Characterizing Responses to COVID-19 Vaccine Promotion on TikTok

Am J Health Promot. 2023 Jun;37(5):638-645. doi: 10.1177/08901171221141974. Epub 2022 Dec 9.

Abstract

Purpose: The Alabama Department of Public Health (ADPH) sponsored a TikTok contest to improve vaccination rates among young people. This analysis sought to advance understanding of COVID-19 vaccine perceptions among ADPH contestants and TikTok commenters.

Approach: This exploratory content analysis characterized sentiment and imagery in the TikTok videos and comments. Videos were coded by two reviewers and engagement metrics were collected for each video.

Setting: Publicly available TikTok videos entered into ADPH's contest with the hashtags #getvaccinatedAL and #ADPH between July 16 - August 6, 2021.

Participants: ADPH contestants (n = 44) and TikTok comments (n = 502).

Method: A content analysis was conducted; videos were coded by two reviewers and engagement metrics was collected for each video (e.g., reason for vaccination, content, type of vaccination received). Video comments were analyzed using VADER, a lexicon and rule-based sentiment analysis tool).

Results: Of 44 videos tagged with #getvaccinatedAL and #ADPH, 37 were related to the contest. Of the 37 videos, most cited family/friends and civic duty as their reason to get the COVID-19 vaccine. Videos were shared an average of 9 times and viewed 977 times. 70% of videos had comments, ranging from 0-61 (mean 44). Words used most in positively coded comments included, "beautiful," "smiling face emoji with 3 hearts," "masks," and "good.;" whereas words used most in negatively coded comments included "baby," "me," "chips," and "cold."

Conclusion: Understanding COVID-19 vaccine sentiment expressed on social media platforms like TikTok can be a powerful tool and resource for public health messaging.

Keywords: COVID-19; COVID-19 vaccine; TikTok, vaccine; adolescents; age specific; awareness; community; digital data; social media; specific populations; specific settings; strategies.

MeSH terms

  • Adolescent
  • Alabama
  • Benchmarking
  • COVID-19 Vaccines
  • COVID-19* / prevention & control
  • Humans
  • Infant
  • Social Media*

Substances

  • COVID-19 Vaccines