Vishwali Mhasawade

Miao Zhang, Salman Rahman, Vishwali Mhasawade et al.

New data sources, and artificial intelligence (AI) methods to extract information from them are becoming plentiful, and relevant to decision making in many societal applications. An important example is street view imagery, available in over 100 countries, and considered for applications such as assessing built environment aspects in relation to community health outcomes. Relevant to such uses, important examples of bias in the use of AI are evident when decision-making based on data fails to account for the robustness of the data, or predictions are based on spurious correlations. To study this risk, we utilize 2.02 million GSV images along with health, demographic, and socioeconomic data from New York City. Initially, we demonstrate that built environment characteristics inferred from GSV labels at the intra-city level may exhibit inadequate alignment with the ground truth. We also find that the average individual-level behavior of physical inactivity significantly mediates the impact of built environment features by census tract, as measured through GSV. Finally, using a causal framework which accounts for these mediators of environmental impacts on health, we find that altering 10% of samples in the two lowest tertiles would result in a 4.17 (95% CI 3.84 to 4.55) or 17.2 (95% CI 14.4 to 21.3) times bigger decrease on the prevalence of obesity or diabetes, than the same proportional intervention on the number of crosswalks by census tract. This work illustrates important issues of robustness and model specification for informing effective allocation of interventions using new data sources.

Stefan Hegselmann, Helen Zhou, Elizabeth Healey et al.

A collection of the accepted Findings papers that were presented at the 4th Machine Learning for Health symposium (ML4H 2024), which was held on December 15-16, 2024, in Vancouver, BC, Canada. ML4H 2024 invited high-quality submissions describing innovative research in a variety of health-related disciplines including healthcare, biomedicine, and public health. Works could be submitted to either the archival Proceedings track, or the non-archival Findings track. The Proceedings track targeted mature, cohesive works with technical sophistication and high-impact relevance to health. The Findings track promoted works that would spark new insights, collaborations, and discussions at ML4H. Both tracks were given the opportunity to share their work through the in-person poster session. All the manuscripts submitted to ML4H Symposium underwent a double-blind peer-review process.

Vishwali Mhasawade, Rumi Chunara

Transported mediation effects provide an avenue to understand how upstream interventions (such as improved neighborhood conditions like green spaces) would work differently when applied to different populations as a result of factors that mediate the effects. However, when mediators are missing in the population where the effect is to be transported, these estimates could be biased. We study this issue of missing mediators, motivated by challenges in public health, wherein mediators can be missing, not at random. We propose a sensitivity analysis framework that quantifies the impact of missing mediator data on transported mediation effects. This framework enables us to identify the settings under which the conditional transported mediation effect is rendered insignificant for the subgroup with missing mediator data. Specifically, we provide the bounds on the transported mediation effect as a function of missingness. We then apply the framework to longitudinal data from the Moving to Opportunity Study, a large-scale housing voucher experiment, to quantify the effect of missing mediators on transport effect estimates of voucher receipt, an upstream intervention on living location, in childhood on subsequent risk of mental health or substance use disorder mediated through parental health across sites. Our findings provide a tangible understanding of how much missing data can be withstood for unbiased effect estimates.

Vishwali Mhasawade, Salman Rahman, Zoe Haskell-Craig et al.

Previous work has highlighted that existing post-hoc explanation methods exhibit disparities in explanation fidelity (across 'race' and 'gender' as sensitive attributes), and while a large body of work focuses on mitigating these issues at the explanation metric level, the role of the data generating process and black box model in relation to explanation disparities remains largely unexplored. Accordingly, through both simulations as well as experiments on a real-world dataset, we specifically assess challenges to explanation disparities that originate from properties of the data: limited sample size, covariate shift, concept shift, omitted variable bias, and challenges based on model properties: inclusion of the sensitive attribute and appropriate functional form. Through controlled simulation analyses, our study demonstrates that increased covariate shift, concept shift, and omission of covariates increase explanation disparities, with the effect pronounced higher for neural network models that are better able to capture the underlying functional form in comparison to linear models. We also observe consistent findings regarding the effect of concept shift and omitted variable bias on explanation disparities in the Adult income dataset. Overall, results indicate that disparities in model explanations can also depend on data and model properties. Based on this systematic investigation, we provide recommendations for the design of explanation methods that mitigate undesirable disparities.

Vishwali Mhasawade, Rumi Chunara

Algorithmic systems are known to impact marginalized groups severely, and more so, if all sources of bias are not considered. While work in algorithmic fairness to-date has primarily focused on addressing discrimination due to individually linked attributes, social science research elucidates how some properties we link to individuals can be conceptualized as having causes at macro (e.g. structural) levels, and it may be important to be fair to attributes at multiple levels. For example, instead of simply considering race as a causal, protected attribute of an individual, the cause may be distilled as perceived racial discrimination an individual experiences, which in turn can be affected by neighborhood-level factors. This multi-level conceptualization is relevant to questions of fairness, as it may not only be important to take into account if the individual belonged to another demographic group, but also if the individual received advantaged treatment at the macro-level. In this paper, we formalize the problem of multi-level fairness using tools from causal inference in a manner that allows one to assess and account for effects of sensitive attributes at multiple levels. We show importance of the problem by illustrating residual unfairness if macro-level sensitive attributes are not accounted for, or included without accounting for their multi-level nature. Further, in the context of a real-world task of predicting income based on macro and individual-level attributes, we demonstrate an approach for mitigating unfairness, a result of multi-level sensitive attributes.

Vishwali Mhasawade, Yuan Zhao, Rumi Chunara

Research in population and public health focuses on the mechanisms between different cultural, social, and environmental factors and their effect on the health, of not just individuals, but communities as a whole. We present here a very brief introduction into research in these fields, as well as connections to existing machine learning work to help activate the machine learning community on such topics and highlight specific opportunities where machine learning, public and population health may synergize to better achieve health equity.

Vishwali Mhasawade, Nabeel Abdur Rehman, Rumi Chunara

Population attributes are essential in health for understanding who the data represents and precision medicine efforts. Even within disease infection labels, patients can exhibit significant variability; "fever" may mean something different when reported in a doctor's office versus from an online app, precluding directly learning across different datasets for the same prediction task. This problem falls into the domain adaptation paradigm. However, research in this area has to-date not considered who generates the data; symptoms reported by a woman versus a man, for example, could also have different implications. We propose a novel population-aware domain adaptation approach by formulating the domain adaptation task as a multi-source hierarchical Bayesian framework. The model improves prediction in the case of largely unlabelled target data by harnessing both domain and population invariant information.

Vishwali Mhasawade, Ildikó Emese Szabó, Melanie Tosik et al.

All known natural language determiners are conservative. Psycholinguistic experiments indicate that children exhibit a corresponding learnability bias when faced with the task of learning new determiners. However, recent work indicates that this bias towards conservativity is not observed during the training stage of artificial neural networks. In this work, we investigate whether the learnability bias exhibited by children is in part due to the distribution of quantifiers in natural language. We share results of five experiments, contrasted by the distribution of conservative vs. non-conservative determiners in the training data. We demonstrate that the aquisitional issues with non-conservative quantifiers can not be explained by the distribution of natural language data, which favors conservative quantifiers. This finding indicates that the bias in language acquisition data might be innate or representational.