) using natural language processing techniques. News reports including ENDS terms (e.g., “electronic cigarettes”) from over 100,000 sources (all sources archived on Google News or Bing News, as well as all news articles shared on Twitter) were monitored for 1 January 2013 through 31 July 2018. The geographic and subject (e.g., prevalence, bans, quitting, warnings, marketing, prices, age, flavor and industry) foci of news articles, their popularity among readers who share news on social media, and the sentiment behind news articles were assessed algorithmically. Globally there were 86,872 ENDS news reports with coverage increasing from 8 (standard deviation [SD] = 8) stories per day in 2013 to 75 (SD = 56) stories per day during 2018. The focus of ENDS news spanned 148 nations, with the plurality focusing on the United States (34% of all news). Potentially overlooked hotspots of ENDS media activity included China, Egypt, Russia, Ukraine, and Paraguay. The most common subject was warnings about ENDS (18%), followed by bans on using ENDS (13%) and ENDS prices (9%). Flavor and age restrictions were the least covered news subjects (~1% each). Among different subject foci, reports on quitting cigarettes using ENDS had the highest probability of scoring in the top three deciles of popularity rankings. Moreover, ENDS news on quitting and prices had a more positive sentiment on average than news with other subject foci. Public health leaders can use these trends to stay abreast of how ENDS are portrayed in the media, and potentially how the public perceives ENDS. Because our analytical strategies are updated in near real time, we aim to make media monitoring part of standard practice to support evidence-based tobacco control in the future.

Highlights

  • Despite substantial popular interest in electronic nicotine delivery systems (ENDS), or electronic cigarettes [1,2], and research showing media plays a crucial role in guiding this interest [3], there is surprisingly little known about how ENDS are covered in the news [4,5]

  • Data collection alone presents a host of challenges: What sources can be accessed? How should sources be searched to systematically identify relevant news reports? Among news reports, which should be selected for in-depth analysis? These challenges are amplified by similar hurdles in conducting the analysis itself: How can any researcher read hundreds of thousands of news reports? For example, one of the most ambitious studies to date analyzed 119 ENDS focused news reports covering 12 news outlets from 2 countries, finding ENDS coverage increased over the study period and news reports focused on how ENDS are used to avoid clean indoor law provisions, their health benefits, their price, and celebrities who use them [6]

  • The geographic foci of ENDS news reports altogether spanned 148 nations (Fig 2) with much of the news focused on the United States (34% of all reports) and Great Britain (7%)

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Summary

Introduction

Despite substantial popular interest in electronic nicotine delivery systems (ENDS), or electronic cigarettes [1,2], and research showing media plays a crucial role in guiding this interest [3], there is surprisingly little known about how ENDS are covered in the news [4,5]. News media monitoring has been used to better understand policy debates related to addictive substances, such as the Scottish alcohol minimum unit pricing policy [8,9] Given news is both a marker for ENDS’ rise and a conduit for how information (and misinformation) on ENDS spreads, news media monitoring can play a more important role. Where are ENDS garnering coverage? What ENDS issues are emerging? What regulatory strategies are being prioritized? These questions, and many more, can be answered by news media monitoring

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