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Post Birth Control Syndrome Narratives on TikTok

A Content Analysis

Bibliographic Data

ID6444921
AuthorsEmily Pfender (0000-0001-9374-3521, University of Pennsylvania), Leah R Fowler (0000-0002-9946-9196, University of Houston)
Year2025
Volume57
Issue3
Pages423-429
Publication date2025-07-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePerspectives on Sexual and Reproductive Health (JOURNAL)
Journal identifiersISSN: 1538-6341 • E-ISSN: 1931-2393
PublisherWiley (PUBLISHER • GB)
DOI10.1111/psrh.70026
PMID40600637
OpenAlexW4411930007
LanguageEN
Citations received1
References cited14

Objective 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. Methods 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). Results 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. Discussion 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

Coding (social sciences · Content analysis · Framing (construction · Health care · Internet privacy · Narrative · Social media · Sociology · World Wide Web · Attachment and Relationship Dynamics · Behavioral Health and Interventions · Computer Science · Engineering · Media Influence and Health · Medicine · Psychology · Social Psychology

  • Beyond the hashtag

    Open Access•Brooke Nickel, Mali Dunn et al.•Health Promotion International•2026

  • Disseminating Premenstrual Dysphoric Disorder Information on TikTok

    Lili R Romann, Emily Pfender•Health Communication•2025

  • The Effect of Social Media Influencer Warranting Cues on Intentions to Use Non-Hormonal Contraception

    Emily Pfender, Scott E Caplan•Health Communication•2025

  • What Do Social Media Influencers Say About Birth Control? A Content Analysis of YouTube Vlogs About Birth Control

    Emily Pfender, M Marie Devlin•Health Communication•2023

  • A Content Analysis of Social Media influencers’ “What I Eat in a day” Vlogs on YouTube

    Emily Pfender, Claire V Wanzer et al.•Health Communication•2024

  • Can Videos on TikTok Improve Pap Smear Attitudes and Intentions? Effects of Source and Autonomy Support in Short-Form Health Videos

    Ciera E Kirkpatrick, LaRissa L Lawrie•Health Communication•2024

  • Putting the fear back into fear appeals

    Kim Witte•Communication Monographs•1992

  • Interrogating the pill

    Open Access•A Schneider-Kamp, Jennifer Takhar•Social Science & Medicine•2023

Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo

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