Oropharyngeal Cancer and the HPV Vaccine: Analysis of Social Media Content

IF 2 3区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL Laryngoscope Pub Date : 2025-02-17 DOI:10.1002/lary.32076

Makayla R. Matthews, Hasan Abdulbaki, William R. Ryan, Trevor G. Hackman, Zainab Farzal

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Abstract

Objective

Human Papillomavirus (HPV) is a well-documented cause of cervical, oropharyngeal, vaginal, vulvar, anal, and penile cancers, largely preventable with the HPV vaccine. We aim to characterize the most popular TikTok videos pertaining to HPV-associated cancers and vaccination with a focus on oropharyngeal cancer.

Methods

Observational study of public social media content. The top 200 TikTok videos that appeared when searching for #HPVvaccine and #Gardasil individually were included and analyzed on the basis of creator characteristics, viewer reach, content, and accessibility. Characteristics of each video were counted if mentioned or listed in the caption.

Results

Forty-four percent of videos originated from creators self-identifying as health care professionals and had an average of 129,525 (SD: 59,997) views. 72.0% were pro-vaccination, and 17.5% were specifically anti-vaccination. Only 14.0% mentioned all six types of HPV-related cancer (including oropharyngeal). Other mentions included HPV prevention (62.0%), transmission (31.0%), infection risk factors (12.0%), and vaccine side effects (23.0%), while only 7.5% specifically regarded vaccines as safe. 35.5% of creators identified the Gardasil vaccine as appropriate for both men and women.

Conclusions

Medical professionals have a strong presence on TikTok and overwhelmingly support HPV vaccination for cancer prevention but miss the mark in associating high-risk HPV with non-cervical cancers, addressing vaccine safety, and clearly defining who is eligible for the HPV vaccine/Gardasil. Despite oropharyngeal cancer eclipsing cervical cancer as the most common HPV-related malignancy, there is still a dearth of online patient education about this disease and the potential treatment/prevention measures available.

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口咽癌和HPV疫苗：社交媒体内容分析。

目的：人乳头瘤病毒（HPV）是一种有充分证据的宫颈癌、口咽癌、阴道癌、外阴癌、肛门癌和阴茎癌的病因，在很大程度上可以通过HPV疫苗预防。我们的目标是描述最受欢迎的TikTok视频，这些视频与hpv相关的癌症和疫苗接种有关，重点是口咽癌。方法：对公众社交媒体内容进行观察研究。分别搜索“#HPVvaccine”和“#Gardasil”时出现的前200个TikTok视频被包括在内，并根据创作者特征、观众覆盖面、内容和可访问性进行了分析。如果在标题中提到或列出，则计算每个视频的特征。结果：44%的视频来自自认为是医疗保健专业人员的创作者，平均浏览量为129,525（标准差：59,997）。支持接种者占72.0%，反对接种者占17.5%。只有14.0%的人提到了所有六种hpv相关癌症（包括口咽癌）。其他提到的包括HPV预防（62.0%）、传播（31.0%）、感染风险因素（12.0%）和疫苗副作用（23.0%），而只有7.5%的人明确认为疫苗是安全的。35.5%的发明者认为加德西疫苗对男性和女性都适用。结论：医疗专业人员在TikTok上有很强的存在感，绝大多数支持HPV疫苗预防癌症，但在将高危HPV与非宫颈癌联系起来、解决疫苗安全性问题以及明确定义谁有资格接种HPV疫苗/Gardasil方面却没有取得成功。尽管口咽癌取代宫颈癌成为最常见的hpv相关恶性肿瘤，但关于这种疾病和潜在的治疗/预防措施的在线患者教育仍然缺乏。

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来源期刊

Laryngoscope 医学-耳鼻喉科学

CiteScore

6.50

自引率

7.70%

发文量

500

审稿时长

2-4 weeks

期刊介绍： The Laryngoscope has been the leading source of information on advances in the diagnosis and treatment of head and neck disorders since 1890. The Laryngoscope is the first choice among otolaryngologists for publication of their important findings and techniques. Each monthly issue of The Laryngoscope features peer-reviewed medical, clinical, and research contributions in general otolaryngology, allergy/rhinology, otology/neurotology, laryngology/bronchoesophagology, head and neck surgery, sleep medicine, pediatric otolaryngology, facial plastics and reconstructive surgery, oncology, and communicative disorders. Contributions include papers and posters presented at the Annual and Section Meetings of the Triological Society, as well as independent papers, "How I Do It", "Triological Best Practice" articles, and contemporary reviews. Theses authored by the Triological Society’s new Fellows as well as papers presented at meetings of the American Laryngological Association are published in The Laryngoscope. • Broncho-esophagology • Communicative disorders • Head and neck surgery • Plastic and reconstructive facial surgery • Oncology • Speech and hearing defects