Evidence map›Paper›PMID 39118057›Full record

ArticleBMC infectious diseases2024

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

Malik Sallam, Kholoud Al-Mahzoum, Omaima Alshuaib, Hawajer Alhajri, Fatmah Alotaibi, Dalal Alkhurainej, Mohammad Yahya Al-Balwah, Muna Barakat, Jan Egger

Abstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Malik SallamDepartment of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, 11942, Jordan. malik.sallam@ju.edu.jo.ORCID http://orcid.org/0000-0002-0165-9670
Kholoud Al-MahzoumSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Omaima AlshuaibSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Hawajer AlhajriSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Fatmah AlotaibiSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Dalal AlkhurainejSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Mohammad Yahya Al-BalwahSchool of Medicine, The University of Jordan, Amman, 11942, Jordan.
Muna BarakatDepartment of Clinical Pharmacy and Therapeutics, Faculty of Pharmacy, Applied Science Private University, Amman, 11931, Jordan.
Jan EggerInstitute for AI in Medicine (IKIM), University Medicine Essen (AöR), Essen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAssessment 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.

methodsThe 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.

resultsIn 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).

conclusionsDisparity 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.

Indexed as

Artificial IntelligenceCommunicable DiseasesLanguageCOVID-19HumansAI chatbotsDigital health queriesHealthcare technologyInfectious diseasesLanguage performance

Identifiers

PMID39118057
PMCPMC11308449

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.