Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: Online Journal of Public Health Informatics

Date Submitted: May 29, 2025
Open Peer Review Period: Jun 5, 2025 - Jul 31, 2025
Date Accepted: Dec 10, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Fairness Correction in COVID-19 Predictive Models Using Demographic Optimization: Algorithm Development and Validation Study

Awasthi N, Abrar S, Smolyak D, Frias-Martinez V

Fairness Correction in COVID-19 Predictive Models Using Demographic Optimization: Algorithm Development and Validation Study

Online J Public Health Inform 2026;18:e78235

DOI: 10.2196/78235

PMID: 41632023

PMCID: 12866456

Fairness Correction in COVID-19 Predictive Models Using DemOpts: Algorithm Development and Validation

  • Naman Awasthi; 
  • Saad Abrar; 
  • Daniel Smolyak; 
  • Vanessa Frias-Martinez

ABSTRACT

Background:

COVID-19 forecasting models have been used to inform decision making around resource allocation and intervention decisions e.g., hospital beds or stay-at-home orders. State-of-the-art forecasting models often use multimodal data such as mobility or socio-demographic data to enhance COVID-19 case prediction models. Nevertheless, related work has revealed under-reporting bias in COVID-19 cases as well as sampling bias in mobility data for certain minority racial and ethnic groups, which affects the fairness of the COVID-19 predictions among racial and ethnic groups.

Objective:

To introduce a fairness correction method that works for forecasting COVID-19 cases at an aggregate geographic level.

Methods:

We use Hard and soft error parity analysis results on existing fairness frameworks and to show our proposed method DemOpts, performs better in both scenarios.

Results:

In this paper, we first show that state of the art COVID-19 deep learning models output mean prediction errors that are significantly different across racial and ethnic groups at larger geographic scales. Then, we propose a novel de-biasing method, DemOpts, to increase the fairness of deep learning based forecasting models trained on potentially biased datasets. Our results show that DemOpts can achieve better error parity than other state of the art de-biasing approaches, thus effectively reducing the differences in the mean error distributions across more racial and ethnic groups.

Conclusions:

We introduce DemOpts which reduces the error parity as compared to other approaches and generates fair forecasting model as compared to other approaches in literature.


 Citation

Please cite as:

Awasthi N, Abrar S, Smolyak D, Frias-Martinez V

Fairness Correction in COVID-19 Predictive Models Using Demographic Optimization: Algorithm Development and Validation Study

Online J Public Health Inform 2026;18:e78235

DOI: 10.2196/78235

PMID: 41632023

PMCID: 12866456

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.