Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 N St Clair St, Suite 1600, Chicago, IL, 60611, USA.
Arch Dermatol Res. 2023 Dec;315(10):2927-2930. doi: 10.1007/s00403-023-02681-8. Epub 2023 Jul 28.
Seborrheic dermatitis (SD) is a common, burdensome inflammatory skin disorder. Little is known about the identity and quality of videos patients consume on social media to better understand and manage SD. We evaluated three social media platforms-YouTube, TikTok, and Instagram-for content, quality, and popularity. Search terms "seborrheic dermatitis," "dandruff," "cradle cap," and "flaky scalp" identified videos on each platform. The first 50 videos for each keyword were analyzed. After screening, 147 YouTube, 132 Instagram, and 164 TikTok videos were included. Videos were characterized by upload source (healthcare provider/organization [HCP]/non-HCP), quality (accurate/misleading/non-informative), content (educational/personal xperience/entertainment/advertisement), and number of likes/views. Data were analyzed by chi square (categorical) or Kruskal-Wallis (continuous) tests. YouTube contained a higher proportion of videos vs. TikTok and Instagram that were made by HCPs (42.2/19.7/17.7%, respectively) and contained more accurate (52.4/28.0/32.9%), and educational (66.7/38.6/34.4%) content (p < 0.0001 for all). Non-HCPs were responsible for creating the majority of videos across platforms along with most inaccurate/non-informative (65.9/86.8/78.6%) and non-educational (56.5/75.5/71.1%) content (p < 0.0001 for all). Despite lower quality of content and information, TikTok videos had the highest mean views (2,418,872) and likes (184,395) (p < 0.0001 for all). HCP vs. non-HCP-made videos were viewed more frequently only on YouTube. Though views and likes were common for all inaccurate and entertainment/advertisement content, they were most characteristic of TikTok and Instagram (p < 0.0001). These results show a high volume of SD video consumption across all platforms, especially those with lower quality and less informative content, and significant content difference across platforms. Additional studies are needed to better characterize online SD educational content and optimize HCP-led video creation and patient video consumption.
脂溢性皮炎（SD）是一种常见的、令人困扰的炎症性皮肤疾病。目前对于患者在社交媒体上消费的关于 SD 的视频的内容和质量知之甚少，无法深入了解和管理 SD。本研究评估了三个社交媒体平台——YouTube、TikTok 和 Instagram，以了解其内容、质量和受欢迎程度。在每个平台上，使用“脂溢性皮炎”“头皮屑”“摇篮帽”和“片状头皮”等关键词搜索视频。分析每个关键词的前 50 个视频。筛选后，纳入了 147 个 YouTube 视频、132 个 Instagram 视频和 164 个 TikTok 视频。根据上传来源（医疗保健提供者/组织[HCP]/非 HCP）、质量（准确/误导/非信息）、内容（教育/个人经验/娱乐/广告）和点赞数/浏览量对视频进行了描述。使用卡方检验（分类变量）或 Kruskal-Wallis 检验（连续变量）进行数据分析。与 TikTok 和 Instagram 相比，YouTube 上包含更多由 HCP 制作的视频（分别为 42.2%、19.7%和 17.7%），且更准确（52.4%、28.0%和 32.9%）和更具教育意义（66.7%、38.6%和 34.4%）（p<0.0001 均有统计学意义）。非 HCP 制作的视频在各个平台上都占多数，且包含更多不准确/非信息（65.9%、86.8%和 78.6%）和非教育（56.5%、75.5%和 71.1%）内容（p<0.0001 均有统计学意义）。尽管 TikTok 视频的内容和信息质量较低，但 TikTok 视频的平均浏览量（2,418,872）和点赞数（184,395）最高（p<0.0001 均有统计学意义）。仅在 YouTube 上，HCP 制作的视频比非 HCP 制作的视频更受关注。虽然不准确和娱乐/广告内容的浏览量和点赞数都很常见，但它们在 TikTok 和 Instagram 上最为突出（p<0.0001 均有统计学意义）。这些结果表明，SD 视频在所有平台上的消费都很高，尤其是那些质量较低、信息量较少的视频，且不同平台的内容差异显著。需要进一步研究以更好地描述在线 SD 教育内容，并优化 HCP 主导的视频创作和患者视频消费。
