Effect of Demographic Bias on Skin Lesion Classification

Large-scale image-text datasets, such as LAION-5B, are foundational to modern AI systems, yet their vast scale and uncurated nature raise significant concerns about demographic and stereotypical biases. This study presents a comprehensive analysis of the demographic composition and representational, stereotypical, and intersectional biases in LAION-2B-en and LAION-2B-multi, the two main components of the LAION-5B dataset. Using state-of-the-art models -- FairFace, DeepFace, and Emo-AffectNet -- we analyze faces detected in the dataset to identify biases across age, gender, race, and expressed emotion. Our findings reveal substantial overrepresentation of young adults (20--39), White individuals, and males, alongside consistent underrepresentation of minority racial groups and middle-aged or older women across both dataset components. We also observe stereotypical associations between demographic attributes and emotions, such as Anger'' being predominantly linked to males and Happiness'' to females, pointing to systemic imbalances in the data. The consistency of these patterns across two demographic models and both components of LAION-5B demonstrates that these biases are deeply embedded in one of the most widely-used training datasets. Given the scale at which LAION-5B is used to train generative models, these demographic imbalances could shape the behavior and outputs of numerous downstream AI systems.

Deep learning models for medical image classification are susceptible to subgroup performance disparities across demographic attributes such as age, gender, and race. We identify a latent representational mechanism underlying these disparities: in transfer-learned models, the dominant penultimate-layer activation channel under positive predictions is co-activated by both disease-positive samples and privileged demographic groups (male, older patients), producing over-diagnosis; conversely, the dominant channel under negative predictions is co-activated by disadvantaged groups (female, younger patients), producing systematic under-diagnosis. To address this, we propose Neuron Incidence Redistribution (NIR), a lightweight regularization method that penalizes the variance of predicted-probability-weighted mean activations across penultimate-layer neurons, requiring no demographic labels at training time. On HAM10000, TPR disparity drops from 10.81% to 0.93% across age groups and from 12.04% to 0.74% across gender, with a marginal AUC improvement of 0.51 points. On Harvard OCT-RNFL, NIR reduces FPR disparity for race (from 15.68% to 10.66%) and age (from 12.69% to 1.80%), demonstrating that distributing latent disease evidence across the full penultimate layer is a principled and effective strategy for improving demographic fairness in medical AI.

Large-scale facial datasets like CelebA are widely used in computer vision, yet the cultural biases embedded in their labels remain underexplored. Fairness research has distinguished representational from allocational harms, but audits of computer vision datasets have mostly examined categorical labels, leaving open how such harms appear in learned features and model attention. This paper examines CelebA at three levels: dataset structure, learned feature weights, and spatial attention, focusing on how gendered double standards of ageing and beauty are encoded in the data and reproduced in model behaviour. First, hierarchical clustering of 202,599 images shows that the 39 attributes organise into latent trait bundles aligned with cultural archetypes: performative femininity (youth, makeup, adornment) and professional masculinity (ageing, facial hair, formal attire). Female faces, though more often rated attractive overall, incur steep penalties when assigned to ageing or masculine-coded clusters. Second, XGBoost with SHAP analysis reveal gender-specific effects, such as adiposity reducing attractiveness only for females. Third, Grad-CAM finds that predictions for female and younger male subgroups concentrate on mid-face cues, whereas predictions for older males drift toward peripheral cues such as hair and clothing. Older males attain the highest accuracy but the lowest average precision, indicating categorical exclusion of groups outside the dataset's evaluative templates. Cultural double standards thus pass from media representation into dataset labels, feature weights, and model attention, producing two representational harms: hyper-scrutiny of women under a narrow evaluative template, and exclusion of older men from the scheme entirely. Fairness metrics focused on performance disparities mask both, underscoring the need to address representational harm in fairness research.