Abstract--Causal fairness in databases is crucial to preventing biased and inaccurate outcomes in downstream tasks. While most prior work assumes a known causal model, recent efforts relax this assumption by enforcing additional constraints. However, these approaches often fail to capture broader attribute relationships that are critical to maintaining utility. This raises a fundamental question: Can we harness the benefits of causal reasoning to design efficient and effective fairness solutions without relying on strong assumptions about the underlying causal model? In this paper, we seek to answer this question by introducing CausalPre, a scalable and effective causality-guided data pre-processing framework that guarantees justifiable fairness, a strong causal notion of fairness. CausalPre extracts causally fair relationships by reformulating the originally complex and computationally infeasible extraction task into a tailored distribution estimation problem. T o ensure scalability, CausalPre adopts a carefully crafted variant of low-dimensional marginal factorization to approximate the joint distribution, complemented by a heuristic algorithm that efficiently tackles the associated computational challenge. Extensive experiments on benchmark datasets demonstrate that CausalPre is both effective and scalable, challenging the conventional belief that achieving causal fairness requires trading off relationship coverage for relaxed model assumptions. Machine learning (ML) systems are increasingly integrated into decision-making processes in domains such as education [1], finance [2], employment [3], advertising [4], and law enforcement [5], [6]. While these systems offer efficiency and scalability, they also pose serious concerns about fairness [7]- [14]. In particular, their reliance on historical data can unintentionally amplify biases, producing inaccurate, discriminatory outcomes with severe real-world impacts in high-stakes areas like criminal justice. These concerns have motivated the development of fairness-aware data pre-processing techniques within database management systems (DBMS) [15]-[22]. Compared to traditional fairness interventions at the model training or inference stages [23]-[28], pre-processing methods offer: (i) a once-for-all benefit, meaning that once data is calibrated for fairness, it can be used in any downstream task, regardless of the ML model employed; and (ii) a user-friendly workflow, as fairness considerations are directly embedded into the data pre-processing pipeline, enabling practitioners to focus on the downstream task without specialized fairness expertise. A straightforward approach to achieve this is to remove all sensitive attributes (e.g., gender and race) from the training data. However, such ad hoc solutions often fail in practice, as non-sensitive attributes may act as proxies for sensitive ones, particularly when strong correlations exist [18], [29].

Generating synthetic data is crucial in privacy-sensitive, data-scarce settings, especially for tabular datasets widely used in real-world applications. A key challenge is improving counterfactual and causal fairness, while preserving high utility. We present FairTabGen, a fairness-aware large language model-based framework for tabular synthetic data generation. We integrate multiple fairness definitions including counterfactual and causal fairness into both its generation and evaluation pipelines. We use in-context learning, prompt refinement, and fairness-aware data curation to balance fairness and utility. Across diverse datasets, our method outperforms state-of-the-art GAN-based and LLM-based methods, achieving up to 10% improvements on fairness metrics such as demographic parity and path-specific causal effects while retaining statistical utility. Remarkably, it achieves these gains using less than 20% of the original data, highlighting its efficiency in low-data regimes. These results demonstrate a principled and practical approach for generating fair and useful synthetic tabular data.

Synthetic data generation creates data based on real-world data using generative models. In health applications, generating high-quality data while maintaining fairness for sensitive attributes is essential for equitable outcomes. Existing GAN-based and LLM-based methods focus on counterfactual fairness and are primarily applied in finance and legal domains. Causal fairness provides a more comprehensive evaluation framework by preserving causal structure, but current synthetic data generation methods do not address it in health settings. To fill this gap, we develop the first LLM-augmented synthetic data generation method to enhance causal fairness using real-world tabular health data. Our generated data deviates by less than 10% from real data on causal fairness metrics. When trained on causally fair predictors, synthetic data reduces bias on the sensitive attribute by 70% compared to real data. This work improves access to fair synthetic data, supporting equitable health research and healthcare delivery.

Machine learning (ML) systems are utilized in critical sectors, such as healthcare, law enforcement, and finance. However, these systems are often trained on historical data that contains demographic biases, leading to ML decisions that perpetuate or exacerbate existing social inequalities. Causal fairness provides a transparent, human-in-the-loop framework to mitigate algorithmic discrimination, aligning closely with legal doctrines of direct and indirect discrimination. However, current causal fairness frameworks hold a key limitation in that they assume prior knowledge of the correct causal model, restricting their applicability in complex fairness scenarios where causal models are unknown or difficult to identify. To bridge this gap, we propose FairPFN, a tabular foundation model pre-trained on synthetic causal fairness data to identify and mitigate the causal effects of protected attributes in its predictions. FairPFN's key contribution is that it requires no knowledge of the causal model and still demonstrates strong performance in identifying and removing protected causal effects across a diverse set of hand-crafted and real-world scenarios relative to robust baseline methods. FairPFN paves the way for promising future research, making causal fairness more accessible to a wider variety of complex fairness problems.

As society transitions towards an AI-based decision-making infrastructure, an ever-increasing number of decisions once under control of humans are now delegated to automated systems. Even though such developments make various parts of society more efficient, a large body of evidence suggests that a great deal of care needs to be taken to make such automated decision-making systems fair and equitable, namely, taking into account sensitive attributes such as gender, race, and religion. In this paper, we study a specific decision-making task called outcome control in which an automated system aims to optimize an outcome variable Y while being fair and equitable. The interest in such a setting ranges from interventions related to criminal justice and welfare, all the way to clinical decision-making and public health. In this paper, we first analyze through causal lenses the notion of benefit, which captures how much a specific individual would benefit from a positive decision, counterfactually speaking, when contrasted with an alternative, negative one.

OBJECTIVE: Ensuring that machine learning (ML) algorithms are safe and effective within all patient groups, and do not disadvantage particular patients, is essential to clinical decision making and preventing the reinforcement of existing healthcare inequities. The objective of this tutorial is to introduce the medical informatics community to the common notions of fairness within ML, focusing on clinical applications and implementation in practice. TARGET AUDIENCE: As gaps in fairness arise in a variety of healthcare applications, this tutorial is designed to provide an understanding of fairness, without assuming prior knowledge, to researchers and clinicians who make use of modern clinical data. SCOPE: We describe the fundamental concepts and methods used to define fairness in ML, including an overview of why models in healthcare may be unfair, a summary and comparison of the metrics used to quantify fairness, and a discussion of some ongoing research. We illustrate some of the fairness methods introduced through a case study of mortality prediction in a publicly available electronic health record dataset. Finally, we provide a user-friendly R package for comprehensive group fairness evaluation, enabling researchers and clinicians to assess fairness in their own ML work.

Fairness for machine learning predictions is widely required in practice for legal, ethical, and societal reasons. Existing work typically focuses on settings without unobserved confounding, even though unobserved confounding can lead to severe violations of causal fairness and, thus, unfair predictions. In this work, we analyze the sensitivity of causal fairness to unobserved confounding. Our contributions are three-fold. First, we derive bounds for causal fairness metrics under different sources of unobserved confounding. This enables practitioners to examine the sensitivity of their machine learning models to unobserved confounding in fairness-critical applications. Second, we propose a novel neural framework for learning fair predictions, which allows us to offer worst-case guarantees of the extent to which causal fairness can be violated due to unobserved confounding. Third, we demonstrate the effectiveness of our framework in a series of experiments, including a real-world case study about predicting prison sentences. To the best of our knowledge, ours is the first work to study causal fairness under unobserved confounding. To this end, our work is of direct practical value as a refutation strategy to ensure the fairness of predictions in high-stakes applications.

The importance of achieving fairness in machine learning models cannot be overstated. Recent research has pointed out that fairness should be examined from a causal perspective, and several fairness notions based on the on Pearl's causal framework have been proposed. In this paper, we construct a reweighting scheme of datasets to address causal fairness. Our approach aims at mitigating bias by considering the causal relationships among variables and incorporating them into the reweighting process. The proposed method adopts two neural networks, whose structures are intentionally used to reflect the structures of a causal graph and of an interventional graph. The two neural networks can approximate the causal model of the data, and the causal model of interventions. Furthermore, reweighting guided by a discriminator is applied to achieve various fairness notions. Experiments on real-world datasets show that our method can achieve causal fairness on the data while remaining close to the original data for downstream tasks.

The use of machine learning (ML) in high-stakes societal decisions has encouraged the consideration of fairness throughout the ML lifecycle. Although data integration is one of the primary steps to generate high quality training data, most of the fairness literature ignores this stage. In this work, we consider fairness in the integration component of data management, aiming to identify features that improve prediction without adding any bias to the dataset. We work under the causal interventional fairness paradigm. Without requiring the underlying structural causal model a priori, we propose an approach to identify a sub-collection of features that ensure the fairness of the dataset by performing conditional independence tests between different subsets of features. We use group testing to improve the complexity of the approach. We theoretically prove the correctness of the proposed algorithm to identify features that ensure interventional fairness and show that sub-linear conditional independence tests are sufficient to identify these variables. A detailed empirical evaluation is performed on real-world datasets to demonstrate the efficacy and efficiency of our technique.