Ashley Hua | Searcharxiv

arXiv2026

'OpenBloom': A Stigma-Sensitive LLM Design Probe for Navigating Reproductive Well-being Conversations with Young Adults

The growing use of large language models (LLMs) by young adults seeking sensitive health information has raised important questions in Human-AI Interaction about how these systems can support understanding and navigation of reproductive well-being. In response to Feminist HCI principles, we introduce OpenBloom, a web application and an exploratory design probe that uses LLMs to generate question-based prompts from reproductive health articles. Through a user study with 34 young adults across 136 interactions with OpenBloom, we provide an initial assessment of the system while exploring how participants' reflections engage with culture and value sensitivities. We found that while OpenBloom outputs meet expectations of "safe" and non-offensive, they tend to paraphrase or rely on factual recall, which may lead to value dilution. We discuss implications under contestability and value-sensitive frameworks for future LLM-mediated reproductive health technologies and towards responsible AI discourse.

cs.HC↗

arXiv2026

"OpenBloom": A Question-Based LLM Tool to Support Stigma Reduction in Reproductive Well-Being

Reproductive well-being education remains widely stigmatized across diverse cultural contexts, constraining how individuals access and interpret reproductive health knowledge. We designed and evaluated OpenBloom, a stigma-sensitive, AI-mediated system that uses LLMs to transform reproductive health articles into reflective, question-based learning prompts. We employed OpenBloom as a design probe, aiming to explore the emerging challenges of reproductive well-being stigma through LLMs. Through surveys, semi-structured interviews, and focus group discussions, we examine how sociocultural stigma shapes participants' engagements with AI-generated questions and the opportunities of inquiry-based reproductive health education. Our findings identify key design considerations for stigma-sensitive LLM, including empathetic framing, inclusive language, values-based reflection, and explicit representation of marginalized identities. However, while current LLM outputs largely meet expectations for cultural sensitivity and non-offensiveness, they default to superficial rephrasing and factual recall rather than critical reflection. This guides well-being HCI design in sensitive health domains toward culturally grounded, participatory workflows.

cs.HC↗