Misleading health-related information promoted through video-based social media

Anorexia on youtube

Shabbir Syed-Abdul, Luis Fernandez-Luque, Wen Shan Jian, Yu Chuan Li, Steven Crain, Min-Huei Hsu, Yao Chin Wang, Dorjsuren Khandregzen, Enkhzaya Chuluunbaatar, Phung Anh Nguyen, Der Ming Liou

Research output: Contribution to journalArticle

121 Citations (Scopus)

Abstract

Introduction: The amount of information being uploaded onto social video platforms, such as YouTube, Vimeo, and Veoh, continues to spiral, making it increasingly difficult to discern reliable health information from misleading content. There are thousands of YouTube videos promoting misleading information about anorexia (eg, anorexia as a healthy lifestyle). Objective: The aim of this study was to investigate anorexia-related misinformation disseminated through YouTube videos. Methods: We retrieved YouTube videos related to anorexia using the keywords anorexia, anorexia nervosa, proana, and thinspo on October 10, 2011.Three doctors reviewed 140 videos with approximately 11 hours of video content, classifying them as informative, pro-Anorexia, or others. By informative we mean content describing the health consequences of anorexia and advice on how to recover from it; by pro-Anorexia we mean videos promoting anorexia as a fashion, a source of beauty, and that share tips and methods for becoming and remaining anorexic. The 40 most-viewed videos (20 informative and 20 pro-Anorexia videos) were assessed to gauge viewer behavior. Results: The interrater agreement of classification was moderate (Fleiss' kappa=0.5), with 29.3% (n=41) being rated as pro-Anorexia, 55.7% (n=78) as informative, and 15.0% (n=21) as others. Pro-Anorexia videos were favored 3 times more than informative videos (odds ratio [OR] 3.3, 95% CI 3.3-3.4, P

Original languageEnglish
JournalJournal of Medical Internet Research
Volume15
Issue number2
DOIs
Publication statusPublished - Feb 2013

Fingerprint

Social Media
Anorexia
Health
Beauty
Anorexia Nervosa

Keywords

  • Anorexia Nervosa
  • Eating Disorder
  • Internet
  • Medical informatics
  • Online videos
  • Social Network
  • YouTube

ASJC Scopus subject areas

  • Health Informatics

Cite this

Misleading health-related information promoted through video-based social media : Anorexia on youtube. / Syed-Abdul, Shabbir; Fernandez-Luque, Luis; Jian, Wen Shan; Li, Yu Chuan; Crain, Steven; Hsu, Min-Huei; Wang, Yao Chin; Khandregzen, Dorjsuren; Chuluunbaatar, Enkhzaya; Nguyen, Phung Anh; Liou, Der Ming.

In: Journal of Medical Internet Research, Vol. 15, No. 2, 02.2013.

Research output: Contribution to journalArticle

Syed-Abdul, Shabbir ; Fernandez-Luque, Luis ; Jian, Wen Shan ; Li, Yu Chuan ; Crain, Steven ; Hsu, Min-Huei ; Wang, Yao Chin ; Khandregzen, Dorjsuren ; Chuluunbaatar, Enkhzaya ; Nguyen, Phung Anh ; Liou, Der Ming. / Misleading health-related information promoted through video-based social media : Anorexia on youtube. In: Journal of Medical Internet Research. 2013 ; Vol. 15, No. 2.
@article{b3015c767027496d8f302e937fcb27a0,
title = "Misleading health-related information promoted through video-based social media: Anorexia on youtube",
abstract = "Introduction: The amount of information being uploaded onto social video platforms, such as YouTube, Vimeo, and Veoh, continues to spiral, making it increasingly difficult to discern reliable health information from misleading content. There are thousands of YouTube videos promoting misleading information about anorexia (eg, anorexia as a healthy lifestyle). Objective: The aim of this study was to investigate anorexia-related misinformation disseminated through YouTube videos. Methods: We retrieved YouTube videos related to anorexia using the keywords anorexia, anorexia nervosa, proana, and thinspo on October 10, 2011.Three doctors reviewed 140 videos with approximately 11 hours of video content, classifying them as informative, pro-Anorexia, or others. By informative we mean content describing the health consequences of anorexia and advice on how to recover from it; by pro-Anorexia we mean videos promoting anorexia as a fashion, a source of beauty, and that share tips and methods for becoming and remaining anorexic. The 40 most-viewed videos (20 informative and 20 pro-Anorexia videos) were assessed to gauge viewer behavior. Results: The interrater agreement of classification was moderate (Fleiss' kappa=0.5), with 29.3{\%} (n=41) being rated as pro-Anorexia, 55.7{\%} (n=78) as informative, and 15.0{\%} (n=21) as others. Pro-Anorexia videos were favored 3 times more than informative videos (odds ratio [OR] 3.3, 95{\%} CI 3.3-3.4, P",
keywords = "Anorexia Nervosa, Eating Disorder, Internet, Medical informatics, Online videos, Social Network, YouTube",
author = "Shabbir Syed-Abdul and Luis Fernandez-Luque and Jian, {Wen Shan} and Li, {Yu Chuan} and Steven Crain and Min-Huei Hsu and Wang, {Yao Chin} and Dorjsuren Khandregzen and Enkhzaya Chuluunbaatar and Nguyen, {Phung Anh} and Liou, {Der Ming}",
year = "2013",
month = "2",
doi = "10.2196/jmir.2237",
language = "English",
volume = "15",
journal = "Journal of Medical Internet Research",
issn = "1439-4456",
publisher = "Journal of medical Internet Research",
number = "2",

}

TY - JOUR

T1 - Misleading health-related information promoted through video-based social media

T2 - Anorexia on youtube

AU - Syed-Abdul, Shabbir

AU - Fernandez-Luque, Luis

AU - Jian, Wen Shan

AU - Li, Yu Chuan

AU - Crain, Steven

AU - Hsu, Min-Huei

AU - Wang, Yao Chin

AU - Khandregzen, Dorjsuren

AU - Chuluunbaatar, Enkhzaya

AU - Nguyen, Phung Anh

AU - Liou, Der Ming

PY - 2013/2

Y1 - 2013/2

N2 - Introduction: The amount of information being uploaded onto social video platforms, such as YouTube, Vimeo, and Veoh, continues to spiral, making it increasingly difficult to discern reliable health information from misleading content. There are thousands of YouTube videos promoting misleading information about anorexia (eg, anorexia as a healthy lifestyle). Objective: The aim of this study was to investigate anorexia-related misinformation disseminated through YouTube videos. Methods: We retrieved YouTube videos related to anorexia using the keywords anorexia, anorexia nervosa, proana, and thinspo on October 10, 2011.Three doctors reviewed 140 videos with approximately 11 hours of video content, classifying them as informative, pro-Anorexia, or others. By informative we mean content describing the health consequences of anorexia and advice on how to recover from it; by pro-Anorexia we mean videos promoting anorexia as a fashion, a source of beauty, and that share tips and methods for becoming and remaining anorexic. The 40 most-viewed videos (20 informative and 20 pro-Anorexia videos) were assessed to gauge viewer behavior. Results: The interrater agreement of classification was moderate (Fleiss' kappa=0.5), with 29.3% (n=41) being rated as pro-Anorexia, 55.7% (n=78) as informative, and 15.0% (n=21) as others. Pro-Anorexia videos were favored 3 times more than informative videos (odds ratio [OR] 3.3, 95% CI 3.3-3.4, P

AB - Introduction: The amount of information being uploaded onto social video platforms, such as YouTube, Vimeo, and Veoh, continues to spiral, making it increasingly difficult to discern reliable health information from misleading content. There are thousands of YouTube videos promoting misleading information about anorexia (eg, anorexia as a healthy lifestyle). Objective: The aim of this study was to investigate anorexia-related misinformation disseminated through YouTube videos. Methods: We retrieved YouTube videos related to anorexia using the keywords anorexia, anorexia nervosa, proana, and thinspo on October 10, 2011.Three doctors reviewed 140 videos with approximately 11 hours of video content, classifying them as informative, pro-Anorexia, or others. By informative we mean content describing the health consequences of anorexia and advice on how to recover from it; by pro-Anorexia we mean videos promoting anorexia as a fashion, a source of beauty, and that share tips and methods for becoming and remaining anorexic. The 40 most-viewed videos (20 informative and 20 pro-Anorexia videos) were assessed to gauge viewer behavior. Results: The interrater agreement of classification was moderate (Fleiss' kappa=0.5), with 29.3% (n=41) being rated as pro-Anorexia, 55.7% (n=78) as informative, and 15.0% (n=21) as others. Pro-Anorexia videos were favored 3 times more than informative videos (odds ratio [OR] 3.3, 95% CI 3.3-3.4, P

KW - Anorexia Nervosa

KW - Eating Disorder

KW - Internet

KW - Medical informatics

KW - Online videos

KW - Social Network

KW - YouTube

UR - http://www.scopus.com/inward/record.url?scp=84877280391&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84877280391&partnerID=8YFLogxK

U2 - 10.2196/jmir.2237

DO - 10.2196/jmir.2237

M3 - Article

VL - 15

JO - Journal of Medical Internet Research

JF - Journal of Medical Internet Research

SN - 1439-4456

IS - 2

ER -