Payton K Grande, Jacob R Siegel, Shawnece Frazier-Mayfield, Osayamen Atekha, Kometh Thawanyarat, Rahim S Nazerali
{"title":"从话题标签到健康叙事：TikTok上乳房植入疾病的内容分析。","authors":"Payton K Grande, Jacob R Siegel, Shawnece Frazier-Mayfield, Osayamen Atekha, Kometh Thawanyarat, Rahim S Nazerali","doi":"10.1007/s00266-025-05074-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Breast Implant Illness (BII) is a term used to describe a constellation of nonspecific symptoms attributed to breast implants and is increasingly discussed on social media platforms like TikTok. Understanding online discourse surrounding BII is important to better appreciate patient experiences and recognize potential impacts on patient decision-making.</p><p><strong>Objectives: </strong>This study aims to assess available information on TikTok regarding BII by examining both video content, quality, and engagement while identifying prevailing trends in the discourse.</p><p><strong>Methods: </strong>TikTok was queried using BII-related hashtags. Relevant videos with over 10,000 views were included. Video engagement metrics, creator type, content, and purpose were analyzed. DISCERN and Global Quality Scale (GQS) scores were utilized to assess the quality of health information.</p><p><strong>Results: </strong>The analyzed videos accumulated over 116 million views, with patients being the predominant content creators (73.9%). Engagement metrics did not differ significantly between creator types or board certification status, but verified accounts received significantly higher engagement. Personal experience videos were more common (45.7%) than entertainment (28.3%) and education (26.1%) videos, yet entertainment-focused videos received significantly more views and likes (p < 0.05). Overall, video quality was low, with plastic surgeons producing significantly higher DISCERN and GQS scores than patients (p < 0.001).</p><p><strong>Conclusion: </strong>Social media serves as an important space for BII discourse, but the predominance of anecdotal content over evidence-based knowledge raises concerns about misinformation. Plastic surgeons' videos were higher quality but did not achieve greater engagement, highlighting the need for greater provider participation to strengthen accurate and appropriate patient information.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"From Hashtags to Health Narratives: A Content Analysis of Breast Implant Illness on TikTok.\",\"authors\":\"Payton K Grande, Jacob R Siegel, Shawnece Frazier-Mayfield, Osayamen Atekha, Kometh Thawanyarat, Rahim S Nazerali\",\"doi\":\"10.1007/s00266-025-05074-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Breast Implant Illness (BII) is a term used to describe a constellation of nonspecific symptoms attributed to breast implants and is increasingly discussed on social media platforms like TikTok. Understanding online discourse surrounding BII is important to better appreciate patient experiences and recognize potential impacts on patient decision-making.</p><p><strong>Objectives: </strong>This study aims to assess available information on TikTok regarding BII by examining both video content, quality, and engagement while identifying prevailing trends in the discourse.</p><p><strong>Methods: </strong>TikTok was queried using BII-related hashtags. Relevant videos with over 10,000 views were included. Video engagement metrics, creator type, content, and purpose were analyzed. DISCERN and Global Quality Scale (GQS) scores were utilized to assess the quality of health information.</p><p><strong>Results: </strong>The analyzed videos accumulated over 116 million views, with patients being the predominant content creators (73.9%). Engagement metrics did not differ significantly between creator types or board certification status, but verified accounts received significantly higher engagement. Personal experience videos were more common (45.7%) than entertainment (28.3%) and education (26.1%) videos, yet entertainment-focused videos received significantly more views and likes (p < 0.05). Overall, video quality was low, with plastic surgeons producing significantly higher DISCERN and GQS scores than patients (p < 0.001).</p><p><strong>Conclusion: </strong>Social media serves as an important space for BII discourse, but the predominance of anecdotal content over evidence-based knowledge raises concerns about misinformation. Plastic surgeons' videos were higher quality but did not achieve greater engagement, highlighting the need for greater provider participation to strengthen accurate and appropriate patient information.</p><p><strong>Level of evidence v: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.</p>\",\"PeriodicalId\":7609,\"journal\":{\"name\":\"Aesthetic Plastic Surgery\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-07-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aesthetic Plastic Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00266-025-05074-6\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00266-025-05074-6","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
From Hashtags to Health Narratives: A Content Analysis of Breast Implant Illness on TikTok.
Background: Breast Implant Illness (BII) is a term used to describe a constellation of nonspecific symptoms attributed to breast implants and is increasingly discussed on social media platforms like TikTok. Understanding online discourse surrounding BII is important to better appreciate patient experiences and recognize potential impacts on patient decision-making.
Objectives: This study aims to assess available information on TikTok regarding BII by examining both video content, quality, and engagement while identifying prevailing trends in the discourse.
Methods: TikTok was queried using BII-related hashtags. Relevant videos with over 10,000 views were included. Video engagement metrics, creator type, content, and purpose were analyzed. DISCERN and Global Quality Scale (GQS) scores were utilized to assess the quality of health information.
Results: The analyzed videos accumulated over 116 million views, with patients being the predominant content creators (73.9%). Engagement metrics did not differ significantly between creator types or board certification status, but verified accounts received significantly higher engagement. Personal experience videos were more common (45.7%) than entertainment (28.3%) and education (26.1%) videos, yet entertainment-focused videos received significantly more views and likes (p < 0.05). Overall, video quality was low, with plastic surgeons producing significantly higher DISCERN and GQS scores than patients (p < 0.001).
Conclusion: Social media serves as an important space for BII discourse, but the predominance of anecdotal content over evidence-based knowledge raises concerns about misinformation. Plastic surgeons' videos were higher quality but did not achieve greater engagement, highlighting the need for greater provider participation to strengthen accurate and appropriate patient information.
Level of evidence v: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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