Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes

BackgroundHip fracture presents a major healthcare challenge globally. While numerous Douyin videos address hip fracture, their information quality and factors affecting user comment attitudes remain uncertain.ObjectiveThis study aims to analyze the content, information quality, and user comment att...

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Main Authors: Zhuoxin Li, Yashi Lin, Kairou Zhang, Ran Li, Mei Ju, Yanhua Chen, Jing Fu, Ruiyu Huang, Ling Zhu, Junjun Sun, Yanxia Guo, Min Gao, Yue Hu, Gang Liu, Baolu Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1563188/full
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author Zhuoxin Li
Zhuoxin Li
Yashi Lin
Yashi Lin
Kairou Zhang
Kairou Zhang
Ran Li
Ran Li
Mei Ju
Yanhua Chen
Jing Fu
Ruiyu Huang
Ling Zhu
Junjun Sun
Yanxia Guo
Min Gao
Yue Hu
Gang Liu
Baolu Zhang
author_facet Zhuoxin Li
Zhuoxin Li
Yashi Lin
Yashi Lin
Kairou Zhang
Kairou Zhang
Ran Li
Ran Li
Mei Ju
Yanhua Chen
Jing Fu
Ruiyu Huang
Ling Zhu
Junjun Sun
Yanxia Guo
Min Gao
Yue Hu
Gang Liu
Baolu Zhang
author_sort Zhuoxin Li
collection DOAJ
description BackgroundHip fracture presents a major healthcare challenge globally. While numerous Douyin videos address hip fracture, their information quality and factors affecting user comment attitudes remain uncertain.ObjectiveThis study aims to analyze the content, information quality, and user comment attitudes of videos depicting hip fractures on Chinese TikTok (Douyin).MethodsThe search term “hip fracture” was used on Douyin, which resulted in 170 samples being included. Video information quality was assessed using the GQS and PEMAT scales. Video content was analyzed using DivoMiner. User comments were extracted using Gooseeker, and user comment attitudes were interpreted as positive, neutral, or negative using the Weiciyun website. Data analysis was performed using IBM SPSS version 29.0, including non-parametric tests for continuous variables and chi-square tests for categorical variables. The identified factors were then included in a multivariate logistic regression analysis to examine their impact on user comment attitudes.ResultsHealth professionals were the primary source of videos (136/138, 98.6%). The overall information quality of the videos was moderate (median 3, IQR 2.00–4.00). Douyin videos were relatively high in understandability (median 72.70%, IQR 63.60–81.80%) but low in actionability (median 33.33%, IQR 0–66.67%). Most videos focused on treatment (139/170, 81.8%). Regarding user comment attitudes, the majority of videos were received with positive comments (113/170, 66.5%), followed by negative comments (39/170, 22.9%) and neutral comments (18/170, 10.6%). The multivariate logistic regression analysis revealed three factors influencing positive attitudes: the GQS score (OR 13.824, 95% CI 6.033–31.676), understandability (OR 2.281, 95% CI 1.542–5.163) and not mentioning risk factors in videos (OR 0.291, 95%CI 0.091–0.931).ConclusionThe majority of hip fracture videos on Douyin were created by health professionals and had intermediate information quality, with user comment attitudes remaining positive. However, these videos often lacked actionability and had insufficient mention of prevention and rehabilitation content. Videos with higher information quality that addressed hip fracture risk factors received more positive user comments. This study suggests that publishers of hip fracture-related videos should improve actionability while simultaneously paying attention to both prevention and rehabilitation content to enhance the educational value of these videos.
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spelling doaj-art-a4cfa299f9034a8790e2d3579ba015642025-08-20T03:15:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-04-011310.3389/fpubh.2025.15631881563188Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudesZhuoxin Li0Zhuoxin Li1Yashi Lin2Yashi Lin3Kairou Zhang4Kairou Zhang5Ran Li6Ran Li7Mei Ju8Yanhua Chen9Jing Fu10Ruiyu Huang11Ling Zhu12Junjun Sun13Yanxia Guo14Min Gao15Yue Hu16Gang Liu17Baolu Zhang18Department of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Nursing, The Affiliated Hospital, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaSchool of Continuing Education, Guiyang Healthcare Vocational University, Guiyang, ChinaDepartment of Chinese Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaSchool of Nursing, Xinxiang Medical University, Xinxiang, ChinaFaculty of Nursing and Midwifery, Jiangsu College of Nursing, Huaian, ChinaSchool of Nursing, Xinxiang Medical University, Xinxiang, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaDepartment of Orthopedics and Center for Orthopedic Diseases Research, Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University, Luzhou, ChinaSchool of Nursing, Southwest Medical University, Luzhou, ChinaBackgroundHip fracture presents a major healthcare challenge globally. While numerous Douyin videos address hip fracture, their information quality and factors affecting user comment attitudes remain uncertain.ObjectiveThis study aims to analyze the content, information quality, and user comment attitudes of videos depicting hip fractures on Chinese TikTok (Douyin).MethodsThe search term “hip fracture” was used on Douyin, which resulted in 170 samples being included. Video information quality was assessed using the GQS and PEMAT scales. Video content was analyzed using DivoMiner. User comments were extracted using Gooseeker, and user comment attitudes were interpreted as positive, neutral, or negative using the Weiciyun website. Data analysis was performed using IBM SPSS version 29.0, including non-parametric tests for continuous variables and chi-square tests for categorical variables. The identified factors were then included in a multivariate logistic regression analysis to examine their impact on user comment attitudes.ResultsHealth professionals were the primary source of videos (136/138, 98.6%). The overall information quality of the videos was moderate (median 3, IQR 2.00–4.00). Douyin videos were relatively high in understandability (median 72.70%, IQR 63.60–81.80%) but low in actionability (median 33.33%, IQR 0–66.67%). Most videos focused on treatment (139/170, 81.8%). Regarding user comment attitudes, the majority of videos were received with positive comments (113/170, 66.5%), followed by negative comments (39/170, 22.9%) and neutral comments (18/170, 10.6%). The multivariate logistic regression analysis revealed three factors influencing positive attitudes: the GQS score (OR 13.824, 95% CI 6.033–31.676), understandability (OR 2.281, 95% CI 1.542–5.163) and not mentioning risk factors in videos (OR 0.291, 95%CI 0.091–0.931).ConclusionThe majority of hip fracture videos on Douyin were created by health professionals and had intermediate information quality, with user comment attitudes remaining positive. However, these videos often lacked actionability and had insufficient mention of prevention and rehabilitation content. Videos with higher information quality that addressed hip fracture risk factors received more positive user comments. This study suggests that publishers of hip fracture-related videos should improve actionability while simultaneously paying attention to both prevention and rehabilitation content to enhance the educational value of these videos.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1563188/fullhip fracturesDouyininformation qualityshort videouser comment attitudes
spellingShingle Zhuoxin Li
Zhuoxin Li
Yashi Lin
Yashi Lin
Kairou Zhang
Kairou Zhang
Ran Li
Ran Li
Mei Ju
Yanhua Chen
Jing Fu
Ruiyu Huang
Ling Zhu
Junjun Sun
Yanxia Guo
Min Gao
Yue Hu
Gang Liu
Baolu Zhang
Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
Frontiers in Public Health
hip fractures
Douyin
information quality
short video
user comment attitudes
title Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
title_full Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
title_fullStr Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
title_full_unstemmed Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
title_short Hip fractures in Chinese TikTok (Douyin) short videos: an analysis of information quality, content and user comment attitudes
title_sort hip fractures in chinese tiktok douyin short videos an analysis of information quality content and user comment attitudes
topic hip fractures
Douyin
information quality
short video
user comment attitudes
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1563188/full
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