Beyond the stereotypes: Artificial Intelligence image generation and diversity in anesthesiology.

Introduction: Artificial Intelligence (AI) is increasingly being integrated into anesthesiology to enhance patient safety, improve efficiency, and streamline various aspects of practice. Objective: This study aims to evaluate whether AI-generated images accurately depict the demographic racial and ethnic diversity observed in the Anesthesia workforce and to identify inherent social biases in these images. Methods: This cross-sectional analysis was conducted from January to February 2024. Demographic data were collected from the American Society of Anesthesiologists (ASA) and the European Society of Anesthesiology and Intensive Care (ESAIC). Two AI text-to-image models, ChatGPT DALL-E 2 and Midjourney, generated images of anesthesiologists across various subspecialties. Three independent reviewers assessed and categorized each image based on sex, race/ethnicity, age, and emotional traits. Results: A total of 1,200 images were analyzed. We found significant discrepancies between AI-generated images and actual demographic data. The models predominantly portrayed anesthesiologists as White, with ChatGPT DALL-E2 at 64.2% and Midjourney at 83.0%. Moreover, male gender was highly associated with White ethnicity by ChatGPT DALL-E2 (79.1%) and with non-White ethnicity by Midjourney (87%). Age distribution also varied significantly, with younger anesthesiologists underrepresented. The analysis also revealed predominant traits such as "masculine, ""attractive, "and "trustworthy" across various subspecialties. Conclusion: AI models exhibited notable biases in gender, race/ethnicity, and age representation, failing to reflect the actual diversity within the anesthesiologist workforce. These biases highlight the need for more diverse training datasets and strategies to mitigate bias in AI-generated images to ensure accurate and inclusive representations in the medical field.

Girls play basketball too? A study of the mechanisms of traditional social gender consciousness on female participation in contact leisure sports.

Background: With the development of women's sports, the mechanism of barriers to women's leisure sports participation has attracted extensive attention from the academic community. Despite its significant impact, there are few empirical studies on intra-personal barriers. Consequently, a structural equation model was established to examine the relationships between traditional social gender awareness, gender bias, gender stereotypes, and barriers to participation in leisure sports. Methods: In this study, a total of 508 questionnaires were collected and analyzed using AMOS 24.0 software for structural equation modeling. After model testing, the relationships between the variables were examined. Results: The results of the statistical analyses indicated that traditional gender awareness could serve as an antecedent variable for barriers to participation in leisure sports, and that gender stereotypes mediated the relationship between traditional gender awareness and barriers to participation in leisure sports. The study also concluded that gender bias could not mediate the relationship between traditional gender awareness and participation barriers in leisure sports, but gender bias and gender stereotypes could act as chain mediators in the process of the influence of traditional gender awareness on barriers to contact leisure sports. Discussion: This study emphasizes the need for women to break down the traditional social gender awareness, gender bias, gender stereotypes, and other intra-personal barriers when engaging in leisure sport participation. According to this study, the promotion of sustained and healthy development of women's sport requires the breaking down of traditional social gender awareness education and the creation of more gender-inclusive sports policies and environments. The significance of the study is that by proposing and confirming the internal participation barriers to women's participation in contact leisure sports, it will lead to the ideological liberation of women's gender perspectives, so that they can break down the participation barriers to contact leisure sports, participate in sports activities, and enjoy the right to play sports on an equal footing.

Adaptation and Validation of the Nursing Attitude Questionnaire in a Spanish Population.

BACKGROUND: Nursing, as an essential component of contemporary healthcare systems, has undergone significant changes in recent decades, resulting in an increase in research across various fields, such as mental health, well-being, and the development of the discipline itself. Currently, gender stereotypes persist, impacting the social image of the profession and influencing the professional identity of nurses and consequently, their work performance and the quality of care provided. Both public and internal perceptions of the profession are critical factors in these dynamics. OBJECTIVE: to adapt and validate the Nursing Attitude Questionnaire in a Spanish sample, as it has only been validated in two languages to date. METHODS: This study presents descriptive and validity analyses of several measures utilized, such as Nursing Image (NIS), Medical Empathy (JSE-HP), Professional Values (NPVS) and Communication Skills (HP-CSS). RESULTS: Confirmatory factor model analyses indicated that a 21-item hierarchical model provided a superior fit (χ2(df = 1.65, NFI = 0.954, SRMR = 0.065), suggesting the presence of a general factor accounting for five first-order factors. Internal consistency was deemed adequate for the total measures (α = 0.789), though variable for the subscales. Correlations among measures provided evidence of convergent and discriminant validity, highlighting consistent correlation patterns between Attitude toward Nursing and other variables. In addition, significant differences were observed in the Professionalism subscale according to sex, albeit with a medium-low effect size. Scales are presented to facilitate future interpretation of the results in similar samples. CONCLUSIONS: The scale validated in this study exhibited overall good psychometric performance, although certain limitations were identified within the subscales. The established scales represent a novel contribution, providing a valuable tool for the comparison of similar samples.

Unfit or disliked: How descriptive and prescriptive gender stereotypes lead to discrimination against women.

Decades of research attest to the role of gender stereotypes in the emergence of gender-based discrimination. Placing a focus on recent studies, we provide evidence that gender stereotypes continue to negatively affect women's career outcomes in jobs and fields that are seen as male in gender-type. We identify two pathways through which gender stereotypes bring about discrimination: Whereas descriptive gender stereotypes lead to gender discrimination through negative performance expectations produced by lack-of-fit perceptions, prescriptive gender stereotypes lead to gender discrimination through social penalties elicited by perceived stereotype violation. We end by discussing how characteristics of women and those evaluating them may amplify or ameliorate discriminatory behavior, and by considering how organizations and policymakers can leverage research to promote gender equality.

Gender Stereotypes About Career and Family Are Stronger in More Economically Developed Countries and Can Explain the Gender Equality Paradox.

Using data from Project Implicit collected between 2005 and 2020, comprising 1,489,721 observations in 111 countries, we find that implicit and explicit gender stereotypes about career and family are more pronounced in more economically developed countries. Besides, these gender stereotypes are strongly correlated at the country level with gender differences in values (such as family values), self-reported personality traits (such as agreeableness or dependence), and occupational preferences (such as health-related occupations), and may account for the fact that these gender imbalances are "paradoxically" stronger in more economically developed countries (the so-called "gender equality paradox").In line with social role theory, our findings suggest that there are in developed countries strong gender stereotypes about career and family, which may at least partly explain the persistence or even the "paradoxical worsening" of a number of gender differences in these countries, despite generally high levels of gender equality in other areas.

Athlete Portraits in News: Influence of Media Representation and Gender on Social Perception.

Previous literature suggests that in masculinized domains, a stereotypical portrayal of women has a negative impact on society's perception of them. However, the influence of media representation on people's perceptions of athletes depending on their gender, as well as its possible consequences for both men and women, remains unexplored in the sports sphere. Through two experimental studies employing a scenario methodology, we aimed to address this gap in the literature: In Study 1 (N = 190), we tested the influence of the media's representation (focused on the professional field vs. extraprofessional field) and the athlete's gender (man vs. woman) on perceptions, and in Study 2 (N = 625), we examined the effect of gender for an athlete receiving media coverage focused on the extraprofessional field. Study 1's results showed that when media representation was based on the professional (vs. extraprofessional) field, participants perceived the news as more credible, believed that the media valued the athlete's capacity to a greater extent, and attributed more merit to the athlete. Moreover, Study 2, focused on an extraprofessional field, indicated that when a man athlete (vs. woman athlete) was portrayed, participants were more likely to consider the news content accurate, which, in turn, was associated with a higher attribution of competence to the athlete and a higher intention to consume sports media in the future. The study will hopefully help reduce beliefs about existing stereotypes as well as discrimination against women, whether in sports or in any other field (e.g., professionally or in education).

Ethnic representation and stereotypes in mathematics and Dutch language textbooks from the Netherlands.

The current study examined ethnic representation and stereotypes in textbooks from two core secondary school subjects: maths and Dutch. We examined all 25 hard-copy textbooks used in first-year secondary schools in the Netherlands in 2019, and coded characters' ethnic background, competence-related activities, and occupational status. Ethnicity was identifiable for 8897 characters. Results indicate that characters of colour were underrepresented in the text and images in the textbooks compared to Dutch population statistics. Additionally, subtle stereotypical patterns were found in which characters of colour were less competent and lower in occupational status than White characters. These findings suggest that implicit biases influence which groups are featured and how they are portrayed. To help all students to reach their full potential and develop an inclusive worldview, we recommend publishers use publicly available tools (e.g. random name generators) to make their textbooks more inclusive.

Don't be rash: how effort, religion, and decision-type influence judgments of morality.

The present study explored how knowledge (Study 1) and inferences (Study 2) about religiosity influence impressions of morality depending on whether effort is exerted to reach a morally controversial decision. In Study 1, undergraduates judged a [religious/nonreligious] doctor who exerted [little/great] effort into their decision to euthanize a patient. Results indicated that when the doctor was nonreligious or exerted low effort, they were considered less moral compared to when they were religious or exerted high effort. In Study 2, Turk Prime participants evaluated a doctor who decided in favor or against euthanizing a patient, with the same effort manipulation as Study 1. Results indicated that the doctor who favored euthanasia was considered less religious than the doctor who did not. As in Study 1, greater morality was associated with the doctor who exerted greater effort, particularly when they favored euthanasia. When the doctor favored euthanasia, they were rated as more moral when their background was inferred to be more religious; however, the opposite pattern of results emerged when the doctor decided against euthanasia.

Agency Penalties From Taking Parental Leave for Women in Men-Dominated Occupations: Archival and Experimental Evidence.

Organizations have started more progressively using and offering family benefits including parental leaves to address the issues of balancing work and family life. Although such leaves are fundamental for supporting, attracting, and retaining women, we examine whether such leaves may also inadvertently affect women's careers in occupations that overly value masculine traits, unless managed carefully. Drawing on the literature on gender stereotypes (micro factors) and occupation gender type (macro factors), we argue that longer (vs. shorter) parental leaves negatively affect women's work outcomes (i.e., annual income, salary recommendation, hireability, and leadership effectiveness) in men-dominated but not in women-dominated occupations because it lowers perceptions of women's agency. We find support for our hypotheses across three studies in the Australian context with an archival data set and two experiments. Our work shows that men-dominated organizational structures reinforce traditional gender stereotypes, whereas such reinforcement does not happen in women-dominated organizational structures. Our research equips leaders and organizations with insights into the unintended negative consequences of parental leave for women. This understanding serves as a crucial first step in developing strategies and programs to mitigate these effects, thereby supporting women in men-dominated occupations and fostering more inclusive and healthy workplaces.

Rooting for Their Own Gender: Preschoolers' Selective Preference for Winners.

Children's social preferences are influenced by the relative status of other individuals, but also by their social identity and the degree to which those individuals are like them. Previous studies have investigated these aspects separately and showed that in some circumstances children prefer high-status individuals and own-gender individuals. Gender is a particularly interesting case to study because it is a strong dimension of social identity, but also one of the most prevalent forms of social hierarchy, with males conceptualised as superior to females, by adults and children alike. Here we directly asked how children's social preferences are influenced by status (winner or loser of a zero-sum conflict) and winner gender (female or male) in different scenarios (same or mixed-gender). In Experiment 1, children saw same-gender conflicts between two females or two males and they displayed an overall preference for winners. In Experiment 2, participants watched two mixed-gender conflicts, one where the female prevailed and one where the male prevailed. In this case, children chose the winner, but only when they had the same gender as themselves. Experiment 3 confirmed that children preferred own-gender individuals in the absence of conflict or status. Overall, children are sensitive to the relative status of other individuals and use this information to make social decisions. However, preschoolers do not prefer just any individual who wins access to a resource. They preferred dominant individuals, but only when they were of their own gender. This suggests that children's dominance evaluations are modulated by children's social identity.

"It's a Slippery Slope": Antecedents of Female-Perpetrated Sexual Abuse of Adolescents in Australian Educational Settings.

Sexual victimization of students endures-especially in secondary schools-and women's perpetration in this setting is increasingly recognized. Nonetheless, our understanding of this population and contemporary cases remains limited, and research in the Australian context is lacking. This study contributes to the evidence base and represents the first Australian study of its kind. We draw on (1) legal documents (N = 19) describing 18 established cases of female-perpetrated sexual abuse against 20 adolescent students (aged 13-17 inclusive) and (2) semi-structured expert interviews with professionals possessing specialized experience of female-perpetrated cases involving adolescent students (N = 8). These data are integrated in a reflexive thematic analysis to identify the personal, contextual, and situational antecedents of female-perpetrated cases thereby exploring the 'why' and 'how' of their perpetration. Taken together, the results indicate a key interaction between individual emotional and relational needs, environmental opportunities, and contextual tolerance. Practical implications for targeting and disrupting these dynamics are discussed.

Reducing Ageism and Ableism with Brief Videos Providing Education about Aging and Disabilities and Exposure to Positive Intergenerational Contact.

BACKGROUND AND OBJECTIVES: Older adults living with a disability (LWD) face both ageism and ableism, but there are few interventions to address this significant and growing social problem. RESEARCH DESIGN AND METHODS: Drawing on the PEACE (Positive Education about Aging and Contact Experiences) Model, three online studies involved participants randomly assigned to watch four brief online videos providing education about aging and disability and exposure to positive contact between younger adults and older adults/older adults LWD (experimental condition) or videos about interior design (control condition). Studies 1 (community sample) and 2 (university sample) included an immediate post-test whereas Study 3 (2 university samples) additionally included a pre-test and delayed post-test. RESULTS: Experimental condition (vs. control) participants reported greater agreement with older adults LWD as contributors to society (immediate post-test in Studies 1 and 2; immediate and delayed post-test in Study 3), lesser (greater) endorsement of negative (positive) stereotypes of older adults and older adults LWD, lesser agreement with older adults LWD as burdensome, lesser intergenerational tension with older adults (immediate post-test in Study 2; immediate and delayed post-test in Study 3), and greater openness to careers working with older adults and older adults LWD (immediate and delayed post-test in Study 3). DISCUSSION AND IMPLICATIONS: Brief online interventions that involve education about aging and disabilities as well as exposure to positive intergenerational contact can be an effective means of reducing ableism and ageism toward older adults and older adults LWD.

Hear, hear! A review of accent discrimination at work.

Research on diversity in organizations has mostly focused on attributes that rely on visual cues (e.g., gender, race, age) and overlooked an important source of difference that relies on auditory cues - accents. However, workers with non-standard accents (i.e., non-native accents, regional accents) often experience discrimination and negative outcomes at work. We first review prior accent research suggesting that these negative effects can be explained by stereotypes/stigmatization or lower processing fluency. We then identify three emerging topic areas and suggest future research directions in each domain: intersectionality, organizational language policies and practices, and investigation of a greater range of accents and languages.

Is Artificial Intelligence ageist?

INTRODUCTION: Generative Artificial Intelligence (AI) is a technological innovation with wide applicability in daily life, which could help elderly people. However, it raises potential conflicts, such as biases, omissions and errors. METHODS: Descriptive study through the negative stereotypes towards aging questionnaire (CENVE) conducted on chatbots ChatGPT, Gemini, Perplexity, YOUChat, and Copilot was conducted. RESULTS: Of the chatbots studied, three were above 50% in responses with negative stereotypes, Copilot with high ageism level results, followed by Perplexity. In the health section, Copilot was the chatbot with the most negative connotations regarding old age (13 out of 20 points). In the personality section, Copilot scored 14 out of 20, followed by YOUChat. CONCLUSION: The Copilot chatbot responded to the statements more ageistically than the other platforms. These results highlight the importance of addressing any potential biases in AI to ensure that the responses provided are fair and respectful for all potential users.

Gender-related stigma toward individuals with a history of sexual or physical violence in childhood.

BACKGROUND: Stigma is a key barrier to disclosing traumatic experiences of violence in childhood with adverse consequences for help-seeking behaviour. Disclosing behavior differs by gender and the form of violence experienced. However, there is a lack of comprehensive studies that address societal perceptions of males and females with a history of sexual or physical violence in childhood. Therefore, our aim is to focus on the impact of gender on the perception of individuals who experienced sexual or physical violence in childhood. METHODS: We conducted a study on a representative sample of the German general population in terms of age and gender. Participants were randomly assigned to brief case vignettes addressing sexual or physical violence in childhood. Analyses base on a sample of n = 659 individuals (50.1% female). Stigma was assessed through examining respondents' readiness to address specific traumas in conversation and respondents' attitudes toward the individuals in the vignettes. Mann-Whitney U tests were applied to check for differences between female and male victims and survivors as well as female and male respondents. RESULTS: Our results reveal that male victims and survivors face higher negative stereotypes (harm, unpredictability) and evoke communication barriers more often when compared to female victims and survivors, especially in male respondents. Sexual violence is associated with more distinct gender differences than physical violence. CONCLUSIONS: Findings reflect greater stigma toward male victims and survivors of sexual violence than female ones. Men had a greater tendency to stigmatize - especially toward their same-gender peers. Socially ingrained gender roles may act as a basis for different communication cultures and the notion of victim-perpetrator constellations in which males are not envisaged as victims.

Can Information About Negative Age-Related Stereotypes Improve the Employment Chances of Older Unemployed Workers?

With increasing age, it becomes more difficult for unemployed workers to find a new job. Due to age-related negative stereotypes, employers typically prefer younger applicants. This study analyzes a marketing campaign of a local employment agency in Germany that drew attention to the problem of negative age-related stereotypes and highlighted the high value of older workers. The goal of the campaign was to increase the hiring rate of older unemployed. Using comprehensive register data and applying a difference-in-differences approach, we find that the information conveyed through the campaign (via banners, interviews, job fairs, and informational brochures) did indeed change firms' hiring behavior. The intervention increased the employment rate of workers aged 50 to 59 with unemployment experience by approximately 3 percentage points. The positive employment effects of the campaign appear to be somewhat more pronounced for women than for men. We conclude that an information campaign to overcome age-related negative stereotypes might be an appropriate measure to highlight the value of older workers and increase their employment chances. In the context of the demographic change, therefore, an information campaign might help to fight against a shrinking workforce and an impending shortage of skilled labor.

[The representation of sexuality and ageing in cinema: a reflection of a persistent capacitist ideology]. / Sexualité et vieillissement au cinéma : reflet d'une idéologie capacitiste persistante.

One might think that the representation of the ageing body in film has evolved over the years, reflecting certain cultural and societal changes, as well as advances in the understanding of ageing. However, regardless of gender, older people are more likely than any other group to appear in film as comic antidotes to ageing, cultivating stereotypes of physical, cognitive and even sexual inefficiency.

Gender Role Mindset and Beliefs about Own Personal Goals as a Guide for Young People's Behaviors towards the Romantic Partner.

Dating violence (DV) is a form of intentional abuse carried out in young couples, which over the years has increasingly gained attention for its pervasiveness and high frequency. The present study represents an effort to expand and deepen the literature on factors associated with DV perpetration. The sample consisted of 225 Italian young people who completed an online survey. A model was tested, in which DV perpetration is affected by the presence of gender stereotypes and personal values oriented to power and dominance (i.e., self-enhancement) and to universalism and interest in others (i.e., self-transcendence) through the mediation of the perception of the romantic relationship quality, controlling for age. Sex was also considered in the model. The findings showed that self-enhancement and self-transcendence were, respectively, linked positively and negatively to a negative perception of the relationship quality, which in turn explained DV perpetration. The results also suggested that hostile sexism, self-enhancement and being male were directly linked to DV perpetration, thus representing potential risk factors for it. The study suggests the importance of working on gender role beliefs and personal orientation to power, which guide the way people perceive their romantic relationships and behave toward their partners, providing interesting insights for the implementation of DV prevention programs. Moreover, the findings highlight the importance of working with families and other educational agencies to foster a change in cultural terms.

The Role of Negative Age Stereotypes and Sociodemographic Factors in the Intention to Leave Among German University Hospital Nursing Staff.

Staff shortages are a global problem in the nursing profession. Negative beliefs about older workers may have detrimental effects on the development and performance capacity of an aging workforce. To date, little is known about the impact of age stereotypes and potential factors on nurses' intent to leave (ITL). Therefore, the aim of our study was to assess intention to leave and potential predictors (eg, sociodemographic characteristics and age stereotypes) in a large representative sample of nurses in a German university hospital setting. A total of 423 nurses at the University Hospital of Heidelberg participated in a cross-sectional questionnaire study assessing sociodemographic data, age stereotypes using the "Beliefs About Older Workers" questionnaire, and participants' intentions to leave and give up their profession. Questionnaires were returned by 423 nurses (13.7% response rate). The results revealed that negative age stereotypes were highly prevalent. Significant correlations between age and negative age stereotypes were found, indicating that the younger the nurses were, the more negative their age stereotypes were. Most nurses with negative age stereotypes had no intention to leave their profession; however, the majority of nurses could not imagine working in the profession until they retired. Despite the low response rate, the results of the current study suggest that organizational and societal measures to reduce age stereotypes should be directed at newcomers and young nurses to retain them in the profession in the long term.

Design and Validation of a Scale to Measure Perceptions and Misconceptions about Menstruation in Nursing College Students: The METCON© Scale.

Menstruation remains surrounded by taboo and symbolic violence for many adolescents and young women today, and it is urgent to identify existing stereotypes. The objective was to validate a Spanish-language instrument to assess perceptions, false beliefs, gender stereotypes, fears, and taboos surrounding menstruation in nursing women's studies. A cross-sectional study for psychometric validation of the METCON© scale (22 item version) was assessed in a cohort of 401 female nursing university students (2016-2019), assessing the psychometric properties in terms of internal consistency and structural validity. Furthermore, an invariance analysis was conducted to discern structural disparities before and after studying the subject of gender and health. The METCON© scale showed acceptable internal consistency scores measured by Cronbach's alpha. Exploratory factor analysis indicated a structure of six factors which explained 60.50% of the total variance with a total of 19 items. Reliability analysis indicated adequate internal consistency (α = 0.613). Confirmatory factor analysis showed adequate values, confirming this structure. The invariance analyses identified that the structure remained adequate when evaluated before and after studying the subject of gender and health. Once validated, this instrument could serve as a valid and reliable tool for comprehensively examining perceptions, beliefs, and myths surrounding menstruation, addressing not only biological but also social and cultural aspects.