Background: Black men are disproportionately impacted by prostate cancer. Guidelines agree that Black men should make informed decisions about whether to engage in prostate cancer screening. YouTube is widely used among Black men and impacts understanding of health conditions. Objectives: Given that misleading online health information might be especially harmful to Black men, the objective of this study was to evaluate the quality of information regarding prostate cancer screening for Black men available on YouTube. Methods: Four viewers watched the top 50 videos using the search term “Prostate Cancer Screening in Black Men.” Videos were scored using the previously validated DISCERN quality criteria for consumer health information and the Patient Education Materials Assessment Tool (PEMAT). Results were compared based on video characteristics like presenter perceived demographics and viewer engagement metrics. Results: Inter-rater reliability testing showed consistency for the PEMAT (interclass correlation coefficient [ICC] = 0.69) and DISCERN (ICC= 0.85). Few videos (16%) met the DISCERN quality threshold (54.4/80), and 28% of videos met the PEMAT threshold (10.5/15). Less than half of videos addressed racial disparities in prostate cancer. There was no difference in quality based on perceived race of the presenter (DISCERN P = .06, PEMAT P = .43). Conclusions: The overall quality of videos about prostate cancer screening in Black men is poor, including those with Black presenters. Clinicians should be aware of potential misinformation that Black patients receive from YouTube and the opportunity to improve the quality of available information about prostate cancer screening in Black men.

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关于黑人男性前列腺癌筛查的 YouTube 视频质量

背景：黑人男性受到前列腺癌的影响不成比例。指南同意黑人男性应该就是否参与前列腺癌筛查做出明智的决定。YouTube 在黑人男性中广泛使用，并影响对健康状况的了解。目标：鉴于误导性的在线健康信息可能对黑人男性尤其有害，本研究的目的是评估 YouTube 上针对黑人男性进行前列腺癌筛查的信息质量。方法：四位观众使用搜索词“黑人男性前列腺癌筛查”观看了排名前 50 的视频。使用先前验证的消费者健康信息 DISCERN 质量标准和患者教育材料评估工具 (PEMAT) 对视频进行评分。结果是根据演示者感知的人口统计数据和观众参与度指标等视频特征进行比较的。结果：评估者间可靠性测试显示 PEMAT（类间相关系数 [ICC] = 0.69）和 DISCERN（ICC = 0.85）的一致性。少数视频 (16%) 达到了 DISCERN 质量阈值 (54.4/80)，28% 的视频达到了 PEMAT 阈值 (10.5/15)。不到一半的视频涉及前列腺癌的种族差异。基于对主持人种族的感知，质量没有差异（DISCERN P = .06，PEMAT P = .43）。结论：关于黑人男性前列腺癌筛查视频的整体质量很差，包括那些有黑人主持人的视频。