Lin Matthew E, Ayo-Ajibola Oluwatobiloba, Castellanos Carlos X, West Jonathan D, Luu Neil, Kokot Niels C
Department of Head and Neck Surgery David Geffen School of Medicine at University of California Los Angeles Los Angeles California USA.
Keck School of Medicine of the University of Southern California Los Angeles California USA.
OTO Open. 2024 Dec 15;8(4):e70052. doi: 10.1002/oto2.70052. eCollection 2024 Oct-Dec.
Assessing the quality of human papillomavirus (HPV) vaccination-related content on TikTok is crucial due to its popularity among adolescents. We assessed these videos while comparing the content and quality of videos with and without physician involvement.
Cross-sectional cohort analysis.
HPV vaccination-related TikTok videos.
The TikTok library was queried using the search terms #HPVvaccine, #HPVvaccination, #Gardasil, #Gardasilvaccine, and #Gardasilvaccination. Video quality was evaluated using the DISCERN scale, assessing treatment-related information quality. Descriptive statistics were used to characterize our cohort. Test and Fischer's exact test were used to assess for differences in video content and quality based on physician involvement. Significance was set at < .05.
Our search yielded 131 videos, averaging 68,503.12 views, 2314.27 likes, and 89.28 comments per video. Videos frequently involved physicians (48.09%), focused on education (54.96%) or advocacy (22.90%), and were US-made (68.90%). Otolaryngologists were rarely featured (3.17%). While most videos mentioned the HPV vaccine protected against cancer generally (86.26%), and cervical cancer specifically (67.94%), few discussed its protective effect against head and neck cancer (26.72%). Videos infrequently discussed updated eligibility among all adults ≤45 years of age (26.72%) or that men can also receive the vaccine (28.24%). Physician-involved videos were more focused on education ( < .001) and focused less on patient experiences ( < .001) and advocacy ( = .036). Overall DISCERN scores were low among physician (mean = 2.46, SD = 1.13) and nonphysician (mean = 2.09, SD = 1.02) content.
TikTok HPV vaccination content is poor in quality, even with physician involvement. Enhancing content quality and increasing otolaryngologist participation can boost HPV awareness and vaccination rates.
鉴于TikTok在青少年中很受欢迎，评估该平台上与人类乳头瘤病毒（HPV）疫苗接种相关内容的质量至关重要。我们在比较有医生参与和无医生参与的视频内容及质量的同时，对这些视频进行了评估。
横断面队列分析。
TikTok上与HPV疫苗接种相关的视频。
使用搜索词#HPV疫苗、#HPV接种、#加德西、#加德西疫苗和#加德西接种查询TikTok视频库。使用DISCERN量表评估视频质量，该量表用于评估与治疗相关的信息质量。使用描述性统计来描述我们的队列特征。采用卡方检验和费舍尔精确检验，以评估基于医生参与情况的视频内容和质量差异。显著性设定为<0.05。
我们的搜索共得到131个视频，每个视频平均有68503.12次观看、2314.27个赞和89.28条评论。视频中经常出现医生（48.09%），内容主要集中在教育方面（54.96%）或宣传方面（22.90%），且大多是美国制作的（68.90%）。很少有视频以耳鼻喉科医生为特色（3.17%）。虽然大多数视频提到HPV疫苗总体上可预防癌症（86.26%），特别是可预防宫颈癌（67.94%），但很少有视频讨论其对头颈部癌症的预防作用（26.72%）。视频很少讨论所有45岁及以下成年人更新后的接种资格（26.72%），或者男性也可以接种该疫苗（28.24%）。有医生参与的视频更侧重于教育（<0.001），而较少关注患者体验（<0.001）和宣传（=0.036）。医生参与的内容和非医生参与的内容总体DISCERN得分都很低（医生参与的内容平均得分=2.46，标准差=1.13；非医生参与的内容平均得分=2.09，标准差=1.02）。
即使有医生参与，TikTok上与HPV疫苗接种相关的内容质量也很差。提高内容质量并增加耳鼻喉科医生的参与度可以提高人们对HPV的认识和疫苗接种率。
