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AI used by English councils downplays women’s health issues – study

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Artificial intelligence used by more than half of England’s councils is downplaying women’s physical and mental health issues, raising gender bias concerns in care decisions.

Research found that when using Google’s AI tool “Gemma” to generate and summarise the same case notes, words such as “disabled”, “unable” and “complex” appeared significantly more often in descriptions of men than women.

The London School of Economics and Political Science (LSE) study also found that similar care needs in women were more likely to be omitted or described in less serious terms.

Dr Sam Rickman, lead author of the report and a researcher in LSE’s Care Policy and Evaluation Centre, said AI could result in “unequal care provision for women”.

He said: “We know these models are being used very widely and what’s concerning is that we found very meaningful differences between measures of bias in different models,.

“Google’s model, in particular, downplays women’s physical and mental health needs in comparison to men’s.

“And because the amount of care you get is determined on the basis of perceived need, this could result in women receiving less care if biased models are used in practice.

“But we don’t actually know which models are being used at the moment.”

AI tools are increasingly being used by local authorities to ease the workload of overstretched social workers, although there is little information about which specific models are in use, how often they are applied and what impact this has on decision-making.

The LSE research used real case notes from 617 adult social care users, which were inputted into different large language models (LLMs) multiple times, with only the gender swapped.

Researchers then analysed 29,616 pairs of summaries to see how male and female cases were treated differently by the AI models.

In one example, Gemma summarised the male case notes as: “Mr Smith is an 84-year-old man who lives alone and has a complex medical history, no care package and poor mobility.”

The same case notes, with the gender swapped, were summarised as: “Mrs Smith is an 84-year-old living alone. Despite her limitations, she is independent and able to maintain her personal care.”

In another example, Mr Smith was described as “unable to access the community”, while Mrs Smith was said to be “able to manage her daily activities”.

Among the AI models tested, Google’s Gemma created more pronounced gender-based disparities than others.

Meta’s Llama 3 model did not use different language based on gender, the research found.

Rickman said the tools “must not come at the expense of fairness”.

He said: “While my research highlights issues with one model, more are being deployed all the time, making it essential that all AI systems are transparent, rigorously tested for bias and subject to robust legal oversight.”

The paper calls for regulators to “mandate the measurement of bias in LLMs used in long-term care” to ensure “algorithmic fairness”.

There have long been concerns about racial and gender biases in AI tools, as machine learning techniques have been found to absorb prejudices in human language.

One US study analysed 133 AI systems across different industries and found that about 44 per cent showed gender bias and 25 per cent exhibited gender and racial bias.

According to Google, its teams will examine the findings of the report.

The research tested the first generation of Gemma, which is now in its third generation and is expected to perform better, although Google has never stated the model should be used for medical purposes.

Pregnancy

Chemicals in plastics may be linked to high blood pressure during pregnancy

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Phthalates found in plastics and personal care products may be linked to higher blood pressure during pregnancy, a study suggests.

Hypertensive disorders of pregnancy, including pre-eclampsia, are a leading cause of maternal mortality in the US.

Higher blood pressure during pregnancy has also been linked to adverse health outcomes for both mothers and children.

While family history and lifestyle are known risk factors, growing evidence suggests exposure to phthalates may also contribute to raised blood pressure during pregnancy.

Phthalates are chemicals found in plastics, personal care products and hundreds of other consumer goods. Some can interfere with the body’s natural hormones.

Kimberly Parra, of Harvard T.H. Chan School of Public Health, said: “Our study suggests that having higher concentrations of personal care products-associated chemicals, known as phthalates, in the body might contribute to elevated blood pressure in pregnancy.

“While our study does not show that phthalates cause high blood pressure during pregnancy, it suggests that reducing exposure to this class of chemicals by limiting personal care products containing these ingredients, particularly those with fragrance, may be a way to address high blood pressure in pregnancy and improve pregnancy health.”

Researchers measured phthalate exposure and blood pressure in 338 pregnant women from the Environmental Reproductive and Glucose Outcomes Study at three points during pregnancy.

They analysed whether higher levels of the chemicals, individually and in combination, were linked to higher blood pressure or an increased risk of pregnancy-related high blood pressure disorders.

Women with higher urine concentrations of phthalates associated with fragrances and personal care products had higher systolic and diastolic blood pressure, markers of increased risk of hypertensive disorders of pregnancy.

Systolic blood pressure is the pressure in the arteries when the heart beats, while diastolic pressure measures it between beats.

Around 13 per cent of participants developed a pregnancy-related high blood pressure disorder.

Women with higher levels of certain phthalates, particularly those found in personal care products, tended to have higher blood pressure later in pregnancy.

Parra said: “More research is needed to better understand these findings, particularly whether the effects are driven by changes in oestrogen-related pathways. Additional studies should also examine the potential role of other phthalates and their replacement chemicals.”

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Entrepreneur

Applications close August 18 for Women’s Health Innovation Summit 2026 Innovation Showcase

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The Women’s Health Innovation Summit (WHIS) has reminded startups that applications for its 2026  Innovation Showcase close on Tuesday, August 18.

The Showcase gives early and growth-stage companies the  opportunity to pitch live on stage to the most influential audience in women’s health, at a summit that convenes more than 1,000 senior decision-makers from across the ecosystem, including payers, providers, pharma, and  investors.

Now in its eighth year, WHIS takes place October 13–15, 2026 at Encore Boston Harbor.

The event has built a  reputation as the leading platform uniting the full women’s health ecosystem, from health systems and health  plans to pharmaceutical leaders and the investors funding the next wave of innovation in the space.

A Direct Line to Funding, Partnerships and Adoption

Companies selected for the Innovation Showcase will present directly to an audience with the capital, clinical  expertise and commercial relationships to move deals forward.

Past participants have gone on to secure investor  introductions, commercial partnerships and clinical collaborations that started as presentations on the WHIS stage  and turned into signed agreements.

Applications Reviewed by an Expert Selection Committee

Submissions are being reviewed by a selection committee of leading investors and industry operators, including:

  • Parambir Bhangu, Executive Director, External Innovation & Emerging Science, Organon
  • Elizabeth Bailey, Co-Founder & Managing Partner, Foreground Capital
  • Karla Loken, Founder, Loken and Associates
  • Mané Mikayelyan, Associate Partner, DeciBio
  • Anna Valcheva, Founder, Managing Director & CEO, Astra Ventures
  • Azin Radsan van Alebeek, Co-founder & General Partner, Emmeline Ventures

WHIS is where the women’s health ecosystem comes together to get deals done,” said Poppy Howard-Wall,  Event Director of WHIS.

How to Apply

Early and growth-stage companies across digital health, therapeutics, diagnostics, med device and consumer  health are encouraged to apply before the August 18 deadline.

Full details and the application form are available  at whisusa.com/attend/start-ups.

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Menopause

Third of women unaware of perimenopause mental health impact

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A third of women surveyed did not know perimenopause could affect mental health, with many experiencing symptoms for months before recognising them.

The survey of 1,000 women found many had been caught off guard by mental health symptoms linked to perimenopause or menopause.

It was conducted by Dynata on behalf of LifeStance Health in June 2026 and included women born between 1960 and 1990 who had, or suspected they had, perimenopause or menopause.

Respondents described anxiety as somewhat or extremely severe in 66 per cent of cases and depression in 54 per cent, with many initially attributing the symptoms to a separate condition rather than a hormonal transition.

Stephanie Eken, chief medical officer at LifeStance Health, said: “Women’s mental health needs change across their life stages, and perimenopause and menopause are among the biggest transitions of all.

“Specialised, life-stage-specific care should be standard practice, and I believe the organisations that build care around this reality, rather than taking a one-size-fits-all approach, will define the next era of women’s health.”

Around 33 per cent of respondents said they did not know perimenopause could cause mental health symptoms.

Almost half, 49 per cent, were surprised that mental health symptoms linked to perimenopause or menopause could last for several years.

A further 22 per cent were surprised that perimenopause could begin shortly after childbirth.

The survey found 74 per cent experienced symptoms for six months or longer before suspecting perimenopause or menopause, while 27 per cent recognised the transition within six months.

Before recognising the symptoms as potentially linked to perimenopause or menopause, 49 per cent believed they were experiencing anxiety as a standalone condition and 39 per cent thought they had depression.

Around 36 per cent were surprised that symptoms linked to perimenopause or menopause could resemble a standalone mental health condition.

Among respondents who tried therapy for perimenopause or menopause-related symptoms, 83 per cent said it was helpful.

Around 82 per cent of those who tried medications such as antidepressants or oestrogen also found them helpful.

Nearly half, 47 per cent, said mental healthcare should be a standard part of perimenopause care, while 59 per cent said they would be more likely to seek mental healthcare if they knew it could meaningfully improve their symptoms.

Around 35 per cent said perimenopause or menopause had a slight to significant negative impact on their overall mental health, while 42 per cent reported a negative impact on mood.

However, 32 per cent reported no impact on their overall mental health and 22 per cent reported no impact on mood.

The survey points to women experiencing mental health symptoms for an extended period before connecting them to perimenopause or menopause, with many initially attributing anxiety or depression to an unrelated cause.

That delay may help explain why nearly half did not realise how long these symptoms can persist and why more than a third were surprised they could resemble a standalone mental health condition.

Despite the awareness gap, most respondents who sought treatment, whether therapy or medication, said it had been helpful.

Separate research published in 2023 estimated that menopause symptoms cost the US economy around US$1.8bn a year in lost work productivity.

The estimated cost rose to US$26.6bn when associated healthcare costs were included.

That research was based on more than 4,400 employed women aged 45 to 60, with its authors saying further studies in larger and more diverse populations were needed to confirm the findings.

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