Abstract

To describe and assess the quality and accuracy of the most highly viewed YouTube and TikTok posts related to urinary tract infections (UTIs). Social media is increasingly a resource for health information. YouTube and TikTok videos are highly utilized and are potentially a source of helpful information or misinformation. During January 2021, "UTI" was searched within YouTube and TikTok and the most relevant videos were identified and analyzed for their content. Accuracy of scientific information, possible misinformation, and credibility of the videos was rated independently by three reviewers. Posts were categorized as educational/informational, shared experience, humor/entertainment, and home remedies/alternative therapies. In 50 YouTube and 50 TikTok videos respectively, the median number of views was 49K and 1.4M, the median number of likes was 296 and 58K, and the median number of comments was 50 and 616. The proportion of female to male presenters was equal for YouTube videos while 94% of those from TikTok were female. Overall, YouTube videos had higher median scores for scientific information, credibility, and less misinformation compared to TikTok. YouTube videos with more views, likes, and comments tended to have lower scores in all categories and more misinformation. More presenters were medical professionals on YouTube videos than those on TikTok. While videos from both platforms contained misinformation, none promoted misinformation that would cause harm to health. Healthcare providers should be aware of the potential influence of social media as patients are getting health information from many sources.

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