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人工智能的持续影响:人工智能对女性医疗保健提供者的健康公平性影响的含义。

AI's ongoing impact: Implications of AI's effects on health equity for women's healthcare providers.

作者信息

Vadlamani Suman, Wachira Elizabeth

机构信息

University of Texas Health Science Center at Houston Houston, TX United States of America University of Texas Health Science Center at Houston, Houston, TX, United States of America.

East Texas A&M University Commerce, TX United States of America East Texas A&M University, Commerce, TX, United States of America.

出版信息

Rev Panam Salud Publica. 2025 Apr 9;49:e19. doi: 10.26633/RPSP.2025.19. eCollection 2025.


DOI:10.26633/RPSP.2025.19
PMID:40206564
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11980523/
Abstract

OBJECTIVE: To assess the effects of the current use of artificial intelligence (AI) in women's health on health equity, specifically in primary and secondary prevention efforts among women. METHODS: Two databases, Scopus and PubMed, were used to conduct this narrative review. The keywords included "artificial intelligence," "machine learning," "women's health," "screen," "risk factor," and "prevent," and papers were filtered only to include those about AI models that general practitioners may use. RESULTS: Of the 18 articles reviewed, 8 articles focused on risk factor modeling under primary prevention, and 10 articles focused on screening tools under secondary prevention. Gaps were found in the ability of AI models to train using large, diverse datasets that were reflective of the population it is intended for. Lack of these datasets was frequently identified as a limitation in the papers reviewed ( = 7). CONCLUSIONS: Minority, low-income women have poor access to health care and are, therefore, not well represented in the datasets AI uses to train, which risks introducing bias in its output. To mitigate this, more datasets should be developed to validate AI models, and AI in women's health should expand to include conditions that affect men and women to provide a gendered lens on these conditions. Public health, medical, and technology entities need to collaborate to regulate the development and use of AI in health care at a standard that reduces bias.

摘要

目的:评估当前人工智能(AI)在女性健康领域的应用对健康公平性的影响,特别是在女性的一级和二级预防工作中的影响。 方法:使用Scopus和PubMed两个数据库进行本叙述性综述。关键词包括“人工智能”“机器学习”“女性健康”“筛查”“风险因素”和“预防”,筛选出的论文仅包括全科医生可能使用的人工智能模型相关的论文。 结果:在18篇综述文章中,8篇聚焦于一级预防中的风险因素建模,10篇聚焦于二级预防中的筛查工具。研究发现,人工智能模型在使用反映目标人群的大型多样数据集进行训练的能力方面存在差距。在所综述的论文中,经常将缺乏这些数据集视为一个限制因素(n = 7)。 结论:少数族裔、低收入女性获得医疗保健的机会较差,因此在人工智能用于训练的数据集中代表性不足,这有可能导致其输出结果出现偏差。为了缓解这一问题,应开发更多数据集来验证人工智能模型,女性健康领域的人工智能应扩展到包括影响男性和女性的疾病,以便从性别角度审视这些疾病。公共卫生、医疗和科技实体需要合作,以降低偏差的标准来规范医疗保健领域人工智能的开发和使用。

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本文引用的文献

[1]
Enhanced osteoporotic fracture prediction in postmenopausal women using Bayesian optimization of machine learning models with genetic risk score.

J Bone Miner Res. 2024-5-2

[2]
Prevalence and risk factors analysis of postpartum depression at early stage using hybrid deep learning model.

Sci Rep. 2024-2-24

[3]
A Systematic Review of the Barriers to the Implementation of Artificial Intelligence in Healthcare.

Cureus. 2023-10-4

[4]
Understanding Hispanic/Latino Participation in Clinical Trials and Observational Studies, and Strategies to Increase Participation: A Targeted Literature Review.

J Health Care Poor Underserved. 2023

[5]
A Clinical Risk Model for Personalized Screening and Prevention of Breast Cancer.

Cancers (Basel). 2023-6-19

[6]
A clinical prediction model for 10-year risk of self-reported osteoporosis diagnosis in pre- and perimenopausal women.

Arch Osteoporos. 2023-6-5

[7]
Efficient Breast Cancer Diagnosis from Complex Mammographic Images Using Deep Convolutional Neural Network.

Comput Intell Neurosci. 2023

[8]
Economics of Artificial Intelligence in Healthcare: Diagnosis vs. Treatment.

Healthcare (Basel). 2022-12-9

[9]
Ensemble learning-based feature engineering to analyze maternal health during pregnancy and health risk prediction.

PLoS One. 2022

[10]
External Validation of a Mammography-Derived AI-Based Risk Model in a U.S. Breast Cancer Screening Cohort of White and Black Women.

Cancers (Basel). 2022-9-30

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