arXiv:2501.13219cs.LGcs.CY2025-01中稿 · the 13th IEEE Inte…被引 3

同时优化多个敏感属性的公平性,避免医疗AI加剧健康不公

Enhancing Multi-Attribute Fairness in Healthcare Predictive Modeling

  • 分两阶段优化:先提升预测性能,再同步调节多属性公平性
  • 多属性公平性差距(EOD)显著降低,且保持高预测准确率
  • 单属性优化可能恶化其他属性公平性,多属性协同更均衡

医疗人工智能系统在改善患者预后方面展现出巨大潜力,但若缺乏公平性设计,可能延续甚至加剧现有健康不平等。尽管已有众多公平性增强技术,多数仅针对单一敏感属性,忽视了优化某一属性公平性对其他属性的潜在影响。本文提出一种新的多属性公平性优化方法,可并行处理多个人口统计属性的公平性问题。方法采用两阶段策略:首先优化预测性能,随后通过顺序或同步策略进行多属性公平性微调。实验显示,该方法在多个属性上显著降低了等机会差异(EOD),同时保持高预测精度。值得注意的是,单属性公平性方法可能无意中加剧非目标属性的不公平,而同步多属性优化则实现了所有属性的更均衡公平性提升。研究强调了医疗AI中全面公平策略的重要性,并为未来研究提供了重要方向。

原文摘要 · Abstract (English)

Artificial intelligence (AI) systems in healthcare have demonstrated remarkable potential to improve patient outcomes. However, if not designed with fairness in mind, they also carry the risks of perpetuating or exacerbating existing health disparities. Although numerous fairness-enhancing techniques have been proposed, most focus on a single sensitive attribute and neglect the broader impact that optimizing fairness for one attribute may have on the fairness of other sensitive attributes. In this work, we introduce a novel approach to multi-attribute fairness optimization in healthcare AI, tackling fairness concerns across multiple demographic attributes concurrently. Our method follows a two-phase approach: initially optimizing for predictive performance, followed by fine-tuning to achieve fairness across multiple sensitive attributes. We develop our proposed method using two strategies, sequential and simultaneous. Our results show a significant reduction in Equalized Odds Disparity (EOD) for multiple attributes, while maintaining high predictive accuracy. Notably, we demonstrate that single-attribute fairness methods can inadvertently increase disparities in non-targeted attributes whereas simultaneous multi-attribute optimization achieves more balanced fairness improvements across all attributes. These findings highlight the importance of comprehensive fairness strategies in healthcare AI and offer promising directions for future research in this critical area.

医疗AI公平性多属性

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