Alcohol Portrayals on Social Media (Social Media)
Authors: Döring Nicola , Walter Roberto 
Published: May 2022

The depiction of alcohol is the focus of a growing number of content analyses in the field of social media research. Typically, the occurrence and nature of alcohol representations are coded to measure the prevalence, normalization, or even glorification of alcohol and its consumption on different social media platforms (Moreno et al., 2016; Westgate & Holliday, 2016) and smartphone apps (Ghassemlou et al., 2020). But social media platforms and smartphone apps also play a role in the prevention of alcohol abuse when they disseminate messages about alcohol risks and foster harm reduction, abstinence, and sobriety (Davey, 2021; Döring & Holz, 2021; Tamersoy et al., 2015; Westgate & Holliday, 2016).

Field of application/theoretical foundation:
Social Cognitive Theory (SCT; Bandura 1986, 2009) as the dominant media effects theory in communication science, is applicable and widely applied to social media representations of alcohol: According to SCT, positive media portayals of alcohol and attractive role models consuming alcohol can influence the audience’s relation to alcohol. That’s why positive alcohol portayals in the media are considered a public health threat as they can foster increased and risky alcohol consumption among media users in general and young people in particular. The negative health impact predicted by SCT depends on different aspects of alcohol portrayals on social media that have been traditionally coded in manual content analyses (Beullens & Schepers, 2013; Mayrhofer & Naderer, 2019; Moreno et al., 2010) and most recently by studies relying on computational methods for content analysis (e.g. Ricard & Hassanpour, 2021). Core aspects of alcohol representations on social media are: a) the type of communicator / creator of alcohol-related social media content, b) the overall valence of the alcohol portrayal, c) the people consuming alcohol, d) the alcohol consumption behaviors, e) the social contexts of alcohol consumption, f) the types and brands of consumed alcohol, g) the consequences of alcohol consumption, and h) alcohol-related consumer protection messages in alcohol marketing (Moreno et al., 2016; Westgate & Holliday, 2016).
For example, a normalizing portrayal shows alcohol consumption as a regular and normal behavior of diverse people in different contexts, while a glorifying portrayal shows alcohol consumption as a behavior that is strongly related to positive effects such as having fun, enjoying social community, feeling sexy, happy, and carefree (Griffiths & Casswell, 2011). While criticism of glorifying alcohol portrayals in entertainment media (e.g., music videos; Cranwell et al., 2015), television (e.g., Barker et al., 2021), and advertising (e.g., Curtis et al., 2018; Stautz et al., 2016) has a long tradition, the concern about alcohol representations on social media is relatively new and entails the phenomenon of alcohol brands and social media influencers marketing alcohol (Critchlow & Moodie, 2022; Turnwald et al., 2022) as well as ordinary social media users providing alcohol-related self-presentations (e.g., showing themselves partying and drinking; Boyle et al., 2016). Such alcohol-related self-presentations might elicit even stronger identification and imitation effects among social media audiences compared to regular advertising (Griffiths & Casswell, 2011).
Because of its psychological and health impact, alcohol-related social media content – and alcohol marketing in particular – is also an issue of legal regulation. The World Health Organization states that “Europe is the heaviest-drinking region in the world” and strongly advocates for bans or at least stricter regulations of alcohol marketing both offline and online (WHO, 2020, p. 1). At the same time, the WHO points to the problem of clearly differentiating between alcohol marketing and other types of alcohol representations on social media.
Apart from normalizing and glorifying alcohol portayals, there are also anti-alcohol posts and comments on social media. They usually point to the health risks of alcohol consumption and the dangers of alcohol addiction and, hence, try to foster harm reduction, abstincence and sobriety. While such negative alcohol portayals populate different social media platforms, an in-depth investigation of the spread, scope and content of anti-alcohol messages on social media is largely missing (Davey, 2021; Döring & Holz, 2021; Tamersoy et al., 2015).

References/combination with other methods of data collection:
Manual and computational content analyses of alcohol representations on social media platforms can be complemented by qualitative interview and quantitative survey data addressing alcohol-related beliefs and behaviors collected from social media users who a) create and publish alcohol-related social media content and/or b) are exposed to or actively search for and follow alcohol-related social media content (e.g., Ricard & Hassanpour, 2021; Strowger & Braitman, 2022). Furthermore, experimental studies are helpful to directly measure how different alcohol-related social media posts and comments are perceived and evaluated by recipients and if and how they can affect their alcohol-related thoughts, feelings, and behaviors (Noel, 2021). Such social media experiments can build on respective mass media experiments (e.g., Mayrhofer & Naderer, 2019). Insights from content analyses help to select or create appropriate stimuli for such experiments. Last but not least, to evaluate the effectiveness of alcohol marketing regulations, social media content analyses conducted within a longitudinal or trend study design (including measurements before and after new regulations came into effect) should be preferred over cross-sectional studies (e.g., Chapoton et al., 2020).

Example Studies for Manual Content Analyses:

Coding Material

Measure

Operationalization (excerpt)

Reliability

Source

a) Creators of alcohol-related social media content

Extensive explorations on Facebook, Instagram and TikTok

Creators of alcohol-related social media content on Facebook, Instagram and TikTok

Polytomous variable “Type of content creator” (1: alcohol industry; 2: media organization/media professional; 3: health organization/health professional; 4: social media influencer; 5: ordinary social media user; 6: other)

Not available

Döring & Tröger (2018)

Döring & Holz (2021)

b) Valence of alcohol-related social media content

N = 3 015 Facebook comments

N = 100 TikTok videos

Valence of alcohol-related social media content (posts or comments)

Binary variable “Valence of alcohol-related social media content” (1: positive/pro-alcohol sentiment; 2: negative/anti-alcohol sentiment)

Cohen’s Kappa average of .72 for all alcohol-related variables in codebook*

Döring & Holz (2021)

*Russell et al. (2021)

c) People consuming alcohol

N = 160 Facebook profiles (profile pictures, personal photos, and text)

Portrayal of people consuming alcohol on Facebook profiles

Binary variable “Number of persons on picture” (1: alone; 2: with others)

Cohen’s Kappa > .90

Beullens & Schepers (2013)

d) Alcohol consumption behaviors

N = 160 Facebook profiles (profile pictures, personal photos, and text)

Type of depicted alcohol use/consumption

Polytomous variable “Type of depicted alcohol use/consumption” (1: explicit use such as depiction of person drinking alcohol; 2: implicit use such as depiction of alcohol bottle on table; 3: alcohol logo only)

Cohen’s Kappa = .89

Beullens & Schepers (2013)

N = 100 TikTok videos

Multiple alcoholic drinks consumed per person

Binary variable “Multiple alcoholic drinks consumed per person” as opposed to having only one drink or no drink per person (1: present; 2: not present)

Cohen’s Kappa average of .72 for all alcohol-related variables in codebook

Russell et al. (2021)

N = 100 TikTok videos

Alcohol intoxication

Binary variable “Alcohol intoxication” (1: present; 2: not present)

Cohen’s Kappa average of .72 for all alcohol-related variables in codebook

Russell et al. (2021)

N = 4 800 alcohol-related Tweets

Alcohol mentioned in combination with other substance use

Binary variable “Alcohol mentioned in combination with tobacco, marijuana, or other drugs” (1: yes; 2: no)

Cohen’s Kappa median of .73 for all pro-drinking variables in codebook

Cavazos-Rehg et al. (2015)

e) Social contexts of alcohol consumption

N = 192 Facebook and Instagram profiles (profile pictures, personal photos, and text)

Portrayal of social evaluative contexts of alcohol consumption on Facebook and Instagram profiles

Polytomous variable “Social evaluative context” (1: negative context such as someone looking disapprovingly at a drunk person; 2: neutral context such as no explicit judgment or emotion is shown; 3: positive context such as people laughing and toasting with alcoholic drinks)

Cohen’s Kappa ranging from .68 to .91 for all variables in codebook

Hendriks et al. (2018), based on previous work by Beullens & Schepers (2013)

N = 51 episodes with a total of N = 1 895 scenes of the American adolescent drama series “The OC”

Portrayal of situational contexts of alcohol consumption in scenes of a TV series

Polytomous variable “Setting of alcohol consumption” (1: at home; 2: at adult / youth party; 3: in a bar; 4: at work; 5: at other public place)

Polytomous variable “Reason of alcohol consumption” (1: celebrating/partying; 2: habit; 3: stress relief; 4: social facilitation)

Cohen’s Kappa for setting of alcohol consumption .90

Cohen’s Kappa for reason of alcohol consumption .71

Van den Bulck et al. (2008)

f) Types and brands of consumed alcohol

N = 17 800 posts of Instagram influencers and related comments

Portrayal of different alcohol types and alcohol brands in Instagram posts

Polytomous variable “Alcohol type” (1: wine; 2: beer; 3: cocktails; 4: spirits; 5: non-alcoholic drinks/0% alcohol)

Binary variable “Alcohol brand visibility” (1: present if full brand name, recognizable logo, or brand name in header or tag are visible; 2: non-present)

String variable “Alcohol brand name” (open text coding)

Krippendorff’s Alpha ranging from .69 to 1.00 for all variables in codebook

Hendriks et al. (2019)

g) Consequences of alcohol consumption

N = 400 randomly selected public MySpace profiles

Portayal of consequences of alcohol consumption on MySpace profiles

Five individually coded binary variables for different consequences associated with alcohol use (1: present; 2: not present):

a) “Positive emotional consequence highlighting positive mood, feeling or emotion associated with alcohol use”

b) “Negative emotional consequence highlighting negative mood, feeling or emotion associated with alcohol use”

c) “Positive social consequences highlighting perceived social gain associated with alcohol use”

d) “Negative social consequences highlighting perceived poor social outcomes associated with alcohol use”

e) “Negative physical consequences describing adverse physical consequences or outcomes associated with alcohol use”

Cohen’s Kappa ranging from 0.76 to 0.82 for alcohol references and alcohol use

Moreno et al. (2010)

h) Alcohol-related consumer protection messages in alcohol marketing

N = 554 Tweets collected from 13 Twitter accounts of alcohol companies in Ireland

Alcohol-related consumer protection messages in alcohol marketing (covers both mandatory and voluntary messages depending on national legislation)

Four individually coded binary variables for different alcohol-related consumer protection messages in alcohol marketing (1: present; 2: not present):

a) “Warning about the risks/danger of alcohol consumption”

b) “Warning about the risks/danger of alcohol consumption when pregnant”

c) “Warning about the link between alcohol consumption and fatal cancers”

d) “Link/reference to website with public health information about alcohol”

Not available

Critchlow & Moodie (2022)

The presented measures were developed for specific social media platforms, but are so generic that they can be used across different social media platforms and even across mass media channels such as TV, cinema, and advertisement. The presented measures cover different aspects of media portrayals of alcohol and can be used individually or in combination. Depending on the research aim, more detailed measures can be developed and added: for example, regarding the media portrayal of people consuming alcohol, additional measures can code people’s age, gender, ethnicity and further characteristics relevant to the respective research question. In the course of a growing body of content analyses addressing alcohol-related prevention messages on social media, respective measures can be added as well.

References
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall.
Bandura, A. (2009). Social cognitive theory of mass communication. In J. Bryant & M. B. Oliver (Eds.), Communication series. Media effects: Advances in theory and research (3rd ed., pp. 94–124). Routledge.
Barker, A. B., Britton, J., Thomson, E., & Murray, R. L. (2021). Tobacco and alcohol content in soap operas broadcast on UK television: A content analysis and population exposure. Journal of Public Health (Oxford, England), 43(3), 595–603. https://doi.org/10.1093/pubmed/fdaa091
Boyle, S. C., LaBrie, J. W., Froidevaux, N. M., & Witkovic, Y. D. (2016). Different digital paths to the keg? How exposure to peers' alcohol-related social media content influences drinking among male and female first-year college students. Addictive Behaviors, 57, 21–29. https://doi.org/10.1016/j.addbeh.2016.01.011
Beullens, K., & Schepers, A. (2013). Display of alcohol use on Facebook: A content analysis. Cyberpsychology, Behavior and Social Networking, 16(7), 497–503. https://doi.org/10.1089/cyber.2013.0044
Cavazos-Rehg, P. A., Krauss, M. J., Sowles, S. J., & Bierut, L. J. (2015). "Hey everyone, I'm drunk." An evaluation of drinking-related Twitter chatter. Journal of Studies on Alcohol and Drugs, 76(4), 635–643. https://doi.org/10.15288/jsad.2015.76.635
Chapoton, B., Werlen, A.‑L., & Regnier Denois, V. (2020). Alcohol in TV series popular with teens: A content analysis of TV series in France 22 years after a restrictive law. European Journal of Public Health, 30(2), 363–368. https://doi.org/10.1093/eurpub/ckz163
Cranwell, J., Murray, R., Lewis, S., Leonardi-Bee, J., Dockrell, M., & Britton, J. (2015). Adolescents' exposure to tobacco and alcohol content in YouTube music videos. Addiction (Abingdon, England), 110(4), 703–711. https://doi.org/10.1111/add.12835
Critchlow, N., & Moodie, C. (2022). Consumer protection messages in alcohol marketing on Twitter in Ireland: A content analysis. Drugs: Education, Prevention and Policy, 1–8. https://doi.org/10.1080/09687637.2022.2028730
Curtis, B. L., Lookatch, S. J., Ramo, D. E., McKay, J. R., Feinn, R. S., & Kranzler, H. R. (2018). Meta-analysis of the association of alcohol-related social media use with alcohol consumption and alcohol-related problems in adolescents and young adults. Alcoholism, Clinical and Experimental Research, 42(6), 978–986. https://doi.org/10.1111/acer.13642
Davey, C. (2021). Online sobriety communities for women's problematic alcohol use: A mini review of existing qualitative and quantitative research. Frontiers in Global Women's Health, 2, 773921. https://doi.org/10.3389/fgwh.2021.773921
Döring, N., & Tröger, C. (2018). Zwischenbericht: Durchführung und Ergebnisse der summativen Evaluation des Facebook-Kanals „Alkohol? Kenn dein Limit.“ [Intermediate report: Implementation and results of the summative evaluation of the Facebook channel "Alcohol? Know your limit."].
Döring, N., & Holz, C. (2021). Alkohol in sozialen Medien: Wo ist der Platz für Prävention? [Alcohol in social media: Where is the space for prevention?]. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 64(6), 697–706. https://doi.org/10.1007/s00103-021-03335-8
Ghassemlou, S., Marini, C., Chemi, C., Ranjit, Y. S., & Tofighi, B. (2020). Harmful smartphone applications promoting alcohol and illicit substance use: A review and content analysis in the United States. Translational Behavioral Medicine, 10(5), 1233–1242. https://doi.org/10.1093/tbm/ibz135
Griffiths, R., & Casswell, S. (2010). Intoxigenic digital spaces? Youth, social networking sites and alcohol marketing. Drug and Alcohol Review, 29(5), 525–530. https://doi.org/10.1111/j.1465-3362.2010.00178.x
Hendriks, H., van den Putte, B., Gebhardt, W. A., & Moreno, M. A. (2018). Social drinking on social media: Content analysis of the social aspects of alcohol-related posts on Facebook and Instagram. Journal of Medical Internet Research, 20(6), e226. https://doi.org/10.2196/jmir.9355
Hendriks, H., Wilmsen, D., van Dalen, W., & Gebhardt, W. A. (2019). Picture me drinking: Alcohol-related posts by Instagram influencers popular among adolescents and young adults. Frontiers in Psychology, 10, 2991. https://doi.org/10.3389/fpsyg.2019.02991
Mayrhofer, M., & Naderer, B. (2019). Mass media as alcohol educator for everyone? Effects of portrayed alcohol consequences and the influence of viewers’ characteristics. Media Psychology, 22(2), 217–243. https://doi.org/10.1080/15213269.2017.1378112
Moreno, M. A., Briner, L. R., Williams, A., Brockman, L., Walker, L., & Christakis, D. A. (2010). A content analysis of displayed alcohol references on a social networking web site. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 47(2), 168–175. https://doi.org/10.1016/j.jadohealth.2010.01.001
Moreno, M. A., D’Angelo, J., & Whitehill, J. (2016). Social media and alcohol: Summary of research, intervention ideas and future study directions. Media and Communication, 4(3), 50–59. https://doi.org/10.17645/mac.v4i3.529
Noel, J. K. (2021). Using social media comments to reduce alcohol purchase intentions: An online experiment. Drug and Alcohol Review, 40(6), 1047–1055. https://doi.org/10.1111/dar.13262
Ricard, B. J., & Hassanpour, S. (2021). Deep learning for identification of alcohol-related content on social media (Reddit and Twitter): Exploratory analysis of alcohol-related outcomes. Journal of Medical Internet Research, 23(9), e27314. https://doi.org/10.2196/27314
Russell, A. M., Davis, R. E., Ortega, J. M., Colditz, J. B., Primack, B., & Barry, A. E. (2021). #Alcohol: Portrayals of alcohol in top videos on TikTok. Journal of Studies on Alcohol and Drugs, 82(5), 615–622. https://doi.org/10.15288/jsad.2021.82.615
Stautz, K., Brown, K. G., King, S. E., Shemilt, I., & Marteau, T. M. (2016). Immediate effects of alcohol marketing communications and media portrayals on consumption and cognition: A systematic review and meta-analysis of experimental studies. BMC Public Health, 16, 465. https://doi.org/10.1186/s12889-016-3116-8
Strowger, M., & Braitman, A. L. (2022). Using social network methodology to examine the effects of exposure to alcohol-related social media content on alcohol use: A critical review. Experimental and Clinical Psychopharmacology. Advance online publication. https://doi.org/10.1037/pha0000561
Tamersoy, A., Choudhury, M. de, & Chau, D. H. (2015). Characterizing smoking and drinking abstinence from social media. HT '15: The Proceedings of the 26th ACM Conference on Hypertext and Social Media, 2015, 139–148. https://doi.org/10.1145/2700171.2791247
Turnwald, B. P., Anderson, K. G., Markus, H. R., & Crum, A. J. (2022). Nutritional analysis of foods and beverages posted in social media accounts of highly followed celebrities. JAMA Network Open, 5(1), e2143087. https://doi.org/10.1001/jamanetworkopen.2021.43087
Van den Bulck, H., Simons, N., & van Gorp, B. (2008). Let's drink and be merry: The framing of alcohol in the prime-time American youth series The OC. Journal of Studies on Alcohol and Drugs, 69(6), 933–940. https://doi.org/10.15288/jsad.2008.69.933
Westgate, E. C., & Holliday, J. (2016). Identity, influence, and intervention: The roles of social media in alcohol use. Current Opinion in Psychology, 9, 27–32. https://doi.org/10.1016/j.copsyc.2015.10.014
World Health Organization Regional Office for Europe (WHO). (2020). Alcohol marketing in the WHO European Region: update report on the evidence and recommended policy actions. https://apps.who.int/iris/bitstream/handle/10665/336178/WHO-EURO-2020-1266-41016-55678-eng.pdf?sequence=1&isAllowed=y