Table 1.

Experiences and themes related to opioid use disorder (OUD)

Personal experiences among PWUO* (n = 1093)	% (n)
Seeking to purchase illicit opioids	49 (535)	‘Heroin? Where can I get a prescription?’
Opioid withdrawal symptoms	21 (229)	‘I only quit heroin yesterday and I’m already having withdrawal symptoms.#Lol’
Poly-substance use	17 (185)	‘The northeast is where I can get stupid drunk and high and experiment with acid, meth, heroin, shrooms, PCP, cocaine’
Past or present opioid use experiences	6 (69)	‘I should actually be dead now. Did five bags of heroin last night. Such an utter fuck up I can’t even succeed at killing myself
Experiences seeking treatment for OUD	3 (31)	‘Where can I go to get help? I live in Cleve, OH. It took A LOT 4me2 ask, not beg4 help. Willing 2do ANYTHING2 get off heroin. Ruinin my life!!’
Themes (n = 17 420)	% (n)
Jokes, sarcasm, or metaphors about OUD	63 (10 974)	‘Decided to quit my job and pursue a career in stand-up comedy full time. Ok! Now, where can I get heroin and a ride to an open mic?’
Informational content	20 (3414)	‘Unlike other drugs, #Heroin withdrawal will NOT kill you. Every life is worth it. Narcan gives addicts a second chance.’
Commentary about PWUO or OUD	17 (2926)	‘I cannot believe places are making heroin injection centers where idiots can get high legally while a nurse watches to make sure they don’t OD’
Posts by public health experts	1 (244)	‘A “cold-turkey” heroin detox simply means a heroin addict stops using without any assistance.’ posted by the Frederick County, MD Health Department

^*PWUO, people who use opioids.