Digital Health Behavior in Chronic Spontaneous Urticaria: Internet and Social Media Use Patterns
Keywords:
Chronic Spontaneous Urticaria, Social Media, Internet Usage, Patient Behavior, Digital HealthAbstract
Introduction: Chronic spontaneous urticaria (CSU) is a prevalent dermatological condition leading to frequent visits to primary care, emergency departments, and dermatology clinics worldwide. Its chronic relapsing nature, accompanied by angioedema, shortness of breath, and intense pruritus, drives patients to seek information and treatment.
Objective: This study aimed to investigate CSU patients’ Internet usage habits, including their search terms , trusted sources, and whether they share this information with their physicians.
Methods: A survey was conducted among 80 patients at a tertiary hospital’s urticaria outpatient clinic. Data collected included sociodemographic characteristics, urticaria activity scores, dermatology life quality indexes, and Internet and social media usage patterns related to CSU.
Results: Of the 80 patients, 73.8% had researched CSU online, with significantly higher usage among younger, single patients with lower educational levels and shorter disease duration. Google was the most used platform (84.7%), followed by Instagram and YouTube (25.4% each). General information about CSU was the primary search term (76.3%). Notably, 21.3% attempted to contact doctors via social media, a behavior less common among patients using omalizumab. Approximately 75% did not share their findings with their physicians. Additionally, 58.8% expressed a desire for dermatologists to provide more online information about CSU.
Conclusions: CSU patients frequently research their condition online but often conceal this from their doctors. Attempts to contact physicians via social media were lower among omalizumab users, possibly due to regular follow-ups. Enhancing dermatological follow-up and online educational resources could improve patient engagement and treatment adherence.
References
Gonçalo M, Gimenéz-Arnau A, Al-Ahmad M, et al. The global burden of chronic urticaria for the patient and society. Br J Dermatol. 2021;184(2):226-236. PMID: 32956489 DOI: 10.1111/bjd.19561.
Kaplan AP. Treatment of chronic spontaneous urticaria. Allergy Asthma Immunol Res. 2012;4(6):326-331. PMID: 23115728 DOI: 10.4168/aair.2012.4.6.326.
Aslan Kayiran M, Akdeniz N. Diagnosis and treatment of urticaria in primary care. North Clin Istanb. 2019;6(1):93-99. PMID: 31180381 DOI:10.14744/nci.2018.75010
Maurer M, Houghton K, Costa C, et al. Differences in chronic spontaneous urticaria between Europe and Central/South America: results of the multi-center real World AWARE study. World Allergy Organ J. 2018;11:1-10.
Maurer M, Weller K, Bindslev-Jensen C, et al. Unmet clinical needs in chronic spontaneous urticaria. A GA2LEN task force report. Allergy. 2011;66:317-330. PMID: 21083565 DOI: 10.1111/j.1398-9995.2010.02496
O’Donnell B, Lawlor F, Simpson J, et al. The impact of chronic urticaria on the quality of life. Br J Dermatol. 1997;136:197-201. PMID: 9068731
Grob J, Revuz J, Ortonne J, et al. Comparative study of the impact of chronic urticaria, psoriasis and atopic dermatitis on the quality of life. Br J Dermatol. 2005;152:289-295. PMID: 15727641 DOI:10.1111/j.1365-2133.2005.06385
Mondal H, Dhabal A, Mondal S, Podder I. Social Media and Urticaria - A Data Audit of Facebook®, LinkedIn®, and Twitter® Posts. Indian J Dermatol. 2024;69(1):106. PMID: 38572049 DOI: 10.4103/ijd.ijd_112_23.
Aslan Kayıran M, Karadağ AS, Alyamaç G, et al. Social media use in patients with acne vulgaris: What do patients expect from social media? J Cosmet Dermatol. 2021;20(8):2556-2564. PMID: 34087036 DOI: 10.1111/jocd.14272.
Aslan Kayıran M, Karadağ AS, Oğuz Topal İ, et al. Habits of Using Social Media and the Internet in Psoriasis Patients. Dermatol Pract Concept. 2022;12(3):e2022143. PMID: 36159107 DOI: 10.5826/dpc.1203a143.
Tasoula E, Gregoriou S, Chalikias J, et al. The impact of acne vulgaris on quality of life and psychic health in young adolescents in Greece. An Bras Dermatol. 2012;87(6):862-869. PMID: 23197205 DOI: 10.1590/s0365-05962012000600007.
Riquelme HE, Rosa ER, Al-Thufery N. Instagram: its influence to psychologically empower women. Inf Technol People. 2018;31:1113-1134.
Yousaf A, Hagen R, Delaney E, et al. The influence of social media on acne treatment: a cross-sectional survey. Pediatr Dermatol. 2020;37:301-304. PMID: 31944359 DOI: 10.1111/pde.14091
Zhao J, Han H, Zhong B, et al. Health information on social media helps mitigate Crohn’s disease symptoms and improves patients’ clinical course. Comput Hum Behav. 2021; 115:106588.
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