{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T06:27:41Z","timestamp":1786429661362,"version":"build-2736575974"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"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>Hypertension is one of the major modifiable cardiovascular risk factors in China. Persistent and poorly controlled hypertension contributes to a wide spectrum of adverse cardiovascular outcomes, yet public awareness and understanding of the condition remain suboptimal. With the rapid expansion of digital media, social platforms have emerged as important channels for disseminating health information. This study evaluates the quality of hypertension-related content presented in short-video formats on widely used social media platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Newly registered accounts were used to retrieve the top 100 videos from Douyin, Bilibili, and Kwai based on each platform\u2019s default comprehensive ranking algorithm. The collected videos were subsequently screened following predefined criteria, which included removal of duplicates, silent clips, advertisements, irrelevant content, and non-Chinese language videos. In addition, videos produced by the same creator on the same platform were consolidated into a single entry to avoid redundancy. The reliability of the videos was assessed using the DISCERN instrument, and their overall quality was evaluated with the Global Quality Scale (GQS). A comparative analysis was further performed to examine differences in video characteristics and quality across the three short-video platforms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 267 videos from various creators were included in the analysis, with Douyin contributing 36.3% (140\/267), Bilibili 31.1% (83\/267), and Kwai 32.6% (87\/267). With respect to video sources, non-specialist physicians produced the largest proportion of content (52.4%, 140\/267), followed by specialist physicians (31.5%, 84\/267). In the assessment of overall video quality, Bilibili demonstrated the highest completeness scores (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Douyin and Bilibili demonstrated comparable Global Quality Scores (GQS) and both performed significantly better than Kwai (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.001). Nevertheless, all three platforms exhibited uniformly low DISCERN scores. When comparing creators with different professional backgrounds, videos produced by non-profit organizations and specialist physicians showed significantly higher overall quality than those generated by non-specialist physicians and individual users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Overall, the quality of the videos was suboptimal. Although hypertension-related content produced by nonprofit organizations and cardiovascular specialists achieved higher scores in overall quality, the presentation of these videos was relatively uniform. This homogeneity limited the breadth of hypertension-related knowledge that viewers could obtain from short-video platforms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1820704","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:34:40Z","timestamp":1786426480000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of the quality and reliability of public health communication about hypertension on short video platforms in China"],"prefix":"10.3389","volume":"14","author":[{"given":"Jin Wu","family":"He","sequence":"first","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiyan","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianyi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liping","family":"Deng","sequence":"additional","affiliation":[{"name":"Department of Geriatrics, The First People's Hospital of Zigong City","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1038\/s41440-024-01622-w","article-title":"The WHO global report 2023 on hypertension warning the emerging hypertension burden in globe and its treatment strategy","volume":"47","author":"Kario","year":"2024","journal-title":"Hypertens Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e212","DOI":"10.1161\/hyp.0000000000000249","article-title":"AHA\/ACC\/AANP\/AAP a\/ABC\/ACCP\/ACPM\/AGS\/AMA\/ASPC\/NMA\/PCNA\/SGIM guideline for the prevention, detection, evaluation and management of high blood pressure in adults: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"82","author":"Jones","year":"2025","journal-title":"Hypertension"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1795","DOI":"10.1161\/hypertensionaha.123.21592","article-title":"Editors' commentary on the 2023 ESH management of arterial hypertension guidelines","volume":"80","author":"Whelton","year":"2023","journal-title":"Hypertension"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"100973","DOI":"10.1016\/j.lanwpc.2023.100973","article-title":"Quality in screening and measuring blood pressure in China's primary health care: a national cross-sectional study using unannounced standardized patients","volume":"43","author":"Zhang","year":"2024","journal-title":"Lancet Reg Health West Pac"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e071952","DOI":"10.1136\/bmj-2022-071952","article-title":"Prevalence, awareness, treatment, and control of hypertension in China, 2004-18: findings from six rounds of a national survey","volume":"380","author":"Zhang","year":"2023","journal-title":"BMJ"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2258","DOI":"10.1001\/jama.2023.23651","article-title":"Effect of dietary sodium on blood pressure: a crossover trial","volume":"330","author":"Gupta","year":"2023","journal-title":"JAMA"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1471","DOI":"10.1038\/s41440-024-02089-5","article-title":"Nutrition and hypertension researches in 2023: focus on salt intake and blood pressure","volume":"48","author":"Matsumoto","year":"2025","journal-title":"Hypertens Res"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1007\/s11906-025-01335-6","article-title":"A scoping review of asymptomatic hypertension: definitions, diagnosis, and management in the emergency department","volume":"27","author":"Degtyar","year":"2025","journal-title":"Curr Hypertens Rep"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1388","DOI":"10.1007\/s11606-021-07008-9","article-title":"The relationship between the physician-patient relationship, physician empathy, and patient trust","volume":"37","author":"Wu","year":"2022","journal-title":"J Gen Intern Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1344212","DOI":"10.3389\/fpubh.2023.1344212","article-title":"The status quo of short videos as a health information source of Helicobacter pylori: a cross-sectional study","volume":"11","author":"Lai","year":"2023","journal-title":"Front Public Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"893599","DOI":"10.3389\/fpsyg.2022.893599","article-title":"Adolescent addiction to short video applications in the Mobile internet era","volume":"13","author":"Lu","year":"2022","journal-title":"Front Psychol"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1186\/s13690-023-01234-9","article-title":"Changes in emergency department visits and mortality during the COVID-19 pandemic: a retrospective analysis of 956 hospitals","volume":"82","author":"Razimoghadam","year":"2024","journal-title":"Arch Public Health"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"132","DOI":"10.3390\/ijerph19010132","article-title":"Exploring stress and problematic use of short-form video applications among middle-aged Chinese adults: the mediating roles of duration of use and flow experience","volume":"19","author":"Huang","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"1264780","DOI":"10.3389\/fdgth.2023.1264780","article-title":"Improving health literacy using the power of digital communications to achieve better health outcomes for patients and practitioners","volume":"5","author":"Fitzpatrick","year":"2023","journal-title":"Front Digit Health"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"2066","DOI":"10.1080\/10410236.2023.2254962","article-title":"Can videos on TikTok improve pap smear attitudes and intentions? Effects of source and autonomy support in short-form health videos","volume":"39","author":"Kirkpatrick","year":"2024","journal-title":"Health Commun"},{"key":"ref16","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":"ref17","doi-asserted-by":"publisher","first-page":"1160629","DOI":"10.3389\/fpubh.2023.1160629","article-title":"Public's preferences for health science popularization short videos in China: a discrete choice experiment","volume":"11","author":"Xiao","year":"2023","journal-title":"Front Public Health"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1186\/s12903-024-04571-5","article-title":"Bruxism treatment on Youtube: evaluating reliability and information accuracy","volume":"24","author":"Odaba\u015f\u0131","year":"2024","journal-title":"BMC Oral Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"2417","DOI":"10.1001\/jama.2018.16865","article-title":"Addressing health-related misinformation on social media","volume":"320","author":"Chou","year":"2018","journal-title":"JAMA"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"1713794","DOI":"10.3389\/fpubh.2025.1713794","article-title":"Understanding how users identify health misinformation in short videos: an integrated analysis using PLS-SEM and fsQCA","volume":"13","author":"Wang","year":"2025","journal-title":"Front Public Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"3912","DOI":"10.1093\/eurheartj\/ehae178","article-title":"2024 ESC guidelines for the management of elevated blood pressure and hypertension","volume":"45","author":"McEvoy","year":"2024","journal-title":"Eur Heart J"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"654","DOI":"10.1186\/s12877-022-03330-x","article-title":"The reliability, functional quality, understandability, and actionability of fall prevention content in YouTube: an observational study","volume":"22","author":"Yang","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1186\/s12966-021-01138-3","article-title":"The effect of social media interventions on physical activity and dietary behaviours in young people and adults: a systematic review","volume":"18","author":"Goodyear","year":"2021","journal-title":"Int J Behav Nutr Phys Act"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1016\/j.cgh.2009.12.024","article-title":"Systematic review of the quality of patient information on the internet regarding inflammatory bowel disease treatments","volume":"8","author":"Langille","year":"2010","journal-title":"Clin Gastroenterol Hepatol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"2070","DOI":"10.1111\/j.1572-0241.2007.01325.x","article-title":"A systematic review of patient inflammatory bowel disease information resources on the world wide web","volume":"102","author":"Bernard","year":"2007","journal-title":"Am J Gastroenterol"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1007\/s11906-020-01086-6","article-title":"Hypertension (blood pressure) and lifetime risk of target organ damage","volume":"22","author":"Jones","year":"2020","journal-title":"Curr Hypertens Rep"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1186\/s12872-025-04538-6","article-title":"The link between adherence to antihypertensive medications and mortality rates in patients with hypertension: a systematic review and meta-analysis of cohort studies","volume":"25","author":"Peng","year":"2025","journal-title":"BMC Cardiovasc Disord"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"3331","DOI":"10.2147\/ppa.S429638","article-title":"A qualitative study on patients' views on hypertension and antihypertensive medications","volume":"17","author":"Malkon","year":"2023","journal-title":"Patient Prefer Adherence"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"e71","DOI":"10.1161\/hypertensionaha.124.22829","article-title":"Improving #hypertension awareness: utility of social media to communicate about high blood pressure","volume":"81","author":"Dalli","year":"2024","journal-title":"Hypertension"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"1896","DOI":"10.1186\/s12889-025-22963-2","article-title":"Quality and reliability of pediatric pneumonia related short videos on mainstream platforms: cross-sectional study","volume":"25","author":"He","year":"2025","journal-title":"BMC Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1007\/s00296-025-05831-5","article-title":"Assessment of the quality and reliability of YouTube videos related to teleradiology in musculoskeletal and rheumatic diseases: a cross-sectional study","volume":"45","author":"Yemeshev","year":"2025","journal-title":"Rheumatol Int"},{"key":"ref32","first-page":"1","article-title":"European society of hypertension clinical practice guidelines for the management of arterial hypertension","volume-title":"Eur J Intern Med","author":"Kreutz","year":"2024"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1003852","DOI":"10.3389\/fcvm.2022.1003852","article-title":"Advances in pathogenesis and treatment of essential hypertension","volume":"9","author":"Ma","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"2338242","DOI":"10.1080\/07853890.2024.2338242","article-title":"Outpatient management of essential hypertension: a review based on the latest clinical guidelines","volume":"56","author":"Moiz","year":"2024","journal-title":"Ann Med"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"3511","DOI":"10.1186\/s12889-024-21095-3","article-title":"Helpful or harmful? Navigating the impact of social media influencers' health advice: insights from health expert content creators","volume":"24","author":"Ka\u0148kov\u00e1","year":"2024","journal-title":"BMC Public Health"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"1919","DOI":"10.1186\/s12889-025-23130-3","article-title":"Quality and reliability evaluation of pancreatic cancer-related video content on social short video platforms: a cross-sectional study","volume":"25","author":"Lei","year":"2025","journal-title":"BMC Public Health"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"e70105","DOI":"10.1002\/edm2.70105","article-title":"Quality, reliability and accuracy of hyperthyroidism-related content on social media platform TikTok","volume":"8","author":"Shah","year":"2025","journal-title":"Endocrinol Diabetes Metab"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"e62752","DOI":"10.7759\/cureus.62752","article-title":"Assessing the quality and reliability of cardiac rehabilitation information on YouTube: a systematic evaluation","volume":"16","author":"Tezcan","year":"2024","journal-title":"Cureus"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"8987000","DOI":"10.1155\/joph\/8987000","article-title":"Evaluation of social media short-form video content for patient education on vision-threatening diseases","author":"Patel","year":"2026","journal-title":"J Ophthalmol"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1820704\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:34:41Z","timestamp":1786426481000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1820704\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":39,"alternative-id":["10.3389\/fpubh.2026.1820704"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1820704","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]},"article-number":"1820704"}}