社交媒体与更年期症状补充剂：一项内容分析
该研究对1000条使用更年期相关话题标签的Instagram公开帖子进行观察性内容分析，发现66.1%推广品牌更年期补充剂，仅18.3%由有资质临床医生发布，最常见成分如黑升麻和穗花牡荆提取物证据不一致。结论认为补充剂营销由非临床人员主导且常缺乏证据支持或监管。
要点
- 66.1%的更年期话题Instagram帖子推广品牌补充剂。
- 仅18.3%补充剂帖子由有资质临床医生发布。
- 黑升麻和穗花牡荆提取物证据不一致。
核心结论
- Instagram更年期补充剂营销由非临床人员主导，常缺乏证据支持或监管。
研究设计与样本
- 观察性内容分析，样本为通过10个更年期相关话题标签检索的1000条Instagram公开帖子。
- 方法为使用新建Instagram账户回顾每个标签前100条帖子，分析推广品牌口服补充剂帖子的发布者类型与信息意图。
- 对20种最常推广补充剂分析活性成分、月费用和循证效力，数据收集于2024年6月。
主要发现
- 1000条帖子中661条（66.1%）推广品牌更年期补充剂。
- 仅18.3%由有资质临床医生撰写，多数由企业（30.4%）或非临床个人（51.3%）发布。
- 前20种广告补充剂中，黑升麻和穗花牡荆提取物等常见成分证据不一致。
- 近半数（45%）含专有混合物，限制透明度；平均月费用为43.49美元。
临床怎么用
- 临床医生应了解这一在线营销状况，并在患者咨询中主动询问补充剂使用情况。
以上解读依据论文摘要（全文未开放获取或许可不允许翻译转载）。
原文
OBJECTIVE: To evaluate the role of social media in promoting menopause-related supplements and assess the evidence supporting their efficacy and safety. DESIGN: Observational content analysis. SETTING: Public Instagram posts using menopause-related hashtags. POPULATION OR SAMPLE: A dataset of 1000 Instagram posts retrieved using 10 menopause-related hashtags. METHODS: Using a newly created Instagram account, we reviewed the top 100 posts from each of the 10 most popular menopause hashtags. Posts advertising branded oral supplements were categorized by poster type and message intent. The 20 most frequently promoted supplements were analyzed for active ingredients, monthly cost, and evidence-based efficacy. Data was collected in June 2024. MAIN OUTCOME MEASURES: Poster background, content category, ingredient profile, product cost, and safety and efficacy data. RESULTS: Of 1000 Instagram posts reviewed, 661 (66.1%) promoted branded menopause supplements. Only 18.3% were authored by credentialed clinicians, while most were posted by businesses (30.4%) or non-clinical individuals (51.3%). Among the top 20 advertised supplements, common ingredients such as black cohosh and chaste tree extract showed inconsistent evidence. Nearly half (45%) contained proprietary blends, limiting transparency. The average monthly cost was $43.49 (USD). CONCLUSIONS: Menopause supplement marketing on Instagram is dominated by non-clinicians and often lacks supporting evidence or regulatory oversight. Clinicians should be aware of this online landscape and address supplement use during patient consultations.
引用
- Eubanks AA, Shvartsman K. Social Media and Supplements for Menopausal Symptoms: A Content Analysis. BJOG. 2026. PMID: 41967977. doi:10.1111/1471-0528.70242
供执业医师工作参考，不替代临床判断；数值与分级以指南原文为准。