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Cross-Care: Assessing the Healthcare Implications of Pre-training Data on Language Model Bias

Neural Information Processing Systems

Large language models (LLMs) are increasingly essential in processing natural languages, yet their application is frequently compromised by biases and inaccuracies originating in their training data.In this study, we introduce \textbf{Cross-Care}, the first benchmark framework dedicated to assessing biases and real world knowledge in LLMs, specifically focusing on the representation of disease prevalence across diverse demographic groups.We systematically evaluate how demographic biases embedded in pre-training corpora like $ThePile$ influence the outputs of LLMs.We expose and quantify discrepancies by juxtaposing these biases against actual disease prevalences in various U.S. demographic groups.Our results highlight substantial misalignment between LLM representation of disease prevalence and real disease prevalence rates across demographic subgroups, indicating a pronounced risk of bias propagation and a lack of real-world grounding for medical applications of LLMs.Furthermore, we observe that various alignment methods minimally resolve inconsistencies in the models' representation of disease prevalence across different languages.For further exploration and analysis, we make all data and a data visualization tool available at: \url{www.crosscare.net}.


Mitigating Bias with Words: Inducing Demographic Ambiguity in Face Recognition Templates by Text Encoding

Chettaoui, Tahar, Damer, Naser, Boutros, Fadi

arXiv.org Artificial Intelligence

Face recognition (FR) systems are often prone to demographic biases, partially due to the entanglement of demographic-specific information with identity-relevant features in facial embeddings. This bias is extremely critical in large multicultural cities, especially where biometrics play a major role in smart city infrastructure. The entanglement can cause demographic attributes to overshadow identity cues in the embedding space, resulting in disparities in verification performance across different demographic groups. To address this issue, we propose a novel strategy, Unified Text-Image Embedding (UTIE), which aims to induce demographic ambiguity in face embeddings by enriching them with information related to other demographic groups. This encourages face embeddings to emphasize identity-relevant features and thus promotes fairer verification performance across groups. UTIE leverages the zero-shot capabilities and cross-modal semantic alignment of Vision-Language Models (VLMs). Given that VLMs are naturally trained to align visual and textual representations, we enrich the facial embeddings of each demographic group with text-derived demographic features extracted from other demographic groups. This encourages a more neutral representation in terms of demographic attributes. We evaluate UTIE using three VLMs, CLIP, OpenCLIP, and SigLIP, on two widely used benchmarks, RFW and BFW, designed to assess bias in FR. Experimental results show that UTIE consistently reduces bias metrics while maintaining, or even improving in several cases, the face verification accuracy.


A Unifying Human-Centered AI Fairness Framework

Rahman, Munshi Mahbubur, Pan, Shimei, Foulds, James R.

arXiv.org Artificial Intelligence

The increasing use of Artificial Intelligence (AI) in critical societal domains has amplified concerns about fairness, particularly regarding unequal treatment across sensitive attributes such as race, gender, and socioeconomic status. While there has been substantial work on ensuring AI fairness, navigating trade-offs between competing notions of fairness as well as predictive accuracy remains challenging, creating barriers to the practical deployment of fair AI systems. To address this, we introduce a unifying human-centered fairness framework that systematically covers eight distinct fairness metrics, formed by combining individual and group fairness, infra-marginal and intersectional assumptions, and outcome-based and equality-of-opportunity (EOO) perspectives. This structure allows stakeholders to align fairness interventions with their values and contextual considerations. The framework uses a consistent and easy-to-understand formulation for all metrics to reduce the learning curve for non-experts. Rather than privileging a single fairness notion, the framework enables stakeholders to assign weights across multiple fairness objectives, reflecting their priorities and facilitating multi-stakeholder compromises. We apply this approach to four real-world datasets: the UCI Adult census dataset for income prediction, the COMPAS dataset for criminal recidivism, the German Credit dataset for credit risk assessment, and the MEPS dataset for healthcare utilization. We show that adjusting weights reveals nuanced trade-offs between different fairness metrics. Finally, through case studies in judicial decision-making and healthcare, we demonstrate how the framework can inform practical and value-sensitive deployment of fair AI systems.


Individual and group fairness in geographical partitioning

Ryzhov, Ilya O., Carlsson, John Gunnar, Zhu, Yinchu

arXiv.org Artificial Intelligence

Consider a service system in which individuals are served by facilities at different locations within a geographical region. For example, the facilities could represent schools, polling places, or commercial fulfillment centers. The geographical partitioning problem (Carlsson & Devulapalli 2013) divides the region into non-overlapping districts, such that all individuals residing in the same district are served by the same facility. The goal is to choose a partition that optimizes some measure of social welfare, most commonly the average travel cost per individual (Carlsson et al. 2016). We formulate and study a novel variant of this problem where the population is heterogeneous, consisting of multiple demographic groups, each with a different spatial distribution throughout the region. Again we optimize the expected cost, but now we also impose a new group fairness condition: each subpopulation can be neither over-nor under-represented at any facility. In other words, the districts are designed in such a way that the proportion of the population belonging to a particular group in any district must match that group's incidence in the entire population. This condition is also known as "demographic parity" in the literature (Dwork et al. 2012).


FairLRF: Achieving Fairness through Sparse Low Rank Factorization

Guo, Yuanbo, Xia, Jun, Shi, Yiyu

arXiv.org Artificial Intelligence

As deep learning (DL) techniques become integral to various applications, ensuring model fairness while maintaining high performance has become increasingly critical, particularly in sensitive fields such as medical diagnosis. Although a variety of bias-mitigation methods have been proposed, many rely on computationally expensive debiasing strategies or suffer substantial drops in model accuracy, which limits their practicality in real-world, resource-constrained settings. To address this issue, we propose a fairness-oriented low rank factorization (LRF) framework that leverages singular value decomposition (SVD) to improve DL model fairness. Unlike traditional SVD, which is mainly used for model compression by decomposing and reducing weight matrices, our work shows that SVD can also serve as an effective tool for fairness enhancement. Specifically, we observed that elements in the unitary matrices obtained from SVD contribute unequally to model bias across groups defined by sensitive attributes. Motivated by this observation, we propose a method, named FairLRF, that selectively removes bias-inducing elements from unitary matrices to reduce group disparities, thus enhancing model fairness. Extensive experiments show that our method outperforms conventional LRF methods as well as state-of-the-art fairness-enhancing techniques. Additionally, an ablation study examines how major hyper-parameters may influence the performance of processed models. To the best of our knowledge, this is the first work utilizing SVD not primarily for compression but for fairness enhancement.