Exploring Adolescent Sexuality Education in the Digital Space: Quality, Reliability, and Sentiment-Topic Analysis of Content on Chinese Video Platforms (Preprint) DOI

Lan Wang,

Xue Dao Shu,

Jhong-Wei Huang

et al.

Published: May 7, 2025

BACKGROUND Recognizing adolescence as a critical window for establishing lifelong health and well-being underscores the necessity of access to accurate, comprehensive, age-appropriate sexuality education. Concurrently, ascent video platforms principal information sources adolescents introduces significant variable: quality content hosted on these exerts considerable influence their subsequent physical mental outcomes. OBJECTIVE This study aimed evaluate quality, reliability, understandability, actionability adolescent education videos major Chinese (Bilibili, TikTok/Douyin, Kwai), analyze associated user comment sentiment topics, identi[*Corresponding author. E-mail address:[email protected](Duo Zhao)]fy predictors quality/reliability, provide recommendations. METHODS A cross-sectional analysis was conducted (April 2025) top 100 comprehensively ranked CSE (N=300 total) retrieved from each platform using keyword "青春期性教育". Videos were assessed Global Quality Scale (GQS), modified DISCERN (mDISCERN), Patient Education Materials Assessment Tool (PEMAT-U/A), with inter-rater reliability via Cohen's kappa. corpus ~49,000 comments (processed 86,647 scraped) underwent (fine-tuned RoBERTa) topic modeling (BERTopic, yielding 29 topics grouped into 6 themes). Statistical analyses included Kruskal-Wallis H tests, Spearman correlations, stepwise linear regressions (SPSS 27.0, P<.05). RESULTS Video moderate Bilibili TikTok but generally poor Kwai. Content verified (Doctors, Educators, Institutional Media) demonstrated superior stability compared highly variable Individual Media (the predominant source type, especially Kwai: 87%). Paradoxically, Kwai exhibited highest engagement despite lowest scores. Understandability(PEMAT-U) consistently strongest positive predictor both (GQS, final model Adj R²=0.383, β=0.485) (mDISCERN, R²=0.209, β=0.319). Actionability(PEMAT-A) duration also predictors. Understandability scores (PEMAT-U) high (~69%), while (PEMAT-A) moderate-to-low (33-50%). Sentiment revealed predominantly Neutral (71.2%), Negative (18.4%) significantly outweighing Positive (10.4%). Key discussion themes identified Sources Knowledge Acquisition, Sexual Safety/Prevention, Physiology, Health/Practices. CONCLUSIONS While online offer accessible channels in China, current landscape is characterized by moderate-to-poor variability, questionable limited actionability, differences often linked verification policies dynamics. paramount, yet does not necessarily correlate or potentially amplifying misinformation. Enhancing through adherence evidence-based frameworks like ITGSE, strengthening accountability (verification, algorithms), promoting media literacy are steps effectively leverage empowering youth, contributing healthier future, supporting global goals such SDGs ending AIDS epidemic 2030.

Language: Английский

Enhancing young people’s pregnancy loss and fertility awareness and knowledge via schools: a way forward DOI Creative Commons

Zara Harnett,

Keelin O’Donoghue, Laura Linehan

et al.

Health Promotion International, Journal Year: 2025, Volume and Issue: 40(1)

Published: Jan. 17, 2025

Abstract Pregnancy and infant loss, in the form of miscarriage, stillbirth or early neonatal death, occurs 20–25% all pregnancies. Despite its prevalence associated physical psychological impacts, there remains a lack public awareness understanding pregnancy including amongst people reproductive age. Drawing on evidence from preliminary review peer-reviewed grey literature, we make case for enhancing loss (in)fertility awareness, specifically focusing young second-level education. We situate our work within health justice frames, recognizing impact social factors people’s lives, need multi-level interventions to enable fully realize their rights goals. Although schools provide an important setting learn about discuss topics relating sexual health—including fertility—current suggests that this is not happening, despite desire engage such conversations. While are barriers addressing issues (including access teacher training, continuing professional development, appropriate engaging resource material, discomfort confidence), it developed collaboration with relevant knowledge users, themselves. This will help ensure any relevant, acceptable, feasible effective. Further research needed explore how education around fertility can be best delivered school settings.

Language: Английский

Citations

0
Effects of the modern digital information environment on maternal healthcare professionals, the role of midwives and the people in their care: a scoping review (Preprint) DOI Creative Commons
Elisabeth Wilhelm, Victoria Vivilaki, Jean Calleja‐Agius

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e70108 - e70108

Published: Jan. 22, 2025

Background The digital information environment poses challenges for pregnant women and other people seeking care, as well their midwives health care professionals (HCPs). They can encounter questions, concerns, gaps, misinformation, which influence decisions. Objective This scoping review examines how HCPs are affected by the modern including its effects on they for, implications provision. Methods English-language peer-reviewed literature, published from January 1, 2020, to May 31, 2024, with keywords related midwifery, equity collected analyzed a team of maternal mapped onto patient-centered conceptual model. Results A total 105 studies were ultimately included. Further, 95 papers identified specific issues that clients; 58 specifically highlighted impacting HCPs; 91 topics common voids, or narratives; 57 patient population vulnerability; 75 included mentions solutions recommendations addressing issue around clients HCPs. When Journey Health model, most prominent barrier was access information. Individual-level dominate step knowledge, awareness, belief, more social norms wider engagement appearing at steps intent. Client-specific themes left-hand side model provider-specific right-hand Conclusions Misinformation, unaddressed questions lack high-quality worldwide prevalent barriers affect both patients We individual, provider-level, systems, societal-level strategies be used promote healthier environments.

Language: Английский

Citations

0
Quality and Dissemination of Uterine Fibroid Health Information on TikTok and Bilibili: A Cross-Sectional Study (Preprint) DOI Creative Commons

Lan Wang,

Yiwen Chen,

Duo Zhao

et al.

Published: March 28, 2025

BACKGROUND The rise of short-video platforms, such as TikTok (Douyin in China) and Bilibili, has significantly influenced how health information is disseminated to the public. However, quality, reliability, effectiveness health-related content on these particularly regarding uterine fibroids, remain underexplored. Uterine fibroids are a common medical condition that affects substantial proportion women worldwide. While platforms have become vital sources education, misinformation incomplete may undermine their efficacy. OBJECTIVE This study aims address gaps by evaluating quality dissemination fibroid-related Bilibili. METHODS A total 200 videos (100 from 100 Bilibili) were selected through keyword search. evaluated two trained gynecological experts using Global Quality Score (GQS) modified version DISCERN tool (mDISCERN). Additionally, Patient Education Materials Assessment Tool for Audio/Visual (PEMAT-A/V) was employed assess understandability actionability videos. Statistical analyses, including Mann-Whitney U test, Spearman rank correlation, stepwise regression analysis, used differences between identify predictors video quality. RESULTS results indicated outperformed Bilibili terms user engagement metrics likes, comments, shares, followers (all P < .001). generally longer than those (P overall reliability both suboptimal, with median GQS scores 3 (range: 1-5) also low: 2 1-4) 1-3) no significant = 0.62 GQS, 0.18 mDISCERN). Both scored similarly (median PEMAT-U 77%) PEMAT-A 67%). Videos uploaded professionals had higher compared non-professionals. moderate positive correlation observed mDISCERN (r 0.41, .01), indicating an interrelationship reliability. Stepwise analysis identified "completeness score," "source," "PEMAT scores" CONCLUSIONS highlights low although showed better performance involvement found enhance These findings underscore need improved oversight social media greater healthcare ensure accurate reliable information.

Language: Английский

Citations

0
Exploring Adolescent Sexuality Education in the Digital Space: Quality, Reliability, and Sentiment-Topic Analysis of Content on Chinese Video Platforms (Preprint) DOI

Lan Wang,

Xue Dao Shu,

Jhong-Wei Huang

et al.

Published: May 7, 2025

BACKGROUND Recognizing adolescence as a critical window for establishing lifelong health and well-being underscores the necessity of access to accurate, comprehensive, age-appropriate sexuality education. Concurrently, ascent video platforms principal information sources adolescents introduces significant variable: quality content hosted on these exerts considerable influence their subsequent physical mental outcomes. OBJECTIVE This study aimed evaluate quality, reliability, understandability, actionability adolescent education videos major Chinese (Bilibili, TikTok/Douyin, Kwai), analyze associated user comment sentiment topics, identi[*Corresponding author. E-mail address:[email protected](Duo Zhao)]fy predictors quality/reliability, provide recommendations. METHODS A cross-sectional analysis was conducted (April 2025) top 100 comprehensively ranked CSE (N=300 total) retrieved from each platform using keyword "青春期性教育". Videos were assessed Global Quality Scale (GQS), modified DISCERN (mDISCERN), Patient Education Materials Assessment Tool (PEMAT-U/A), with inter-rater reliability via Cohen's kappa. corpus ~49,000 comments (processed 86,647 scraped) underwent (fine-tuned RoBERTa) topic modeling (BERTopic, yielding 29 topics grouped into 6 themes). Statistical analyses included Kruskal-Wallis H tests, Spearman correlations, stepwise linear regressions (SPSS 27.0, P<.05). RESULTS Video moderate Bilibili TikTok but generally poor Kwai. Content verified (Doctors, Educators, Institutional Media) demonstrated superior stability compared highly variable Individual Media (the predominant source type, especially Kwai: 87%). Paradoxically, Kwai exhibited highest engagement despite lowest scores. Understandability(PEMAT-U) consistently strongest positive predictor both (GQS, final model Adj R²=0.383, β=0.485) (mDISCERN, R²=0.209, β=0.319). Actionability(PEMAT-A) duration also predictors. Understandability scores (PEMAT-U) high (~69%), while (PEMAT-A) moderate-to-low (33-50%). Sentiment revealed predominantly Neutral (71.2%), Negative (18.4%) significantly outweighing Positive (10.4%). Key discussion themes identified Sources Knowledge Acquisition, Sexual Safety/Prevention, Physiology, Health/Practices. CONCLUSIONS While online offer accessible channels in China, current landscape is characterized by moderate-to-poor variability, questionable limited actionability, differences often linked verification policies dynamics. paramount, yet does not necessarily correlate or potentially amplifying misinformation. Enhancing through adherence evidence-based frameworks like ITGSE, strengthening accountability (verification, algorithms), promoting media literacy are steps effectively leverage empowering youth, contributing healthier future, supporting global goals such SDGs ending AIDS epidemic 2030.

Language: Английский

Citations

0