2501.00129
Detects and mitigates demographic (gender) bias in the unstructured clinical-note text used to train an AI model for pediatric anxiety screening. The authors measure outcome parity across sex subgrou…
How to find and reduce demographic bias in an NLP model trained on free-text clinical notes, using pediatric anxiety detection as the case study. Learners see how outcome parity is measured across demographic subgroups (accuracy and false-negative-rate gaps), how the source of bias is located by analysing differences in word distributions and information density between groups rather than in structured features, and how a data-centric de-biasing intervention - neutralizing demographically-associated terms while preserving clinically salient content - lowers the diagnostic disparity without discarding signal. Frames the four bias types (selection, label, textual, over-amplification) and why unstructured healthcare text needs tailored fairness methods.
Detects and mitigates demographic (gender) bias in the unstructured clinical-note text used to train an AI model for pediatric anxiety screening. The authors measure outcome parity across sex subgrou…