An analysis of the 10 most-viewed YouTube videos on THC oil and skin cancer found all were poor quality, 90% had poor reliability, and all were classified as misleading, yet most top comments were favorable toward the content.
Dermatologists, cancer patients, public health communicators, and anyone interested in health misinformation on social media.
100% of top THC/skin cancer YouTube videos were misleading
What the researchers found
All 10 videos received the lowest possible Global Quality Scale score (1 = poor quality). Nine of 10 received a DISCERN score of 0 (poor reliability). All were classified as misleading. Despite this, 48% of top comments were favorable and 48% neutral, with only 4% unfavorable.
Why it matters
Patients with skin cancer may encounter these popular videos and delay or forgo evidence-based treatment. The disconnect between poor information quality and overwhelmingly positive audience reception makes this a significant public health concern.
The numbers in context
10 most-viewed videos analyzed; 10/10 GQS score of 1 (poor); 9/10 DISCERN score of 0 (poor); 10/10 misleading; 48% favorable comments, 48% neutral, 4% unfavorable
How the study worked
Researchers analyzed the 10 most-viewed YouTube videos on THC oil and skin cancer using the Global Quality Scale, DISCERN score, and established useful/misleading criteria. Top comments were categorized as favorable, unfavorable, or neutral.
What this study cannot tell us
Only 10 videos analyzed. YouTube content changes rapidly. Comment analysis is limited in scope. Does not measure whether viewers actually changed treatment decisions.
How to read the evidence
Small but systematic content analysis using validated quality instruments, limited to a single platform and point in time.
When this study was published
Published in 2021.
The bigger picture
This mirrors broader patterns of health misinformation on social media platforms. When the most popular content on a cancer treatment topic is uniformly misleading and audiences overwhelmingly approve, the potential for patient harm is significant.
Questions still open
- Have platforms like YouTube taken any steps to flag misleading cancer treatment content? Do patients who view these videos delay conventional treatment? Would counter-messaging from dermatologists reach the same audiences?
Common questions
Can THC oil cure skin cancer?
Why were the comments so positive if the videos were wrong?
Read the original research
Tetrahydrocannabinol and Skin Cancer: Analysis of YouTube Videos.
JMIR dermatology, 4(1), e26564
Citation
Mamo, Andrina; Szeto, Mindy D; Mirhossaini, Roya; Fortugno, Andrew; Dellavalle, Robert P. (2021). Tetrahydrocannabinol and Skin Cancer: Analysis of YouTube Videos.. JMIR dermatology, 4(1), e26564. https://doi.org/10.2196/26564
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