Hormonal Contraceptive Side Effects and Nonhormonal Alternatives on TikTok: A Content Analysis
Emily J Pfender1, Kate Tsiandoulas2,3, Stephanie R Morain2,3
1University of Delaware, Newark, DE, USA.
TikTok discussions on birth control often negatively frame hormonal contraceptives, leading users to discontinue them. Many users explore nonhormonal options, particularly fertility awareness-based methods, on the platform.
Area of Science:
- Reproductive Health
- Social Media Analysis
- Health Communication
Background:
- Decreasing use of hormonal contraceptives in the US.
- Increasing interest in nonhormonal contraceptive alternatives.
- Potential influence of social media on contraceptive choices.
Purpose of the Study:
- To analyze the availability and content of information regarding hormonal contraceptive side effects on TikTok.
- To examine discussions about nonhormonal contraceptive options presented on TikTok.
Main Methods:
- Content analysis of 100 TikTok videos.
- Videos selected using hashtags #birthcontrolsideeffects and #nonhormonalcontraception.
- Analysis focused on framing of hormonal contraceptives, side effects, and nonhormonal alternatives.
Main Results:
- TikTok videos on these topics are popular and frequently portray hormonal contraceptives and patient-provider interactions negatively.
- Users often discuss discontinuing hormonal contraception without planning to switch to another method.
- When new methods are discussed, fertility awareness-based methods are commonly mentioned, requiring specialized knowledge.
Conclusions:
- Hormonal contraceptive risks and side effects are often overemphasized compared to nonhormonal options on TikTok.
- This social media framing may necessitate a reassessment of contraceptive counseling by healthcare providers and educators.
- Further research and policy considerations regarding health information on TikTok are recommended.
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