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“我们因在Instagram上提到‘怀孕’而受到处罚”'We got penalised for saying 'pregnancy' on Instagram'

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伊琳·布伦(Irene Breen)告诉BBC,限制措施给她的生意造成了重大财务打击。Irene Breen told the BBC her business suffered a significant financial hit from the restrictions

内容创作者们表示,涉及女性健康的内容正遭到社交媒体的隐性封禁。那么,究竟发生了什么?

Creators say women's health content is getting them shadowbanned on social media. So what's really happening?

作者:阿希塔·纳格什。2025年1月,艾琳·布林收到通知称,Instagram正在撤下她公司生产的孕妇枕广告。她感到十分困惑:一个枕头能有什么不妥呢?

By Ashitha Nagesh When Irene Breen got a notification in January 2025 that Instagram was removing adverts for her company's pregnancy pillows, she was confused. What was so offensive about a pillow?

后来,在与Meta公司的通话中她得知,问题出在“怀孕”这个词上。

She was later told on a call with Meta that the problem was the word "pregnancy".

“我们不得不将‘怀孕’一词从整个网站上删除……连产品名称里的这个词也得改掉,”布林说道,“我们还必须移除所有包含‘怀孕’字样的网址并重新命名。”虽然这些限制最终被解除,但她表示,为此她与Instagram的母公司Meta进行了长达10个月的沟通,而在此期间她的生意遭受了严重的经济损失。

"We had to scrub the word from our entire website… from the product name," Breen said. "We had to remove all our URLs which had pregnancy in them and rename them all." The restrictions were eventually lifted but, she said, it took 10 months of conversations with Instagram's parent company Meta - by which time her business had suffered a significant financial hit.

作为Facebook的母公司,Meta拒绝就具体案例发表评论。不过该公司向BBC表示,虽然企业可以投放宣传健康、性健康及生殖相关产品和服务的广告,但平台仍设有相关限制措施,旨在避免不同国家及文化背景的用户产生不良体验。

Meta, which also owns Facebook, declined to comment on specific cases, but told the BBC that while businesses can run adverts that promote wellness, sexual health and reproductive products and services, there are restrictions to avoid users across countries and cultures having a negative experience.

声称自身内容遭到不当限制的并非只有投放付费广告的企业。众多女性健康领域的创作者及公益组织也反映,他们的内容被删除、被添加了敏感内容过滤机制,或是传播范围受到压制——这种现象即所谓的“隐性封禁”。

It's not just businesses taking out paid adverts who claim their content has been unfairly restricted. Women's health creators and charities have told us their content has been removed, had sensitivity filters added, or had its reach suppressed - a practice known as "shadowbanning".

一个名为CensHERship的倡导团体专门监测有关女性健康内容遭压制的相关情况。在上个月发布的一份报告中,该组织对近200名内容创作者、医疗从业者、健康品牌代表、公益人士及教育工作者进行了调查,结果显示96%的受访者都曾遭遇过某种形式的限制措施。

The campaign group CensHERship monitors claims that women's health content is being suppressed. In a report last month, it surveyed nearly 200 creators, clinical providers, health brands, charities, and educators - 96% of whom said they had experienced restrictions in some form.

该广告被退回给贝拉·穆恩(Bella Moon),上面“怀孕”一词被划掉。The advert was returned to Bella Moon with the word "pregnancy" crossed out

所谓敏感内容过滤机制会大幅模糊相关帖子内容,用户必须点击特定按钮才能查看,该机制通常仅用于处理包含裸照或暴力画面的内容。

Sensitivity filters heavily blur posts requiring users to press a button before they can see it and are usually reserved for graphic imagery - including nudity or violence.

伦敦政治经济学院数字犯罪学家卡罗琳·阿尔(Dr Carolina Are)研究社交媒体对女性内容的审核,她说,研究表明,AI常被用来标记可能违反平台指南的帖子。

Dr Carolina Are, a digital criminologist at the London School of Economics who studies social media moderation of women's content, said research shows AI is often used to flag posts that might breach platform guidelines.

但这可能意味着“算法误检”内容,因为算法本就是为此而设计的,它会存储这些信息,从而重复“之前的错误决定”,她警告说。

But that can mean an "algorithm misdetecting" content, as it is created to do, storing that information to repeat "previous mistaken decisions", she warns.

阿尔说,该系统经常使用自动化消息,这可能导致用户随后无法质疑一个决定。“救命的健康信息”妇科癌症慈善机构“伊夫申诉”(Eve Appeal)首席执行官阿特娜·拉姆尼索斯(Athena Lamnisos)表示,有些标签在Instagram上根本不会出现。

The system often uses automated messages, Are says, which can mean users are then unable to question a decision. 'Life-saving health information' Some hashtags just don't appear on Instagram, said Athena Lamnisos, CEO of gynaecological cancer charity Eve Appeal.

“难以置信的是,其中一个标签是,”拉姆尼索斯说,“我们在Instagram上发布了一篇关于外阴解剖学的帖子——那非常清晰地是一张带有标签的解剖图,讲述外阴癌以及检查变化、肿块和肿物的必要性。该帖子被删除了。”该慈善机构提出了申诉,起初被拒绝,但几周后,该帖子“突然重新出现”,并被置于敏感内容过滤器之后。

"One of the hashtags, unbelievably, was "We put a post on Instagram about vulval anatomy - it was very clearly an anatomical diagram with labels around it, talking about vulval cancer and the need to check for changes, lumps and bumps. It was pulled." The charity appealed, which was initially denied - but after several weeks the post "suddenly reappeared" behind a sensitivity filter.

该图表被放置在敏感内容过滤器之后。The diagram was put behind a sensitivity filter

拉姆尼索斯补充说,说“救命的健康信息传不到最需要它的人手中”并非夸大其词。她说,尽管她已向Meta反映这一问题,但问题仍在继续。“就像障碍赛道”赫蒂利蒂(Hertility)生育检测公司的迪尔德丽·奥尼尔(Deirdre O'Neill)表示,该公司在Facebook和Instagram上发布的一段关于患有子宫内膜症的女性的视频也遇到了类似问题。

Lamnisos added it wasn't exaggerating to say that "life-saving health information isn't getting to the people who need it most". Despite her raising this with Meta, the problem has continued, she said. 'Like an obstacle course' Deirdre O'Neill, from fertility test company Hertility, said it had a similar issue with a Facebook and Instagram video featuring a woman with endometriosis.

“她不销售我们的服务,也不谈论赫蒂利蒂,她只是描述自己的疼痛,”奥尼尔说。但该视频被Meta删除,并被归类为政治内容,她说。

"She doesn't sell our services, she doesn't talk about Hertility, she simply describes her pain," O'Neill said. But the video was removed by Meta, she said, and classified as political content.

关于伊夫申诉和赫蒂利蒂的案例,Meta没有具体评论,但表示其平台允许女性健康内容,并正在与女性健康组织协商,以改进系统。

Asked about Eve Appeal and Hertility's cases, Meta did not comment specifically, but said it allows women's health content on its platforms, and is consulting with women's health organisations to improve systems.

一篇关于一名女性谈论子宫内膜炎的帖子被标记,并被归类为“社会问题、选举或政治”。The post featuring a woman talking about endometriosis was flagged and classified as "social issues, elections or politics"

奥尼尔补充说,在TikTok上尝试投放广告也变得“就像障碍赛道”。

Trying to advertise on TikTok has also become "like an obstacle course", O'Neill added.

“要尝试发布内容需要耗费大量资源,但最后往往不值得我们花时间,因为所有内容都会被投诉、标记甚至删除,”她说道。

"It's so much resource to try and put something forward that it ends up not being worth our time, because everything gets appealed, flagged, removed," she said.

奥尼尔(O'Neill)表示,赫蒂利蒂(Hertility)已放弃在TikTok上投放广告。O'Neill says Hertility has given up advertising on TikTok

TikTok方面表示,虽然某些内容无法在“推荐页”上推广,但平台会明确告知创作者哪些内容属于此类,并允许他们提出申诉。

TikTok said while certain content can't be promoted on the For You feed, it's transparent about posts that fall into this category and lets creators know so they can appeal.

该平台还指出,数百万女性会在其上分享健康相关经历,使用的标签包括#生理期等。CensHERship的研究发现,因遭遇隐性封禁而选择自我审查的用户比例有所上升,从2025年的53%增至今年的65%。

It added that millions of women share health stories on the platform, including with hashtags like #Period and Self-censorship CensHERship found the number of respondents self-censoring as a result of shadowbanning had gone up, from 53% in 2025 to 65% this year.

这些自我审查的手段包括用“seggs”这类委婉用语代替“性”,使用星号或表情符号,甚至完全避开某些话题。

This includes using euphemistic terms such as "seggs" instead of "sex", using asterisks or emojis, and avoiding certain topics altogether.

CensHERship的联合创始人克利奥·伍德称这种情况“极具危害性”,因为“女性健康问题历来都伴随着羞耻感与负罪感……而我们的行为恰恰在强化这种观念”。

CensHERship co-founder Clio Wood said this was "really damaging", because "women's health historically has been surrounded by shame and guilt… and we are just reinforcing [that]".

她向BBC透露,各大平台的规则“通常极为宽泛,以至于很多时候裸体内容会被等同于色情内容”。伍德指出,这最终会损害广大用户的利益。

Are told the BBC that platforms' policies "tend to be incredibly broad, whereby more often than not, nudity is conflated with sexual activity". And this ultimately hurts audiences, Wood said.

“我们接触过很多女性,她们都说:‘我之所以能发现自己患了外阴癌,全靠Eve Appeal发布了相关症状介绍;之后我自行查阅资料,才得以向医生提出正确的问题。’”她说道。

"We talk to so many people who say, 'The only reason I found out about my vulval cancer was because Eve Appeal posted about those symptoms, and then I researched it and could ask my doctor the right questions'," she said.

不过伍德也表示,自2024年创立CensHERship以来,她注意到社交媒体企业“已经意识到这是一个亟需应对的问题”。

But Wood said that, since starting CensHERship in 2024, she has noticed that social media companies "can see this is something that they need to engage on now.".

“即便平台规则明文规定某类内容可以发布,但如果算法依然会标记并压制这些内容,问题就出现了,”她说道。

"It's all very well the policy saying XYZ content is allowed, but if the algorithm is still flagging all of that content and suppressing it, that's where the problem comes in," she said.

“我认为各平台的相关部门往往各自为政——我们真心希望这些沟通能够更加全面、协调。”

"I think within the platforms those departments are very siloed - so what we would love is for those conversations to be much more holistic."