# Discourses on smoke-free policies on Dutch Twitter: A social network analysis

**Authors:** Roel O Lutkenhaus, Abel Meijberg, Famke JM Mölenberg, Jasper V Been, Martine PA Bouman

PMC · DOI: 10.1177/20552076251325583 · Digital Health · 2025-03-14

## TL;DR

This study explores how Dutch Twitter users discuss smoke-free policies, identifying key communities and their perspectives.

## Contribution

A novel mixed-method approach combining social network analysis and qualitative inquiry to understand online discourse around smoke-free policies.

## Key findings

- Two main news communities and five niche communities were identified, with Health Care, Vaping Lobby, and Anti-Establishment being the most engaged.
- The Anti-Establishment community linked smoke-free policies to civil liberties issues, potentially threatening policy implementation.
- The Vaping Lobby community promoted vaping as a healthy alternative to smoking.

## Abstract

In highly mediatized societies, online discourses may contribute to whether novel smoke-free policies become a success. This study analyses Dutch public discourses about smoke-free policies on Twitter, which has been known as X since 2023.

We analyzed messages about smoke-free policies published by Dutch Twitter users from January 2020 until 31 March 2021. We used search queries designed to find tweets that shed light on health, legislative, and emotional aspects of smoke-free policies and used a mixed-method approach that combined social network analysis, text mining, and qualitative inquiry to identify online communities and understand what they are saying.

We found 45,636 Twitter messages that mostly responded to news about smoke-free policies and tobacco legislation. We identified two larger news communities and five niche communities of which the Health Care, Vaping Lobby, and Anti-Establishment communities were the most substantively engaged. The Health Care community focused on spreading health information and exposing the tobacco lobby. The Vaping Lobby community pushed vaping as a healthy alternative to smoking. The Anti-Establishment community connected smoke-free policies with alleged oppression of civil liberties such as driving cars, eating meat, and COVID-19 measures.

Smoke-free policies are frequently discussed by communities that each approach the topic from their own perspective. Anti-establishment sentiment may pose a threat to implementing smoke-free policies, especially if the Vaping Lobby is to align its argumentation with the anti-institutional narratives. The approach presented in this study can strengthen socio-ecological approaches that aim to account for public debate on social media in implementing new policies.

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382)
- **Species:** Nicotiana tabacum (American tobacco, species) [taxon 4097]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11909667/full.md

## References

46 references — full list in the complete paper: https://tomesphere.com/paper/PMC11909667/full.md

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Source: https://tomesphere.com/paper/PMC11909667