Isolating effects of age with fair representation learning when assessing dementia
Authors: Zining Zhu, Jekaterina Novikova, Frank Rudzicz
TL;DR: Show that age confounds cognitive impairment detection + solve with fair representation learning + propose metrics and models.
Abstract: One of the most prevalent symptoms among the elderly population, dementia, can be detected by classifiers trained on linguistic features extracted from narrative transcripts. However, these linguistic features are impacted in a similar but different fashion by the normal aging process. Aging is therefore a confounding factor, whose effects have been hard for machine learning classifiers to isolate. 

In this paper, we show that deep neural network (DNN) classifiers can infer ages from linguistic features, which is an entanglement that could lead to unfairness across age groups. We show this problem is caused by undesired activations of v-structures in causality diagrams, and it could be addressed with fair representation learning. We build neural network classifiers that learn low-dimensional representations reflecting the impacts of dementia yet discarding the effects of age. To evaluate these classifiers, we specify a model-agnostic score $\Delta_{eo}^{(N)}$ measuring how classifier results are disentangled from age. Our best models outperform baseline neural network classifiers in disentanglement, while compromising accuracy by as little as 2.56\% and 2.25\% on DementiaBank and the Famous People dataset respectively.