Comparative Analysis of the Quality, Reliability, and Viewer Engagement of Endometriosis Videos on TikTok and Bilibili: A Cross-Sectional Study
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By
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Zhaoxia Lou
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Yun Mo
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Yufei Liang
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March 1, 2026
Clinical Scorecard: Comparative Analysis of the Quality, Reliability, and Viewer Engagement of Endometriosis Videos on TikTok and Bilibili: A Cross-Sectional Study
At a Glance
| Category | Detail |
|---|---|
| Condition | Endometriosis, a chronic inflammatory condition with ectopic endometrial-like tissue causing pelvic pain, infertility, and reduced quality of life |
| Key Mechanisms | Presence of endometrial-like tissue outside the uterine cavity causing inflammation and symptoms |
| Target Population | Women of reproductive age globally, including China |
| Care Setting | Primarily outpatient gynecological and reproductive health settings; also patient self-education via social media platforms |
Key Highlights
- Endometriosis affects approximately 10% of women of reproductive age worldwide, with diagnosis delays of 7–10 years due to nonspecific symptoms and limited awareness.
- TikTok and Bilibili are major Chinese social media platforms used for health information dissemination but lack formal medical editorial oversight, raising concerns about content accuracy.
- Videos produced by healthcare professionals and institutions score higher in quality and reliability than those from nonprofessional sources, but user engagement metrics do not correlate with objective quality.
Guideline-Based Recommendations
Diagnosis
- Recognize endometriosis based on clinical symptoms and consider delayed diagnosis due to nonspecific presentation.
Management
- Provide accurate, evidence-based information on etiology, symptoms, diagnosis, treatment options, and prevention strategies through professional healthcare channels.
Monitoring & Follow-up
- Monitor patient understanding and awareness, especially when patients access information via social media platforms lacking editorial oversight.
Risks
- Risk of misinformation from unverified social media content potentially influencing patient decisions adversely.
Patient & Prescribing Data
Women of reproductive age seeking information on endometriosis via Chinese social media platforms TikTok and Bilibili
Videos from healthcare professionals and institutions provide higher quality and reliability; however, engagement metrics like likes and shares do not reflect content accuracy.
Clinical Best Practices
- Utilize validated tools (GQS, mDISCERN, JAMA benchmarks, VIQI) to assess quality and reliability of online health information.
- Encourage healthcare professionals and institutions to produce and disseminate accurate, evidence-based endometriosis content on social media.
- Educate patients on the potential for misinformation on social media and guide them towards credible sources.
- Consider platform-specific content characteristics and user demographics when designing digital health communication strategies.
Related Resources & Content
- Global Quality Score (GQS) and related assessment tools
- Modified DISCERN tool for reliability assessment
- JAMA benchmarks for credibility
- Video Information and Quality Index (VIQI)
Based on findings from:
Comparative Analysis of the Quality, Reliability, and Viewer Engagement of Endometriosis Videos on TikTok and Bilibili: A Cross-Sectional Study
Zhaoxia Lou, Yun Mo, Yufei Liang. Digital Health, 2026.
https://journals.sagepub.com/doi/10.1177/20552076261433087
This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.