Research Appraisalobservational

Self-Identified Age Cohorts and Personal Experience Sharing in Pseudonymous Online Spaces: Natural Language Processing Analysis of Reddit

JMIR agingKhor, Ern Chern, Choi, Moon12 May 2026DOI

Clinical Snapshot

60CEBM
Evidence: Weakobservational

PICO Framework

P — PopulationReddit users who self-identify as being in their 50s, 60s, or 70s (n=848) from the subreddit r/AskOldPeople
I — InterventionAge cohort membership (50s vs 60s-70s) in pseudonymous online environment
C — ComparatorFuture older adults (50s, n=488) vs current older adults (60s-70s, n=360)
O — OutcomesPersonal experience sharing patterns across three domains: health/wellness, relationships/identity, and professional/financial life

Bottom Line

This cross-sectional study of 848 Reddit users found that older adults in their 60s-70s shared more health-related content while those in their 50s focused more on relationships and identity. While the sophisticated natural language processing methodology is impressive, the study's clinical relevance is limited by selection bias, lack of confounder adjustment, and restriction to a single pseudonymous platform. The findings may inform digital health communication strategies but cannot be generalised to the broader older adult population. Healthcare providers should be aware that older adults may use pseudonymous platforms to discuss sensitive health topics they might not share elsewhere, but this study alone provides insufficient evidence to change clinical practice.

Evidence: Weak

Key Findings

  • P Value: P < 0.001

  • Effect Size: Chi-square statistic = 34.7

  • Primary Outcome: Personal experience sharing domain distributions differed significantly between age groups

  • Nnt Or Sensitivity: F1-score = 0.96 for NLP classification model

  • Confidence Interval: Not reported

Clinical Application

Limited clinical applicability - primarily relevant for understanding digital health communication patterns May inform digital health literacy initiatives and aged care communication strategies, but limited by platform-specific findings and lack of Australian-specific data Digitally literate older adults who use pseudonymous social media platforms

Abstract

BACKGROUND: While older adults' social media use has been widely studied for its instrumental benefits, such as accessing health information or maintaining family ties, research has largely focused on identity-based platforms that mirror offline social networks, leaving pseudonymous, interest-driven environments such as Reddit underexplored. Although older adults actively participate in these spaces to share personal narratives and engage beyond their existing social roles, the literature has yet to center their own voices, with most existing work focusing on caregivers or younger users discussing older adults rather than older adults speaking for themselves. OBJECTIVE: Integrating a life course perspective with the concept of subjective age cohort, this study examines how Reddit users who explicitly self-identify as being in their 50s, 60s, or 70s engage in self-expression and personal experience sharing within pseudonymous online spaces. METHODS: Using data collected via the Reddit application programming interface, this study analyzed posts and comments from 848 self-identified older Reddit users, including 488 future older adults in their 50s (57.5%) and 360 current older adults in their 60s and 70s (42.5%) identified through age-based flairs in the subreddit r/AskOldPeople. A fine-tuned large language model (BLOOM-560m; F1-score=0.96) classified 4,055,275 sentences into three personal experience domains: (1) health and wellness, (2) personal relationships and identity, and (3) professional and financial life. Chi-square analysis compared domain distributions across age groups. BERTopic topic modeling identified thematic patterns within each domain. RESULTS: Of 569,107 personal experience sentences identified, personal relationships and identity comprised the largest share (n=268,212, 47.1%), followed by professional and financial (n=186,768, 32.8%) and health and wellness (n=114,127, 20.1%). Chi-square analysis revealed significant between-group differences (χ22=34.7; P<.001): current older adults shared proportionally more about health and wellness, whereas future older adults shared more about relationships and identity. Topic modeling further revealed qualitatively distinct emphases within each domain. Future older adults' posts frequently discussed menopause, depression, and friendships, while current older adults more frequently addressed chronic illness, aging, and financial security. Both groups used pseudonymity to disclose sensitive or stigmatized topics. CONCLUSIONS: This study demonstrates that older adults' personal experience sharing on pseudonymous platforms is shaped by the simultaneous interplay of life course stage, age cohort background, and platform affordances, rather than by any single factor. Pseudonymous environments such as Reddit enable disclosures of health vulnerabilities, contested social identities, and emotional experiences that are structurally discouraged on identity-based networks, and this has direct implications for how digital inclusion is conceptualized and practiced. Beyond operational literacy, supporting older adults' expressive inclusion in interest-based, pseudonymous online communities represents a meaningful yet underaddressed dimension of digital participation policy.

References

  1. 1.Khor, E. C., & Choi, M. (2026). Self-Identified Age Cohorts and Personal Experience Sharing in Pseudonymous Online Spaces: Natural Language Processing Analysis of Reddit. JMIR Aging, 9(2), e90103. https://doi.org/10.2196/90103
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