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人工智能、大数据与移动健康:预防儿童暴力的前沿领域

Artificial Intelligence, Big Data, and mHealth: The Frontiers of the Prevention of Violence Against Children.

作者信息

Hunt Xanthe, Tomlinson Mark, Sikander Siham, Skeen Sarah, Marlow Marguerite, du Toit Stefani, Eisner Manuel

机构信息

Department of Global Health, Institute for Life Course Health Research, Stellenbosch University, Stellenbosch, South Africa.

School of Nursing and Midwifery, Queens University Belfast, Belfast, United Kingdom.

出版信息

Front Artif Intell. 2020 Oct 22;3:543305. doi: 10.3389/frai.2020.543305. eCollection 2020.

Abstract

Violence against children is a global public health threat of considerable concern. At least half of all children worldwide experience violence every year; globally, the total number of children between the ages of 2 and 17 years who have experienced violence in any given year is one billion. Based on a review of the literature, we argue that there is substantial potential for AI (and associated machine learning and big data), and mHealth approaches to be utilized to prevent and address violence at a large scale. This is particularly marked in low- and middle-income countries (LMIC), although whether it could translate into effective solutions at scale remains unclear. We discuss possible entry points for Artificial Intelligence (AI), big data, and mHealth approaches to violence prevention, linking these to the World Health Organization's seven INSPIRE strategies. However, such work should be approached with caution. We highlight clear directions for future work in technology-based and technology-enabled violence prevention. We argue that there is a need for good agent-based models at the level of entire cities where and when violence can occur, where local response systems are. Yet, there is a need to develop common, reliable, and valid population- and individual/family-level data on predictors of violence. These indicators could be integrated into routine health or other information systems and become the basis of Al algorithms for violence prevention and response systems. Further, data on individual help-seeking behavior, risk factors for child maltreatment, and other information which could help us to identify the parameters required to understand what happens to cause, and in response to violence, are needed. To respond to ethical issues engendered by these kinds of interventions, there must be concerted, meaningful efforts to develop participatory and user-led work in the AI space, to ensure that the privacy and profiling concerns outlined above are addressed explicitly going forward. Finally, we make the case that developing AI and other technological infrastructure will require substantial investment, particularly in LMIC.

摘要

暴力侵害儿童行为是一个引起广泛关注的全球公共卫生威胁。全球每年至少有一半儿童遭受暴力;在全球范围内,每年经历过暴力的2至17岁儿童总数达10亿。基于对文献的综述,我们认为人工智能(以及相关的机器学习和大数据)和移动健康方法具有很大潜力,可用于大规模预防和应对暴力行为。这在低收入和中等收入国家(LMIC)尤为明显,不过这些方法能否转化为大规模的有效解决方案仍不明确。我们讨论了人工智能、大数据和移动健康方法在预防暴力方面可能的切入点,并将其与世界卫生组织的七项“激励”战略联系起来。然而,开展此类工作应谨慎行事。我们为未来基于技术和借助技术的暴力预防工作指明了明确方向。我们认为,在可能发生暴力行为的整个城市层面,需要有良好的基于主体的模型,同时需要有地方应对系统。然而,还需要针对暴力预测因素开发通用、可靠且有效的人群及个体/家庭层面数据。这些指标可纳入常规健康或其他信息系统,并成为暴力预防和应对系统人工智能算法的基础。此外,还需要有关个人求助行为、儿童虐待风险因素以及其他有助于我们确定理解暴力发生原因及应对所需参数的信息的数据。为应对此类干预引发的伦理问题,必须在人工智能领域齐心协力开展有意义的参与式和用户主导的工作,以确保上述隐私和特征分析问题在未来能得到明确解决。最后,我们认为开发人工智能和其他技术基础设施需要大量投资,在低收入和中等收入国家尤其如此。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b1d/7861328/5a83c351cfff/frai-03-543305-g0001.jpg

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