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Information quality of videos related to esophageal cancer on tiktok, kwai, and bilibili: a cross-sectional study

Weimin Zhu, Bang He, Xin-Yuan Wang, Yu Du, Kathleen Young, Shu-Han Jiang

BMC Public Health, 2025

76 citations

Abstract

Esophageal cancer typically lacks specific early symptoms, leading to late-stage diagnosis and poor prognosis, with an overall low 5-year survival rate. However, early detection and timely intervention can significantly improve the 5-year survival rate, underscoring the importance of prevention, screening, and early intervention. Short video platforms are increasingly utilized for health communication, offering opportunities to disseminate medical knowledge. However, the quality and reliability of health-related content, particularly for diseases like esophageal cancer, remain under explored. This study aimed to systematically evaluate the quality, reliability, completeness, and engagement of esophageal cancer-related videos on three popular short video platform: Bilibili, TikTok, and Kwai, to identify platform-specific strengths and limitations in disseminating health information. A total of 311 esophageal cancer-related videos were analyzed. Video assessment was assessed using 4 standardized scoring framework including General Quality Scores (GQS) for general quality, the DISCERN for reliability, Completeness Score (CS) for comprehensive information, Engagement Score (ES) for understandability and entertainment value of the video. Video features (source, category, content), user’s behavior (likes, shares, comments) were also collected. Cross-platform comparisons were conducted to identify disparities in content quality and user interaction. This study analyzed 311…

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Evidence Hub reads this as a cross-sectional. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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