IS TIKTOK THE NEW CONTRACEPTIVE COUNSELOR? DESCRIBING CONTRACEPTIVE SIDE EFFECTS DISCOURSE ON TIKTOK

IF 2.8 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Contraception Pub Date : 2024-10-07 DOI:10.1016/j.contraception.2024.110632

E Pleasants, B Whitfield, ZH Pleasure, C Smith, E Norrell, C Fallon, L Lindberg

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引用次数: 0

Abstract

Objectives

To quantify the frequency and characterize discussions of contraceptive side effects in popular TikTok videos.

Methods

We used two third-party TikTok scrapers to collect the most-viewed TikToks using hashtags (#contraception, #birthcontrol) and search terms (“contraception”, “birth control”). The study team screened each TikTok for mention of the effects of using or not using contraception (‘side effects’), excluding irrelevant videos. Qualitative thematic analysis captured the contraceptive method(s) and side effect(s) discussed.

Results

We identified 805 relevant TikToks with at least one-million views. Preliminarily, 54% discussed contraceptive side effects, and video creators included contraceptive users, healthcare providers, and wellness influencers. In TikToks about side effects, videos most commonly discussed the contraceptive pill (28%), intrauterine device (IUD) (13%), and implant (9%). Nearly one-quarter of videos were about unspecified hormonal methods. Discussions of side effects mostly focused on people’s experiences with the effects of using or stopping contraceptives, including changes in weight, mood, attraction to sexual/romantic partners, and pain from device insertion. A substantial portion of videos focused on the perceived short- and long-term risks of hormonal contraception and discontinuation of hormonal contraception as an empowering health decision.

Conclusions

Over half of the most-viewed TikToks about contraception discussed side effects, suggesting that these videos perform well in the TikTok algorithm as highly resonant or attention-capturing. Our findings suggest that individuals who search TikTok for contraception information likely see videos about side effects, which has ramifications for contraceptive perceptions and use. Providers should continue to consider the influences of TikTok on contraceptive perceptions and decision making.

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Tiktok 是新的避孕顾问吗？描述避孕药具的副作用关于 tiktok 的论述

方法我们使用两个第三方 TikTok 搜刮器，使用标签（#避孕、#节育）和搜索词（"避孕"、"节育"）收集浏览量最高的 TikTok。研究小组对每个 TikTok 进行了筛选，以确定是否提及了使用或不使用避孕措施的影响（"副作用"），并排除了不相关的视频。定性专题分析捕捉了所讨论的避孕方法和副作用。初步统计，54%的视频讨论了避孕药具的副作用，视频创作者包括避孕药具使用者、医疗保健提供者和健康影响者。在有关副作用的 TikToks 中，最常讨论避孕药（28%）、宫内节育器（13%）和皮下埋植剂（9%）的视频。近四分之一的视频涉及未指定的荷尔蒙避孕方法。关于副作用的讨论主要集中在人们使用或停止使用避孕药具的经历，包括体重、情绪、对性/恋爱伴侣的吸引力的变化，以及插入避孕器时的疼痛。有相当一部分视频关注的是激素避孕的短期和长期风险，以及停止使用激素避孕药具是一种增强健康能力的决定。我们的研究结果表明，在 TikTok 上搜索避孕信息的人很可能会看到有关副作用的视频，这对避孕观念和避孕药具的使用都有影响。医疗服务提供者应继续考虑 TikTok 对避孕观念和决策的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Contraception 医学-妇产科学

CiteScore

4.70

自引率

17.20%

发文量

211

审稿时长

69 days

期刊介绍： Contraception has an open access mirror journal Contraception: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal Contraception wishes to advance reproductive health through the rapid publication of the best and most interesting new scholarship regarding contraception and related fields such as abortion. The journal welcomes manuscripts from investigators working in the laboratory, clinical and social sciences, as well as public health and health professions education.