Kennedy, Shane, Farayola, Michael Mayowa, Kelly, Daniel, Tal, Irina
ORCID: 0000-0001-9656-668X, Saber, Takfarinas
ORCID: 0000-0003-2958-7979, Connolly, Regina
ORCID: 0000-0003-3196-2889 and Bendechache, Malika
ORCID: 0000-0003-0069-1860
(2025)
Intersectional Fairness in Healthcare AI: A Pipeline-Wide Evaluation of Multi-Stage Mitigation Strategies.
In: TRUST-AI: The European Workshop on Trustworthy AI. Organized as part of the European Conference of Artificial Intelligence - ECAI 2025, 25-26 Oct. 2025, Bologna, Italy.
Abstract
Fairness in AI systems is critical in high-stakes domains such as healthcare, where biased predictions can exacerbate existing disparities. This paper presents an empirical evaluation of a three-stage fairness pipeline, integrating pre-processing (Disparate Impact Remover), in-processing (Exponentiated Gradient Reduction), and post-processing (Equalized Odds Optimization), on a real-world healthcare dataset from Ireland. We construct an intersectional demographic attribute to audit disparities across race, gender, and age. Our results show that multi-stage fairness interventions can reduce subgroup disparities with minimal loss in predictive performance. However, integrating fairness techniques may introduce fairness and performance trade-offs. These findings highlight the importance of holistic, intersectional fairness auditing and the need for careful design of fairnessenhancing pipelines in real-world applications.
Metadata
| Item Type: | Conference or Workshop Item (Paper) |
|---|---|
| Event Type: | Workshop |
| Refereed: | Yes |
| Uncontrolled Keywords: | Trustworthy AI, Algorithmic Fairness, Healthcare AI, Intersectional Bias, Multi-Stage Mitigation |
| Subjects: | Computer Science > Artificial intelligence |
| DCU Faculties and Centres: | DCU Faculties and Schools > DCU Business School DCU Faculties and Schools > Faculty of Engineering and Computing |
| Published in: | Proceedings of TRUST-AI 2025 - The European Workshop on Trustworthy AI co-located with the 28th European Conference on Artificial Intelligence (ECAI 2025). . |
| Official URL: | https://ceur-ws.org/Vol-4132/ |
| Copyright Information: | Authors |
| ID Code: | 32892 |
| Deposited On: | 03 Jul 2026 10:40 by Tam Nguyen . Last Modified 03 Jul 2026 10:40 |
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