Social determinants of health (SDOH) extraction from clinical text is critical for downstream healthcare analytics. Although large language models (LLMs) have shown promise, they may rely on superficial cues leading to spurious predictions. Using the MIMIC portion of the SHAC (Social History Annotation Corpus) dataset and focusing on drug status extraction as a case study, we demonstrate that mentions of alcohol or smoking can falsely induce models to predict current/past drug use where none is present, while also uncovering concerning gender disparities in model performance. We further evaluate mitigation strategies—such as prompt engineering and chain-of-thought reasoning—to reduce these false positives, providing insights into enhancing LLM reliability in health domains.

As voice assistants cement their place in our technologically advanced society, there remains a need to cater to the diverse linguistic landscape, including colloquial forms of low-resource languages. Our study introduces the first-ever comprehensive dataset for intent detection and slot filling in formal Bangla, colloquial Bangla, and Sylheti languages, totaling 984 samples across 10 unique intents. Our analysis reveals the robustness of large language models for tackling downstream tasks with inadequate data. The GPT-3.5 model achieves an impressive F1 score of 0.94 in intent detection and 0.51 in slot filling for colloquial Bangla.