{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T20:39:10Z","timestamp":1791923950441,"version":"4.3.4"},"reference-count":53,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Research Funds of Center for Xin'an Medicine and Modernization of Traditional Chinese Medicine of IHM","award":["2023CXMMTCM015"],"award-info":[{"award-number":["2023CXMMTCM015"]}]},{"name":"2024 Anhui Province Higher School Science Key Research Project","award":["2024AH050957"],"award-info":[{"award-number":["2024AH050957"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["(82574970)"],"award-info":[{"award-number":["(82574970)"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    Ankylosing Spondylitis (AS) is a complex autoimmune disease for which early diagnosis and treatment are critical for prognosis. The quality of health information shared on social media significantly impacts patient education. This study aims to evaluate the quality and completeness of AS-related health information on 2 major Chinese video platforms, TikTok and Bilibili. On August 27, 2025, a cross-sectional study was conducted, retrieving and analyzing the top 100 AS-related videos (N\u2009=\u2009200) from each platform. Video reliability was assessed using the DISCERN tool and JAMA, and video quality was assessed using GQS and the 6-Dimensional Content Integrity Scale. Bilibili was found to be significantly superior to TikTok only in academic rigor (defined as information reliability and source transparency, measured by DISCERN-Dimension 1 and JAMA;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001), while both platforms performed poorly in practical utility (defined as content completeness and instructional value for patients, measured by GQS and DISCERN-Dimension 2;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&gt;\u2009.05). Video \u201cquality\u201d was found to be completely uncorrelated with \u201cpopularity\u201d (eg, likes, favorites) (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&gt;\u2009.05), while video duration was the only significantly correlated external factor (rho\u2009=\u2009.41,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u2009.001). Content completeness exhibited a \u201ccancelation effect\u201d (Referring to the complementary nature of content strengths across platforms where one excels in areas the other lacks. Bilibili excelled in \u201cdiagnosis,\u201d while TikTok excelled in \u201ctreatment\u201d). Notably, orthopedists and other healthcare professionals (HCPs; 59.5%) were the main content creators, not rheumatologists (27%). On Bilibili, the \u201cpatient\u201d group scored significantly higher in \u201ctreatment information\u201d (Dim2) than the \u201crheumatologist\u201d group (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.029). Bilibili provides more academically rigorous AS information, but both platforms severely lack depth in core practical content, and platform algorithms fail to effectively screen for high-quality content (quality-popularity disconnect). The video ecosystem (eg, \u201corthopedist-dominated\u201d and \u201cprofessionalism inversion\u201d [a phenomenon where patient-led narratives outperformed specialists in treatment-related metrics due to the inherent structural alignment between comprehensive personal storytelling and traditional assessment criteria].) profoundly reflects real-world diagnostic dilemmas and the limitations of traditional assessment tools in the modern video era.\n                  <\/jats:p>","DOI":"10.1177\/00469580261436338","type":"journal-article","created":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T05:14:51Z","timestamp":1775279691000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Professional Creators Provide Higher-Quality Ankylosing Spondylitis Content on TikTok and Bilibili: A Cross-Sectional Study"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4156-2574","authenticated-orcid":false,"given":"Ruofan","family":"Liu","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyang","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Chinese Medicine, Bozhou University, Bozhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taotao","family":"Wang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunfei","family":"Li","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuangshuang","family":"Shang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuanbing","family":"Huang","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, China"},{"name":"Key Laboratory of Xin\u2019an Medicine, Ministry of Education, Anhui University of Chinese Medicine, Hefei, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.intimp.2024.113709"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-67666-7"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2024.0041"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11926-022-01079-1"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keaa807"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2023.101870"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keaf226"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1469863"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.5137\/1019-5149.JTN.42973-22.3"},{"key":"e_1_3_2_11_2","unstructured":"Kemp S. 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Notice on the issuance of the \u201cGuidelines for the Establishment and Management of Rheumatology and Immunology Departments in General Hospitals (Trial)\u201d (EB\/OL). National Health Commission of the People\u2019s Republic of China 2019."},{"key":"e_1_3_2_35_2","volume-title":"A Study on the Current Situation of Medical Visits, Delayed Diagnosis, and Influencing Factors Among Patients With Axial Spondyloarthritis","author":"Cao D.","year":"2017","unstructured":"Cao D. A Study on the Current Situation of Medical Visits, Delayed Diagnosis, and Influencing Factors Among Patients With Axial Spondyloarthritis. 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