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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

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

DemOpts: Fairness Corrections in COVID-19 Case Prediction Models

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

ABSTRACT

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 could affect the fairness of the COVID-19 predictions among racial and ethnic groups. 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; which could, in turn, support unfair policy decisions. We also 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.


 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

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