"Girl, I'm so Serious": CARE, a Capability Framework for Reproductive Equity in Human-AI Interaction
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arXiv
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| Main Authors: | , , , , |
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| Format: | Preprint |
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2026
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| _version_ | 1866918400497811456 |
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| author | Zhong, Alice Chen, Phoebe Sharma, Anika Brennan, Kandyce Gaikwad, Snehalkumar 'Neil' S. |
| author_facet | Zhong, Alice Chen, Phoebe Sharma, Anika Brennan, Kandyce Gaikwad, Snehalkumar 'Neil' S. |
| contents | Sexual and reproductive health (SRH) remains shaped by structural barriers that leave many without judgment-free information. AI chatbots offer anonymous alternatives, but access alone does not ensure equity when socioeconomic determinants shape whose capabilities these tools expand or constrain. Conventional methods for evaluating human-AI interaction were not designed to capture whether technologies holistically support reproductive autonomy. We introduce CARE, Capability Approach for Reproductive Equity, developing capabilities, functionings, and conversion factors into a Normative Design Lens and an Evaluation Lens for AI in SRH contexts. Evaluating SRH-specific non-LLM chatbots, general-use LLMs, and search engine features along credibility and reasoning, we identify two epistemic harms: source opacity and response rigidity. We conclude with design and evaluation recommendations, participatory auditing strategies, and policy implications for high-stakes domains where AI intersects with inequity. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2603_20511 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | "Girl, I'm so Serious": CARE, a Capability Framework for Reproductive Equity in Human-AI Interaction Zhong, Alice Chen, Phoebe Sharma, Anika Brennan, Kandyce Gaikwad, Snehalkumar 'Neil' S. Human-Computer Interaction I.2; I.2.7; H.5 Sexual and reproductive health (SRH) remains shaped by structural barriers that leave many without judgment-free information. AI chatbots offer anonymous alternatives, but access alone does not ensure equity when socioeconomic determinants shape whose capabilities these tools expand or constrain. Conventional methods for evaluating human-AI interaction were not designed to capture whether technologies holistically support reproductive autonomy. We introduce CARE, Capability Approach for Reproductive Equity, developing capabilities, functionings, and conversion factors into a Normative Design Lens and an Evaluation Lens for AI in SRH contexts. Evaluating SRH-specific non-LLM chatbots, general-use LLMs, and search engine features along credibility and reasoning, we identify two epistemic harms: source opacity and response rigidity. We conclude with design and evaluation recommendations, participatory auditing strategies, and policy implications for high-stakes domains where AI intersects with inequity. |
| title | "Girl, I'm so Serious": CARE, a Capability Framework for Reproductive Equity in Human-AI Interaction |
| topic | Human-Computer Interaction I.2; I.2.7; H.5 |
| url | https://arxiv.org/abs/2603.20511 |