Trust of social media content and risk of making misinformed decisions: Survey of people affected by cancer and their caregivers

Abstract

BackgroundThis study explores social media (SM) usage and trust in information among cancer patients and their caregivers. We compare socio-demographic characteristics to identify groups more likely to rely on social media for treatment decisions and those less inclined to validate social media information with their provider. MethodsA national survey of people diagnosed with cancer and those who were caregivers to people diagnosed with cancer was conducted via online survey in November–December 2021. Socio-demographic factors associated with respondents' use of SM and comfort disclosing SM use were assessed using logistic regression. FindingsOut of 262 respondents, 65% were likely to use SM to make decisions about lifestyle changes, cancer screening, vaccination, cancer treatment, medical testing, or choosing a provider. SM users were younger (ORadj = 0.11, p < 0.01), identified as Black (ORadj = 10.19, p < 0.01), and had less education (ORadj = 0.86, p = 0.02). Those with less education reported not being comfortable discussing SM with their providers (ORadj = 1.25, padj = 0.01). DiscussionResults contribute new understanding of the digital divide, highlighting the need for not only improving access to digital information but also the need for a supportive environment that provides patients with dependable methods to verify the authenticity of the information they encounter.