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Language discrepancies in the performance of generative artificial intelligence models : an examination of infectious disease queries in English and Arabic

Sallam, Malik LU ; Al-Mahzoum, Kholoud ; Alshuaib, Omaima ; Alhajri, Hawajer ; Alotaibi, Fatmah ; Alkhurainej, Dalal ; Al-Balwah, Mohammad Yahya ; Barakat, Muna and Egger, Jan (2024) In BMC Infectious Diseases 24(1).
Abstract

Background: Assessment of artificial intelligence (AI)-based models across languages is crucial to ensure equitable access and accuracy of information in multilingual contexts. This study aimed to compare AI model efficiency in English and Arabic for infectious disease queries. Methods: The study employed the METRICS checklist for the design and reporting of AI-based studies in healthcare. The AI models tested included ChatGPT-3.5, ChatGPT-4, Bing, and Bard. The queries comprised 15 questions on HIV/AIDS, tuberculosis, malaria, COVID-19, and influenza. The AI-generated content was assessed by two bilingual experts using the validated CLEAR tool. Results: In comparing AI models’ performance in English and Arabic for infectious disease... (More)

Background: Assessment of artificial intelligence (AI)-based models across languages is crucial to ensure equitable access and accuracy of information in multilingual contexts. This study aimed to compare AI model efficiency in English and Arabic for infectious disease queries. Methods: The study employed the METRICS checklist for the design and reporting of AI-based studies in healthcare. The AI models tested included ChatGPT-3.5, ChatGPT-4, Bing, and Bard. The queries comprised 15 questions on HIV/AIDS, tuberculosis, malaria, COVID-19, and influenza. The AI-generated content was assessed by two bilingual experts using the validated CLEAR tool. Results: In comparing AI models’ performance in English and Arabic for infectious disease queries, variability was noted. English queries showed consistently superior performance, with Bard leading, followed by Bing, ChatGPT-4, and ChatGPT-3.5 (P =.012). The same trend was observed in Arabic, albeit without statistical significance (P =.082). Stratified analysis revealed higher scores for English in most CLEAR components, notably in completeness, accuracy, appropriateness, and relevance, especially with ChatGPT-3.5 and Bard. Across the five infectious disease topics, English outperformed Arabic, except for flu queries in Bing and Bard. The four AI models’ performance in English was rated as “excellent”, significantly outperforming their “above-average” Arabic counterparts (P =.002). Conclusions: Disparity in AI model performance was noticed between English and Arabic in response to infectious disease queries. This language variation can negatively impact the quality of health content delivered by AI models among native speakers of Arabic. This issue is recommended to be addressed by AI developers, with the ultimate goal of enhancing health outcomes.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
AI chatbots, Digital health queries, Healthcare technology, Infectious diseases, Language performance
in
BMC Infectious Diseases
volume
24
issue
1
article number
799
publisher
BioMed Central (BMC)
external identifiers
  • pmid:39118057
  • scopus:85200897290
ISSN
1471-2334
DOI
10.1186/s12879-024-09725-y
language
English
LU publication?
yes
id
e4ed284c-df10-493b-902d-d1b73faafa75
date added to LUP
2024-08-26 14:00:34
date last changed
2024-08-27 03:00:04
@article{e4ed284c-df10-493b-902d-d1b73faafa75,
  abstract     = {{<p>Background: Assessment of artificial intelligence (AI)-based models across languages is crucial to ensure equitable access and accuracy of information in multilingual contexts. This study aimed to compare AI model efficiency in English and Arabic for infectious disease queries. Methods: The study employed the METRICS checklist for the design and reporting of AI-based studies in healthcare. The AI models tested included ChatGPT-3.5, ChatGPT-4, Bing, and Bard. The queries comprised 15 questions on HIV/AIDS, tuberculosis, malaria, COVID-19, and influenza. The AI-generated content was assessed by two bilingual experts using the validated CLEAR tool. Results: In comparing AI models’ performance in English and Arabic for infectious disease queries, variability was noted. English queries showed consistently superior performance, with Bard leading, followed by Bing, ChatGPT-4, and ChatGPT-3.5 (P =.012). The same trend was observed in Arabic, albeit without statistical significance (P =.082). Stratified analysis revealed higher scores for English in most CLEAR components, notably in completeness, accuracy, appropriateness, and relevance, especially with ChatGPT-3.5 and Bard. Across the five infectious disease topics, English outperformed Arabic, except for flu queries in Bing and Bard. The four AI models’ performance in English was rated as “excellent”, significantly outperforming their “above-average” Arabic counterparts (P =.002). Conclusions: Disparity in AI model performance was noticed between English and Arabic in response to infectious disease queries. This language variation can negatively impact the quality of health content delivered by AI models among native speakers of Arabic. This issue is recommended to be addressed by AI developers, with the ultimate goal of enhancing health outcomes.</p>}},
  author       = {{Sallam, Malik and Al-Mahzoum, Kholoud and Alshuaib, Omaima and Alhajri, Hawajer and Alotaibi, Fatmah and Alkhurainej, Dalal and Al-Balwah, Mohammad Yahya and Barakat, Muna and Egger, Jan}},
  issn         = {{1471-2334}},
  keywords     = {{AI chatbots; Digital health queries; Healthcare technology; Infectious diseases; Language performance}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Infectious Diseases}},
  title        = {{Language discrepancies in the performance of generative artificial intelligence models : an examination of infectious disease queries in English and Arabic}},
  url          = {{http://dx.doi.org/10.1186/s12879-024-09725-y}},
  doi          = {{10.1186/s12879-024-09725-y}},
  volume       = {{24}},
  year         = {{2024}},
}