Topics » Social Issues » Who’s Controlling the Health Narrative? How Media Trends Are Rewriting Public Health
T. Colin Campbell Center for Nutrition Studies

In the not-so-distant past, most of our health information came from textbooks, physicians, and peer-reviewed journals. Today, it comes largely from viral social media posts, including TikTok videos and Instagram reels, many of which have more flair than facts.

The line between education and entertainment has blurred, giving rise to what some now call “health entertainment,” a space where influencers can outpace experts in shaping public perceptions about food, fitness, and health. But, as engaging as a thirty-second wellness hack may be, these trends raise important questions: who’s controlling the health narrative, and at what cost?

Image credit: Adobe. Read more: Social Media ‘Super-Spreaders’ Of Health Misinformation Put Millions At Risk, Says Report

The influence of social media on health behaviors is already well documented. A narrative review published in 2023 highlighted how social media has become a dominant force in shaping public perceptions of health.[1] The review recognized that this impact can be either positive or negative. Social media can allow qualified individuals to provide free and digestible health information to a large audience, but it can also facilitate the spread of misinformation and disinformation.

In particular, the review underscores how frequently platforms amplify content that demonizes entire food groups, promotes unproven “quick fixes,” or relies on fear-based messaging, all of which can distort public understanding of health in ways that are more harmful than helpful.

Even well-meaning misinformation erodes trust in evidence-based medicine, skews dietary choices, and delays medical interventions. For example, a National Cancer Institute–funded analysis found that 77 percent of highly shared cancer-related social media posts contained misleading information, including advocacy for unproven treatments over proven ones.[2]

Image credit: Adobe

A 2021 study found that nearly 40 percent of UK adults are exposed to contradictory nutrition information (I was surprised this number wasn’t higher, and I’m almost certain that today it would be over 50 percent).[3] This resulted in “nutrition confusion,” along with net-negative engagement with healthy behaviors such as regular exercise and the consumption of fruit and vegetables.

Meanwhile, another study found that critically urgent health topics like smoking and noncommunicable diseases (chronic diseases like diabetes, cancer, and heart disease) made up a particularly significant amount of social media’s health misinformation.[4] This, in turn, is causing further health crises and a rise in preventable deaths.

The spread of misinformation is growing, too, and health-care workers have repeatedly said that this phenomenon makes inequalities worse. High-profile figures such as the US health secretary Robert F. Kennedy Junior are currently promoting disproven and dangerous myths related to health and nutrition, further blurring the line between trustworthy versus untrustworthy sources.[5][6] For example, when he appeared earlier this year on the podcast of Paul Saladino, a major proponent of the carnivore diet, the secretary implied that bacon is not a processed food. This and other comments made by the secretary are at complete odds with the scientific consensus.

And the situation is worse than many may realize. The challenges are bigger than one man. Although Kennedy rightfully receives added scrutiny because of his current position, individuals and groups from across the political spectrum are guilty of spreading misinformation and contributing to public confusion.

Media Credit: ZUMA Press, Inc. / Alamy Stock Photo

Online, a small core group of “super spreaders” expose up to twenty-four million vulnerable social media users to harmful advice. Notably, most of these spreaders benefit financially from promoting misinformation, profiting from unproven therapies and extreme lifestyles. Proponents of the carnivore diet, for example, may profit from selling meal plans, guide books, or supplements, despite inconsistencies in messaging and a lack of evidence for the diet’s so-called benefits.

Health Misinformation Represents a Missed Opportunity to Educate

The problem isn’t just misinformation itself; the broader issue also represents a missed opportunity. When sensationalism dominates the spotlight, the voices of trained clinicians, scientists, and public health advocates are drowned out. As a result, messages rooted in rigorous evidence—such as the potential for whole food, plant-based diets to prevent, treat, and even reverse chronic disease while also addressing environmental crises—can struggle to reach the audiences who need them most.[7][8]

Yet, there is hope. The same platforms that spread misinformation can also be harnessed to deliver truth. This is the approach we take at Plant Based News, the platform I founded nearly ten years ago. We publish thousands of videos across social media, including on YouTube and Instagram, that aim to educate and inspire every year.

We also collaborate with organizations similarly focused on combatting misinformation, like the T. Colin Campbell Center for Nutrition Studies (CNS). Organizations like ours and CNS help to amplify evidence-based health and nutrition information in a way that is accessible to all.

References

  1. Kanchan S, Gaidhane A. Social Media Role and Its Impact on Public Health: A Narrative Review. Cureus. 2023;15(1):e33737. Published 2023 Jan 13. doi:10.7759/cureus.33737
  2. Ben-Ari E. Addressing the challenges of cancer misinformation on social media. National Cancer Institute. September 9, 2021. https://www.cancer.gov/news-events/cancer-currents-blog/2021/cancer-misinformation-social-media
  3. Vijaykumar S, McNeill A, Simpson J. Associations between conflicting nutrition information, nutrition confusion and backlash among consumers in the UK. Public Health Nutr. 2021;24(5):914-923. doi:10.1017/S1368980021000124
  4. Suarez-Lledo V, Alvarez-Galvez J. Prevalence of Health Misinformation on Social Media: Systematic Review. J Med Internet Res. 2021;23(1):e17187. Published 2021 Jan 20. doi:10.2196/17187
  5. National Autistic Society. Statement on president Trump and RFK Jr’s comments on autism. April 30, 2025. https://www.autism.org.uk/what-we-do/news/statement-on-president-trump-and-rfk-jrs-comments
  6. Yang YT. The perils of RFK Junior’s anti-vaccine leadership for public health. Lancet. 2025;405(10473):122. doi:10.1016/S0140-6736(24)02603-51
  7. Almuntashiri SA, Alsubaie FF, Alotaybi M. Plant-Based Diets and Their Role in Preventive Medicine: A Systematic Review of Evidence-Based Insights for Reducing Disease Risk. Cureus. 2025;17(2):e78629. Published 2025 Feb 6. doi:10.7759/cureus.78629
  8. Katz DL. Plant-Based Diets for Reversing Disease and Saving the Planet: Past, Present, and Future. Adv Nutr. 2019;10(Suppl_4):S304-S307. doi:10.1093/advances/nmy124

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