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Importance: The 2026 multisociety dyslipidemia guideline recommended the PREVENT equations in place of the PCE equations, introduced 30-year risk assessment as a new treatment pathway, and lowered risk-based treatment thresholds. The net population impact of these concurrent changes on statin recommendations is unknown. Objective: To estimate changes in statin recommendations under 2026 PREVENT-based dyslipidemia guidelines compared with 2018 PCE-based guidelines. Design and Participants: Cross-sectional analysis of pooled data from NHANES, spanning 2011-2023 and comprising 24,199 participants aged 30-79 years. Main Outcomes and Measures: Number and proportion of US adults receiving or recommended for statin therapy. Results: At the class 1 threshold, the number of US adults receiving or recommended for statin therapy decreased by an estimated 3.0 million (95% CI, 2.3 million to 3.6 million), with larger reductions among Black adults (-4.2 percentage points [pp]), men (-4.0pp), and adults aged 50-69 years (-5.6pp). At the class 2 threshold--which additionally recommends statins for adults aged 30-59 years based on 30-year risk--the number of adults recommended increased by an estim

Studies on recommendations in social media have mainly analyzed the quality of recommended items (e.g., their diversity or biases) and the impact of recommendation policies (e.g., in comparison with purely chronological policies). We use a data donation program, collecting more than 2.5 million friend recommendations made to 682 volunteers on X over a year, to study instead how real-world recommenders learn, represent and process political and social attributes of users inside the so-called black boxes of AI systems. Using publicly available knowledge on the architecture of the recommender, we inferred the positions of recommended users in its embedding space. Leveraging ideology scaling calibrated with political survey data, we analyzed the political position of users in our study (N=26,509 among volunteers and recommended contacts) among several attributes, including age and gender. Our results show that the platform's recommender system produces a spatial ordering of users that is highly correlated with their Left-Right positions (Pearson rho=0.887, p-value < 0.0001), and that cannot be explained by socio-demographic attributes. These results open new possibilities for studyi

Recommendation systems are now an integral part of our daily lives. We rely on them for tasks such as discovering new movies, finding friends on social media, and connecting job seekers with relevant opportunities. Given their vital role, we must ensure these recommendations are free from societal stereotypes. Therefore, evaluating and addressing such biases in recommendation systems is crucial. Previous work evaluating the fairness of recommended items fails to capture certain nuances as they mainly focus on comparing performance metrics for different sensitive groups. In this paper, we introduce a set of comprehensive metrics for quantifying gender bias in recommendations. Specifically, we show the importance of evaluating fairness on a more granular level, which can be achieved using our metrics to capture gender bias using categories of recommended items like genres for movies. Furthermore, we show that employing a category-aware fairness metric as a regularization term along with the main recommendation loss during training can help effectively minimize bias in the models' output. We experiment on three real-world datasets, using five baseline models alongside two popular fair

Despite the popularity of product recommendations on online investment platforms, few studies have explored their impact on investor behaviors. Using data from a global e-commerce platform, we apply regression discontinuity design to causally examine the effects of product recommendations on online investors' mutual fund investments. Our findings indicate that recommended funds experience a significant rise in purchases, especially among low socioeconomic status investors who are most influenced by these recommendations. However, investors tend to suffer significantly worse investment returns after purchasing recommended funds, and this negative impact is also most significant for investors with low socioeconomic status. To explain this disparity, we find investors tend to gather less information and expend reduced effort in fund research when buying recommended funds. Furthermore, investors' redemption timing of recommended funds is less optimal than non-recommended funds. We also find that recommended funds experience a larger return reversal than non-recommended funds. In conclusion, product recommendations make investors behave more irrationally and these negative consequences

In recent years, the Internet has been dominated by content-rich platforms, employing recommendation systems to provide users with more appealing content (e.g., videos in YouTube, movies in Netflix). While traditional content recommendations are oblivious to network conditions, the paradigm of Network-Friendly Recommendations (NFR) has recently emerged, favoring content that improves network performance (e.g. cached near the user), while still being appealing to the user. However, NFR algorithms sometimes achieve their goal by shrinking the pool of content recommended to users. The undesirable side-effect is reduced content diversity, a phenomenon known as ``content/filter bubble''. This reduced diversity is problematic for both users, who are prevented from exploring a broader range of content, and content creators (e.g. YouTubers) whose content may be recommended less frequently, leading to perceived unfairness. In this paper, we first investigate - using real data and state-of-the-art NFR schemes - the extent of this phenomenon. We then formulate a ``Diverse-NFR'' optimization problem (i.e., network-friendly recommendations with - sufficient - content diversity), and through a s

Explainable recommendation through counterfactual reasoning seeks to identify the influential aspects of items in recommendations, which can then be used as explanations. However, state-of-the-art approaches, which aim to minimize changes in product aspects while reversing their recommended decisions according to an aggregated decision boundary score, often lead to factual inaccuracies in explanations. To solve this problem, in this work we propose a novel method of Comparative Counterfactual Explanations for Recommendation (CoCountER). CoCountER creates counterfactual data based on soft swap operations, enabling explanations for recommendations of arbitrary pairs of comparative items. Empirical experiments validate the effectiveness of our approach.

As the last stage of a typical \textit{recommendation system}, \textit{collective recommendation} aims to give the final touches to the recommended items and their layout so as to optimize overall objectives such as diversity and whole-page relevance. In practice, however, the interaction dynamics among the recommended items, their visual appearances and meta-data such as specifications are often too complex to be captured by experts' heuristics or simple models. To address this issue, we propose a \textit{\underline{div}ersity-aware self-correcting sequential recommendation \underline{net}works} (\textit{DivNet}) that is able to estimate utility by capturing the complex interactions among sequential items and diversify recommendations simultaneously. Experiments on both offline and online settings demonstrate that \textit{DivNet} can achieve better results compared to baselines with or without collective recommendations.

In insight recommendation systems, obtaining timely and high-quality recommended visual analytics over incomplete data is challenging due to the difficulties in cleaning and processing such data. Failing to address data incompleteness results in diminished recommendation quality, compelling users to impute the incomplete data to a cleaned version through a costly imputation strategy. This paper introduces VizPut scheme, an insight-aware selective imputation technique capable of determining which missing values should be imputed in incomplete data to optimize the effectiveness of recommended visualizations within a specified imputation budget. The VizPut scheme determines the optimal allocation of imputation operations with the objective of achieving maximal effectiveness in recommended visual analytics. We evaluate this approach using real-world datasets, and our experimental results demonstrate that VizPut effectively maximizes the efficacy of recommended visualizations within the user-defined imputation budget.

Question recommendation is a task that sequentially recommends questions for students to enhance their learning efficiency. That is, given the learning history and learning target of a student, a question recommender is supposed to select the question that will bring the most improvement for students. Previous methods typically model the question recommendation as a sequential decision-making problem, estimating students' learning state with the learning history, and feeding the learning state with the learning target to a neural network to select the recommended question from a question set. However, previous methods are faced with two challenges: (1) learning history is unavailable in the cold start scenario, which makes the recommender generate inappropriate recommendations; (2) the size of the question set is much large, which makes it difficult for the recommender to select the best question precisely. To address the challenges, we propose a method called hierarchical large language model for question recommendation (HierLLM), which is a LLM-based hierarchical structure. The LLM-based structure enables HierLLM to tackle the cold start issue with the strong reasoning abilities

Global popularity (GP) bias is the phenomenon that popular items are recommended much more frequently than they should be, which goes against the goal of providing personalized recommendations and harms user experience and recommendation accuracy. Many methods have been proposed to reduce GP bias but they fail to notice the fundamental problem of GP, i.e., it considers popularity from a \textit{global} perspective of \textit{all users} and uses a single set of popular items, and thus cannot capture the interests of individual users. As such, we propose a user-aware version of item popularity named \textit{personal popularity} (PP), which identifies different popular items for each user by considering the users that share similar interests. As PP models the preferences of individual users, it naturally helps to produce personalized recommendations and mitigate GP bias. To integrate PP into recommendation, we design a general \textit{personal popularity aware counterfactual} (PPAC) framework, which adapts easily to existing recommendation models. In particular, PPAC recognizes that PP and GP have both direct and indirect effects on recommendations and controls direct effects with cou

A transparent decision-making process is essential for developing reliable and trustworthy recommender systems. For sequential recommendation, it means that the model can identify key items that account for its recommendation results. However, achieving both interpretability and recommendation performance simultaneously is challenging, especially for models that take the entire sequence of items as input without screening. In this paper, we propose an interpretable framework (named PTSR) that enables a pattern-wise transparent decision-making process without extra features. It breaks the sequence of items into multi-level patterns that serve as atomic units throughout the recommendation process. The contribution of each pattern to the outcome is quantified in the probability space. With a carefully designed score correction mechanism, the pattern contribution can be implicitly learned in the absence of ground-truth key patterns. The final recommended items are those that most key patterns strongly endorse. Extensive experiments on five public datasets demonstrate remarkable recommendation performance, while statistical analysis and case studies validate the model interpretability.

Recommendation systems are pervasive in the digital economy. An important assumption in many deployed systems is that user consumption reflects user preferences in a static sense: users consume the content they like with no other considerations in mind. However, as we document in a large-scale online survey, users do choose content strategically to influence the types of content they get recommended in the future. We model this user behavior as a two-stage noisy signalling game between the recommendation system and users: the recommendation system initially commits to a recommendation policy, presents content to the users during a cold start phase which the users choose to strategically consume in order to affect the types of content they will be recommended in a recommendation phase. We show that in equilibrium, users engage in behaviors that accentuate their differences to users of different preference profiles. In addition, (statistical) minorities out of fear of losing their minority content exposition may not consume content that is liked by mainstream users. We next propose three interventions that may improve recommendation quality (both on average and for minorities) when t

Recommender systems assist users in decision-making, where the presentation of recommended items and their explanations are critical factors for enhancing the overall user experience. Although various methods for generating explanations have been proposed, there is still room for improvement, particularly for users who lack expertise in a specific item domain. In this study, we introduce the novel concept of \textit{consequence-based explanations}, a type of explanation that emphasizes the individual impact of consuming a recommended item on the user, which makes the effect of following recommendations clearer. We conducted an online user study to examine our assumption about the appreciation of consequence-based explanations and their impacts on different explanation aims in recommender systems. Our findings highlight the importance of consequence-based explanations, which were well-received by users and effectively improved user satisfaction in recommender systems. These results provide valuable insights for designing engaging explanations that can enhance the overall user experience in decision-making.

Automatic evaluation of hashtag recommendation models is a fundamental task in many online social network systems. In the traditional evaluation method, the recommended hashtags from an algorithm are firstly compared with the ground truth hashtags for exact correspondences. The number of exact matches is then used to calculate the hit rate, hit ratio, precision, recall, or F1-score. This way of evaluating hashtag similarities is inadequate as it ignores the semantic correlation between the recommended and ground truth hashtags. To tackle this problem, we propose a novel semantic evaluation framework for hashtag recommendation, called #REval. This framework includes an internal module referred to as BERTag, which automatically learns the hashtag embeddings. We investigate on how the #REval framework performs under different word embedding methods and different numbers of synonyms and hashtags in the recommendation using our proposed #REval-hit-ratio measure. Our experiments of the proposed framework on three large datasets show that #REval gave more meaningful hashtag synonyms for hashtag recommendation evaluation. Our analysis also highlights the sensitivity of the framework to the

Exposure bias is a well-known issue in recommender systems where the exposure is not fairly distributed among items in the recommendation results. This is especially problematic when bias is amplified over time as a few items (e.g., popular ones) are repeatedly over-represented in recommendation lists and users' interactions with those items will amplify bias towards those items over time resulting in a feedback loop. This issue has been extensively studied in the literature in static recommendation environment where a single round of recommendation result is processed to improve the exposure fairness. However, less work has been done on addressing exposure bias in a dynamic recommendation setting where the system is operating over time, the recommendation model and the input data are dynamically updated with ongoing user feedback on recommended items at each round. In this paper, we study exposure bias in a dynamic recommendation setting. Our goal is to show that existing bias mitigation methods that are designed to operate in a static recommendation setting are unable to satisfy fairness of exposure for items in long run. In particular, we empirically study one of these methods a

We see widespread adoption of slate recommender systems, where an ordered item list is fed to the user based on the user interests and items' content. For each recommendation, the user can select one or several items from the list for further interaction. In this setting, the significant impact on user behaviors from the mutual influence among the items is well understood. The existing methods add another step of slate re-ranking after the ranking stage of recommender systems, which considers the mutual influence among recommended items to re-rank and generate the recommendation results so as to maximize the expected overall utility. However, to model the complex interaction of multiple recommended items, the re-ranking stage usually can just handle dozens of candidates because of the constraint of limited hardware resource and system latency. Therefore, the ranking stage is still essential for most applications to provide high-quality candidate set for the re-ranking stage. In this paper, we propose a solution named Slate-Aware ranking (SAR) for the ranking stage. By implicitly considering the relations among the slate items, it significantly enhances the quality of the re-ranking