Google AI Overviews cite YouTube more than medical sites for health advice, study reveals

Reviewed byNidhi Govil

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A large-scale study analyzing over 50,000 health searches found YouTube is the most-cited source in Google AI Overviews, appearing in 4.43% of citations—more than any hospital, health authority, or medical reference site. The findings raise questions about whether visibility and popularity are outweighing medical reliability in AI-generated health information.

YouTube Citations Dominate Google AI Overviews for Health Queries

Google AI Overviews, the AI-powered search feature that generates automatic summaries for user queries, is citing YouTube more frequently than any medical authority when answering health-related questions. A comprehensive analysis by SE Ranking examined 50,807 German-language health searches conducted in Berlin and found YouTube appeared in 4.43 percent of all citations within Google's AI health summaries

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. This makes the video platform the single most influential source shaping how AI Overviews explain health conditions, surpassing every hospital network, health ministry, and academic medical site.

Source: TechSpot

Source: TechSpot

The study, which captured a December 2025 snapshot, documented YouTube receiving 20,621 citations out of roughly 466,000 total source mentions

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. Germany's public broadcaster NDR.de ranked second with just over three percent, followed by MSD Manuals at 2.08 percent, Netdoktor.de at 1.61 percent, and Praktischarzt.de at 1.53 percent

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. The gap is striking: YouTube was cited approximately 3.5 times more than NetDoktor and more than twice as often as MSD Manuals, both established health information publishers

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AI-Generated Health Information Raises Reliability Concerns

The findings are particularly significant because YouTube is not a medical publisher. On a platform where anyone—from licensed physicians to lifestyle vloggers—can upload content, authority varies widely

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. When researchers grouped sources by reliability signals, only 34.45 percent landed in a "more reliable" category, while 65.55 percent came from sources without strong evidence-based safeguards. Government and academic sources combined represented roughly one percent of citations

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Source: Fast Company

Source: Fast Company

AI Overviews appeared in more than 82 percent of the health searches analyzed

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. Around two billion people see this AI-powered search feature every month

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, making the citation patterns particularly consequential for how millions access health advice. Hannah van Kolfschooten, a researcher at the University of Basel studying the intersection of AI, law, and health, stated: "This study provides empirical evidence that the risks posed by AI Overviews for health are structural, not anecdotal. The heavy reliance on YouTube rather than public health authorities suggests that visibility and popularity, rather than medical reliability, drive the system"

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Search Rankings Don't Match AI for Health Symptoms

The AI-generated health information doesn't mirror traditional search rankings. Only 36 percent of AI-cited links appeared in Google's top 10 organic results for the same prompts, and 54 percent appeared in the top 20

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. YouTube ranked 11th in organic results when stripped of search features and looking only at standard links, yet it rose to the top inside Google AI Overviews

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. This shift in content quality and visibility means the AI can pull in material users likely wouldn't have clicked through from usual health-related search results.

Source: Digital Trends

Source: Digital Trends

Google Defends Citation Patterns Amid Misleading Health Summaries

In response to the findings, Google told The Guardian that Google's AI health summaries draw on credible information "regardless of format," noting that many medical professionals and hospital channels publish content on YouTube. The company emphasized that results from a single German-language study cannot be generalized globally

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. Google also cited the same dataset to argue that its system largely relies on expert content: of the 25 most-cited YouTube videos, 96 percent came from verified medical channels. However, those 25 videos accounted for less than one percent of the total YouTube citations examined—a fraction too small to represent the broader sample

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Concerns about misleading information extend beyond citation patterns. Earlier in January, a Guardian investigation documented examples of misleading and potentially dangerous medical summaries generated by the system, including false information about liver function tests. In response, Google temporarily suspended AI Overviews for some—but not all—medical searches

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. The study used only German-language health searches, reflecting patterns in a country with tightly regulated medical information governed by both German and EU standards. If generative AI systems skew toward non-medical sources even in such a regulated environment, similar patterns may emerge elsewhere

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. For now, the data show that Google's AI tool, designed to simplify complex user queries, still relies primarily on trusted medical sites far less than sources shaped by engagement and popularity

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