Laypeople's use of and attitudes toward large language models and search engines for health queries: survey study
Abstract
We conducted a screening survey to compare the demographics of LLM users and nonusers seeking health information, analyzing results with logistic regression. LLM users from the screening survey were invited to a follow-up survey to report the types of health information they sought. We compared the frequency of use of LLMs and search engines using ANOVA and Tukey post hoc tests. Lastly, paired-sample Wilcoxon tests compared LLMs and search engines on perceived usefulness, ease of use, trustworthiness, feelings, bias, and anthropomorphism. In total, 2002 US participants recruited on Prolific participated in the screening survey about the use of LLMs and search engines. Of them, 52% (n=1045) of the participants were female, with a mean age of 39 (SD 13) years. Participants were 9.7% (n=194) Asian, 12.1% (n=242) Black, 73.3% (n=1467) White, 1.1% (n=22) Hispanic, and 3.8% (n=77) were of other races and ethnicities. Further, 1913 (95.6%) used search engines to look up health queries versus 642 (32.6%) for LLMs. Men had higher odds (odds ratio [OR] 1.63, 95% CI 1.34-1.99; P<.001) of using LLMs for health questions than women. Black (OR 1.90, 95% CI 1.42-2.54; P<.001) and Asian (OR 1.66, 95% CI 1.19-2.30; P<.01) individuals had higher odds than White individuals. Those with excellent perceived health (OR 1.46, 95% CI 1.1-1.93; P=.01) were more likely to use LLMs than those with good health. Higher technical proficiency increased the likelihood of LLM use (OR 1.26, 95% CI 1.14-1.39; P<.001). In a follow-up survey of 281 LLM users for health, most participants used search engines first (n=174, 62%) to answer health questions, but the second most common first source consulted was LLMs (n=39, 14%). LLMs were perceived as less useful (P<.01) and less relevant (P=.07), but elicited fewer negative feelings (P<.001), appeared more human (LLM: n=160, vs search: n=32), and were seen as less biased (P<.001). Trust (P=.56) and ease of use (P=.27) showed no differences.
Study specs
A screening survey followed by logistic regression analysis and a follow-up survey; comparisons were performed using ANOVA, Tukey post hoc tests, and paired-sample Wilcoxon tests.
- Authors
- T Mendel,N Singh,DM Mann,B Wiesenfeld
- Discipline
- Digital Health
- Sample Size
- N=2,002
- Study Type
- Survey Research
- Year
- 2025
- Human Data Platform
- Prolific
- Source
- View Source Google Scholar
Measured Outcomes
Demographics and behaviors of LLM and search engine users for health queries, perceived usefulness, ease of use, trustworthiness, bias, and anthropomorphism.
Peer Review & Critical Discussion
Potential Selection Bias in 2023 Cohort
The participant pool shows a concerning overrepresentation of users from high-income demographics. Looking at Table 3, we can see that 78% of respondents had annual incomes above $75k, which significantly limits the generalizability of these findings to broader populations.
Non-naive Participants Issue
I've noticed a methodological concern regarding participant naivety. Given that Prolific users often complete multiple studies, there's a real risk that participants had prior exposure to similar experimental paradigms, which could confound the results.
RLHF Applicability to This Study Design
The implications for RLHF training pipelines are understated. If we accept the authors' conclusions about preference stability, this has direct consequences for how we should structure reward model training. The temporal decay effect described in Section 4.2 is particularly relevant.
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