Pfender Emily J, Fowler Leah R
Department of OB/GYN, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Houston Law Center, Houston, Texas, USA.
Perspect Sex Reprod Health. 2025 Sep;57(3):423-429. doi: 10.1111/psrh.70026. Epub 2025 Jul 2.
We aimed to examine how TikTok videos tagged with #postbirthcontrolsyndrome (PBCS) made by different types of creators communicate health risks and coping strategies, using the Extended Parallel Process Model (EPPM) to assess threat, fear, and efficacy appeals.
We conducted a content analysis of the top 100 TikTok videos using the hashtag #postbirthcontrolsyndrome by coding videos for EPPM variables (threat, fear, efficacy), creator type (healthcare provider, content creator, regular user), and engagement metrics (likes, comments, saves).
Content creators frequently portrayed PBCS as severe (40/49) and highlighted side effects (44/49). Healthcare providers emphasized that PBCS is common (13/33) and provided management strategies (14/33; e.g., tips after discontinuing hormonal contraception). Videos describing severe symptoms received higher comments. Preparatory strategy videos garnered more saves.
PBCS content on TikTok often uses fear-based messaging with limited efficacy information, which may influence contraceptive decisions. Differences in framing between creators and providers suggest a need for more evidence-based communication. Engagement trends indicate that both fear appeals and actionable advice drive more user interaction, reinforcing the importance of balancing emotional salience with credible guidance in social media health messaging.
我们旨在研究不同类型创作者制作的带有#产后避孕综合征（PBCS）标签的TikTok视频如何传达健康风险和应对策略，使用扩展平行过程模型（EPPM）来评估威胁、恐惧和效能诉求。
我们对使用#产后避孕综合征标签的TikTok上排名前100的视频进行了内容分析，通过对视频的EPPM变量（威胁、恐惧、效能）、创作者类型（医疗保健提供者、内容创作者、普通用户）和参与度指标（点赞、评论、保存）进行编码。
内容创作者经常将产后避孕综合征描述为严重（40/49）并强调副作用（44/49）。医疗保健提供者强调产后避孕综合征很常见（13/33）并提供管理策略（14/33；例如，停止激素避孕后的提示）。描述严重症状的视频收到了更多评论。预备策略视频获得了更多保存量。
TikTok上的产后避孕综合征内容通常使用基于恐惧的信息传递，而效能信息有限，这可能会影响避孕决策。创作者和提供者在框架构建上的差异表明需要更多基于证据的沟通。参与趋势表明，恐惧诉求和可行的建议都能推动更多用户互动，这强化了在社交媒体健康信息传递中平衡情感显著性与可信指导的重要性。
