We present a comprehensive evaluation of gender fairness in large language models (LLMs), focusing on their ability to handle both binary and non-binary genders. While previous studies primarily focus on binary gender distinctions, we introduce the Gender Inclusivity Fairness Index (GIFI), a novel and comprehensive metric that quantifies the diverse gender inclusivity of LLMs. GIFI consists of a wide range of evaluations at different levels, from simply probing the model with respect to provided gender pronouns to testing various aspects of model generation and cognitive behaviors under different gender assumptions, revealing biases associated with varying gender identifiers. We conduct extensive evaluations with GIFI on 22 prominent open-source and proprietary LLMs of varying sizes and capabilities, discovering significant variations in LLMs' gender inclusivity. Our study highlights the importance of improving LLMs' inclusivity, providing a critical benchmark for future advancements in gender fairness in generative models.

-- Automated pain detection through machine learning (ML) and deep learning (DL) algorithms holds significant potential in healthcare, particularly for patients unable to self-report pain levels. However, the accuracy and fairness of these algorithms across different demographic groups (e.g., gender) remain under-researched. This paper investigates the gender fairness of ML and DL models trained on the UNBC-McMaster Shoulder Pain Expression Archive Database, evaluating the performance of various models in detecting pain based solely on the visual modality of participants' facial expressions. We compare traditional ML algorithms, Linear Support V ector Machine (L SVM) and Radial Basis Function SVM (RBF SVM), with DL methods, Convolutional Neural Network (CNN) and Vision Transformer (ViT), using a range of performance and fairness metrics. While ViT achieved the highest accuracy and a selection of fairness metrics, all models exhibited gender-based biases. These findings highlight the persistent trade-off between accuracy and fairness, emphasising the need for fairness-aware techniques to mitigate biases in automated healthcare systems. Machine Learning (ML) has become an essential tool in modern healthcare, offering the potential to automate complex tasks, such as pain detection, through images and videos [39]. However, as these technologies are adopted, ensuring fairness becomes critical to avoid perpetuating or exacerbating existing biases [79], [9], [73]. ML fairness refers to the absence of prejudice or bias in a machine learning system concerning sensitive attributes such as gender, race, or age [57]. In pain detection models, fairness ensures that individuals across different demographic groups are equally likely to be correctly classified.

Recent studies show bias in many machine learning models for depression detection, but bias in LLMs for this task remains unexplored. This work presents the first attempt to investigate the degree of gender bias present in existing LLMs (ChatGPT, LLaMA 2, and Bard) using both quantitative and qualitative approaches. From our quantitative evaluation, we found that ChatGPT performs the best across various performance metrics and LLaMA 2 outperforms other LLMs in terms of group fairness metrics. As qualitative fairness evaluation remains an open research question we propose several strategies (e.g., word count, thematic analysis) to investigate whether and how a qualitative evaluation can provide valuable insights for bias analysis beyond what is possible with quantitative evaluation. We found that ChatGPT consistently provides a more comprehensive, well-reasoned explanation for its prediction compared to LLaMA 2. We have also identified several themes adopted by LLMs to qualitatively evaluate gender fairness. We hope our results can be used as a stepping stone towards future attempts at improving qualitative evaluation of fairness for LLMs especially for high-stakes tasks such as depression detection.

Chronic pain significantly diminishes the quality of life for millions worldwide. While psychoeducation and therapy can improve pain outcomes, many individuals experiencing pain lack access to evidence-based treatments or fail to complete the necessary number of sessions to achieve benefit. Reinforcement learning (RL) shows potential in tailoring personalized pain management interventions according to patients' individual needs while ensuring the efficient use of scarce clinical resources. However, clinicians, patients, and healthcare decision-makers are concerned that RL solutions could exacerbate disparities associated with patient characteristics like race or gender. In this article, we study gender fairness in personalized pain care recommendations using a real-world application of reinforcement learning (Piette et al., 2022a). Here, adhering to gender fairness translates to minimal or no disparity in the utility received by subpopulations as defined by gender. We investigate whether the selection of relevant patient information (referred to as features) used to assist decision-making affects gender fairness. Our experiments, conducted using real-world data (Piette, 2022), indicate that included features can impact gender fairness. Moreover, we propose an RL solution, NestedRecommendation, that demonstrates the ability: i) to adaptively learn to select the features that optimize for utility and fairness, and ii) to accelerate feature selection and in turn, improve pain care recommendations from early on, by leveraging clinicians' domain expertise.

Existing studies addressing gender bias of pre-trained language models, usually build a small gender-neutral data set and conduct a second phase pre-training on the model with such data. However, given the limited size and concentrated focus of the gender-neutral data, catastrophic forgetting would occur during second-phase pre-training. Forgetting information in the original training data may damage the model's downstream performance by a large margin. In this work, we empirically show that catastrophic forgetting occurs in such methods by evaluating them with general NLP tasks in GLUE. Then, we propose a new method, GEnder Equality Prompt (GEEP), to improve gender fairness of pre-trained models with less forgetting. GEEP freezes the pre-trained model and learns gender-related prompts with gender-neutral data. Empirical results show that GEEP not only achieves SOTA performances on gender fairness tasks, but also forgets less and performs better on GLUE by a large margin.