Demography-Aware Personalized Federated Learning for Fair, Private, and Efficient Clinical Risk Prediction

Published in Biomedical Signal Processing and Control, 2026

📄 Journal Article 👤 First Author 📅 2026 🏛 Biomedical Signal Processing and Control Vol. 114, p. 109312

📝 Abstract

We propose a demography-aware personalized federated learning framework that achieves fair, private, and efficient clinical risk prediction. Existing federated learning approaches for clinical applications often overlook demographic heterogeneity across sites, leading to biased predictions for underrepresented subgroups. By explicitly incorporating demographic information into the federated optimization process, our framework learns personalized models that are both locally adapted and globally coordinated. Differential privacy mechanisms ensure patient data remains protected throughout training, while an efficient communication protocol reduces the overhead of federated rounds.

⚖️ FairnessDemographic-aware optimization reduces prediction disparity across patient subgroups.
🔒 PrivacyDifferential privacy mechanisms protect sensitive patient data during federated training.
⚡ EfficiencyOptimized communication protocol reduces federated round overhead significantly.
🏥 Clinical FocusDesigned for real-world clinical risk prediction with heterogeneous multi-site data.

📋 BibTeX Citation

@article{zhao2026demofl,
  title     = {Demography-Aware Personalized Federated Learning 
               for Fair, Private, and Efficient Clinical Risk 
               Prediction},
  author    = {Zhao, Puyang and Yue, Z. and Mi, N. and Zhang, H.},
  journal   = {Biomedical Signal Processing and Control},
  volume    = {114},
  pages     = {109312},
  year      = {2026},
  publisher = {Elsevier}
}

Recommended citation: Zhao, P., Yue, Z., Mi, N., & Zhang, H. (2026). Demography-Aware Personalized Federated Learning for fair, private, and efficient clinical risk prediction. Biomedical Signal Processing and Control, 114, 109312.
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