【摘要】 目的 探讨育龄人群对不孕症健康信息需求现状，为临床开展孕前生育教育提供参考。方法 以“生殖”“生育”和“不孕症”为关键词，利用Python爬虫技术在小红书平台抓取2022年1月至2024年3月不孕症话题文本，提取15 565条有效问答文本数据集，采用潜在狄利克雷分配模型与共词分析法，挖掘出隐藏的主题结构，最后基于健康信念模型对结果进行深入分析。结果 育龄人群对不孕症相关健康信息关注的主题有6个，即生理风险与疾病因素(关注高龄等具体风险因素)、家庭社会后果(担忧不孕对家庭和社会关系的影响)、医疗干预与健康改善(重视检查和治疗带来的健康改善)、资源与经济限制(医疗资源可及性和经济负担构成主要就医障碍)、外部促发因素(亲友建议和媒体宣传)、应对信心与心理调节(应对生育挑战时的信心水平)。结论 育龄人群对不孕症相关健康信息需求呈现多元化，涵盖生理风险、社会心理、医疗资源等多个维度，医护人员应发挥医患共同信息服务主体作用，针对未育夫妇提供全周期且科学的生育信息服务。更多还原

【Abstract】 Objective To investigate the status of health information needs regarding infertility among the reproductive-age population, so as to provide a reference for implementing pre-pregnancy fertility education in clinical practice. Methods Using the keywords "reproduction", "fertility", and "infertility", we employed Python web scraping techniques to retrieve text related to infertility topics from the Xiaohongshu platform between January 2022 and March 2024. A total of 15,565 valid Q&A entries were extracted to form the dataset. Latent Dirichlet Allocation(LDA) modeling and co-word analysis were applied to identify latent thematic structures, followed by an in-depth interpretation of the results based on the Health Belief Model(HBM). Results Six primary themes of concern were identified through the HBM, including physiological risks and disease factors(focus on specific risk factors such as advanced age), social and familial consequences(worries about the impact of infertility on family and social relationships), medical interventions and health improvements(focus on health benefits from examinations and treatments), resource and economic constraints(barriers mainly including accessibility of healthcare resources and financial burden), external catalysts(suggestions from relatives/friends and media publicity) and psychological adaptation and coping strategies(confidence levels in facing fertility challenges). Conclusion The health information needs regarding infertility among the reproductive-age population exhibits a multifaceted nature, spanning dimensions such as physiological risks, psychosocial factors, and medical resources. Healthcare workers should play the main role in the doctor-patient joint information service, providing full-cycle and scientific fertility information services for childless couples.更多还原