Towards Equitable Representations of Ageing: Evaluation of Gender, Territories, Aids and Artificial Intelligence
Authors: Zorrilla-Muñoz Vanessa , Moyano Daniela Luz , Marcos Carvajal Carolina , Agulló-Tomás María Silveria 
Published: August 2024

There are few studies on the representation of older people regarding aids and assistive devices and even fewer that incorporate more inclusive views (gender, emotions, anti-ageist, territorial or land approach) as well as virtual or land ethnography or artificial intelligence. The general objective was to evaluate digital images of aids and assistive aids in the older population, from the perspectives mentioned above. Method. A descriptive and cross-sectional study that searched, observed and analyzed images. An evaluation of intentionally selected images from Freepik, Pixabay, Storyblocks, Splitshire, Gratisography and ArtGPT, included in an original database constructured by several authors of this article, was carried out in the context of the ENCAGEn-CM project (2020–2023, financed by the CAM and FSE). This base was updated and expanded in October and November 2023. In addition, an image generation process was carried out using artificial intelligence, and this was also part of the analysis (ArtGPT). Finally, algorithms were used to solve and retrain with the images. Results. Of the total final images included in the expanded database until November 2023 (n = 427), only a third (28.3%, 121/427) included the aids and assistive aids label. Representations of mixed groups predominated (38.8%) and, to a lesser extent, those of women. A large proportion of the devices were ‘glasses’ (74.6%) and the ‘use of a cane’ (14.9%). To a lesser extent, ‘wheelchairs’ (4.4%) or ‘hearing aids’ (0.9%) and the presence of more than one device (simultaneously) (5.3%) were noted. The main emotions represented were ‘joy’ (45.6%) and ‘emotion not recognized’ (45.6%), with, to a lesser extent, ‘sadness’ (3.5%), ‘surprise’ (4.4%) and ‘anger’ (0.9%). Differences by sex were found in the represented emotions linked to aids and assistive aids. The representation of images of the built environment predominated significantly (70.2%), and it was observed that older women were less represented in natural environments than men. Based on the previous findings, a method is proposed to address stereotypes in images of older individuals. It involves identifying common stereotypical features, like glasses and hospital settings, using deep learning and quantum computing techniques. A convolutional neural network identifies and suppresses these elements, followed by the use of quantum algorithms to manipulate features. This systematic approach aims to mitigate biases and enhance the accuracy in representing older people in digital imagery. Conclusion. A limited proportion of images of assistive devices and older people were observed. Furthermore, among them, the lower representation of images of women in a built environment was confirmed, and the expressions of emotions were limited to only three basic ones (joy, sadness and surprise). In these evaluated digital images, the collective imagination of older people continues to be limited to a few spaces/contexts and emotions and is stereotyped regarding the same variables (sex, age, environment). Technology often overlooks innovative support tools for older adults, and AI struggles in accurately depicting emotions and environments in digital images. There is a pressing need for thorough pretraining analysis and ethical considerations to address these challenges and ensure more accurate and inclusive representations of older persons in digital media.