{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T07:51:22Z","timestamp":1762069882120,"version":"build-2065373602"},"reference-count":60,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Nell Hodgson Woodruff School of Nursing at Emory University"},{"name":"Center for Data Science at Emory University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The opioid epidemic has increasingly been recognized as a public health issue and has challenged our current legal, social, and ethical beliefs regarding drug use. The epidemic not only impacts persons who use drugs, but also those around them, including people who do not expect to witness an overdose. For example, in the commercial district of Little 5 Points, Atlanta, GA, many service industry workers have become de facto responders to opioid overdoses when a person experiences an opioid-involved overdose in their place of employment. To provide additional insights into &gt;300 pages of interview data collected from service industry workers that have responded to an opioid overdose while at work, we utilized a mixed-methods approach to conduct this sentiment analysis. First, using R version 4.2.1, a data-science based textual analytic approach was applied to the interview data. Using a corpus algorithm, each line of interview text was characterized as one of the eight following sentiments, anger, anticipation, disgust, fear, joy, sadness, surprise, or trust. Once having identified statements that fit into each of these eight codes, qualitative thematic analysis was conducted. The three most prevalent emotions elucidated from these interviews with service industry workers were trust, anticipation, and joy with 20.4%, 16.2%, and 14.7% across all statements, respectively labeled as each emotion. Thematic analysis revealed three themes in the data: (1) individuals have a part to address in the opioid epidemic, (2) communities have many needs related to the opioid crisis, and (3) structural forces create pathways and barriers to opioid overdose response and rescue. This analysis thematically identified roles service industry workers have in addressing the opioid crisis in Atlanta. Similarly, community needs and barriers to responding to an opioid-involved overdose were characterized. Uniquely, this study found key sentiments related to each of these themes. Future research can leverage these findings to inform the development of overdose prevention and response interventions for service industry works that systematically address common emotions and beliefs trainees may have.<\/jats:p>","DOI":"10.3390\/ijerph192013103","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T20:53:29Z","timestamp":1665608009000},"page":"13103","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Stayin\u2019 Alive in Little 5: Application of Sentiment Analysis to Investigate Emotions of Service Industry Workers Responding to Drug Overdoses"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4321-7720","authenticated-orcid":false,"given":"Sarah","family":"Febres-Cordero","sequence":"first","affiliation":[{"name":"Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30332, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4471-8885","authenticated-orcid":false,"given":"Daniel Jackson","family":"Smith","sequence":"additional","affiliation":[{"name":"Fitzpatrick College of Nursing, Villanova University, Villanova, PA 19085, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1419","DOI":"10.15585\/mmwr.mm675152e1","article-title":"Drug and Opioid-Involved Overdose Deaths\u2014United States, 2013\u20132017","volume":"67","author":"Scholl","year":"2018","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"202","DOI":"10.15585\/mmwr.mm7006a4","article-title":"Trends and Geographic Patterns in Drug and Synthetic Opioid Overdose Deaths\u2014United States, 2013\u20132019","volume":"70","author":"Mattson","year":"2021","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_3","unstructured":"Wide-Ranging Online Data for Epidemiologic Research (WONDER) (2021, August 02). Atlanta, GA: CDC, National Center for Health Statistics, Available online: http:\/\/wonder.cdc.gov."},{"key":"ref_4","unstructured":"Gorgia Department of Public Health (2021, August 02). Opioid and Substance Misuse Re-Sponse, Available online: https:\/\/dph.georgia.gov\/stopopioidaddiction."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2295","DOI":"10.1001\/jama.2017.15971","article-title":"Underlying Factors in Drug Overdose Deaths","volume":"318","author":"Dowell","year":"2017","journal-title":"JAMA"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1186\/s13011-021-00402-w","article-title":"Naloxone Availability in Independent Community Pharmacies in Georgia, 2019","volume":"16","author":"Gilbert","year":"2021","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.drugalcdep.2018.05.014","article-title":"Do Naloxone Access Laws Increase Outpatient Naloxone Prescriptions? Evidence from Medicaid","volume":"190","author":"Gertner","year":"2018","journal-title":"Drug Alcohol Depend."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"881","DOI":"10.2105\/AJPH.2020.305620","article-title":"Laws Mandating Coprescription of Naloxone and Their Impact on Naloxone Prescription in Five US States, 2014\u20132018","volume":"110","author":"Green","year":"2020","journal-title":"Am. J. Public Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1080\/00952990.2022.2033758","article-title":"Impact of the Naloxone Standing Order on Trends in Opioid Fatal Overdose: An Ecological Analysis","volume":"48","author":"Taylor","year":"2022","journal-title":"Am. J. Drug Alcohol Abus."},{"key":"ref_10","unstructured":"Georgia Pharmacy Foundation (n.d.) (2021, August 02). Opioid Safety Champions!. Available online: http:\/\/www.gpha.org\/champion-bios\/."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"35S","DOI":"10.1177\/1524839921996405","article-title":"Designing a Graphic Novel: Engaging Community, Arts, and Culture Into Public Health Initiatives","volume":"22","author":"Sherman","year":"2021","journal-title":"Health Promot. Pract."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.drugpo.2016.08.014","article-title":"Drug Use in Business Bathrooms: An Exploratory Study of Manager Encounters in New York City","volume":"39","author":"Bennett","year":"2017","journal-title":"Int. J. Drug Policy"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/PHH.0000000000001014","article-title":"Delivering Opioid Overdose Prevention in Bars and Nightclubs: A Public Awareness Pilot in New York City","volume":"26","author":"Allen","year":"2020","journal-title":"J. Public Health Manag. Pract."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1016\/j.annemergmed.2009.05.004","article-title":"Circumstances and Witness Characteristics Associated With Overdose Fatality","volume":"54","author":"Bohnert","year":"2009","journal-title":"Ann. Emerg. Med."},{"key":"ref_15","unstructured":"Gordon, W.M. (1999). Goodthinking: A Guide to Qualitative Research, Admap."},{"key":"ref_16","unstructured":"Patton, M.Q., and Patton, M.Q. (2002). Qualitative Research and Evaluation Methods, Sage Publications. [3rd ed.]."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/1525822X05279903","article-title":"How Many Interviews Are Enough?: An Experiment with Data Saturation and Variability","volume":"18","author":"Guest","year":"2006","journal-title":"Field Methods"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in Qualitative Research: Exploring Its Conceptualization and Operationalization","volume":"52","author":"Saunders","year":"2018","journal-title":"Qual. Quant."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"e22002","DOI":"10.2196\/22002","article-title":"Perinatal Distress During COVID-19: Thematic Analysis of an Online Parenting Forum","volume":"22","author":"Chivers","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"E331","DOI":"10.1097\/NCC.0000000000000845","article-title":"Experience of Ambulatory Cancer Care: Understanding Patients\u2019 Perspectives of Quality Using Sentiment Analysis","volume":"44","author":"Turpeinen","year":"2021","journal-title":"Cancer Nurs."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1111\/jnu.12654","article-title":"Using Twitter for Nursing Research: A Tweet Analysis on Heat Illness and Health","volume":"53","author":"Smith","year":"2021","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_22","first-page":"525","article-title":"Text Mining Of Twitter Data Using A Latent Dirichlet Allocation Topic Model And Sentiment Analysis","volume":"12","author":"Yang","year":"2018","journal-title":"Int. J. Comput. Inf. Eng."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v025.i05","article-title":"Text Mining Infrastructure in R","volume":"25","author":"Feinerer","year":"2008","journal-title":"J. Stat. Soft."},{"key":"ref_24","unstructured":"Jockers, M. (2021, August 02). Syuzhet: Extract Sentiment and Plot Arcs from Text. Available online: https:\/\/https:\/\/cran.r-project.org\/web\/packages\/syuzhet\/syuzhet.pdf."},{"key":"ref_25","unstructured":"Febres-Cordero, S. (2021). Staying Alive in Little Five: Perceptions of Service Industry Workers Who Encounter and Respond to an Opioid Overdose in Little Five Points, Atlanta. [Doctoral Dissertation, Laney Graduate School]. Available online: https:\/\/etd.library.emory.edu\/concern\/etds\/w0892c092?locale=en."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1177\/0033354920915439","article-title":"Knowledge of Good Samaritan Laws and Beliefs About Arrests Among Persons Who Inject Drugs a Year After Policy Change in Baltimore, Maryland","volume":"135","author":"Schneider","year":"2020","journal-title":"Public Health Rep."},{"key":"ref_27","unstructured":"Goffman, E. (1986). Stigma: Notes on the Management of Spoiled Identity, Simon & Schuster. [1st ed.]."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.socscimed.2013.07.035","article-title":"Stigma Power","volume":"103","author":"Link","year":"2014","journal-title":"Soc. Sci. Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1007\/s40615-020-00738-2","article-title":"Racial Profiling Is a Public Health and Health Disparities Issue","volume":"7","author":"Laurencin","year":"2020","journal-title":"J. Racial Ethn. Health Disparities"},{"key":"ref_30","unstructured":"The Atlanta Harm Reduction Coalition (2021, August 02). Syringe Service Program: A Free and Confidential Exchange Program. Available online: https:\/\/atlantaharmreduction.org\/programs-services\/syringe-exchange\/."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.drugalcdep.2019.01.035","article-title":"Trusting the Source: The Potential Role of Drug Dealers in Reducing Drug-Related Harms via Drug Checking","volume":"198","author":"Bardwell","year":"2019","journal-title":"Drug Alcohol Depend."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1097\/YCO.0000000000000351","article-title":"Stigma and Substance Use Disorders: An International Phenomenon","volume":"30","author":"Yang","year":"2017","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1186\/s13011-021-00394-7","article-title":"20 Years of Portuguese Drug Policy\u2014Developments, Challenges and the Quest for Human Rights","volume":"16","author":"Rego","year":"2021","journal-title":"Subst. Abus. Treat. Prev. Policy"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.drugpo.2018.05.002","article-title":"\u201cOnce I\u2019d Done It Once It Was like Writing Your Name\u201d: Lived Experience of Take-Home Naloxone Administration by People Who Inject Drugs","volume":"58","author":"McAuley","year":"2018","journal-title":"Int. J. Drug Policy"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/j.drugpo.2013.07.003","article-title":"\u201cI Felt like a Superhero\u201d: The Experience of Responding to Drug Overdose among Individuals Trained in Overdose Prevention","volume":"25","author":"Wagner","year":"2014","journal-title":"Int. J. Drug Policy"},{"key":"ref_36","unstructured":"Jones, E.E. (1984). Social Stigma: The Psychology of Marked Relationships, W.H. Freeman."},{"key":"ref_37","unstructured":"Miller, A. (Georgia Public Broadcast News, 2021). \u201cPerfect Storm:\u201d An Opioid Menace Like Never Before, Georgia Public Broadcast News."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"108416","DOI":"10.1016\/j.drugalcdep.2020.108416","article-title":"Fentanyl and Fentanyl Analogs in the Illicit Stimulant Supply: Results from U.S. Drug Seizure Data, 2011\u20132016","volume":"218","author":"Park","year":"2021","journal-title":"Drug Alcohol Depend."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1111\/add.15116","article-title":"Polysubstance Use and Association with Opioid Use Disorder Treatment in the US Veterans Health Administration","volume":"116","author":"Lin","year":"2021","journal-title":"Addiction"},{"key":"ref_40","unstructured":"Hartel, R. (2010). The Highs and Lows of Little Five: A History of Little Five Points, The History Press."},{"key":"ref_41","unstructured":"City-Data.Com (n.d.) (2021, August 02). Little Five Points: Atlanta\u2019s Alternative Neighborhood. Available online: http:\/\/www.city-data.com\/articles\/little-five-points-atlantas-alternative.html#ixzz1g5qvlv6l."},{"key":"ref_42","unstructured":"Kueppers, C. (2021, August 02). Little Five Points Had to Fight to Survive. WABE News Outlet, Available online: https:\/\/www.wabe.org\/little-five-points-had-to-fight-to-survive\/."},{"key":"ref_43","unstructured":"(2021, August 02). Bureau of Labor Statistics Job Openings And Labor Turnover, Available online: https:\/\/www.bls.gov\/news.release\/archives\/jolts_03152019.pdf."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1037\/dev0000052","article-title":"Up, Not down: The Age Curve in Happiness from Early Adulthood to Midlife in Two Longitudinal Studies","volume":"51","author":"Galambos","year":"2015","journal-title":"Dev. Psychol."},{"key":"ref_45","unstructured":"Georgia Drug and Narcotics Agency (2021, August 02). Govenor Deal Signs Naloxone Bill into Law-Expanding Access to an Emergency Tool to Parents to Help Fight the Opioid Epidemic, Available online: https:\/\/gdna.georgia.gov\/press-releases\/2017-06-26\/governor-deal-signs-naloxone-bill-law-expanding-access-emergency-tool#:~:text=naloxone%20does%20not%20produce%20a,To%20someone%20experiencing%20an%20overdose."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1080\/08897077.2017.1387213","article-title":"Knowledge of the 911 Good Samaritan Law and 911-Calling Behavior of Overdose Witnesses","volume":"39","author":"Jakubowski","year":"2018","journal-title":"Subst. Abus."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"850","DOI":"10.15585\/mmwr.mm6731a2","article-title":"Naloxone Administration Frequency During Emergency Medical Service Events\u2014United States, 2012\u20132016","volume":"67","author":"Cash","year":"2018","journal-title":"MMWR Morb. Mortal. Wkly. Rep."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1080\/10903127.2017.1371262","article-title":"Basic and Advanced EMS Providers Are Equally Effective in Naloxone Administration for Opioid Overdose in Northern New England","volume":"22","author":"Gulec","year":"2018","journal-title":"Prehospital Emerg. Care"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"983","DOI":"10.1001\/jamasurg.2017.2230","article-title":"Emergency Medical Services Response Times in Rural, Suburban, and Urban Areas","volume":"152","author":"Mell","year":"2017","journal-title":"JAMA Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/JAN.0000000000000230","article-title":"Naloxone Effectiveness: A Systematic Review","volume":"29","author":"Chimbar","year":"2018","journal-title":"J. Addict. Nurs."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1111\/j.1360-0443.2008.02182.x","article-title":"Distinguishing Signs of Opioid Overdose and Indication for Naloxone: An Evaluation of Six Overdose Training and Naloxone Distribution Programs in the United States","volume":"103","author":"Green","year":"2008","journal-title":"Addiction"},{"key":"ref_52","unstructured":"Cordant Health Solutions (2021, August 02). The History of Naloxone. Available online: https:\/\/cordantsolutions.com\/the-history-of-naloxone\/."},{"key":"ref_53","first-page":"18","article-title":"A Little Bit Higher","volume":"Volume 4","author":"Jack","year":"1971","journal-title":"The Great Speckled Bird"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1621","DOI":"10.1176\/appi.ps.52.12.1621","article-title":"Stigma as a Barrier to Recovery: The Consequences of Stigma for the Self-Esteem of People With Mental Illnesses","volume":"52","author":"Link","year":"2001","journal-title":"Psychiatr. Serv."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.2105\/AJPH.89.9.1334","article-title":"Who Are \u201cthe Homeless\u201d? Reconsidering the Stability and Composition of the Homeless Population","volume":"89","author":"Phelan","year":"1999","journal-title":"Am. J. Public Health"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1177\/002214650404500105","article-title":"Fear of People with Mental Illnesses: The Role of Personal and Impersonal Contact and Exposure to Threat or Harm","volume":"45","author":"Phelan","year":"2004","journal-title":"J. Health Soc. Behav."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.2105\/AJPH.94.7.1109","article-title":"Characterizing Perceived Police Violence: Implications for Public Health","volume":"94","author":"Cooper","year":"2004","journal-title":"Am. J. Public Health"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.ajem.2015.05.022","article-title":"Intranasal Naloxone Administration by Police First Responders Is Associated with Decreased Opioid Overdose Deaths","volume":"33","author":"Rando","year":"2015","journal-title":"Am. J. Emerg. Med."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1037\/ser0000164","article-title":"Homelessness as a Public Mental Health and Social Problem: New Knowledge and Solutions","volume":"14","author":"Tsai","year":"2017","journal-title":"Psychol. Serv."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.socscimed.2015.08.027","article-title":"Food Insecurity, Chronic Illness, and Gentrification in the San Francisco Bay Area: An Example of Structural Violence in United States Public Policy","volume":"143","author":"Whittle","year":"2015","journal-title":"Soc. Sci. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13103\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:50:30Z","timestamp":1760143830000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/20\/13103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,12]]},"references-count":60,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["ijerph192013103"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192013103","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,10,12]]}}}