Virtual Reality Is Sexist: But It Does Not Have to Be

The aim of this study was to assess what drives gender-based differences in the experience of cybersickness within virtual environments. In general, those who have studied cybersickness (i.e., motion sickness associated with virtual reality [VR] exposure), oftentimes report that females are more susceptible than males. As there are many individual factors that could contribute to gender differences, understanding the biggest drivers could help point to solutions. Two experiments were conducted in which males and females were exposed for 20 min to a virtual rollercoaster. In the first experiment, individual factors that may contribute to cybersickness were assessed via self-report, body measurements, and surveys. Cybersickness was measured via the simulator sickness questionnaire and physiological sensor data. Interpupillary distance (IPD) non-fit was found to be the primary driver of gender differences in cybersickness, with motion sickness susceptibility identified as a secondary driver. Females whose IPD could not be properly fit to the VR headset and had a high motion sickness history suffered the most cybersickness and did not fully recover within 1 h post exposure. A follow-on experiment demonstrated that when females could properly fit their IPD to the VR headset, they experienced cybersickness in a manner similar to males, with high cybersickness immediately upon cessation of VR exposure but recovery within 1 h post exposure. Taken together, the results suggest that gender differences in cybersickness may be largely contingent on whether or not the VR display can be fit to the IPD of the user; with a substantially greater proportion of females unable to achieve a good fit. VR displays may need to be redesigned to have a wider IPD adjustable range in order to reduce cybersickness rates, especially among females.

[1]  J. May,et al.  The effects of age and sex on susceptibility to motion sickness. , 2001, Aviation, space, and environmental medicine.

[2]  J. Olesen,et al.  Epidemiology of headache in a general population--a prevalence study. , 1991, Journal of clinical epidemiology.

[3]  M. Griffin,et al.  Eye movement, vection, and motion sickness with foveal and peripheral vision. , 2003, Aviation, space, and environmental medicine.

[4]  A. Burg Visual acuity as measured by dynamic and static tests: a comparative evaluation. , 1966, The Journal of applied psychology.

[5]  T. Spector,et al.  Genetic influences on motion sickness susceptibility in adult women: a classical twin study. , 2006, Aviation, space, and environmental medicine.

[6]  P. Enck,et al.  Role of classical conditioning in learning gastrointestinal symptoms. , 2007, World journal of gastroenterology.

[7]  R S Kennedy,et al.  Use of a motion sickness history questionnaire for prediction of simulator sickness. , 1992, Aviation, space, and environmental medicine.

[8]  Ruth B. Ekstrom,et al.  Manual for kit of factor-referenced cognitive tests , 1976 .

[9]  Hiroshi Watanabe,et al.  Visual-vestibular conflict induced by virtual reality in humans , 2003, Neuroscience Letters.

[10]  T. Stoffregen,et al.  An ecological Theory of Motion Sickness and Postural Instability , 1991 .

[11]  Fang Pan,et al.  Gender and race as determinants of nausea induced by circular vection. , 2006, Gender medicine.

[12]  Kyungmo Park,et al.  The brain circuitry underlying the temporal evolution of nausea in humans. , 2013, Cerebral cortex.

[13]  Atsuo Murata,et al.  Effects of Duration of Immersion in a Virtual Reality Environment on Postural Stability , 2004, Int. J. Hum. Comput. Interact..

[14]  Jerrold Prothero,et al.  A Unified Approach to Presence and Motion Sickness , 2003 .

[15]  M J Griffin,et al.  Airsickness and aircraft motion during short-haul flights. , 2000, Aviation, space, and environmental medicine.

[16]  Willem-Paul Brinkman,et al.  Cybersickness and anxiety in virtual environments , 2011, VR 2011.

[17]  T. Stoffregen,et al.  Sex differences in visual performance and postural sway precede sex differences in visually induced motion sickness , 2015, Experimental Brain Research.

[18]  C. Lowry,et al.  Sex differences in anxiety and emotional behavior , 2013, Pflügers Archiv - European Journal of Physiology.

[19]  F. Bookstein 'Vertical' and 'horizontal' , 1995 .

[20]  Warren Robinett,et al.  A Computational Model for the Stereoscopic Optics of a Head-Mounted Display , 1991, Presence: Teleoperators & Virtual Environments.

[21]  L. Hellström,et al.  Mechanisms behind gender differences in circulating leptin levels , 2000, Journal of internal medicine.

[22]  P. Howarth Oculomotor changes within virtual environments. , 1999, Applied ergonomics.

[23]  M. Mon-Williams,et al.  Binocular vision in a virtual world: visual deficits following the wearing of a head‐mounted display , 1993, Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians.

[24]  E. Thorndike The influence of sex. , 1914 .

[25]  R T Jennings,et al.  Comparison of aerobic fitness and space motion sickness during the shuttle program. , 1988, Aviation, space, and environmental medicine.

[26]  Ben D. Lawson,et al.  Motion Sickness Scaling , 2014, Handbook of Virtual Environments, 2nd ed..

[27]  R. Fisher,et al.  Influence of age, gender, and menstrual cycle on the normal electrogastrogram. , 1996, The American journal of gastroenterology.

[28]  I KAPLAN,et al.  MOTION SICKNESS ON RAILROADS. , 1964, Industrial medicine & surgery.

[29]  J. Galen Buckwalter,et al.  Sex differences in mental rotation and spatial rotation in a virtual environment , 2004, Neuropsychologia.

[30]  Michael E. McCauley,et al.  Cybersickness: Perception of Self-Motion in Virtual Environments , 1992, Presence: Teleoperators & Virtual Environments.

[31]  Kay M. Stanney,et al.  What to Expect from Immersive Virtual Environment Exposure: Influences of Gender, Body Mass Index, and Past Experience , 2003, Hum. Factors.

[32]  Jacqueline M. Fulvio,et al.  Variability in Sensory Sensitivity Predicts Motion Sickness in Virtual Reality , 2018, bioRxiv.

[33]  J. Lackner Motion sickness: more than nausea and vomiting , 2014, Experimental Brain Research.

[34]  Kay M. Stanney,et al.  Virtual Environment Exposure Drop-Out Thresholds , 1999 .

[35]  John Pluta,et al.  Gender difference in neural response to psychological stress. , 2007, Social cognitive and affective neuroscience.

[36]  A. Sherwood,et al.  Gender differences in blood pressure control during a variety of behavioral stressors. , 1990, Psychosomatic medicine.

[37]  A. Shepherd,et al.  Enhanced Motion Aftereffects in Migraine Are Related to Contrast Sensitivity: Implications for Models of Differences in Precortical/Cortical Function. , 2016, Investigative ophthalmology & visual science.

[38]  Bob Cheung,et al.  Lack of gender difference in motion sickness induced by vestibular Coriolis cross-coupling. , 2002, Journal of vestibular research : equilibrium & orientation.

[39]  S. Yasuda,et al.  Separation process of two-phase fluids , 2005, J. Vis..

[40]  Alexei A. Goon,et al.  Multifocal planes head-mounted displays. , 2000, Applied optics.

[41]  C. Kirschbaum,et al.  Sex-specific adaptation of endocrine and inflammatory responses to repeated nauseogenic body rotation , 2006, Psychoneuroendocrinology.

[42]  Derek V. Taylor,et al.  Gender-Based Cerebral Perfusion Differences in 46,034 Functional Neuroimaging Scans. , 2017, Journal of Alzheimer's Disease.

[43]  Kay M. Stanney,et al.  Gender Differences in Visually Induced Motion Sickness , 2002 .

[44]  S. Hu,et al.  Gender differences in motion sickness history and susceptibility to optokinetic rotation-induced motion sickness. , 1999, Aviation, space, and environmental medicine.

[45]  Douglas Lanman,et al.  Fast gaze-contingent optimal decompositions for multifocal displays , 2017, ACM Trans. Graph..

[46]  O. Robin,et al.  Influence of sex and anxiety on pain threshold and tolerance. , 1987, Functional neurology.

[47]  M J Griffin,et al.  Motion sickness in public road transport: passenger behavior and susceptibility. , 1999, Ergonomics.

[48]  Amelia Johannes,et al.  PERIPHERAL VISION. , 1929, British medical journal.

[49]  J. Golding,et al.  Off-vertical axis rotation of the visual field and nauseogenicity. , 2009, Aviation, space, and environmental medicine.

[50]  Frank Biocca,et al.  Will Simulation Sickness Slow Down the Diffusion of Virtual Reality Technology , 1992 .

[51]  Clare Regan,et al.  An investigation into nausea and other side-effects of head-coupled immersive virtual reality , 1995, Virtual Reality.

[52]  Michael O'Leary,et al.  A genetic polymorphism of the alpha2-adrenergic receptor increases autonomic responses to stress. , 2004, Journal of applied physiology.

[53]  M J Griffin,et al.  Prediction of the incidence of motion sickness from the magnitude, frequency, and duration of vertical oscillation. , 1986, The Journal of the Acoustical Society of America.

[54]  Self-Concept Variables Sex Differences in , 2016 .

[55]  L. Yuan,et al.  [The human alpha(2A)-AR gene and the genotype of site -1296 and the susceptibility to motion sickness]. , 2002, Sheng wu hua xue yu sheng wu wu li xue bao Acta biochimica et biophysica Sinica.

[56]  P F Smith,et al.  Further evidence for gender differences in circularvection. , 1998, Journal of vestibular research : equilibrium & orientation.

[57]  Konrad Pesudovs,et al.  The development of a symptom questionnaire for assessing virtual reality viewing using a head-mounted display. , 2005, Optometry and vision science : official publication of the American Academy of Optometry.

[58]  C. Large,et al.  Chronic stress‐induced alterations in amygdala responsiveness and behavior – modulation by trait anxiety and corticotropin‐releasing factor systems , 2008, The European journal of neuroscience.

[59]  C M Oman,et al.  Sensory conflict theory and space sickness: our changing perspective. , 1998, Journal of vestibular research : equilibrium & orientation.

[60]  Kay M. Stanney,et al.  Duration and Exposure to Virtual Environments: Sickness Curves During and Across Sessions , 2000, Presence: Teleoperators & Virtual Environments.

[61]  Adam J. Strang,et al.  Influence of Complexity and Coupling of Optic Flow on Visually Induced Motion Sickness , 2014 .

[62]  H. Fledelius,et al.  Changes in eye position during growth and adult life , 1986, Acta ophthalmologica.

[63]  Hyun Kang,et al.  Relationship between the incidence and risk factors of postoperative nausea and vomiting in patients with intravenous patient-controlled analgesia. , 2017, Asian journal of surgery.

[64]  R. Stern,et al.  Effects of gender of subjects and experimenter on susceptibility to motion sickness. , 1999, Aviation, space, and environmental medicine.

[65]  J M Williams,et al.  Vertical and horizontal peripheral vision in male and female athletes and nonathletes. , 1975, Research quarterly.

[66]  Ancrêt Szpak,et al.  Beyond Feeling Sick: The Visual and Cognitive Aftereffects of Virtual Reality , 2019, IEEE Access.

[67]  J. Golding Motion Sickness Susceptibility and Management at Sea , 2017 .

[68]  Donald E. Parker,et al.  Mental Rotation: A Key to Mitigation of Motion Sickness in the Virtual Environment? , 1992, Presence: Teleoperators & Virtual Environments.

[69]  Mark S. Dennison,et al.  Use of physiological signals to predict cybersickness , 2016, Displays.

[70]  S. Alexander,et al.  Studies of motion sickness; the effects upon sickness rates of waves of various frequencies but identical acceleration. , 1947, Journal of experimental psychology.

[71]  J. Golding Motion sickness susceptibility questionnaire revised and its relationship to other forms of sickness , 1998, Brain Research Bulletin.

[72]  Kevin S. Berbaum,et al.  Simulator Sickness Questionnaire , 2019 .

[73]  Neil A. Dodgson,et al.  Variation and extrema of human interpupillary distance , 2004, IS&T/SPIE Electronic Imaging.

[74]  R. Stern,et al.  Chinese hyper-susceptibility to vection-induced motion sickness. , 1993, Aviation, space, and environmental medicine.

[75]  C. Granziera,et al.  Anatomical Alterations of the Visual Motion Processing Network in Migraine with and without Aura , 2006, PLoS medicine.

[76]  E. Kajantie,et al.  The effects of sex and hormonal status on the physiological response to acute psychosocial stress , 2006, Psychoneuroendocrinology.

[77]  J. Golding Motion sickness susceptibility , 2006, Autonomic Neuroscience.

[78]  H. Dawson. Practical Aspects of the Low Frequency Noise Problem , .

[79]  Jacqueline M. Fulvio,et al.  Variability in Sensory Sensitivity Predicts Motion Sickness in Virtual Reality , 2021 .

[80]  Betty J. Mohler,et al.  Adapting to Virtual Environments , 2014, Handbook of Virtual Environments, 2nd ed..

[81]  E. Peli Optometric and Perceptual Issues with Head-mounted Displays , 2010 .

[82]  Vaughan W Inman,et al.  Simulator Sickness Questionnaire: Twenty Years Later , 2017 .

[83]  Gender differences in the physiological responses and kinematic behaviour of elite sprint cross-country skiers , 2011, European Journal of Applied Physiology.

[84]  David M. Hoffman,et al.  Vergence-accommodation conflicts hinder visual performance and cause visual fatigue. , 2008, Journal of vision.

[85]  P S Cowings,et al.  Autogenic‐Feedback Training Exercise Is Superior to Promethazine for Control of Motion Sickness Symptoms , 2000, Journal of clinical pharmacology.

[86]  Yoon-Hee Cha,et al.  Metabolic and Functional Connectivity Changes in Mal de Debarquement Syndrome , 2012, PloS one.

[87]  C. Imray,et al.  The Sharpened Romberg Test for Assessing Ataxia in Mild Acute Mountain Sickness , 2005, Wilderness & environmental medicine.

[88]  Hong Hua,et al.  Head-Mounted Display Systems , 2005 .

[89]  Hans-Georg Buchholz,et al.  Ventral and dorsal streams processing visual motion perception (FDG-PET study) , 2012, BMC Neuroscience.

[90]  J M Lentz,et al.  Motion sickness susceptibility and related behavioral characteristics in men and women. , 1977, Aviation, space, and environmental medicine.

[91]  Carl Machover,et al.  Virtual reality , 1994, IEEE Computer Graphics and Applications.

[92]  Gordon Wetzstein,et al.  Optimizing virtual reality for all users through gaze-contingent and adaptive focus displays , 2017, Proceedings of the National Academy of Sciences.

[93]  Robert S. Kennedy,et al.  Simulator Sickness Questionnaire: An enhanced method for quantifying simulator sickness. , 1993 .

[94]  T. Freeman,et al.  Motion perception during sinusoidal smooth pursuit eye movements: signal latencies and non-linearities. , 2008, Journal of vision.

[95]  C. Balaban,et al.  Motion sickness in migraine sufferers , 2005, Expert opinion on pharmacotherapy.

[96]  Moira B. Flanagan,et al.  Sex differences in tolerance to visually-induced motion sickness. , 2005, Aviation, space, and environmental medicine.

[97]  G. Tucker,et al.  Airsickness and anxiety. , 1967, Aerospace medicine.

[98]  Thomas A. Stoffregen,et al.  The virtual reality head-mounted display Oculus Rift induces motion sickness and is sexist in its effects , 2017, Experimental Brain Research.

[99]  Collins We,et al.  Motion sickness susceptibility and related behavioral characteristics in men and women. , 1977 .

[100]  S. Best,et al.  Perceptual and oculomotor implications of interpupillary distance settings on a head-mounted virtual display , 1996, Proceedings of the IEEE 1996 National Aerospace and Electronics Conference NAECON 1996.

[101]  Cyriel Diels,et al.  Frequency Characteristics of Visually Induced Motion Sickness , 2013, Hum. Factors.

[102]  Frank Biocca,et al.  Will Simulation Sickness Slow Down the Diffusion of Virtual Environment Technology? , 1992, Presence: Teleoperators & Virtual Environments.

[103]  J F Golding,et al.  Motion sickness susceptibility in healthy subjects and vestibular patients: effects of gender, age and trait-anxiety. , 2013, Journal of vestibular research : equilibrium & orientation.

[104]  H. A. Witkin,et al.  Field dependence and interpersonal behavior. , 1976, Psychological bulletin.

[105]  I. Rentschler,et al.  Peripheral vision and pattern recognition: a review. , 2011, Journal of vision.

[106]  Kay M. Stanney,et al.  Locus of User-Initiated Control in Virtual Environments: Influences on Cybersickness , 1998, Presence.

[107]  John T. McConville,et al.  Anthropometric Survey of U.S. Army Personnel: Methods and Summary Statistics 1988 , 1989 .

[108]  E. Muth,et al.  Cortisol levels predict motion sickness tolerance in women but not in men , 2009, Physiology & Behavior.

[109]  Jannick Rolland,et al.  Albertian errors in head-mounted displays: I. Choice of eye-point location for a near- or far-field task visualization. , 2004, Journal of the Optical Society of America. A, Optics, image science, and vision.

[110]  Joshua E. Domeyer,et al.  The use of adaptation to reduce simulator sickness in driving assessment and research. , 2013, Accident; analysis and prevention.

[111]  Effect of vestibular adaptation exercises on chronic motion sensitivity: a randomized controlled trial , 2016 .

[112]  J. Golding,et al.  Motion sickness susceptibility fluctuates through the menstrual cycle. , 2005, Aviation, space, and environmental medicine.

[113]  Young Youn Kim,et al.  Characteristic changes in the physiological components of cybersickness. , 2005, Psychophysiology.

[114]  R. Kennedy,et al.  THE DIAL TEST: A STANDARDIZED PROCEDURE FOR THE EXPERIMENTAL PRODUCTION OF CANAL SICKNESS SYMPTOMATOLOGY IN A ROTATING ENVIRONMENT , 1965 .

[115]  Geoffrey Hall,et al.  Effects of ethnicity and gender on motion sickness susceptibility. , 2005, Aviation, space, and environmental medicine.

[116]  W. Bles,et al.  Motion sickness. , 2000, Current opinion in neurology.

[117]  M. Mira,et al.  Sex and seasickness on the Coral Sea , 1997, The Lancet.

[118]  Michael L. Wilson,et al.  Absence of Gender Differences in Actual Induced HMD Motion Sickness vs. Pretrial Susceptibility Ratings , 2017 .

[119]  R Shaker,et al.  Gastrointestinal motor and myoelectric correlates of motion sickness. , 1999, The American journal of physiology.

[120]  C. Arslanian-Engoren,et al.  Physiological and anatomical bases for sex differences in pain and nausea as presenting symptoms of acute coronary syndromes. , 2010, Heart & lung : the journal of critical care.

[121]  F. Akin,et al.  Validity and reliability of the Motion Sensitivity Test. , 2003, Journal of rehabilitation research and development.

[122]  Zoran Bursac,et al.  Purposeful selection of variables in logistic regression , 2008, Source Code for Biology and Medicine.

[123]  J. Rolland,et al.  Head-worn displays: a review , 2006, Journal of Display Technology.

[124]  Guillaume Giraudet,et al.  Hyperstereopsis in night vision devices: basic mechanisms and impact for training requirements , 2006, SPIE Defense + Commercial Sensing.

[125]  P. Costello Health and Safety Issues associated with Virtual Reality-A Review of Current Literature , 1997 .

[126]  M. Ron,et al.  Phobic postural vertigo , 1997, Neurology.

[127]  You Yun Lee,et al.  Quantitative assessment of divergence eye movements. , 2008, Journal of vision.