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The European Journal of Public Health logoLink to The European Journal of Public Health
. 2026 Oct 26;36(Suppl 5):ckag169.1229. doi: 10.1093/eurpub/ckag169.1229

Three-level approach of U-smile with ΔAIC for balanced and imbalanced binary classification

KB Kubiak 1,✉, B Więckowska 2
PMCID: PMC13698140

Abstract

Background

Binary classification frequently arises in clinical and public health research, where accurate identification of rare outcomes is perticularly important. The Akaike information criterion (AIC) is a standard tool for model selection, yet it reduces the evaluation to a single global values. Building on our previous work, this study extends the three-level approach of the U-smile method, originally based on BA-RB-I coefficients, with ΔAIC into subclass-specific (level 1), class-specific (level 2), and global (level 3) insights.

Methods

Using Heart Disease dataset and synthetic data, 7 scenarios of 1%, 10%, 30%, 50%, 70%, 90%, 99% event prevalence (n = 300) were generated. A baseline logistic regression model was extended in a nested setting by adding candidate markers individually. Prediciton changes were categorized into 4 U-smile subclasses: improved and worsened predictions for events and non-events. ΔAIC values were computed at each level and visualized with U-smile and trend plots.

Results

The U-smile plots of level 1 differentiated informative markers (smile shapes) from non-informative ones (flatline shapes) across the whole imbalance range. At level 2, improvements in minority class fir (e.g., 2.23, 2.52) and reductions in majority class overfitting (e.g., -0.79, -0.92) under extreme imbalance were exposed. These effects were partially obscured at the global level 3, where ΔAIC suggested more modest improvements (e.g., 1.42, 1.91).

Conclusions

The three-level approach of the U-smile method with ΔAIC provides a structured and interpretable framework for model and feature selection in balanced and imbalanced settings. By decomposing a global model selection measure into its subclass- and class-specific components, it reveals pattern otherwise hidden in aggregate measures, supporting more precise and equitable evaluation.

Key messages

• In binary classification, the three-level extension of the U-smile method with ΔAIC provides subclass, class, and global insights, enabling structured evaluation beyond a single ΔAIC value.

• Class-level ΔAIC reveals improved model fit in the minority class and reduced overfitting to the majority class under extreme imbalance scenarios, often hidden by global aggregate measures.


Articles from The European Journal of Public Health are provided here courtesy of Oxford University Press

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