Shackleford Melanie, Horvath Anna, Repetto Mayra, Thi Andrea, Twells Rory, Sanders Maggie, Fernandez Stephanie, Netski Dale, Batra Kavita, Gomez Nadia, Free Leanne
Kirk Kerkorian School of Medicine at UNLV, Las Vegas, Nevada, USA (Shackleford, Horvath, Repetto, Thi, Twells, Sanders, and Fernandez).
Department of Medical Education, Kirk Kerkorian School of Medicine at UNLV, Las Vegas, Nevada, USA (Netski and Batra).
AJOG Glob Rep. 2024 Jun 12;4(3):100364. doi: 10.1016/j.xagr.2024.100364. eCollection 2024 Aug.
TikTok has increasingly become a source of information about reproductive health. Patients seeking health information about oral contraception on TikTok may be influenced by videos containing misinformation or biased information.
This social media infodemiological study aims to provide a descriptive content analysis of the quality and reliability of oral contraceptive health information on TikTok.
Researchers screened 1,000 TikTok videos from December 2022 to March 2023 retrieved under various search terms related to oral contraceptives. Data, including engagement metrics such as views, likes, comments, saves, and shares, were recorded. Video content including contraceptive methods discussed, efficacy, tolerability, and side effects were recorded. Two reviewers independently used a modified DISCERN criteria and Global Quality Scale (GQS) to assess the quality and reliability of information for each video.
Five hundred seventy-four videos were analyzed after applying exclusion criteria. Videos had a median length of 27 seconds (Q1=13sec, Q3=57sec) and received a median of 35,000 total views (Q1=4856 views, Q3=411,400 views) and 166 views per day (Q1=28 views per day, Q3=2021 views per day). Video creators were 83.3% female and 58.7% white. The mean modified DISCERN score was 1.63 (SD=1.06) and the mean GQS score was 2.28 (SD=1.37). Video creators were 83.3% female and 58.7% white. The mean modified DISCERN score was 1.63 (SD=1.06) and the mean GQS score was 2.28 (SD=1.37). The most common topic discussed in the videos was the effects of contraception. Healthcare professionals had significantly higher DISCERN and GQS scores (<.001) than non-healthcare professionals. However, they received fewer views, likes, and comments on their videos (<.001). Healthcare professionals were 86 times more likely than non-healthcare professionals to post educational videos (<.001). However, non-educational content received significantly more views, likes, and comments than educational content (<.001).
TikTok videos related to oral contraceptive health had low quality and reliability of information. The majority of videos were made by non-healthcare providers, and the most common topic discussed was the effects of contraception. Videos made by healthcare professionals contained more reliable contraceptive information, but received less engagement than videos made by non-healthcare professionals. Healthcare providers should consider the prevalence of poor-quality information about oral contraceptives on social media when counseling and educating patients about reproductive health.
TikTok日益成为生殖健康信息的一个来源。在TikTok上寻求口服避孕药健康信息的患者可能会受到包含错误信息或有偏见信息的视频的影响。
这项社交媒体信息流行病学研究旨在对TikTok上口服避孕药健康信息的质量和可靠性进行描述性内容分析。
研究人员筛选了2022年12月至2023年3月期间通过与口服避孕药相关的各种搜索词检索到的1000条TikTok视频。记录了包括观看量、点赞数、评论数、保存数和分享数等参与指标的数据。记录了视频内容，包括讨论的避孕方法、功效、耐受性和副作用。两名评审员独立使用修改后的DISCERN标准和全球质量量表（GQS）来评估每个视频信息的质量和可靠性。
应用排除标准后，对574条视频进行了分析。视频的中位数时长为27秒（第一四分位数=13秒，第三四分位数=57秒），总观看量中位数为35000次（第一四分位数=4856次，第三四分位数=411400次），每天观看量中位数为166次（第一四分位数=每天28次，第三四分位数=每天2021次）。视频创作者中83.3%为女性，58.7%为白人。修改后的DISCERN评分均值为1.63（标准差=1.06），GQS评分均值为2.28（标准差=1.37）。视频创作者中83.3%为女性，58.7%为白人。修改后的DISCERN评分均值为1.63（标准差=1.06），GQS评分均值为2.28（标准差=1.37）。视频中讨论的最常见主题是避孕效果。医疗保健专业人员的DISCERN和GQS评分显著高于非医疗保健专业人员（<.001）。然而，他们的视频获得的观看量、点赞数和评论数较少（<.001）。医疗保健专业人员发布教育视频的可能性是非医疗保健专业人员的86倍（<.001）。然而，非教育内容获得的观看量、点赞数和评论数明显多于教育内容（<.001）。
与口服避孕药健康相关的TikTok视频信息质量和可靠性较低。大多数视频由非医疗保健提供者制作，讨论的最常见主题是避孕效果。医疗保健专业人员制作的视频包含更可靠的避孕信息，但与非医疗保健专业人员制作的视频相比，参与度较低。在为患者提供生殖健康咨询和教育时，医疗保健提供者应考虑社交媒体上关于口服避孕药的低质量信息的普遍存在情况。
