Abstract

Rosacea is an inflammatory skin disease that is chronic in nature. In addition to the physical symptoms, there are substantial quality of life issues that patients with rosacea experience, largely due to the visible nature in which rosacea manifests. The purpose of this study was to describe the content related to rosacea in highly viewed English- and Spanish-language videos on YouTube. We coded identifying information for each video and categories including characteristics of rosacea, clinical solutions, and alternative solutions. The 100 YouTube videos examined were viewed 18.5 million times between 2006 and 2020, and 57.3% (10,652,665/18,592,742) of these views were of consumer videos. Videos posted by consumers more often promoted or were trying to sell a product or procedure (32/55, 58% of consumers vs 10/31, 32% of medical professionals and 4/14, 29% of television, internet, news, or entertainment sources; P=.03) and more frequently mentioned the use of makeup or other ways to cover up rosacea (30/55, 55% of consumers vs 6/31, 19% of medical professionals and 2/14, 14% of television, internet, news, or entertainment sources; P<.001). Videos sourced from medical professionals more often mentioned medication (17/31, 55%) than videos uploaded by consumers (14/55, 25%) or TV, internet, news, or entertainment sources (3/14, 21%) (P=.01). Given that rosacea is experienced differently for each person, consumer advice that works for one individual may not work for another. There is a need for reliable videos on rosacea to emphasize this and clarify misconceptions.

Highlights

  • Given that rosacea is experienced differently for each person, consumer advice that works for one individual may not work for another

  • Rosacea is an inflammatory skin disease that is chronic in nature [1]

  • More often promoted or were trying to sell a product or procedure (32/55, 58% of consumers vs 10/31, 32% of medical professionals and 4/14, 29% of television, internet, news, or entertainment; P=.03) and more frequently mentioned the use of makeup or other ways to cover up rosacea (30/55, 55% of consumers vs 6/31, 19% of medical professionals and 2/14, 14% of television, internet, news, or entertainment; P

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Summary

Introduction

Rosacea is an inflammatory skin disease that is chronic in nature [1]. The cause of rosacea is unknown and the pathophysiology is inadequately comprehended [1]. Triggers of rosacea include genetic and environmental factors [1], and patients are often encouraged to monitor environmental triggers closely to avoid the onset of symptoms. The most commonly identifiable symptom of rosacea includes redness or flushing in the face, but the range of symptoms can be variable and are broken down into subtypes. The American Academy of Dermatology has identified 4 subtypes: (1) subtype 1, which is characterized by visible redness, flushing, and blood http://derma.jmir.org/2021/1/e24517/. Rosacea is an inflammatory skin disease that is chronic in nature. In addition to the physical symptoms, there are substantial quality of life issues that patients with rosacea experience, largely due to the visible nature in which rosacea manifests

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