Evidence map›Paper›PMID 39930525›Full record

ArticleBioData mining2025

Agenda setting for health equity assessment through the lenses of social determinants of health using machine learning approach: a framework and preliminary pilot study.

Maryam Ramezani, Mohammadreza Mobinizadeh, Ahad Bakhtiari, Hamid R Rabiee, Maryam Ramezani, Hakimeh Mostafavi, Alireza Olyaeemanesh, Ali Akbar Fazaeli, Alireza Atashi, Saharnaz Sazgarnejad and 2 more

Abstract read
In one paragraph

Article in BioData mining, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Maryam Ramezani *Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Mohammadreza Mobinizadeh *National Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Ahad BakhtiariDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Hamid R RabieeDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran.
Maryam RamezaniDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran.
Hakimeh MostafaviHealth Equity Research Centre (HERC), Tehran University of Medical Sciences, Tehran, Iran.
Alireza OlyaeemaneshNational Institute for Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Ali Akbar FazaeliDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Alireza AtashiE‑Health Department, Virtual School, Tehran University of Medical Science, Tehran, Iran.
Saharnaz SazgarnejadSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Efat MohamadiHealth Equity Research Centre (HERC), Tehran University of Medical Sciences, Tehran, Iran.
Amirhossein TakianDepartment of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. takian@tums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe integration of Artificial Intelligence (AI) and Machine Learning (ML) is transforming public health by enhancing the assessment and mitigation of health inequities. As the use of AI tools, especially ML techniques, rises, they play a pivotal role in informing policies that promote a more equitable society. This study aims to develop a framework utilizing ML to analyze health system data and set agendas for health equity interventions, focusing on social determinants of health (SDH).

methodThis study utilized the CRISP-ML(Q) model to introduce a platform for health equity assessment, facilitating its design and implementation in health systems. Initially, a conceptual model was developed through a comprehensive literature review and document analysis. A pilot implementation was conducted to test the feasibility and effectiveness of using ML algorithms in assessing health equity. Life expectancy was chosen as the health outcome for this pilot; data from 2000 to 2020 with 140 features was cleaned, transformed, and prepared for modeling. Multiple ML models were developed and evaluated using SPSS Modeler software version 18.0.

resultsML algorithms effectively identified key SDH influencing life expectancy. Among algorithms, the Linear Discriminant algorithm as classification model was selected as the best model due to its high accuracy in both testing and training phases, its strong performance in identifying key features, and its good generalizability to new data. Additionally, CHAID in numeric models was the best for predicting the actual value of life expectancy based on various features. These models highlighted the importance of features like current health expenditure, domestic general government health expenditure, and GDP in predicting life expectancy.

conclusionThe findings underscore the significance of employing innovative methods like CRISP-ML(Q) and ML algorithms to enhance health equity. Integrating this platform into health systems can help countries better prioritize and address health inequities. The pilot implementation demonstrated these methods' practical applicability and effectiveness, aiding policymakers in making informed decisions to improve health equity.

Indexed as

EquityMachine learningSocial determinant of health (SDH)

Identifiers

PMID39930525
PMCPMC11808983

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.