Internet videos of Premature ejaculation in mainland China: a content analysis (Preprint)
BACKGROUND Premature ejaculation (PE) is one of the most complained sexual dysfunctions both in China and worldwide. Although the booming online healthcare service and information are attracting increasing numbers of patients and users in mainland China, the quality and reliability of PE related information available online are yet disseminated. OBJECTIVE To assess the quality of information regarding premature ejaculation (PE) videos on top video websites in China. METHODS The iQiyi (https://www.iqiyi.com/), QQ video (https://v.qq.com), Youku (https://www.youku.com), MGTV (https://www.mgtv.com), Bilibili (https://www.bilibili.com), Sohu (https://tv.sohu.com), CCTV (https://v.cctv.com), LeTV (http://www.le.com), PPTV (https://www.pptv.com), 56.com (http://www.56.com) were searched in March 2020 for the search term premature ejaculation. All available videos were triaged for inclusion, and two reviewers independently evaluate the videos using GSQ scores for quality and DISCERN tools for their content reliability. All data were analyzed by SPSS software. RESULTS PE related content is not available on all websites. Some websites strictly restrict sex-related content regardless if it aims to provide healthcare information. Of the 577 discovered videos, 416 videos were excluded for been irrelevant (n = 123), poor quality (n = 15), VIP accessible (n = 22), false advertisement (n = 76) and duplication (n = 180). In the include videos ,99 (61.5%) were described as reliable, and 62 (38.5%) as nonreliable. The assessed agreement was positive (kappa index = 0.894), and the calculated intraclass correlation coefficient was 0.963 for DISCERN and 0.902 for GSQ scoring. The recorded length of reliable and nonreliable videos was equivalent (3.16 ± 3.29 min VS 3.50 ± 3.50 min, P=0.54), but the DISCERN score between reliable and nonreliable videos were 2.92±0.72 and 1.23±0.68 (P<0.001), GSQ scores are 3.19±0.99 and 0.58±0.82 (P<0.01).Videos exposure rate is not analyzable for data such as uploading data, and video views are not available in some of these websites. Some websites topped the most reliable healthcare education content provided by medical social media. CONCLUSIONS The resources of Chinese video websites vary greatly. Users who search for PE related information need to choose the right network platform and select better-produced videos. Many professional medical professionals have participated in video production. With the growing number of videos, efforts need to be stressed on content reviewing and evaluation framework establishment.