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ACM Hum.-Comput. Interact."],"published-print":{"date-parts":[[2025,10,18]]},"abstract":"<jats:p>Recent breakthroughs in large language models (LLMs) have generated both interest and concern about their potential adoption as information sources or communication tools across different domains. In public health, where stakes are high and impacts extend across diverse populations, adopting LLMs poses unique challenges that require thorough evaluation. However, structured approaches for assessing potential risks in public health remain under-explored. To address this gap, we conducted focus groups with public health professionals and individuals with lived experience to unpack their concerns, situated across three distinct and critical public health issues that demand high-quality information: infectious disease prevention (vaccines), chronic and well-being care (opioid use disorder), and community health and safety (intimate partner violence). We synthesize participants' perspectives into a risk taxonomy, identifying and contextualizing the potential harms LLMs may introduce when positioned alongside traditional health communication. This taxonomy highlights four dimensions of risk to individuals, human-centered care, information ecosystem, and technology accountability. For each dimension, we unpack specific risks and offer example reflection questions to help practitioners adopt a risk-reflexive approach. By summarizing distinctive LLM characteristics and linking them to identified risks, we discuss the need to revisit prior mental models of information behaviors and complement evaluations with external validity and domain expertise through lived experience and real-world practices. Together, this work contributes a shared vocabulary and reflection tool for people in both computing and public health to collaboratively anticipate, evaluate, and mitigate risks in deciding when to employ LLM capabilities (or not) and how to mitigate harm.<\/jats:p>","DOI":"10.1145\/3757544","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T17:06:01Z","timestamp":1760634361000},"page":"1-32","update-policy":"https:\/\/doi.org\/10.1145\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["A Risk Taxonomy and Reflection Tool for Large Language Model Adoption in Public Health"],"prefix":"10.1145","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2312-4359","authenticated-orcid":false,"given":"Jiawei","family":"Zhou","sequence":"first","affiliation":[{"name":"Georgia Institute of Technology, Atlanta, Georgia, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7050-2901","authenticated-orcid":false,"given":"Amy Z.","family":"Chen","sequence":"additional","affiliation":[{"name":"Georgia Institute of Technology, Atlanta, Georgia, USA"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1060-9712","authenticated-orcid":false,"given":"Darshi","family":"Shah","sequence":"additional","affiliation":[{"name":"Georgia Institute of Technology, Atlanta, Georgia, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9174-1730","authenticated-orcid":false,"given":"Laura M.","family":"Schwab-Reese","sequence":"additional","affiliation":[{"name":"Purdue University, West Lafayette, Indiana, USA"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8939-264X","authenticated-orcid":false,"given":"Munmun","family":"De Choudhury","sequence":"additional","affiliation":[{"name":"Georgia Institute of Technology, Atlanta, Georgia, USA"}]}],"member":"320","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_2_1_1_1","unstructured":"Noor Al-Sibai. 2025. 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AI-powered app designed to help domestic violence victims. https:\/\/www.9news.com\/article\/tech\/ai-powered-app-to-help-domestic-violence-victims\/73-57207485-2573-439a-b494-6da5af37d713"},{"key":"e_1_2_1_62_1","volume-title":"Americans' use of chatgpt is ticking up, but few trust its election information","author":"McClain Colleen","unstructured":"Colleen McClain. 2024. Americans' use of chatgpt is ticking up, but few trust its election information. Pew Research Center."},{"key":"e_1_2_1_63_1","unstructured":"Liv McMahon. 2024. Glue pizza and eat rocks: Google AI search errors go viral. https:\/\/www.bbc.com\/news\/articles\/cd11gzejgz4o"},{"key":"e_1_2_1_64_1","first-page":"1068","volume-title":"Proceedings of the International AAAI Conference on Web and Social Media","volume":"18","author":"Mittal Shravika","year":"2024","unstructured":"Shravika Mittal, Jasmine C Foriest, Benjamin D Horne, and Munmun De Choudhury. 2024. 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In The 2024 ACM Conference on Fairness, Accountability, and Transparency. 1211-1228."},{"key":"e_1_2_1_67_1","doi-asserted-by":"publisher","DOI":"10.1177\/1359105303008001426"},{"key":"e_1_2_1_68_1","volume-title":"The future of public health","author":"Division of Health Care Services and Committee for the Study of the Future of Public Health. 1988.","unstructured":"Division of Health Care Services and Committee for the Study of the Future of Public Health. 1988. The future of public health. Vol. 88. National Academies Press."},{"key":"e_1_2_1_69_1","unstructured":"Information Commissioner's Office. [n.d.]. Next-generation search. https:\/\/ico.org.uk\/about-the-ico\/research-reports-impact-and-evaluation\/research-and-reports\/technology-and-innovation\/tech-horizons-report\/next-generation-search\/"},{"key":"e_1_2_1_70_1","doi-asserted-by":"crossref","first-page":"1393","DOI":"10.1001\/jama.2014.2147","article-title":"Confronting the stigma of opioid use disorder-and its treatment","volume":"311","author":"Olsen Yngvild","year":"2014","unstructured":"Yngvild Olsen and Joshua M Sharfstein. 2014. Confronting the stigma of opioid use disorder-and its treatment. 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''It's a Fair Game'', or Is It? Examining How Users Navigate Disclosure Risks and Benefits When Using LLM-Based Conversational Agents. In Proceedings of the CHI Conference on Human Factors in Computing Systems. 1-26."},{"key":"e_1_2_1_98_1","doi-asserted-by":"publisher","DOI":"10.1111\/hir.12192"},{"key":"e_1_2_1_99_1","doi-asserted-by":"publisher","DOI":"10.1145\/3512980"},{"key":"e_1_2_1_100_1","doi-asserted-by":"publisher","DOI":"10.1145\/3710990"},{"key":"e_1_2_1_101_1","doi-asserted-by":"publisher","DOI":"10.1145\/3544548.3581318"},{"key":"e_1_2_1_102_1","volume-title":"behaviors and HPV vaccine: correcting the myths and the misinformation. Preventive medicine","author":"Zimet Gregory D","year":"2013","unstructured":"Gregory D Zimet, Zeev Rosberger, William A Fisher, Samara Perez, and Nathan W Stupiansky. 2013. Beliefs, behaviors and HPV vaccine: correcting the myths and the misinformation. 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