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The broad reach and inaccuracy of men’s health information on social media: analysis of TikTok and Instagram

Abstract

Social media (SoMe) offers great potential to expand access to health information, but a significant proportion of users consume its content instead of consulting a physician. We sought to quantify the volume and characterize the accuracy of men’s health-related content on TikTok and Instagram. We searched TikTok and Instagram for the terms: testosterone, erectile dysfunction, male infertility, semen retention, Peyronie’s disease, and vasectomy. The top 10 hashtags for each term were used to estimate the total impressions for each term on each platform, and posts were then characterized by creator type, content type, and accuracy (1 to 5 scale). TikTok had 2,312,407,100 impressions and Instagram had 3,107,300 posts across all topics. Semen retention had the most impressions on TikTok (1,216,074,000) and posts on Instagram (1,077,000). Physicians created only a small portion of total TikTok and Instagram posts (10.3% and 12.9%, respectively). Across all topics, the accuracy of content was poor (2.6 ± 1.7), however, physician posts were more accurate than non-physician posts (mean 4.2 ± 1.2 vs 2.3 ± 1.6, p < 0.001, respectively). Men’s health content is popular on TikTok and Instagram but is not accurate. We recommend that physicians actively engage in SoMe to address misinformation.

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Fig. 1: Description of the relationship of men’s health topics, their engagement, and accuracy (1–5, where 5 is most accurate) by topic and content creators (non-physicians vs physicians).

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References

  1. Pew Research Center Available from: https://www.pewresearch.org/internet/fact-sheet/social-media/?menuItem=45b45364-d5e4-4f53-bf01-b77106560d4c.

  2. Nabity-Grover T, Cheung CMK, Thatcher JB. Inside out and outside in: How the COVID-19 pandemic affects self-disclosure on social media. Int J Inf Manag. 2020;55:102188.

    Article  Google Scholar 

  3. Wiederhold BK. Social media use during social distancing. Cyberpsychol Behav Soc Netw. 2020;23:275–6.

    Article  PubMed  Google Scholar 

  4. The Social Life of Health Information: Pew Research Center; Available from: https://www.pewresearch.org/fact-tank/2014/01/15/the-social-life-of-health-information/.

  5. Americans who primarily get news through social media are least likely to follow COVID-19 coverage, most likely to report seeing made-up news: Pews Research Center; Available from: https://www.pewresearch.org/journalism/2020/03/25/americans-who-primarily-get-news-through-social-media-are-least-likely-to-follow-covid-19-coverage-most-likely-to-report-seeing-made-up-news/.

  6. Bryan MA, Evans Y, Morishita C, Midamba N, Moreno M. Parental perceptions of the internet and social media as a source of pediatric health information. Acad Pediatr. 2020;20:31–8.

    Article  PubMed  Google Scholar 

  7. Instagram by the Numbers: Stats, Demographics & Fun Facts Available from: https://www.omnicoreagency.com/instagram-statistics/#:~:text=71%25%20of%20U.S.%20adults%20ages,between%2025%20and%2034%20years.

  8. TikTok User Statistics (2022) Available from: https://backlinko.com/tiktok-users.

  9. Iqbal M. TikTok Revenue and Usage Statistics (2022). Business of Apps. 2022.

  10. Loeb S, Taylor J, Borin JF, Mihalcea R, Perez-Rosas V, Byrne N, et al. Fake news: spread of misinformation about urological conditions on social media. Eur Urol Focus. 2020;6:437–9.

    Article  PubMed  Google Scholar 

  11. Loeb S, Sengupta S, Butaney M, Macaluso JN, Czarniecki SW, Robbins R, et al. Dissemination of misinformative and biased information about prostate cancer on YouTube. Eur Urol. 2019;75:564–7.

    Article  PubMed  Google Scholar 

  12. Comp G, Dyer S, Gottlieb M. Is TikTok the next social media frontier for medicine? AEM Educ Train. 2021;5:1–4.

  13. Fowler LR, Schoen L, Smith HS, Morain SR. Sex education on TikTok: a content analysis of themes. Health Promot Pract. 2021;23:15248399211031536.

  14. Babar M, Loloi J, Patel RD, Singh S, Azhar U, Maria P, et al. Cross-sectional and comparative analysis of videos on erectile dysfunction treatment on YouTube and TikTok. Andrologia. 2022;54:e14392.

  15. Burnett AL, Nehra A, Breau RH, Culkin DJ, Faraday MM, Hakim LS, et al. Erectile dysfunction: AUA guideline. J Urol. 2018;200:633–41.

    Article  PubMed  Google Scholar 

  16. Xu AJ, Taylor J, Gao T, Mihalcea R, Perez-Rosas V, Loeb S. TikTok and prostate cancer: misinformation and quality of information using validated questionnaires. BJU Int. 2021;128:435–7.

    Article  PubMed  Google Scholar 

  17. Exton MS, Krüger TH, Bursch N, Haake P, Knapp W, Schedlowski M, et al. Endocrine response to masturbation-induced orgasm in healthy men following a 3-week sexual abstinence. World J Urol. 2001;19:377–82.

    Article  CAS  PubMed  Google Scholar 

  18. Jiang M, Xin J, Zou Q, Shen JW. A research on the relationship between ejaculation and serum testosterone level in men. J Zhejiang Univ Sci. 2003;4:236–40.

    Article  CAS  PubMed  Google Scholar 

  19. Elzanaty S, Malm J, Giwercman A. Duration of sexual abstinence: epididymal and accessory sex gland secretions and their relationship to sperm motility. Hum Reprod. 2005;20:221–5.

    Article  PubMed  Google Scholar 

  20. Levitas E, Lunenfeld E, Weiss N, Friger M, Har-Vardi I, Koifman A, et al. Relationship between the duration of sexual abstinence and semen quality: analysis of 9,489 semen samples. Fertil Steril. 2005;83:1680–6.

    Article  PubMed  Google Scholar 

  21. Tur-Kaspa I, Maor Y, Levran D, Yonish M, Mashiach S, Dor J. How often should infertile men have intercourse to achieve conception? Fertil Steril. 1994;62:370–5.

    Article  CAS  PubMed  Google Scholar 

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All authors meet all four criteria for authorship, including. (1) Conceived and/or designed the work that led to the submission, acquired data, and/or played an important role in interpreting the results. (2) Drafted or revised the manuscript. (3) Approved the final version. (4) Agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Correspondence to Justin M. Dubin.

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Dubin, J.M., Aguiar, J.A., Lin, J.S. et al. The broad reach and inaccuracy of men’s health information on social media: analysis of TikTok and Instagram. Int J Impot Res 36, 256–260 (2024). https://doi.org/10.1038/s41443-022-00645-6

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