MP21-18 MISCONCEPTIONS ABOUT WOMEN WITH RECURRENT URINARY TRACT INFECTION IN YOUTUBE EDUCATIONAL VIDEOS; INCONGRUENCE WITH AUA GUIDELINES - HEALTH EQUITY FINDINGS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP21-18 MISCONCEPTIONS ABOUT WOMEN WITH RECURRENT URINARY TRACT INFECTION IN YOUTUBE EDUCATIONAL VIDEOS; INCONGRUENCE WITH AUA GUIDELINES - HEALTH EQUITY FINDINGS Mostafa Bondok, Lynn stothers, Andrew Macnab, Vancouver, Canada, Mohamed Bandok, Calgary, Canada, A. Lenore Ackerman, Emma Dixon, Marcia Trochez, Kelsey Petersen, and Rishika Selvakumar Mostafa BondokMostafa Bondok More articles by this author , Lynn stothers Lynn stothers More articles by this author , Andrew MacnabAndrew Macnab More articles by this author , Vancouver Vancouver More articles by this author , Canada Canada More articles by this author , Mohamed BandokMohamed Bandok More articles by this author , Calgary Calgary More articles by this author , Canada Canada More articles by this author , A. Lenore AckermanA. Lenore Ackerman More articles by this author , Emma DixonEmma Dixon More articles by this author , Marcia TrochezMarcia Trochez More articles by this author , Kelsey PetersenKelsey Petersen More articles by this author , and Rishika SelvakumarRishika Selvakumar More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003246.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Stigmatization of health illness is a threat to health equity. Although case control studies demonstrate that commonly suggested hygiene practices do not decrease the incidence of urinary tract infection (UTI) in women, many patient-education sources promote this misconception, & in doing so risk stigmatizing women with UTIs as ‘dirty’ or ‘unclean’. Objective: To document the quality, veracity, & comprehensiveness of recurrent UTI (rUTI) information on YouTube to increase health care workers’ (HCWs) awareness of UTI-related content online, & to identify deficits in understanding, clarify misconceptions & reduce stigmatization risk. METHODS: High-traffic topic search terms were curated by Google Trends to extract 200, of which 45 met inclusion criteria. 5 independent reviewers used a standardized questionnaire based on the AUA rUTI guidelines to assess definition of UTI, marketing content, prophylaxis/prevention strategies, & antibiotic use/stewardship. Statistics: Fleiss kappa (K) assessed Inter-rater reliability (IRR). RESULTS: High variability and incongruency from guideline definitions of UTI (Table 1); the most common prophylactic strategy discussed Cranberry; only 55% discussed increasing fluid intake. Table 2 illustrates commonly recommended hygiene practices: including front to back wiping (25%) K=0.71. 33% promoted other non-evidence-based hygiene practices including expression of uncleanliness of women. CONCLUSIONS: Misleading information for women seeking education on UTI through YouTube is high. Misinformation on hygiene practices is unproductive, & several videos captured HCWs claiming that rUTI results from poor female hygiene practices, creating a health equity concern for women experiencing UTIs. These findings alert HCWs on the need to provide evidence-based recommendations by consulting practice guidelines, such as those provided by the AUA. Source of Funding: n/a © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e293 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mostafa Bondok More articles by this author Lynn stothers More articles by this author Andrew Macnab More articles by this author Vancouver More articles by this author Canada More articles by this author Mohamed Bandok More articles by this author Calgary More articles by this author Canada More articles by this author A. Lenore Ackerman More articles by this author Emma Dixon More articles by this author Marcia Trochez More articles by this author Kelsey Petersen More articles by this author Rishika Selvakumar More articles by this author Expand All Advertisement PDF downloadLoading ...