ArticleFrontiers in public health2026
The impact of health information exposure frequency on youth sleep quality under algorithmic recommendation: a serial mediation role of information anxiety and self-efficacy.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: As algorithmic recommendation technology increasingly dominates the circulation of health information, young people's exposure frequency to relevant content has significantly increased. However, the psychological mechanisms through which this exposure affects sleep quality remain insufficiently understood. Methods: Based on Social Cognitive Theory and Cognitive Arousal Theory, this study constructs a serial mediation model to investigate how the frequency of health information exposure under algorithmic recommendation influences youth sleep quality through information anxiety and self-efficacy. A questionnaire survey was conducted among individuals aged 18 to 35. Results: The results show that: (1) the frequency of health information exposure not only directly and negatively predicts sleep quality, but also exerts multiple indirect effects; (2) information anxiety and self-efficacy each serve as independent mediators between information exposure and sleep quality; and (3) information anxiety and self-efficacy form an "emotional-cognitive" serial mediation pathway, whereby greater exposure intensifies information anxiety, undermines self-efficacy, and ultimately impairs sleep quality. Discussion: By revealing the psychological processes through which the algorithmic information environment affects youth sleep, this study offers theoretical support and practical implications for enhancing digital health literacy, improving platform algorithm governance, and strengthening public health interventions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.