BACKGROUND
Synthetic cannabinoids are a significant public health concern, especially among incarcerated populations due to increased reports of abuse. Recent news reports have highlighted the severe consequence of K2/Spice, a synthetic cannabinoid, on the prison population in the United States. Despite regulations against cell phone use, inmates utilize TikTok to post K2/Spice-related content.
OBJECTIVE
Hence, this study aimed to characterize TikTok posts associated with the illicit distribution of psychoactive substances (e.g., K2/Spice) purportedly among incarcerated populations.
METHODS
The study collected TikTok videos associated with the #k2spice hashtag and used a data collection approach similar to snowball sampling. Inductive coding was used to conduct content analysis for video characteristics. Videos were manually annotated to generate binary classifications related to use and selling and buying activities associated with K2/Spice. Statistical analysis was used to determine associations between a video’s user engagement and an intent to buy or sell K2/Spice.
RESULTS
A total of 75 TikTok videos with the hashtag #k2spice were manually coded, with 48% (n=36) identified as displaying the use of, solicitation, or adverse reaction from K2/Spice among prison population users. 44% were in a prison-based setting documenting adverse effects, including possible overdose. Videos with higher user engagement were positively correlated with comments indicating and intent to buy or sell K2/Spice.
CONCLUSIONS
K2/Spice, a synthetic cannabinoid, is a drug subject to abuse among prison inmates in the United States, including depictions of its harmful effects being recorded and shared on TikTok. Lack of policy enforcement on TikTok and the need for better access to treatment services within the prison system may be exacerbating substance use among this highly vulnerable population. Minimizing the potential individual harm of this content on those incarcerated should be a priority for social media platforms and the criminal justice system, alike.