无需用户属性信息,用几何正则化实现健康感知中的伦理公平
Ethical Fairness in Ubiquitous Health Sensing without Known Attributes
- 利用费雪信息正则化模型曲率,无须用户属性识别隐藏群体差异
- 在多个生理与行为数据集上显著提升伦理公平性,性能不降反升
- 适合隐私敏感或无法获取属性的可穿戴健康系统部署
在泛在与移动健康系统中,计算模型通过可穿戴设备、行为和生理数据推断人体状态。仅追求高准确率不足;模型需在不同人群、场景与设备间体现伦理与公平性。然而,依赖训练时的人口统计或异质属性的公平方法难以实施,因这些属性常不可得、涉隐私、受监管或不宜收集。传统基于均等性的公平策略也可能违背伦理,通过牺牲子群体表现换取整体均衡。为此,我们提出Flare——一种无人口统计与异质属性的框架,结合费雪信息引导的潜在子群学习与无害正则化,使以人为中心的公平性契合伦理原则。Flare利用优化几何结构(特别是费雪信息)正则化模型曲率,揭示无属性情况下的隐含偏差。通过融合表征、损失与曲率信号,识别隐藏性能层级并进行协作式但无害的优化,提升子群体表现同时保持伦理平衡。我们还引入BHE(利他-避害-公平)度量体系,将伦理公平操作化。在移动生理、行为与临床感知数据集(EDA、OhioT1DM、IHS、Percept-R)上,Flare优于现有最先进方法。消融实验、可解释性分析与损失景观研究显示,改进源于更平坦的优化几何、更简单的决策规则及无害的潜在子群适配。运行时分析表明其适用于资源受限的传感部署。
原文摘要 · Abstract (English)
In ubiquitous and mobile health systems, computational models infer human states from wearable, behavioral, and physiological sensing data. In these settings, high accuracy alone is insufficient; models must act ethically and equitably across diverse people, contexts, and devices. However, fairness methods that rely on demographic or heterogeneous attributes during training are difficult to enforce because such attributes are often unavailable, privacy-sensitive, regulated, or undesirable to collect. Conventional parity-based fairness can also violate ethical principles by trading off subgroup performance. To address this challenge, we present Flare, Fisher-guided LAtent-subgroup learning with do-no-harm REgularization, a demographic- and heterogeneous-attribute-agnostic framework that aligns human-centered fairness with ethical principles for ubiquitous and mobile sensing. Flare leverages optimization geometry, particularly Fisher Information, to regularize curvature and uncover latent disparities in model behavior without demographic or heterogeneous attributes. By integrating representation, loss, and curvature signals, it identifies hidden performance strata and refines them through collaborative but do-no-harm optimization, enhancing subgroup performance while preserving ethical balance. We also introduce BHE (Beneficence-Harm Avoidance-Equity), a metric suite that operationalizes ethical fairness beyond statistical parity. Across mobile physiological, behavioral, and clinical sensing datasets, including EDA, OhioT1DM, IHS, and Percept-R, Flare improves ethical fairness over state-of-the-art baselines. Ablation, interpretability, and loss-landscape analyses show that these gains arise from flatter optimization geometry, simpler decision rules, and do-no-harm latent-subgroup adaptation. Runtime analysis supports the practicality of Flare for resource-constrained sensing deployments.
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