TY - JOUR AU - Basch, Corey H AU - Mohlman, Jan AU - Fera, Joseph AU - Tang, Hao AU - Pellicane, Alessia AU - Basch, Charles E PY - 2021 DA - 2021/6/10 TI - Community Mitigation of COVID-19 and Portrayal of Testing on TikTok: Descriptive Study JO - JMIR Public Health Surveill SP - e29528 VL - 7 IS - 6 KW - TikTok KW - social media KW - COVID-19 KW - testing KW - disgust KW - anxiety KW - content analysis KW - communication KW - infodemiology KW - infoveillance KW - public health KW - digital public health KW - digital health KW - community mitigation AB - Background: COVID-19 testing remains an essential element of a comprehensive strategy for community mitigation. Social media is a popular source of information about health, including COVID-19 and testing information. One of the most popular communication channels used by adolescents and young adults who search for health information is TikTok—an emerging social media platform. Objective: The purpose of this study was to describe TikTok videos related to COVID-19 testing. Methods: The hashtag #covidtesting was searched, and the first 100 videos were included in the study sample. At the time the sample was drawn, these 100 videos garnered more than 50% of the views for all videos cataloged under the hashtag #covidtesting. The content characteristics that were coded included mentions, displays, or suggestions of anxiety, COVID-19 symptoms, quarantine, types of tests, results of test, and disgust/unpleasantness. Additional data that were coded included the number and percentage of views, likes, and comments and the use of music, dance, and humor. Results: The 100 videos garnered more than 103 million views; 111,000 comments; and over 12.8 million likes. Even though only 44 videos mentioned or suggested disgust/unpleasantness and 44 mentioned or suggested anxiety, those that portrayed tests as disgusting/unpleasant garnered over 70% of the total cumulative number of views (73,479,400/103,071,900, 71.29%) and likes (9,354,691/12,872,505, 72.67%), and those that mentioned or suggested anxiety attracted about 60% of the total cumulative number of views (61,423,500/103,071,900, 59.59%) and more than 8 million likes (8,339,598/12,872,505, 64.79%). Independent one-tailed t tests (α=.05) revealed that videos that mentioned or suggested that COVID-19 testing was disgusting/unpleasant were associated with receiving a higher number of views and likes. Conclusions: Our finding of an association between TikTok videos that mentioned or suggested that COVID-19 tests were disgusting/unpleasant and these videos’ propensity to garner views and likes is of concern. There is a need for public health agencies to recognize and address connotations of COVID-19 testing on social media. SN - 2369-2960 UR - https://publichealth.jmir.org/2021/6/e29528 UR - https://doi.org/10.2196/29528 UR - http://www.ncbi.nlm.nih.gov/pubmed/34081591 DO - 10.2196/29528 ID - info:doi/10.2196/29528 ER -