Bath and North East Somerset
Predictors of Childhood Vaccination Uptake in England: An Explainable Machine Learning Analysis of Longitudinal Regional Data (2021-2024)
Noroozi, Amin, Esha, Sidratul Muntaha, Ghari, Mansoureh
Childhood vaccination is a cornerstone of public health, yet disparities in vaccination coverage persist across England. These disparities are shaped by complex interactions among various factors, including geographic, demographic, socioeconomic, and cultural (GDSC) factors. Previous studies mostly rely on cross-sectional data and traditional statistical approaches that assess individual or limited sets of variables in isolation. Such methods may fall short in capturing the dynamic and multivariate nature of vaccine uptake. In this paper, we conducted a longitudinal machine learning analysis of childhood vaccination coverage across 150 districts in England from 2021 to 2024. Using vaccination data from NHS records, we applied hierarchical clustering to group districts by vaccination coverage into low- and high-coverage clusters. A CatBoost classifier was then trained to predict districts' vaccination clusters using their GDSC data. Finally, the SHapley Additive exPlanations (SHAP) method was used to interpret the predictors' importance. The classifier achieved high accuracies of 92.1, 90.6, and 86.3 in predicting districts' vaccination clusters for the years 2021-2022, 2022-2023, and 2023-2024, respectively. SHAP revealed that geographic, cultural, and demographic variables, particularly rurality, English language proficiency, the percentage of foreign-born residents, and ethnic composition, were the most influential predictors of vaccination coverage, whereas socioeconomic variables, such as deprivation and employment, consistently showed lower importance, especially in 2023-2024. Surprisingly, rural districts were significantly more likely to have higher vaccination rates. Additionally, districts with lower vaccination coverage had higher populations whose first language was not English, who were born outside the UK, or who were from ethnic minority groups.
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- Health & Medicine > Therapeutic Area > Vaccines (1.00)
- Health & Medicine > Therapeutic Area > Immunology (1.00)
- Government > Regional Government > Europe Government > United Kingdom Government (0.35)
Whispers of Doubt Amidst Echoes of Triumph in NLP Robustness
Gupta, Ashim, Rajendhran, Rishanth, Stringham, Nathan, Srikumar, Vivek, Marasović, Ana
Are the longstanding robustness issues in NLP resolved by today's larger and more performant models? To address this question, we conduct a thorough investigation using 19 models of different sizes spanning different architectural choices and pretraining objectives. We conduct evaluations using (a) OOD and challenge test sets, (b) CheckLists, (c) contrast sets, and (d) adversarial inputs. Our analysis reveals that not all OOD tests provide further insight into robustness. Evaluating with CheckLists and contrast sets shows significant gaps in model performance; merely scaling models does not make them sufficiently robust. Finally, we point out that current approaches for adversarial evaluations of models are themselves problematic: they can be easily thwarted, and in their current forms, do not represent a sufficiently deep probe of model robustness. We conclude that not only is the question of robustness in NLP as yet unresolved, but even some of the approaches to measure robustness need to be reassessed.
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- Information Technology > Artificial Intelligence > Natural Language > Large Language Model (1.00)
- Information Technology > Artificial Intelligence > Machine Learning > Neural Networks > Deep Learning (0.94)