Differential Analysis of Age, Gender, Race, Sentiment, and Emotion in Substance Use Discourse on Twitter During the COVID-19 Pandemic: A Natural Language Processing Approach

This study presents a large-scale, fine-grained analysis of SU on social media data, examining trends by age, gender, race, and ethnicity before, during, and after the COVID-19 pandemic. Our findings, contextualized with sociocultural and pandemic-specific factors, provide actionable insights for targeted public health interventions. This study establishes social media data (powered with artificial intelligence and natural language processing tools) as a valuable platform for real-time SU surveillance and prevention during crises.