{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:14:45Z","timestamp":1792818885839,"version":"4.5.0"},"reference-count":62,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Short-video platforms have become major sources of health information in China, influencing public awareness and health behavior. However, the quality and dissemination patterns of lung cancer\u2013related content across different platforms remain unclear. This study aimed to evaluate the informational quality, reliability, and engagement patterns of lung cancer short videos on three leading Chinese platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a comprehensive cross-sectional content analysis of 1,288 lung cancer-related videos retrieved from TikTok, Kwai and Rednote. Video quality was systematically evaluated using a multidimensional toolkit, including the Journal of the American Medical Association (JAMA) benchmark criteria, Global Quality Scale (GQS), modified DISCERN (mDISCERN), and the Patient Education Materials Assessment Tool (PEMAT-U\/A). We analyzed heterogeneity and correlations of quality and engagement metrics (likes, comments, shares, collections) across platforms, creator types, content themes, and presentation formats.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall information quality was suboptimal (Median JAMA\u202f=\u202f2; Median GQS\u202f=\u202f3). Significant heterogeneity (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001) was found, with TikTok demonstrating the highest quality, while Kwai exhibited the lowest quality but high engagement. Videos by physicians and news agencies demonstrated significantly higher reliability, understandability, and actionability than those by non-professional creators (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Disease knowledge videos\u2014particularly those focusing on prevention, definitions, and risk factors\u2014exhibited superior quality compared to personal experience or metastasis-related content. Expert monolog videos were the most common and effective presentation format. Engagement did not align linearly with quality. Patient vlogs and metastasis-related videos achieved higher interaction rates despite lower accuracy, indicating a \u201cquality\u2013engagement paradox.\u201d Weak-to-moderate positive correlations were found between GQS and engagement, while PEMAT-A was negatively correlated with likes and comments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Marked disparities in the quality and dissemination of lung cancer\u2013related short videos exist across Chinese platforms. Professional, evidence-based content enhances reliability, whereas emotional and visually driven content drives engagement. Strengthening algorithmic governance, metadata transparency, and expert involvement\u2014alongside audience-centered, evidence-informed communication\u2014may enhance the educational value and public health impact of short-video platforms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1683561","type":"journal-article","created":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T06:25:55Z","timestamp":1764570355000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":17,"title":["Quality, reliability, and dissemination of lung cancer information on short-video platforms in China: a cross-platform content analysis of TikTok, Kwai, and Rednote"],"prefix":"10.3389","volume":"13","author":[{"given":"Xiaoran","family":"Zheng","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiankuan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaihang","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengqi","family":"Deng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"229","DOI":"10.3322\/caac.21834","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"115","DOI":"10.3322\/caac.21338","article-title":"Cancer statistics in China, 2015","volume":"66","author":"Chen","year":"2016","journal-title":"CA Cancer J Clin"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"327","DOI":"10.3978\/j.issn.2218-6751.2015.08.04","article-title":"Global trends of lung cancer mortality and smoking prevalence","volume":"4","author":"Islami","year":"2015","journal-title":"Transl Lung Cancer Res"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"eaay9040","DOI":"10.1126\/science.aay9040","article-title":"Early detection of cancer","volume":"375","author":"Crosby","year":"2022","journal-title":"Science"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1016\/j.ejca.2020.04.035","article-title":"Systematic review and meta-analysis on the impact of lung cancer screening by low-dose computed tomography","volume":"134","author":"Sadate","year":"2020","journal-title":"Eur J Cancer"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1186\/s40644-024-00716-5","article-title":"Impact of annual trend volume of low-dose computed tomography for lung cancer screening on overdiagnosis, overmanagement, and gender disparities","volume":"24","author":"Hsin-Hung","year":"2024","journal-title":"Cancer Imaging"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e45","DOI":"10.1016\/j.cllc.2016.03.004","article-title":"Assessment of selection criteria for low-dose lung screening CT among asian ethnic groups in Taiwan: from mass screening to specific risk-based screening for non-smoker lung cancer","volume":"17","author":"Wu","year":"2016","journal-title":"Clin Lung Cancer"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e30050","DOI":"10.1016\/j.heliyon.2024.e30050","article-title":"A study on satisfaction evaluation of chinese mainstream short video platforms based on grounded theory and CRITIC-VIKOR","volume":"10","author":"Qi","year":"2024","journal-title":"Heliyon"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1563188","DOI":"10.3389\/fpubh.2025.1563188","article-title":"Hip fractures in chinese TikTok (douyin) short videos: an analysis of information quality, content and user comment attitudes","volume":"13","author":"Li","year":"2025","journal-title":"Front Public Health"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e73677","DOI":"10.2196\/73677","article-title":"Integrating the situational theory of problem solving and technology acceptance model to predict intention to practice health protective behavior for influenza-like illness among TikTok users: cross-sectional study","volume":"27","author":"Li","year":"2025","journal-title":"J Med Internet Res"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"20552076251374226","DOI":"10.1177\/20552076251374226","article-title":"Quality assessment of spinal cord injury-related health information on short-form video platforms: cross-sectional content analysis of TikTok, kwai, and Bilibili","volume":"11","author":"Zhang","year":"2025","journal-title":"Digit Health"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e39162","DOI":"10.2196\/39162","article-title":"Quality of information in gallstone disease videos on TikTok: cross-sectional study","volume":"25","author":"Sun","year":"2023","journal-title":"J Med Internet Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1016\/j.pec.2014.05.027","article-title":"Development of the patient education materials assessment tool (PEMAT): a new measure of understandability and actionability for print and audiovisual patient information","volume":"96","author":"Shoemaker","year":"2014","journal-title":"Patient Educ Couns"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1001\/jama.1997.03540390074039","article-title":"Assessing, controlling, and assuring the quality of medical information on the internet: caveant lector et viewor\u2014let the reader and viewer beware","volume":"277","author":"Silberg","year":"1997","journal-title":"JAMA"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1089\/cpb.2004.7.497","article-title":"How internet users find, evaluate, and use online health information: a cross-cultural review","volume":"7","author":"Morahan-Martin","year":"2004","journal-title":"Cyberpsychol Behav"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"570","DOI":"10.1002\/asi.24750","article-title":"ChatGPT and a new academic reality: artificial intelligence-written research papers and the ethics of large language models in scholarly publishing","volume":"74","author":"Lund","year":"2023","journal-title":"J Assoc Inf Sci Technol"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1093\/eurjcn\/zvad061","article-title":"Assessment of internet-based information on statin therapy","volume":"23","author":"Kwan","year":"2024","journal-title":"Eur J Cardiovasc Nurs"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1000338","DOI":"10.3389\/fpubh.2022.1000338","article-title":"TikTok and YouTube as sources of information on anal fissure: a comparative analysis","volume":"10","author":"Chen","year":"2022","journal-title":"Front Public Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"e47210","DOI":"10.2196\/47210","article-title":"Quality and reliability of liver cancer-related short chinese videos on TikTok and bilibili: cross-sectional content analysis study","volume":"25","author":"Zheng","year":"2023","journal-title":"J Med Internet Res"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"e41518","DOI":"10.2196\/41518","article-title":"The reliability and quality of short videos as a source of dietary guidance for inflammatory bowel disease: cross-sectional study","volume":"25","author":"He","year":"2023","journal-title":"J Med Internet Res"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e20775","DOI":"10.2196\/20775","article-title":"Evaluation of korean-language COVID-19-related medical information on YouTube: cross-sectional infodemiology study","volume":"22","author":"Moon","year":"2020","journal-title":"J Med Internet Res"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e13007","DOI":"10.1111\/hel.13007","article-title":"TikTok and bilibili as sources of information on helicobacter pylori in China: a content and quality analysis","volume":"28","author":"Du","year":"2023","journal-title":"Helicobacter"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"104960","DOI":"10.1016\/j.ijmedinf.2022.104960","article-title":"The quality and reliability analysis of YouTube videos about insulin resistance","volume":"170","author":"Barlas","year":"2023","journal-title":"Int J Med Inform"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"972348","DOI":"10.3389\/fpubh.2022.972348","article-title":"Quality of online video resources concerning patient education for neck pain: a YouTube-based quality-control study","volume":"10","author":"Zhang","year":"2022","journal-title":"Front Public Health"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"e0329291","DOI":"10.1371\/journal.pone.0329291","article-title":"Assessing the reliability and educational value of YouTube videos on computer-controlled local anesthesia in dentistry","volume":"20","author":"Akcay","year":"2025","journal-title":"PLoS One"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"e28318","DOI":"10.2196\/28318","article-title":"Short-video apps as a health information source for chronic obstructive pulmonary disease: information quality assessment of TikTok videos","volume":"23","author":"Song","year":"2021","journal-title":"J Med Internet Res"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"20552076251351077","DOI":"10.1177\/20552076251351077","article-title":"The quality and reliability of short videos about premature ovarian failure on bilibili and TikTok: cross-sectional study","volume":"11","author":"Xu","year":"2025","journal-title":"Digital Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1315393","DOI":"10.3389\/fpubh.2023.1315393","article-title":"TikTok video as a health education source of information on heart failure in China: a content analysis","volume":"11","author":"Gong","year":"2023","journal-title":"Front Public Health"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"1594","DOI":"10.1186\/s12889-024-19077-6","article-title":"YouTube\/Bilibili\/TikTok videos as sources of medical information on laryngeal carcinoma: cross-sectional content analysis study","volume":"24","author":"Liu","year":"2024","journal-title":"BMC Public Health"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e51513","DOI":"10.2196\/51513","article-title":"The quality of short videos as a source of coronary heart disease information on TikTok: cross-sectional study","volume":"8","author":"Gong","year":"2024","journal-title":"JMIR Form Res"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1542278","DOI":"10.3389\/fpubh.2025.1542278","article-title":"Assessing the quality of educational short videos on dry eye care: a cross-sectional study","volume":"13","author":"Huang","year":"2025","journal-title":"Front Public Health"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1216","DOI":"10.1186\/s12889-024-18708-2","article-title":"Evaluation of TikTok videos on acute pancreatitis: content quality and reliability analysis","volume":"24","author":"Mao","year":"2024","journal-title":"BMC Public Health"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"e51655","DOI":"10.2196\/51655","article-title":"Videos in short-video sharing platforms as sources of information on colorectal polyps: cross-sectional content analysis study","volume":"26","author":"Guan","year":"2024","journal-title":"J Med Internet Res"},{"key":"ref34","year":"2021"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"e13512","DOI":"10.2196\/13512","article-title":"Perceived patient-provider communication quality and sociodemographic factors associated with watching health-related videos on YouTube: a cross-sectional analysis","volume":"21","author":"Langford","year":"2019","journal-title":"J Med Internet Res"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"20552076241288831","DOI":"10.1177\/20552076241288831","article-title":"The quality and reliability of short videos about thyroid nodules on BiliBili and TikTok: cross-sectional study","volume":"10","author":"Chen","year":"2024","journal-title":"Digit Health"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"19","DOI":"10.1002\/jgf2.658","article-title":"Factors affecting the willingness of nursing care staffs for cooperation with heart failure care and the role of internet video education","volume":"25","author":"Kinugasa","year":"2024","journal-title":"J Gen Fam Med"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"105","DOI":"10.18332\/tid\/169662","article-title":"Effectiveness of social video platforms in promoting smoking cessation among youth: a content-specific analysis of smoking cessation topic videos on the social platform bilibili","volume":"21","author":"Ye","year":"2023","journal-title":"Tob Induc Dis"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"584","DOI":"10.21147\/j.issn.1000-9604.2023.06.03","article-title":"Challenge and future of cancer screening in China: insights from esophageal cancer screening practice","volume":"35","author":"He","year":"2023","journal-title":"Chin J Cancer Res"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"684917","DOI":"10.3389\/fonc.2021.684917","article-title":"Cancer screening knowledge and behavior in a multi-ethnic Asian population: the Singapore community health study","volume":"11","author":"Chan","year":"2021","journal-title":"Front Oncol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"1404038","DOI":"10.3389\/fneur.2024.1404038","article-title":"Analyzing dissemination, quality, and reliability of chinese brain tumor-related short videos on TikTok and bilibili: a cross-sectional study","volume":"15","author":"Zhang","year":"2024","journal-title":"Front Neurol"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"15347354251331461","DOI":"10.1177\/15347354251331461","article-title":"YouTube videos as an information source about aerobic exercise in rehabilitation of lung cancer","volume":"24","author":"Kocamaz","year":"2025","journal-title":"Integr Cancer Ther"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"e44830","DOI":"10.7759\/cureus.44830","article-title":"A comparison of the quality and reliability of YouTube videos uploaded by healthcare professionals about scoliosis in the past decade","volume":"15","author":"Cinar","year":"2023","journal-title":"Cureus"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"782313","DOI":"10.3389\/fpsyg.2021.782313","article-title":"The moderation of human characteristics in the control mechanisms of rumours in social media: the case of food rumours in China","volume":"12","author":"Sun","year":"2021","journal-title":"Front Psychol"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"6751","DOI":"10.3390\/ijerph19116751","article-title":"How official social media affected the infodemic among adults during the first wave of COVID-19 in China","volume":"19","author":"Liu","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1093\/her\/cyac038","article-title":"The impact of COVID-19 misinformation and trust in institutions on preventive behaviors","volume":"38","author":"Lee","year":"2023","journal-title":"Health Educ Res"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1089\/cyber.2018.0176","article-title":"Vlogging cancer: predictors of social support in YouTube cancer vlogs","volume":"21","author":"Hale","year":"2018","journal-title":"Cyberpsychol Behav Social Networking"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"102048","DOI":"10.1016\/j.tele.2023.102048","article-title":"Stories that engage the audience: an investigation of popular breast cancer narratives on social media","volume":"85","author":"Ma","year":"2023","journal-title":"Telemat Inform"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"151542067","DOI":"10.3389\/fonc.2025.1542067","article-title":"Global and East Asia tracheal, bronchus, and lung cancer trend analysis from 1990 to 2021 and forecast trend from 2021 to 2035","volume":"15","author":"Ding","year":"2025","journal-title":"Front Oncol"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"863641","DOI":"10.3389\/fonc.2022.863641","article-title":"Social media listening to understand the lived experience of individuals in Europe with metastatic breast cancer: a systematic search and content analysis study","volume":"12","author":"Mazza","year":"2022","journal-title":"Front Oncol"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1016\/j.jncc.2022.08.005","article-title":"Cancer overdiagnosis: a challenge in the era of screening","volume":"2","year":"2022","journal-title":"J Natl Cancer Cent"},{"key":"ref52","first-page":"453","article-title":"Cancer misinformation on social media","volume-title":"CA Cancer J Clin","author":"Loeb","year":"2024"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"835","DOI":"10.3390\/diagnostics15070835","article-title":"Editorial: advancements and challenges in lung cancer screening, diagnosis, and management","volume":"15","author":"Hung","year":"2025","journal-title":"Diagnostics"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"e64792","DOI":"10.2196\/64792","article-title":"Evaluating the content and quality of videos related to hypertrophic scarring on TikTok in China: cross-sectional study","volume":"5","author":"Wang","year":"2025","journal-title":"JMIR Infodemiol"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1177\/08944393231178603","article-title":"Like, comment, and share on TikTok: exploring the effect of sentiment and second-person view on the user engagement with TikTok news videos","volume":"42","author":"Cheng","year":"2024","journal-title":"Soc Sci Comput Rev"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"e45006","DOI":"10.1097\/MD.0000000000045006","article-title":"Short-video platforms as sources of atherosclerosis information: a cross-sectional content analysis","volume":"104","author":"Li","year":"2025","journal-title":"Medicine (Baltimore)"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1177\/17456916231185057","article-title":"Social drivers and algorithmic mechanisms on digital media","volume":"19","author":"Metzler","year":"2024","journal-title":"Perspect Psychol Sci"},{"key":"ref58","doi-asserted-by":"publisher","first-page":"2325967121990052","DOI":"10.1177\/2325967121990052","article-title":"Trends in patient, physician, and public perception of ulnar collateral ligament reconstruction using social media analytics","volume":"9","author":"Yu","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"2880","DOI":"10.1186\/s12889-024-20375-2","article-title":"Evaluation of the information quality related to osteoporosis on TikTok","volume":"24","author":"Li","year":"2024","journal-title":"BMC Public Health"},{"key":"ref60","author":"Yang","year":"2022"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"20552076251366390","DOI":"10.1177\/20552076251366390","article-title":"Evaluating the reliability and quality of knee osteoarthritis educational content on TikTok and bilibili: a cross-sectional content analysis","volume":"11","author":"Tu","year":"2025","journal-title":"Digital Health"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"25042","DOI":"10.1038\/s41598-025-08680-1","article-title":"The quality and reliability of short videos about hypertension on TikTok: a cross-sectional study","volume":"15","author":"Wu","year":"2025","journal-title":"Sci Rep"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1683561\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T06:25:58Z","timestamp":1764570358000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1683561\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,1]]},"references-count":62,"alternative-id":["10.3389\/fpubh.2025.1683561"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1683561","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,1]]},"article-number":"1683561"}}