Phuong Anh Nguyen, Jill Noorily, Matthew Flathers +7cs.CY cs.CL cs.IR
Online health information seeking is shifting from keyword search, where users consider a ranked list of links, to conversational systems that compose a single answer and curate its citations. Source evaluation therefore passes from user to platform, yet what these systems surface is poorly characterized. We audited three free consumer products (ChatGPT, Perplexity, Google AI Overview) on twenty English mental health questions under two prompt conditions, with a subset of three also translated into six further languages of varying resource tiers. We recorded 15,942 citations across 1,140 responses and 1,713 unique domains, then classified every citation with a nine-category organizational typology applied by a deterministic classifier validated against human coding. Citations were heavily concentrated: the ten most-cited domains accounted for 43.6% of English citations, and government, commercial health, and academic sources were closely matched at roughly 22% each. Platforms differed little in typical citation volume but sharply in consistency and in the source types they favored. Explicitly requesting sources shifted composition only modestly. Non-English queries surfaced fewer citations and were routed to language-appropriate resources at significantly lower rates. We release the typology, classifier, and annotated corpus as reusable instruments for auditing generative health search.
When a generative search interface answers a commercial question, which market's products it names is decided before the model reasons about the products. We report a controlled probe of 234 runs against the logged-out ChatGPT web interface and the OpenAI API, collected on 29 and 30 August 2026 across four exit countries and six query languages, with six identical runs per cell. Three results. First, the top recommendation is unstable: it changed across six identical runs on four of six prompts, and that rate was identical in the browser interface and in the API with web search both enabled and disabled, so instability is a property of the system and not of the surface. Second, query language, and not location, decides whether local suppliers appear at all. Where the query language matched the country, a global brand won 1 of 24 runs; asked in English on the same connections, local brands took 0 of 6 runs in Estonia and Turkiye. Third, language and location are separable and act on different things: holding the query language fixed and moving only the exit IP moves the market whose brands are named while the answer stays in the query language. We show this on two unrelated pairs, Turkish asked from Berlin and Russian asked from Tallinn, and in both the answer names the resident country's suppliers. A minority language occupies a middle tier: Russian asked from Estonia names an Estonian supplier in 4 of 6 runs and a global one in all six, where Estonian names a local supplier in every run and English names none. A negative control in a second category, coded with the same instrument, shows no language effect at all, and disconfirms our own expectation: that category does have domestic suppliers and none was named in any language, which points the explanation at whether a category is nationally regulated rather than at whether it is nationally supplied.
AI visibility measurement is comparative: practitioners want to know which domains generative search engines cite most often and whether observed differences are large enough to support decisions. Yet the industry lacks a principled way to determine whether enough data has been collected. Collection budgets vary widely across studies and platforms, and conclusions are often drawn from rankings whose stability and precision are unknown. We introduce a sequential convergence framework based on two complementary criteria: rank stability evaluates whether the rank-correlation trajectory has reached a structural plateau, while structural sufficiency evaluates whether the spread of citation shares among established domains -- those whose confidence intervals exclude zero -- exceeds the uncertainty of those estimates. Together, these criteria distinguish rankings that have merely stabilized from those sufficiently resolved to support inference. Both are derived from regularities in the observed citation distribution, including its rank structure, uncertainty profile, and the boundary between observed and established domains. The framework retains a small number of structural constants but requires no externally specified query count, correlation target, or confidence-interval width target; stopping is driven by observed measurement uncertainty and remains robust across a range of sufficiency thresholds. Applied across 30 platform-topic combinations spanning Gemini, SearchGPT, and Perplexity, the framework adapts to platform- and topic-specific citation distributions. Results show that no fixed collection budget can be justified across contexts and that convergence can instead be evaluated from the structure of the observed distribution. The framework provides a practical basis for determining when AI visibility measurements are ready to support comparative analysis.