Xu Ren, Ren Yanan, Li Xinjun, Su Luyang, Su Jianzhi
Department of Gynecology, Hebei General Hospital, Shijiazhuang, Hebei, China.
Physical Examination Center, Hebei General Hospital, Shijiazhuang, Hebei, China.
Digit Health. 2025 Jun 17;11:20552076251351077. doi: 10.1177/20552076251351077. eCollection 2025 Jan-Dec.
Premature ovarian failure (POF) is a condition where ovarian function ceases before age 40, leading to infertility and other health issues. As public health awareness increases, platforms like TikTok and Bilibili have become key sources for health-related content. However, the absence of peer review and regulatory oversight on short-video platforms may result in the spread of inaccurate or incomplete health information. This study evaluates the quality of videos related to POF on these platforms.
A cross-sectional study was conducted, analyzing 187 POF-related videos from TikTok and Bilibili. The modified DISCERN and Global Quality Score (GQS) assessment tools were used to evaluate video reliability and quality. Data on video characteristics, including engagement metrics and content, were also collected. Statistical analyses were performed to assess differences between platforms, video sources, and video quality.
TikTok is more popular than Bilibili. Videos on both platforms related to POF had suboptimal quality, with TikTok's GQS median at 3 (2-3) and Bilibili's at 2 (1-3), showing a significant difference (p < 0.05). However, both had median modified DISCERN scores of 2 (1-3), with no significant difference (p > 0.05). On Bilibili, video duration was positively correlated with quality scores (p < 0.001), but no such correlation was found on TikTok. Symptoms of POF were the most common topic, with 29% of videos providing detailed explanations. Diagnosis and treatment were discussed in 16% and 7.4% of videos, respectively. Expert-uploaded videos demonstrated significantly higher quality than those from non-experts and personal users, with GQS and modified DISCERN scores of 3 (2-4) and 2 (1-3), respectively.
TikTok had higher engagement and better quality than Bilibili, but both platforms had inadequate video quality and reliability on POF. Expert videos were more reliable. These findings highlight the need for better regulation and monitoring of health content on short-video platforms.
卵巢早衰（POF）是一种卵巢功能在40岁之前停止的病症，会导致不孕和其他健康问题。随着公众健康意识的提高，TikTok和哔哩哔哩等平台已成为健康相关内容的主要来源。然而，短视频平台缺乏同行评审和监管监督，可能会导致不准确或不完整的健康信息传播。本研究评估了这些平台上与POF相关的视频质量。
进行了一项横断面研究，分析了来自TikTok和哔哩哔哩的187个与POF相关的视频。使用改良的DISCERN和全球质量评分（GQS）评估工具来评估视频的可靠性和质量。还收集了有关视频特征的数据，包括参与度指标和内容。进行统计分析以评估平台、视频来源和视频质量之间的差异。
TikTok比哔哩哔哩更受欢迎。两个平台上与POF相关的视频质量都不太理想，TikTok的GQS中位数为3（2 - 3），哔哩哔哩的为2（1 - 3），显示出显著差异（p < 0.05）。然而，两者的改良DISCERN得分中位数均为2（1 - 3），无显著差异（p > 0.05）。在哔哩哔哩上，视频时长与质量得分呈正相关（p < 0.001），但在TikTok上未发现这种相关性。POF的症状是最常见的主题，29%的视频提供了详细解释。分别有16%和7.4%的视频讨论了诊断和治疗。专家上传的视频质量明显高于非专家和个人用户上传的视频，GQS和改良DISCERN得分分别为3（2 - 4）和2（1 - 3）。
TikTok的参与度更高，质量比哔哩哔哩更好，但两个平台上关于POF的视频质量和可靠性都不足。专家视频更可靠。这些发现凸显了对短视频平台上健康内容进行更好监管和监测的必要性。
