AI as We Describe It: How Large Language Models and Their Applications in Health are Represented Across Channels of Public Discourse

Fuente: arXiv
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Main Authors: Zhou, Jiawei, Zhang, Lei, Li, Mei, Horne, Benjamin D, De Choudhury, Munmun
Format: Preprint
Published: 2025
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author Zhou, Jiawei
Zhang, Lei
Li, Mei
Horne, Benjamin D
De Choudhury, Munmun
author_facet Zhou, Jiawei
Zhang, Lei
Li, Mei
Horne, Benjamin D
De Choudhury, Munmun
contents Representation shapes public attitudes and behaviors. With the recent advances and rapid adoption of LLMs, the way these systems are introduced will negotiate societal expectations for their role in high-stakes domains like health. Yet it remains unclear whether current narratives present a balanced view. We analyzed five prominent discourse channels (news, research press, YouTube, TikTok, and Reddit) over a two-year period on lexical style, informational content, and symbolic representation. Discussions were generally positive and episodic, with positivity increasing over time. Risk communication was unthorough and often reduced to information quality incidents, while explanations of LLMs' generative nature were rare. Compared with professional outlets, TikTok and Reddit highlighted wellbeing applications and showed greater variations in tone and anthropomorphism but little attention to risks. We discuss implications for public discourse as a diagnostic tool in identifying literacy and governance gaps, and for communication and design strategies to support more informed LLM engagement.
format Preprint
id arxiv_https___arxiv_org_abs_2511_03174
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle AI as We Describe It: How Large Language Models and Their Applications in Health are Represented Across Channels of Public Discourse
Zhou, Jiawei
Zhang, Lei
Li, Mei
Horne, Benjamin D
De Choudhury, Munmun
Human-Computer Interaction
Computers and Society
Representation shapes public attitudes and behaviors. With the recent advances and rapid adoption of LLMs, the way these systems are introduced will negotiate societal expectations for their role in high-stakes domains like health. Yet it remains unclear whether current narratives present a balanced view. We analyzed five prominent discourse channels (news, research press, YouTube, TikTok, and Reddit) over a two-year period on lexical style, informational content, and symbolic representation. Discussions were generally positive and episodic, with positivity increasing over time. Risk communication was unthorough and often reduced to information quality incidents, while explanations of LLMs' generative nature were rare. Compared with professional outlets, TikTok and Reddit highlighted wellbeing applications and showed greater variations in tone and anthropomorphism but little attention to risks. We discuss implications for public discourse as a diagnostic tool in identifying literacy and governance gaps, and for communication and design strategies to support more informed LLM engagement.
title AI as We Describe It: How Large Language Models and Their Applications in Health are Represented Across Channels of Public Discourse
topic Human-Computer Interaction
Computers and Society
url https://arxiv.org/abs/2511.03174