{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:33:09Z","timestamp":1787142789920,"version":"build-2736575974"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:00:00Z","timestamp":1768435200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Cutan Med Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hidradenitis suppurativa (HS) is a physically debilitating skin disease characterized by nodules and abscesses in intertriginous areas. There is a profound psychosocial element to HS, as it contributes to higher mental comorbidities, lower self-esteem, and diminished quality of life. TikTok represents an active space for HS patients to share their experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study aims to perform a reflexive thematic analysis of HS-related videos on TikTok to explore the themes within videos shared by content creators.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This study utilized Braun &amp; Clarke\u2019s protocol for reflexive thematic analyses. The first 108 consecutive videos identified by searching #HidradenitisSuppurativa on TikTok were included in the pool. Included videos were posted from 2020 to 2025, in English, and conceptually related to HS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Ninety-three of the original 108 videos were retained, with a total of 109.3\u2009million views. 69.9% of the included videos were generated by lived experience creators, followed by medical professionals (17.2%). The majority of content creators were female (67.7%), and 23.7% of videos were sponsored product endorsements. Ultimately, 6 themes emerged: Promoting Products (29%), Educational Empowerment (27%), HS as Lived Reality (23%), Advocacy Through Visibility (13%), Medical Mistrust (3%), and Internalized Stigma &amp; Self-Blame (3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This analysis underscores the importance of addressing facets of HS, which may be routinely overlooked in clinical evaluations, including the role of alternative therapies and patient education. Clinicians should recognize TikTok as a platform for self-expression among patients with HS and use this awareness to support the psychosocial needs revealed in this study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/12034754251411895","type":"journal-article","created":{"date-parts":[[2026,1,16]],"date-time":"2026-01-16T07:28:34Z","timestamp":1768548514000},"page":"346-352","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cI Am An HS Warrior\u201d: A Reflexive Thematic Analysis of #HidradenitisSuppurativa on TikTok"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1165-8727","authenticated-orcid":false,"given":"Nirav","family":"Saini","sequence":"first","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Huynh","sequence":"additional","affiliation":[{"name":"Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie M.","family":"Parsons","sequence":"additional","affiliation":[{"name":"Division of Dermatology, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,15]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Ballard K Sathe NC Shuman VL. Hidradenitis suppurativa. In: StatPearls. StatPearls Publishing; 2025. Accessed July 13 2025. http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK534867\/"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.00068"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljad345"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2022.08.001"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3390\/life13010189"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-0866"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1082"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-2561"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/20563051221086241"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/14614448241304106"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.14433"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2023.101759"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2024-070309"},{"key":"e_1_3_3_17_2","unstructured":"Government of Canada IAP on RE. Does Research Using Social Media Platforms Require Research Ethics Board Review?\u2014Guidance in Applying TCPS 2 (2022). May 15 2023. Accessed July 13 2025. https:\/\/ethics.gc.ca\/eng\/reb-cer_social-sociaux.html?"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13671-024-00449-5"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6601560"},{"key":"e_1_3_3_20_2","unstructured":"Dilik Y Hiskiel QS Timothy V. Seeing Hearing and Buying on TikTok : A Qualitative Study on How Viral Skincare Content on TikTok Shapes Female Generation Z Consumption. 2024. Accessed July 6 2025. https:\/\/urn.kb.se\/resolve?urn=urn:nbn:se:su:diva-231455"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/09546634.2021.1961996"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2007.07794.x"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-021-00623-6"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12082755"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2015.5604"}],"container-title":["Journal of Cutaneous Medicine and Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/12034754251411895","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/12034754251411895","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/12034754251411895","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:11:34Z","timestamp":1787141494000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/12034754251411895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,15]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/12034754251411895"],"URL":"https:\/\/doi.org\/10.1177\/12034754251411895","relation":{},"ISSN":["1203-4754","1615-7109"],"issn-type":[{"value":"1203-4754","type":"print"},{"value":"1615-7109","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,15]]}}}