The overturn of Roe v. Wade beyond abortion: a snapshot of methotrexate accessibility for people with rheumatic and musculoskeletal diseases-a mixed methods study using Twitter data.

In June 2022, the Supreme Court of the United States (US) overturned the right established in Roe v. Wade to terminate a pregnancy. Subsequently, some states passed abortion ban laws prohibiting the use of abortive methods, including methotrexate (MTX), which has been a cornerstone drug in rheumatology. We aimed to explore and analyze Twitter data to comprehend the short-term implications of the overturn on rheumatology care. We conducted a mixed methods study using social media (SoMe) data. Tweets publicly posted using "#Methotrexate or Methotrexate" were tracked. A combination of SoMe performance data with qualitative hashtag co-occurrence analysis and content analysis was conducted. A total of 5180 posts were generated and reached approximately 40 million users. Seventy-three percent of all publications came from the US. Females posted more than males. Additionally, the three pairs of hashtags with higher co-occurrence were: #roevswade, #abortionishealthcare, and #rheumatoidarthritis. From the content analysis, three main themes were generated: (i) violence against women, (ii) health policy without public health intelligence, and (iii) call for strategic alliances in favor of public health. The combination of biological sex and state of residence could condition the use of MTX. Men will be able to continue their treatment; however, women could lose continuity of it. Inequity in access to treatment is a political decision, just as it is to reproduce inequities and vulnerabilities through the actions taken. Not having access to MTX for rheumatic and musculoskeletal diseases (RMDs) is a critical issue that endangers the physical and mental health of people with RMDs.

#4645Boricuas: Twitter reactions to the estimates of deaths by Hurricane María in Puerto Rico.

This study explores the sentiment expressed by Twitter users after the Harvard University report was released, reporting a death estimate of 4,645 Puerto Ricans following Hurricane María. Researchers utilized the NVivo addition NCapture to collect Twitter data including the hashtag #4645Boricuas. Thematic content analyses explored emergent themes within the hashtag. Geographic information systems (GIS) documented the location of Tweets and differences across geographical locations among Twitter users. The themes that emerged in #4645Boricuas included: disaster phases, media, psychological processes, and politics. GIS documented that Tweets from Puerto Rico were more likely to discuss themes of psychological processes, politics, and resilience compared with disaster phases or media. The present data highlights how individuals engage with Twitter to cope following the trauma of natural disasters.