Gender Associations in LLM-Mediated ADHD Self-Diagnosis

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) excel in Natural Language Processing (NLP) tasks, but they often propagate biases embedded in their training data, which is potentially impactful in sensitive domains like healthcare. While existing benchmarks evaluate biases related to individual social determinants of health (SDoH) such as gender or ethnicity, they often overlook interactions between these factors and lack context-specific assessments. This study investigates bias in LLMs by probing the relationships between gender and other SDoH in French patient records. Through a series of experiments, we found that embedded stereotypes can be probed using SDoH input and that LLMs rely on embedded stereotypes to make gendered decisions, suggesting that evaluating interactions among SDoH factors could usefully complement existing approaches to assessing LLM performance and bias.

Large language models are increasingly used in value-sensitive decision settings, where irrelevant demographic cues should not alter judgments. We construct the Realistic Value Decision Benchmark (RVDB), a controlled benchmark that varies only the role-gender configuration while holding the scenario, ordered value pair, roles, candidate decisions, Value Distance, and Decision Severity fixed. Using a position-balanced evaluation across seven models, we test whether models preserve decision invariance under gender perturbations and whether their self-attributions reflect observed behavioral changes. We find that explicit gender cues induce bounded but systematic decision flips, including under an explicit gender-attribution prompt that asks models to report whether gender influenced their choice. Cross-gender role swaps reveal a consistent female-proposed-decision asymmetry, while models often attribute flipped decisions to No Influence or other non-gender factors. Further analysis shows that gender effects concentrate near less determinate value boundaries and under more severe decision contexts, suggesting that gender cues act as local boundary-shifting factors rather than global overrides of value reasoning. Value rankings remain largely stable, but ordered value-pair trade-offs shift unevenly across role-gender configurations. These results show that gender can enter LLM value trade-offs behaviorally while remaining obscured in self-attribution, motivating controlled behavioral audits beyond explanation-based evaluation.