Negar Rostamzadeh
Negar Rostamzadeh is a Staff Research Scientist at Google Responsible AI team.
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The Case for Globalizing Fairness: A Mixed Methods Study on the Perceptions of Colonialism, AI and Health in Africa
Iskandar Haykel
Aisha Walcott-Bryant
Sanmi Koyejo
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With growing machine learning (ML) and large language model applications in healthcare, there have been calls for fairness in ML to understand and mitigate ethical concerns these systems may pose. Fairness has implications for health in Africa, which already has inequitable power imbalances between the Global North and South. This paper seeks to explore fairness for global health, with Africa as a case study.
We conduct a scoping review to propose fairness attributes for consideration in the African context and delineate where they may come into play in different ML-enabled medical modalities. We then conduct qualitative research studies with 625 general population study participants in 5 countries in Africa and 28 experts in ML, Health, and/or policy focussed on Africa to obtain feedback on the proposed attributes. We delve specifically into understanding the interplay between AI, health and colonialism.
Our findings demonstrate that among experts there is a general mistrust that technologies that are solely developed by former colonizers can benefit Africans, and that associated resource constraints due to pre-existing economic and infrastructure inequities can be linked to colonialism. General population survey responses found about an average of 40% of people associate an undercurrent of colonialism to AI and this was most dominant amongst participants from South Africa. However the majority of the general population participants surveyed did not think there was a direct link between AI and colonialism.Colonial history, country of origin, National income level were specific axes of disparities that participants felt would cause an AI tool to be biased
This work serves as a basis for policy development around Artificial Intelligence for health in Africa and can be expanded to other regions.
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The Case for Globalizing Fairness: A Mixed Methods Study on the Perceptions of Colonialism, AI and Health in Africa
Iskandar Haykel
Aisha Walcott-Bryant
Sanmi Koyejo
Preview abstract
With growing machine learning (ML) and large language model applications in healthcare, there have been calls for fairness in ML to understand and mitigate ethical concerns these systems may pose. Fairness has implications for health in Africa, which already has inequitable power imbalances between the Global North and South. This paper seeks to explore fairness for global health, with Africa as a case study.
We conduct a scoping review to propose fairness attributes for consideration in the African context and delineate where they may come into play in different ML-enabled medical modalities. We then conduct qualitative research studies with 625 general population study participants in 5 countries in Africa and 28 experts in ML, Health, and/or policy focussed on Africa to obtain feedback on the proposed attributes. We delve specifically into understanding the interplay between AI, health and colonialism.
Our findings demonstrate that among experts there is a general mistrust that technologies that are solely developed by former colonizers can benefit Africans, and that associated resource constraints due to pre-existing economic and infrastructure inequities can be linked to colonialism. General population survey responses found about an average of 40% of people associate an undercurrent of colonialism to AI and this was most dominant amongst participants from South Africa. However the majority of the general population participants surveyed did not think there was a direct link between AI and colonialism.Colonial history, country of origin, National income level were specific axes of disparities that participants felt would cause an AI tool to be biased
This work serves as a basis for policy development around Artificial Intelligence for health in Africa and can be expanded to other regions.
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Generative AI in Creative Practice: ML-Artist Folk Theories of T2I Use, Harm, and Harm-Reduction
Shalaleh Rismani
Proceedings of the CHI Conference on Human Factors in Computing Systems (CHI '24), Association for Computing Machinery (2024), pp. 1-17 (to appear)
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Understanding how communities experience algorithms is necessary to mitigate potential harmful impacts. This paper presents folk theories of text-to-image (T2I) models to enrich understanding of how artist communities experience creative machine learning (ML) systems. This research draws on data collected from a workshop with 15 artists from 10 countries who incorporate T2I models in their creative practice. Through reflexive thematic analysis of workshop data, we highlight theorization of T2I use, harm, and harm-reduction. Folk theories of use envision T2I models as an artistic medium, a mundane tool, and locate true creativity as rising above model affordances. Theories of harm articulate T2I models as harmed by engineering efforts to eliminate glitches and product policy efforts to limit functionality. Theories of harm-reduction orient towards protecting T2I models for creative practice through transparency and distributed governance. We examine how these theories relate, and conclude by discussing how folk theorization informs responsible AI efforts.
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Generative AI (GAI) is proliferating, and among its many applications are to support creative work (e.g., generating text, images, music) and to enhance accessibility (e.g., captions of images and audio). As GAI evolves, creatives must consider how (or how not) to incorporate these tools into their practices. In this paper, we present interviews at the intersection of these applications. We learned from 10 creatives with disabilities who intentionally use and do not use GAI in and around their creative work. Their mediums ranged from audio engineering to leatherwork, and they collectively experienced a variety of disabilities, from sensory to motor to invisible disabilities. We share cross-cutting themes of their access hacks, how creative practice and access work become entangled, and their perspectives on how GAI should and should not fit into their workflows. In turn, we offer qualities of accessible creativity with responsible AI that can inform future research.
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Creative ML Assemblages: The Interactive Politics of People, Processes, and Products
Ramya Malur Srinivasan
Katharina Burgdorf
Jennifer Lena
ACM Conference on Computer Supported Cooperative Work and Social Computing (2024) (to appear)
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Creative ML tools are collaborative systems that afford artistic creativity through their myriad interactive relationships. We propose using ``assemblage thinking" to support analyses of creative ML by approaching it as a system in which the elements of people, organizations, culture, practices, and technology constantly influence each other. We model these interactions as ``coordinating elements" that give rise to the social and political characteristics of a particular creative ML context, and call attention to three dynamic elements of creative ML whose interactions provide unique context for the social impact a particular system as: people, creative processes, and products. As creative assemblages are highly contextual, we present these as analytical concepts that computing researchers can adapt to better understand the functioning of a particular system or phenomena and identify intervention points to foster desired change. This paper contributes to theorizing interactions with AI in the context of art, and how these interactions shape the production of algorithmic art.
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A Toolbox for Surfacing Health Equity Harms and Biases in Large Language Models
Heather Cole-Lewis
Nenad Tomašev
Liam McCoy
Leo Anthony Celi
Alanna Walton
Akeiylah DeWitt
Philip Mansfield
Sushant Prakash
Joelle Barral
Ivor Horn
Karan Singhal
Nature Medicine (2024)
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Large language models (LLMs) hold promise to serve complex health information needs but also have the potential to introduce harm and exacerbate health disparities. Reliably evaluating equity-related model failures is a critical step toward developing systems that promote health equity. We present resources and methodologies for surfacing biases with potential to precipitate equity-related harms in long-form, LLM-generated answers to medical questions and conduct a large-scale empirical case study with the Med-PaLM 2 LLM. Our contributions include a multifactorial framework for human assessment of LLM-generated answers for biases and EquityMedQA, a collection of seven datasets enriched for adversarial queries. Both our human assessment framework and our dataset design process are grounded in an iterative participatory approach and review of Med-PaLM 2 answers. Through our empirical study, we find that our approach surfaces biases that may be missed by narrower evaluation approaches. Our experience underscores the importance of using diverse assessment methodologies and involving raters of varying backgrounds and expertise. While our approach is not sufficient to holistically assess whether the deployment of an artificial intelligence (AI) system promotes equitable health outcomes, we hope that it can be leveraged and built upon toward a shared goal of LLMs that promote accessible and equitable healthcare.
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Inappropriate design and deployment of machine learning (ML) systems lead to negative downstream social and ethical impacts -- described here as social and ethical risks -- for users, society, and the environment. Despite the growing need to regulate ML systems, current processes for assessing and mitigating risks are disjointed and inconsistent. We interviewed 30 industry practitioners on their current social and ethical risk management practices and collected their first reactions on adapting safety engineering frameworks into their practice -- namely, System Theoretic Process Analysis (STPA) and Failure Mode and Effects Analysis (FMEA). Our findings suggest STPA/FMEA can provide an appropriate structure for social and ethical risk assessment and mitigation processes. However, we also find nontrivial challenges in integrating such frameworks in the fast-paced culture of the ML industry. We call on the CHI community to strengthen existing frameworks and assess their efficacy, ensuring that ML systems are safer for all people.
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Beyond the ML Model: Applying Safety Engineering Frameworks to Text-to-Image Development
Shalaleh Rismani
Renelito Delos Santos
AJung Moon
AIES 2023 (2023)
Identifying Sociotechnical Harms of Algorithmic Systems: Scoping a Taxonomy for Harm Reduction
Shalaleh Rismani
Kathryn Henne
AJung Moon
Paul Nicholas
N'Mah Yilla-Akbari
Jess Gallegos
Emilio Garcia
Gurleen Virk
Proceedings of the 2023 AAAI/ACM Conference on AI, Ethics, and Society, Association for Computing Machinery, 723–741
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Understanding the broader landscape of potential harms from algorithmic systems enables practitioners to better anticipate consequences of the systems they build. It also supports the prospect of incorporating controls to help minimize harms that emerge from the interplay of technologies and social and cultural dynamics. A growing body of scholarship has identified a wide range of harms across different algorithmic and machine learning (ML) technologies. However, computing research and practitioners lack a high level and synthesized overview of harms from algorithmic systems arising at the micro-, meso-, and macro-levels of society. We present an applied taxonomy of sociotechnical harms to support more systematic surfacing of potential harms in algorithmic systems. Based on a scoping review of prior research on harms from AI systems (n=172), we identified five major themes related to sociotechnical harms — allocative, quality-of-service, representational, social system, and interpersonal harms. We describe these categories of harm, and present case studies that illustrate the usefulness of the taxonomy. We conclude with a discussion of challenges and under-explored areas of harm in the literature, which present opportunities for future research.
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Healthsheet: development of a transparency artifact for health datasets
Diana Mincu
Lauren Wilcox
Razvan Adrian Amironesei
Nyalleng Moorosi
ACM FAccT Conference 2022, ACM (2022)
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Machine learning (ML) approaches have demonstrated promising results in a wide range of healthcare applications. Data plays a crucial role in developing ML-based healthcare systems that directly affect people’s lives. Many of the ethical issues surrounding the use of ML in healthcare stem from structural inequalities underlying the way we collect, use, and handle data. Developing guidelines to improve documentation practices regarding the creation, use, and maintenance of ML healthcare datasets is therefore of critical importance. In this work, we introduce Healthsheet, a contextualized adaptation of the original datasheet questionnaire for health-specific applications. Through a series of semi-structured interviews, we adapt the datasheets for healthcare data documentation. As part of the Healthsheet development process and to understand the obstacles researchers face in creating datasheets, we worked with three publicly-available healthcare datasets as our case studies, each with different types of structured data: Electronic health Records (EHR), clinical trial study data, and smartphone-based performance outcome measures. Our findings from the interviewee study and case studies show 1) that datasheets should be contextualized for healthcare, 2) that despite incentives to adopt accountability practices such as datasheets, there is a lack of consistency in the broader use of these practices 3) how the ML for health community views datasheets and particularly Healthsheets as diagnostic tool to surface the limitations and strength of datasets and 4) the relative importance of different fields in the datasheet to healthcare concerns.
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