将分析应用于心理健康的社会人口差异

Aaron Baird, Yusen Xia
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摘要

不幸的是,心理健康服务和治疗受到社会人口差异的影响。为了解决这个问题,最近的研究已经开始应用分析方法——即一般的人工智能,特别是机器学习和深度学习——来识别这种差异,并在可能的情况下,减轻心理健康研究中使用的模型中的偏见。然而,很难理解这类研究的范围和现状,因为它分布在许多期刊和研究背景中。这里我们对这方面的文章进行了分析。我们从2017年至2023年7月确定了40篇与在心理健康社会人口差异背景下使用分析相关的文章。我们发现预测模型、聚类/分组模型和公平性模型在分析文章中最常用。这些文章确定了一些与心理健康有关的社会人口差异,例如与种族/族裔、性别、年龄和社会经济地位有关的差异,但这些发现通常取决于具体情况。因此,我们还在本分析中就如何增强概括性和接受情境相关的研究结果提供了建议,特别是通过识别异质治疗效果、减轻模型偏差、使用生成式人工智能、整合来自设备的数据以及将研究结果转化为实践。在这项研究中,作者分析了使用人工智能、机器学习和深度学习分析来识别社会人口差异(如种族/民族和年龄)的文章,以提出改进模型和普遍性的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Applying analytics to sociodemographic disparities in mental health
Mental health services and treatment are unfortunately subject to sociodemographic disparities. To address this issue, recent studies have begun to apply analytics methods—that is, artificial intelligence in general, machine learning and deep learning in particular—toward the identification of such disparities and, where possible, mitigation of bias within models used in mental health research. However, it is difficult to understand the scope and status of such research as it is spread across many journals and contexts of study. Here we conducted an analysis of articles in this area. We identified 40 articles from 2017 to July 2023 related to the use of analytics in the context of sociodemographic disparities in mental health. We find that prediction, clustering/grouping and fairness models were most often applied in the articles analyzed. A number of mental health-related sociodemographic disparities were identified in these articles, for example, associated with race/ethnicity, gender, age and socioeconomic status, but such findings were typically context dependent. Thus, we also provide suggestions in this Analysis on how to both enhance generalizability and embrace context-dependent findings, especially via the identification of heterogeneous treatment effects, model bias mitigation, use of generative artificial intelligence, incorporation of data from devices, and translation of findings into practice. In this study, the authors analyzed articles examining the use of artificial intelligence, machine learning and deep learning analytics for identifying sociodemographic disparities, such as in race/ethnicity and age, to make recommendations for improving models and generalizability.
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