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Consistency and Completeness of YouTube Condom Use Instructions Compared to Health Organisation Guidelines
Sree Sathvik1, Vijay K Silan1, Srishti Singh1
1Community Medicine, Bhagat Phool Singh Government Medical College for Women, Sonepat, IND.
Cureus
|February 2, 2026
Summary
YouTube videos often lack complete and accurate condom usage instructions, potentially leading to improper practices. Aligning online content with National Health Mission guidelines is crucial for effective sexual health education.
Area of Science:
- Sexual Health Education
- Public Health Communication
- Digital Health Literacy
Background:
- Correct condom use is vital for preventing STIs, HIV, and unintended pregnancies.
- Young people in India face significant knowledge gaps regarding sexual health.
- YouTube's algorithm may prioritize engagement over accuracy, leading to misinformation on sexual health topics.
Purpose of the Study:
- To analyze the accuracy and completeness of condom-use instructions in popular YouTube videos.
- To compare YouTube video content with National Health Mission (NHM) condom-use guidelines.
- To assess instructional gaps in videos available to Indian audiences in English, Hindi, and Tamil.
Main Methods:
- Cross-sectional content analysis of 30 YouTube videos (English, Hindi, Tamil).
- Evaluation using a 16-point Total Score and 8-point Vital Score based on NHM guidelines.
- Descriptive statistics to assess completeness, accuracy, and presentation patterns.
Main Results:
- Significant instructional gaps were found across all four steps of condom use.
- Average video content covered 52% of opening, 83.3% of application, 16.7% of 'during sex', and 34% of disposal instructions.
- English videos performed best, but no video covered all essential condom-use steps.
Conclusions:
- Analyzed YouTube videos frequently deviate from NHM condom-use guidelines, particularly in 'during sex' and disposal stages.
- Incomplete online condom instructions may contribute to improper usage and associated health risks.
- Enhancing video completeness and consistency with NHM guidelines can improve YouTube's reliability for sexual health education.
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