Algorithmic Fairness
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29 papers in the last four weeks, up 71% on the four weeks before. 0.3% of all new papers.
Latest papers 275
The incorporation of fairness into the distribution network (DN) planning and operation has become a key goal of recent studies. The cost of implementing fairness, denominated the price of fairness (PoF), covers the efficiency that is renounced for attaining social cohesion through fair outcomes. Locational disparity makes fairness schemes emerge to level the consumers playing field. However, fairness encompasses a range of notions. From egalitarian to merit-based criteria, various metrics are implemented as a tool for measuring equitable utility distribution. These have different mathematical complexities, from linear to non-linear programming cases, which affect their overall applicability. Hence, this study compiles the overarching fairness notions and metrics, reviewing how these affect stakeholders and the inherent mathematical optimisation in resource allocation problems. The aim is to support consistent and transparent planning and decision-making within DN operations.
The Likelihood Ratio Wall: Structural Limits on Accurate Risk Assessment for Rare Violence
Pretrial risk assessment tools are used on over one million U.S. defendants each year, yet their use for predicting rare violent re-offense faces a basic statistical barrier. We derive a universal precision bound -- the Likelihood Ratio Wall -- showing that when violent re-arrest rates are low (2-5%), achieving even a 50% hit rate among people labeled "high risk" (positive predictive value, or PPV) would require tools far more discriminative than current instruments appear to be. For rare outcomes, a tool can have respectable-looking performance metrics and still be wrong most of the time it flags someone as "high risk for violence." We show that post-hoc score recalibration cannot solve this problem because it does not improve the tool's underlying ability to separate true positives from false positives. We further prove a Surveillance Ceiling: when over-policing inflates recorded "risk factors" among those who would not re-offend, the maximum achievable precision is structurally lower for over-policed groups, even at equal offense rates. We translate these results into the Number Needed to Detain (how many people must be detained to prevent one violent offense), and propose that risk reports should communicate this uncertainty explicitly. Our findings suggest that for rare violent outcomes, debates about fairness metrics alone are incomplete: under current data regimes, the available features may not support high-confidence individualized detention decisions.
Automatic Causal Fairness Analysis with LLM-Generated Reporting
AutoML, intended as the process of automating the application of machine learning to real-world problems, is a key step for AI popularisation. Most AutoML frameworks are not accounting for the potential lack of fairness in the training data and in the corresponding predictions. We introduce \textsc{FairMind}, a software prototype aiming to automatise fairness analysis at the dataset level. We achieve that by resorting to the assumptions of the \emph{standard fairness model}, recently proposed by Plečko and Bareinboim. This allows for a sound fairness evaluation in terms of causal effects, based on \emph{counterfactual} queries involving the target, possibly confounders and mediators, and the different values of an input feature we regard as \emph{protected}. After the necessary data preprocessing, the tool implements a closed-form computation of the effects. LLMs are consequently exploited to generate accurate reports on the fairness levels detected in the training dataset. We achieve that in a zero-shot setup and show by examples the expected advantages with respect to a direct analysis performed by the LLM. To favour applications, extensions to ordinal protected variable and continuous targets and novel decomposition results are also discussed.
Efficient and Interpretable Transformer for Counterfactual Fairness
The growing reliance of machine learning models in high-stakes, highly regulated domains such as finance and insurance has created a growing tension between predictive performance, interpretability, and regulatory fairness requirements. In these settings, models are expected not only to deliver reliable predictions but also to provide transparent decision rationales and comply with strict fairness requirements. Attention-based transformers offer powerful mechanisms for modeling complex data relationships as demonstrated in various language tasks, yet their attention mechanisms alone do not ensure counterfactually fair predictions, even when combined with fairness-aware techniques. To address these limitations, we propose the Feature Correlation Transformer (FCorrTransformer), an attention-light architecture tailored for tabular data. In this design, the attention matrix admits a direct statistical interpretation as pairwise feature dependencies, enhancing both interpretability and efficiency. Leveraging this structure, we introduce Counterfactual Attention Regularization (CAR), a framework that enforces group-invariant fair representations of sensitive features at the attention level, promoting counterfactually fair predictions without relying on explicit causal assumptions. Empirical evaluations on imbalanced classification and regression benchmarks demonstrate that FCorrTransformer combined with CAR achieves strong counterfactual fairness while maintaining competitive predictive performance and substantially reducing model complexity compared with standard transformer-based baselines. Overall, this work bridges a critical gap between fairness theory and machine learning models, offering a practical framework for responsible AI in regulatory-sensitive domains.
People-Centred Medical Image Analysis via Fairness-Aware Human-AI Cooperation
Machine learning models for medical image analysis often exhibit subgroup-dependent performance, which impacts how decisions should be allocated between automated systems and human experts under limited resources. Prior work on AI fairness and human-AI cooperation, including learning to defer (L2D) and learning to complement (L2C), typically addresses these problems in isolation. We propose People-Centred Medical Image Analysis (PecMan), a framework for fairness-aware human-AI co-operative classification that jointly models subgroup-dependent reliability, decision allocation, and collaborative prediction. PecMan combines subgroup-specialised predictors with a gating and consolidation mechanism that dynamically assigns cases to automated models, human experts, or their combination, without requiring sensitive attributes at test time. We also introduce the FairHAI benchmark for evaluating trade-offs between predictive accuracy, subgroup equity, and human involvement. In addition, we provide a theoretical analysis of multi-agent gating via selection regret and characterise fairness-coverage trade-offs under input-dependent allocation. Experiments across multiple medical imaging datasets demonstrate that PecMan achieves consistently improved trade-offs compared to methods that address fairness or human-AI cooperation separately.
Beyond Categories of Caste: Examining Caste Bias and Morality in Text-to-Image AI Models
Text-to-Image (T2I) models have shown promising utility across various domains. However, such models are also amplifying harmful societal biases in their outputs. In the context of South Asia, recent work has shown caste biases and stereotypes are being perpetuated through Generative AI (GenAI) systems. While this research offers extremely relevant insight into invisibilized narratives of caste discrimination through the GenAI system, they often treat caste as an identity category. Therefore, in this work we shift our ontology to focus on the relational aspect of caste. This enables us to develop a more nuanced understanding of the mechanics of caste discrimination by and through T2I models. Combining an algorithmic audit with critical discourse analysis, we draw on a conceptual frame challenging Brahminical Normativity to show how caste biases are perpetuated beyond the simple binaries of upper vs lower-caste categories. Our contributions are two-fold. Beyond challenging the categorical understanding of caste as a category, we propose an anti-caste approach to tackle the issue of caste bias and fairness in AI systems.
An empirical evaluation of the risks of AI model updates using clinical data: stability, arbitrariness, and fairness
Artificial Intelligence and Machine Learning (AI/ML) models used in clinical settings are increasingly deployed to support clinical decision-making. However, when training data become stale due to changes in demographics, environment, or patient behaviors, model performance can degrade substantially. While updating models with new training data is necessary, such updates may also introduce new risks. We evaluated the proposed monitoring framework on four publicly available U.S.-based Type 1 Diabetes datasets containing high-resolution continuous glucose monitoring (CGM) data, comprising approximately 11,300 weekly observations from 496 participants under 20 years of age. All datasets included structured sociodemographic information. Using the prediction of severe hyperglycemia events in children with type 1 diabetes as a case study, we examine how different model update strategies can adversely affect model stability (e.g., by causing predictions to "flip" for a large number of cases after an update), increase arbitrariness in predictions, or worsen accuracy equity and the balance of error rates across subpopulations. We propose multiple dimensions for continuous monitoring to detect these issues and argue that such monitoring is essential for the development of trustworthy clinical decision support systems.
An Integrated Framework for Explainable, Fair, and Observable Hospital Readmission Prediction: Development and Validation on MIMIC-IV
Objective: To propose and retrospectively validate an integrated framework addressing three barriers to clinical translation of readmission prediction: lack of explainability, absence of deployment reliability infrastructure, and inadequate demographic fairness evaluation. Materials and Methods: We constructed a cohort of 415231 adult admissions from the MIMIC-IV database (30-day readmission prevalence 18.0%), split 70/15/15. Logistic regression, XGBoost, and LightGBM models were trained on 26 features. SHAP provided per-patient explanations. Fairness was evaluated across 16 subgroups using AUC-ROC, false negative rate (FNR), and positive predictive value (PPV). Calibration was assessed using Brier scores and calibration curves. Results: XGBoost achieved AUC-ROC 0.696 (95% CI 0.691-0.701), outperforming or matching the LACE baseline (AUC 0.60-0.68). LightGBM achieved best calibration (Brier 0.146). Prior admissions were the dominant predictor. All subgroups met equity thresholds (delta AUC <= 0.05, delta FNR <= 0.10). Conclusion: This framework delivers competitive performance, clinically actionable explanations, and strong demographic equity. Code is publicly available at https://github.com/Tomisin92/readmission-prediction.
Fairness under uncertainty in sequential decisions
Fair machine learning (ML) methods help identify and mitigate the risk that algorithms encode or automate social injustices. Algorithmic approaches alone cannot resolve structural inequalities, but they can support socio-technical decision systems by surfacing discriminatory biases, clarifying trade-offs, and enabling governance. Although fairness is well studied in supervised learning, many real ML applications are online and sequential, with prior decisions informing future ones. Each decision is taken under uncertainty due to unobserved counterfactuals and finite samples, with dire consequences for under-represented groups, systematically under-observed due to historical exclusion and selective feedback. A bank cannot know whether a denied loan would have been repaid, and may have less data on marginalized populations. This paper introduces a taxonomy of uncertainty in sequential decision-making -- model, feedback, and prediction uncertainty -- providing shared vocabulary for assessing systems where uncertainty is unevenly distributed across groups. We formalize model and feedback uncertainty via counterfactual logic and reinforcement learning, and illustrate harms to decision makers (unrealized gains/losses) and subjects (compounding exclusion, reduced access) of policies that ignore the unobserved space. Algorithmic examples show it is possible to reduce outcome variance for disadvantaged groups while preserving institutional objectives (e.g. expected utility). Experiments on data simulated with varying bias show how unequal uncertainty and selective feedback produce disparities, and how uncertainty-aware exploration alters fairness metrics. The framework equips practitioners to diagnose, audit, and govern fairness risks. Where uncertainty drives unfairness rather than incidental noise, accounting for it is essential to fair and effective decision-making.
FairQE: Multi-Agent Framework for Mitigating Gender Bias in Translation Quality Estimation
Quality Estimation (QE) aims to assess machine translation quality without reference translations, but recent studies have shown that existing QE models exhibit systematic gender bias. In particular, they tend to favor masculine realizations in gender-ambiguous contexts and may assign higher scores to gender-misaligned translations even when gender is explicitly specified. To address these issues, we propose FairQE, a multi-agent-based, fairness-aware QE framework that mitigates gender bias in both gender-ambiguous and gender-explicit scenarios. FairQE detects gender cues, generates gender-flipped translation variants, and combines conventional QE scores with LLM-based bias-mitigating reasoning through a dynamic bias-aware aggregation mechanism. This design preserves the strengths of existing QE models while calibrating their gender-related biases in a plug-and-play manner. Extensive experiments across multiple gender bias evaluation settings demonstrate that FairQE consistently improves gender fairness over strong QE baselines. Moreover, under MQM-based meta-evaluation following the WMT 2023 Metrics Shared Task, FairQE achieves competitive or improved general QE performance. These results show that gender bias in QE can be effectively mitigated without sacrificing evaluation accuracy, enabling fairer and more reliable translation evaluation.
"This Wasn't Made for Me": Recentering User Experience and Emotional Impact in the Evaluation of ASR Bias
Studies on bias in Automatic Speech Recognition (ASR) tend to focus on reporting error rates for speakers of underrepresented dialects, yet less research examines the human side of system bias: how do system failures shape users' lived experiences, how do users feel about and react to them, and what emotional toll do these repeated failures exact? We conducted user experience studies across four U.S. locations (Atlanta, Gulf Coast, Miami Beach, and Tucson) representing distinct English dialect communities. Our findings reveal that most participants report technologies fail to consider their cultural backgrounds and require constant adjustment to achieve basic functionality. Despite these experiences, participants maintain high expectations for ASR performance and express strong willingness to contribute to model improvement. Qualitative analysis of open-ended narratives exposes the deeper costs of these failures. Participants report frustration, annoyance, and feelings of inadequacy, yet the emotional impact extends beyond momentary reactions. Participants recognize that systems were not designed for them, yet often internalize failures as personal inadequacy despite this critical awareness. They perform extensive invisible labor, including code-switching, hyper-articulation, and emotional management, to make failing systems functional. Meanwhile, their linguistic and cultural knowledge remains unrecognized by technologies that encode particular varieties as standard while rendering others marginal. These findings demonstrate that algorithmic fairness assessments based on accuracy metrics alone miss critical dimensions of harm: the emotional labor of managing repeated technological rejection, the cognitive burden of constant self-monitoring, and the psychological toll of feeling inadequate in one's native language variety.
Who Defines Fairness? Target-Based Prompting for Demographic Representation in Generative Models
Text-to-image(T2I) models like Stable Diffusion and DALL-E have made generative AI widely accessible, yet recent studies reveal that these systems often replicate societal biases, particularly in how they depict demographic groups across professions. Prompts such as 'doctor' or 'CEO' frequently yield lighter-skinned outputs, while lower-status roles like 'janitor' show more diversity, reinforcing stereotypes. Existing mitigation methods typically require retraining or curated datasets, making them inaccessible to most users. We propose a lightweight, inference-time framework that mitigates representational bias through prompt-level intervention without modifying the underlying model. Instead of assuming a single definition of fairness, our approach allows users to select among multiple fairness specifications-ranging from simple choices such as a uniform distribution to more complex definitions informed by a large language model(LLM) that cites sources and provides confidence estimates. These distributions guide the construction of demographic specific prompt variants in the corresponding proportions, and we evaluate alignment by auditing adherence to the declared target and measuring the resulting skin tone distribution rather than assuming uniformity as 'fairness'. Across 36 prompts spanning 30 occupations and 6 non-occupational contexts, our method shifts observed skin-tone outcomes in directions consistent with the declared target, and reduces deviation from targets when the target is defined directly in skin-tone space(fallback). This work demonstrates how fairness interventions can be made transparent, controllable, and usable at inference time, directly empowering users of generative AI.
Intersectional Fairness in Large Language Models
Large Language Models (LLMs) are increasingly deployed in socially sensitive settings, raising concerns about fairness and biases, particularly across intersectional demographic attributes. In this paper, we systematically evaluate intersectional fairness in six LLMs using ambiguous and disambiguated contexts from two benchmark datasets. We assess LLM behavior using bias scores, subgroup fairness metrics, accuracy, and consistency through multi-run analysis across contexts and negative and non-negative question polarities. Our results show that while modern LLMs generally perform well in ambiguous contexts, this limits the informativeness of fairness metrics due to sparse non-unknown predictions. In disambiguated contexts, LLM accuracy is influenced by stereotype alignment, with models being more accurate when the correct answer reinforces a stereotype than when it contradicts it. This pattern is especially pronounced in race-gender intersections, where directional bias toward stereotypes is stronger. Subgroup fairness metrics further indicate that, despite low observed disparity in some cases, outcome distributions remain uneven across intersectional groups. Across repeated runs, responses also vary in consistency, including stereotype-aligned responses. Overall, our findings show that apparent model competence is partly associated with stereotype-consistent cues, and no evaluated LLM achieves consistently reliable or fair behavior across intersectional settings. These findings highlight the need for evaluation beyond accuracy, emphasizing the importance of combining bias, subgroup fairness, and consistency metrics across intersectional groups, contexts, and repeated runs.
Fairness Audits of Institutional Risk Models in Deployed ML Pipelines
Fairness audits of institutional risk models are critical for understanding how deployed machine learning pipelines allocate resources. Drawing on multi-year collaboration with Centennial College, where our prior ethnographic work introduced the ASP-HEI Cycle, we present a replica-based audit of a deployed Early Warning System (EWS), replicating its model using institutional training data and design specifications. We evaluate disparities by gender, age, and residency status across the full pipeline (training data, model predictions, and post-processing) using standard fairness metrics. Our audit reveals systematic misallocation: younger, male, and international students are disproportionately flagged for support, even when many ultimately succeed, while older and female students with comparable dropout risk are under-identified. Post-processing amplifies these disparities by collapsing heterogeneous probabilities into percentile-based risk tiers. This work provides a replicable methodology for auditing institutional ML systems and shows how disparities emerge and compound across stages, highlighting the importance of evaluating construct validity alongside statistical fairness. It contributes one empirical thread to a broader program investigating algorithms, student data, and power in higher education.
Counting Worlds Branching Time Semantics for post-hoc Bias Mitigation in generative AI
Generative AI systems are known to amplify biases present in their training data. While several inference-time mitigation strategies have been proposed, they remain largely empirical and lack formal guarantees. In this paper we introduce CTLF, a branching-time logic designed to reason about bias in series of generative AI outputs. CTLF adopts a counting worlds semantics where each world represents a possible output at a given step in the generation process and introduces modal operators that allow us to verify whether the current output series respects an intended probability distribution over a protected attribute, to predict the likelihood of remaining within acceptable bounds as new outputs are generated, and to determine how many outputs are needed to remove in order to restore fairness. We illustrate the framework on a toy example of biased image generation, showing how CTLF formulas can express concrete fairness properties at different points in the output series.
FairTree: Subgroup Fairness Auditing of Machine Learning Models with Bias-Variance Decomposition
The evaluation of machine learning models typically relies mainly on performance metrics based on loss functions, which risk to overlook changes in performance in relevant subgroups. Auditing tools such as SliceFinder and SliceLine were proposed to detect such groups, but usually have conceptual disadvantages, such as the inability to directly address continuous covariates. In this paper, we introduce FairTree, a novel algorithm adapted from psychometric invariance testing. Unlike SliceFinder and related algorithms, FairTree directly handles continuous, categorical, and ordinal features without discretization. It further decomposes performance disparities into systematic bias and variance, allowing a categorization of changes in algorithm performance. We propose and evaluate two variations of the algorithm: a permutation-based approach, which is conceptually closer to SliceFinder, and a fluctuation test. Through simulation studies that include a direct comparison with SliceLine, we demonstrate that both approaches have a satisfactory rate of false-positive results, but that the fluctuation approach has relatively higher power. We further illustrate the method on the UCI Adult Census dataset. The proposed algorithms provide a flexible framework for the statistical evaluation of the performance and aspects of fairness of machine learning models in a wide range of applications even in relatively small data.
Beyond Semantic Similarity: A Component-Wise Evaluation Framework for Medical Question Answering Systems with Health Equity Implications
The use of Large Language Models (LLMs) to support patients in addressing medical questions is becoming increasingly prevalent. However, most of the measures currently used to evaluate the performance of these models in this context only measure how closely a model's answers match semantically, and therefore do not provide a true indication of the model's medical accuracy or of the health equity risks associated with it. To address these shortcomings, we present a new evaluation framework for medical question answering called VB-Score (Verification-Based Score) that provides a separate evaluation of the four components of entity recognition, semantic similarity, factual consistency, and structured information completeness for medical question-answering models. We perform rigorous reviews of the performance of three well-known and widely used LLMs on 48 public health-related topics taken from high-quality, authoritative information sources. Based on our analyses, we discover a major discrepancy between the models' semantic and entity accuracy. Our assessments of the performance of all three models show that each of them has almost uniformly severe performance failures when evaluated against our criteria. Our findings indicate alarming performance disparities across various public health topics, with most of the models exhibiting 13.8% lower performance (compared to an overall average) for all the public health topics that relate to chronic conditions that occur in older and minority populations, which indicates the existence of what's known as condition-based algorithmic discrimination. Our findings also demonstrate that prompt engineering alone does not compensate for basic architectural limitations on how these models perform in extracting medical entities and raise the question of whether semantic evaluation alone is a sufficient measure of medical AI safety.
Auditing LLMs for Algorithmic Fairness in Casenote-Augmented Tabular Prediction
LLMs are increasingly being considered for prediction tasks in high-stakes social service settings, but their algorithmic fairness properties in this context are poorly understood. In this short technical report, we audit the algorithmic fairness of LLM-based tabular classification on a real housing placement prediction task, augmented with street outreach casenotes from a nonprofit partner. We audit multi-class classification error disparities. We find that a fine-tuned model augmented with casenote summaries can improve accuracy while reducing algorithmic fairness disparities. We experiment with variable importance improvements to zero-shot tabular classification and find mixed results on resulting algorithmic fairness. Overall, given historical inequities in housing placement, it is crucial to audit LLM use. We find that leveraging LLMs to augment tabular classification with casenote summaries can safely leverage additional text information at low implementation burden. The outreach casenotes are fairly short and heavily redacted. Our assessment is that LLM zero-shot classification does not introduce additional textual biases beyond algorithmic biases in tabular classification. Combining fine-tuning and leveraging casenote summaries can improve accuracy and algorithmic fairness.
Identifying Ethical Biases in Action Recognition Models
Human Action Recognition (HAR) models are increasingly deployed in high-stakes environments, yet their fairness across different human appearances has not been analyzed. We introduce a framework for auditing bias in HAR models using synthetic video data, generated with full control over visual identity attributes such as skin color. Unlike prior work that focuses on static images or pose estimation, our approach preserves temporal consistency, allowing us to isolate and test how changes to a single attribute affect model predictions. Through controlled interventions using the BEDLAM simulation platform, we show whether some popular HAR models exhibit statistically significant biases on the skin color even when the motion remains identical. Our results highlight how models may encode unwanted visual associations, and we provide evidence of systematic errors across groups. This work contributes a framework for auditing HAR models and supports the development of more transparent, accountable systems in light of upcoming regulatory standards.
Bias-constrained multimodal intelligence for equitable and reliable clinical AI
The integration of medical imaging and clinical text has enabled the emergence of generalist artificial intelligence (AI) systems for healthcare. However, pervasive biases, such as imbalanced disease prevalence, skewed anatomical region distributions, heterogeneous imaging protocols, and demographic disparities, pose significant challenges to the fairness and reliability of vision-language systems in real-world clinical settings. Here we present BiasCareVL, a bias-aware multimodal learning framework that introduces bias control directly into model design, rather than treating it as a post hoc correction. BiasCareVL incorporates adaptive uncertainty modeling with optional human-in-the-loop refinement to regulate the influence of dominant data patterns and to promote equitable reasoning under distributional imbalance. Trained on 3.44 million samples spanning over 15 imaging modalities, the framework supports diverse clinical tasks, including visual question answering, disease classification, segmentation, and report generation within a unified representation space. Across eight public benchmarks covering dermatology, oncology, radiology, and pathology, BiasCareVL consistently outperforms 20 state-of-the-art methods, with pronounced gains in clinically challenging scenarios, including over 10% accuracy improvement in multi-class skin lesion diagnosis and more than 20% Dice improvement in small tumor segmentation. Furthermore, BiasCareVL achieves diagnostic performance exceeding human accuracy with substantially reduced time requirements when evaluated with board-certified radiologists. By open-sourcing BiasCareVL, we aim to promote a transparent, reproducible, and equitable future for AI in healthcare, paving the way for general-purpose, trustworthy, and clinically reliable AI systems.
FairNVT: Improving Fairness via Noise Injection in Vision Transformers
This paper presents FairNVT, a lightweight debiasing framework for pretrained transformer-based encoders that improves both representation and prediction level fairness while preserving task accuracy. Unlike many existing debiasing approaches that address these notions separately, we argue they are inherently connected: suppressing sensitive information at the representation level can facilitate fairer predictions. Our approach learns task-relevant and sensitive embeddings via lightweight adapters, applies calibrated Gaussian noise to the sensitive embedding, and fuses it with the task representation. Together with orthogonality constraints and fairness regularization, these components jointly reduce sensitive-attribute leakage in the learned embeddings and encourage fairer downstream predictions. The framework is compatible with a wide range of pretrained transformer encoders. Across three datasets spanning vision and language, FairNVT reduces sensitive-attribute attacker accuracy, improves demographic-parity and equalized-odds metrics, and maintains high task performance.
Fairness Constraints in High-Dimensional Generalized Linear Models
Machine learning models often inherit biases from historical data, raising critical concerns about fairness and accountability. Conventional fairness interventions typically require access to sensitive attributes like gender or race, but privacy and legal restrictions frequently limit their use. To address this challenge, we propose a framework that infers sensitive attributes from auxiliary features and integrates fairness constraints into model training. Our approach mitigates bias while preserving predictive accuracy, offering a practical solution for fairness-aware learning. Empirical evaluations validate its effectiveness, contributing to the advancement of more equitable algorithmic decision-making.
Where are the Humans? A Scoping Review of Fairness in Multi-agent AI Systems
Rapid advances in Generative AI are giving rise to increasingly sophisticated Multi-Agent AI (MAAI) systems. While AI fairness has been extensively studied in traditional predictive scenarios, its examination in MAAI remains nascent and fragmented. This scoping review critically synthesizes existing research on fairness in MAAI systems. Through a qualitative content analysis of 23 selected studies, we identify five archetypal approaches. Our findings reveal that fairness in MAAI systems is often addressed superficially, lacks robust normative foundations, and frequently overlooks the complex dynamics introduced by agent autonomy and system-level interactions. We argue that fairness must be embedded structurally throughout the development lifecycle of MAAI, rather than appended as a post-hoc consideration. Meaningful evaluation requires explicit human oversight, normative clarity, and a precise articulation of fairness objectives and beneficiaries. This review provides a foundation for advancing fairness research in MAAI systems by highlighting critical gaps, exposing prevailing limitations, and suggesting pathways.
When Fairness Metrics Disagree: Evaluating the Reliability of Demographic Fairness Assessment in Machine Learning
The evaluation of fairness in machine learning systems has become a central concern in high-stakes applications, including biometric recognition, healthcare decision-making, and automated risk assessment. Existing approaches typically rely on a small number of fairness metrics to assess model behaviour across group partitions, implicitly assuming that these metrics provide consistent and reliable conclusions. However, different fairness metrics capture distinct statistical properties of model performance and may therefore produce conflicting assessments when applied to the same system. In this work, we investigate the consistency of fairness evaluation by conducting a systematic multi-metric analysis of demographic bias in machine learning models. Using face recognition as a controlled experimental setting, we evaluate model performance across multiple group partitions under a range of commonly used fairness metrics, including error-rate disparities and performance-based measures. Our results demonstrate that fairness assessments can vary significantly depending on the choice of metrics, leading to contradictory conclusions regarding model bias. To quantify this phenomenon, we introduce the Fairness Disagreement Index (FDI), a measure designed to capture the degree of inconsistency across fairness metrics. We further show that disagreement remains high across thresholds and model configurations. These findings highlight a critical limitation in current fairness evaluation practices and suggest that single-metric reporting is insufficient for reliable bias assessment.
Perspective on Bias in Biomedical AI: Preventing Downstream Healthcare Disparities
Healthcare disparities persist across socioeconomic boundaries, often attributed to unequal access to screening, diagnostics, and therapeutics. However, this perspective highlights that critical biases can emerge much earlier, during data collection and research prioritization, long before clinical implementation, particularly in studies focused on molecular and omics data. A vast number of studies focus on collecting omics data, but the demographic information associated with these datasets is often not reported, and when it is reported, it reveals substantial biases. An automated analysis of 4514 PubMed-indexed omics publications from 2015 to 2024, examining reporting across multiple demographic dimensions, reveals limited reporting overall; for example, only 2.7% of studies report ancestry or ethnicity information and geographic origin reporting is limited to 2.5%. Analysis of large-scale datasets commonly used for model training, such as CellxGene and GEO, reveals substantial population bias where European-ancestry data dominates. As biomedical foundation models become central to biomedical discovery with a paradigm in which base models are pretrained on large datasets and reusing them repeatedly for many different downstream tasks, they risk perpetuating or amplifying these early-stage biases, leading to cascading inequities that regulatory interventions cannot fully reverse. We propose a community-wide focus on three foundational principles: Provenance, Openness, and Reliability through Evaluation Transparency. Together, these principles can help make biases and limitations more visible to model developers and users, supporting more informed model development, evaluation, and deployment decisions in biomedical AI.
PopResume: Causal Fairness Evaluation of LLM/VLM Resume Screeners with Population-Representative Dataset
We present PopResume, a population-representative resume dataset for causal fairness auditing of LLM- and VLM-based resume screening systems. Unlike existing benchmarks that rely on manually injected demographic information and outcome-level disparities, PopResume is grounded in population statistics and preserves natural attribute relationships, enabling path-specific effect (PSE)-based fairness evaluation. We decompose the effect of a protected attribute on resume scores into two paths: the business necessity path, mediated by job-relevant qualifications, and the redlining path, mediated by demographic proxies. This distinction allows auditors to separate legally permissible from impermissible sources of disparity. Evaluating four LLMs and four VLMs on PopResume's 60.8K resumes across five occupations, we identify five representative discrimination patterns that aggregate metrics fail to capture. Our results demonstrate that PSE-based evaluation reveals fairness issues masked by outcome-level measures, underscoring the need for causally-grounded auditing frameworks in AI-assisted hiring.
A Generalised Exponentiated Gradient Approach to Enhance Fairness in Binary and Multi-class Classification Tasks
The widespread use of AI and ML models in sensitive areas raises significant concerns about fairness. While the research community has introduced various methods for bias mitigation in binary classification tasks, the issue remains under-explored in multi-class classification settings. To address this limitation, in this paper, we first formulate the problem of fair learning in multi-class classification as a multi-objective problem between effectiveness (i.e., prediction correctness) and multiple linear fairness constraints. Next, we propose a Generalised Exponentiated Gradient (GEG) algorithm to solve this task. GEG is an in-processing algorithm that enhances fairness in binary and multi-class classification settings under multiple fairness definitions. We conduct an extensive empirical evaluation of GEG against six baselines across seven multi-class and three binary datasets, using four widely adopted effectiveness metrics and three fairness definitions.
Probing Cultural Signals in Large Language Models through Author Profiling
Large language models (LLMs) are increasingly deployed in applications with societal impact, raising concerns about the cultural biases they encode. We probe these representations by evaluating whether LLMs can perform author profiling from song lyrics in a zero-shot setting, inferring singers' gender and ethnicity without task-specific fine-tuning. Across several open-source models evaluated on more than 10,000 lyrics, we find that LLMs achieve non-trivial profiling performance but demonstrate systematic cultural alignment: most models default toward North American ethnicity, while DeepSeek-1.5B aligns more strongly with Asian ethnicity. This finding emerges from both the models' prediction distributions and an analysis of their generated rationales. To quantify these disparities, we introduce two fairness metrics, Modality Accuracy Divergence (MAD) and Recall Divergence (RD), and show that Ministral-8B displays the strongest ethnicity bias among the evaluated models, whereas Gemma-12B shows the most balanced behavior. Our code is available on GitHub and results on HuggingFace.
Fairness under Graph Uncertainty: Achieving Interventional Fairness with Partially Known Causal Graphs over Clusters of Variables
Algorithmic decisions about individuals require predictions that are not only accurate but also fair with respect to sensitive attributes such as gender and race. Causal notions of fairness align with legal requirements, yet many methods assume access to detailed knowledge of the underlying causal graph, which is a demanding assumption in practice. We propose a learning framework that achieves interventional fairness by leveraging a causal graph over \textit{clusters of variables}, which is substantially easier to estimate than a variable-level graph. With possible \textit{adjustment cluster sets} identified from such a cluster causal graph, our framework trains a prediction model by reducing the worst-case discrepancy between interventional distributions across these sets. To this end, we develop a computationally efficient barycenter kernel maximum mean discrepancy (MMD) that scales favorably with the number of sensitive attribute values. Extensive experiments show that our framework strikes a better balance between fairness and accuracy than existing approaches, highlighting its effectiveness under limited causal graph knowledge.
SOMtime the World Aint Fair: Violating Fairness Using Self-Organizing Maps
Unsupervised representations are widely assumed to be neutral with respect to sensitive attributes when those attributes are withheld from training. We show that this assumption is false. Using SOMtime, a topology-preserving representation method based on high-capacity Self-Organizing Maps, we demonstrate that sensitive attributes such as age and income emerge as dominant latent axes in purely unsupervised embeddings, even when explicitly excluded from the input. On two large-scale real-world datasets (the World Values Survey across five countries and the Census-Income dataset), SOMtime recovers monotonic orderings aligned with withheld sensitive attributes, achieving Spearman correlations of up to 0.85, whereas PCA and UMAP typically remain below 0.23 (with a single exception reaching 0.31), and against t-SNE and autoencoders which achieve at most 0.34. Furthermore, unsupervised segmentation of SOMtime embeddings produces demographically skewed clusters, demonstrating downstream fairness risks without any supervised task. These findings establish that \textit{fairness through unawareness} fails at the representation level for ordinal sensitive attributes and that fairness auditing must extend to unsupervised components of machine learning pipelines. We have made the code available at~ https://github.com/JosephBingham/SOMtime