Investigating Gender Stereotypes in Large Language Models via Social Determinants of Health

Understanding gender biases in large language models (LLMs) is increasingly important as these systems become embedded in decision-support tools with real consequences. Prior research has focused only on a small set of models, leaving open the extent to which gender biases are common and heterogeneous across LLMs. We address this gap across ten models released between April 2025 and June 2026, spanning nine vendors, using two paradigms: gender attribution to stereotyped phrases (Study 1) and moral judgment of abuse or torture against a woman or a man to prevent a catastrophic outcome (Study 2). In Study 1, two of ten models attributed masculine-stereotyped phrases to female writers more often than the reverse, while three models showed the opposite pattern. In Study 2, several models converged on a male-disadvantaging asymmetry that was directionally consistent with a documented human tendency to protect female targets from harm, though the specific conditions under which this asymmetry emerged varied by model; three other models, by contrast, showed no variation across conditions. These results indicate that gender-related biases are common in LLMs. Their direction and magnitude, however, are highly heterogeneous, to the point that some models behave in diametrically opposite ways to others. Bias auditing should therefore be treated as an ongoing, multi-vendor process, rather than a one-time assessment.

Large Language Models (LLMs) are increasingly deployed in high-stakes domains such as clinical decision support and medical documentation. However, the robustness of these models against subtle linguistic variations, specifically stigmatizing language (SL) commonly found in human-authored clinical notes, remains critically under-explored. In this work, we investigate whether frontier LLMs inherit and propagate this human bias when processing clinical text. We systematically evaluate nine frontier LLMs across four stigmatized medical conditions, utilizing clinical vignettes injected with varying intensities and phenotypes of SL (doubt, blame, and maligning). Our results demonstrate that all evaluated models exhibit substantial bias, with clinical decision-making significantly skewed towards less aggressive patient management. Notably, we observe a high sensitivity to linguistic framing, where a single SL sentence is sufficient to alter model outputs, revealing a clear dose-response relationship. Furthermore, we evaluate standard prompt-based mitigation strategies, including Chain-of-Thought (CoT) reasoning and model self-debiasing. These approaches show limited efficacy; models struggle to explicitly identify SL while remaining implicitly influenced by it. Our findings expose a critical vulnerability in current LLMs regarding fairness and robustness in clinical NLP, underscoring the need for rigorous algorithmic guardrails to prevent the automation of health disparities.

We audit six large language models (LLMs) for gender stereotyping across English, Korean, Chinese, and Japanese. Three were developed primarily for English-language use (Claude, GPT, Gemini) and three for East Asian use (DeepSeek, Syn-Pro, HyperCLOVA X). We adopt the HEXACO-100 personality inventory and anchor each model against a cross-cultural human dataset spanning 48 countries to ask not whether LLMs are biased, but how far their gender attributions drift from the populations they are deployed among. Our findings show that their stereotyping spans a range roughly 2.5 times wider than the entire cross-country range found in humans, and the effect can compound across languages. One English-centric model, prompted in Korean, reached 5 times the local baseline, even when the prompt stated the candidate had already been hired, which often dampens human stereotyping. To characterize such behaviors without ranking them, we introduce a four-pattern framework -- concordance, suppression, reorganization, and amplification -- across 24 (model x language) cells. Item-level analysis reveals that translation does not just rescale stereotypes, but changes the attributes tied to it, hiding significant rearrangement under the surface while appearing well-calibrated. Our results ultimately suggest that no single debiasing pipeline is likely to address bias evenly across linguistic boundaries.