MedGNN: Capturing the Links Between Urban Characteristics and Medical Prescriptions

Fuente: arXiv
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Autores principales: Zhao, Minwei, Scepanovic, Sanja, Law, Stephen, Obadic, Ivica, Wu, Cai, Quercia, Daniele
Formato: Preprint
Publicado: 2025
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author Zhao, Minwei
Scepanovic, Sanja
Law, Stephen
Obadic, Ivica
Wu, Cai
Quercia, Daniele
author_facet Zhao, Minwei
Scepanovic, Sanja
Law, Stephen
Obadic, Ivica
Wu, Cai
Quercia, Daniele
contents Understanding how urban socio-demographic and environmental factors relate with health is essential for public health and urban planning. However, traditional statistical methods struggle with nonlinear effects, while machine learning models often fail to capture geographical (nearby areas being more similar) and topological (unequal connectivity between places) effects in an interpretable way. To address this, we propose MedGNN, a spatio-topologically explicit framework that constructs a 2-hop spatial graph, integrating positional and locational node embeddings with urban characteristics in a graph neural network. Applied to MEDSAT, a comprehensive dataset covering over 150 environmental and socio-demographic factors and six prescription outcomes (depression, anxiety, diabetes, hypertension, asthma, and opioids) across 4,835 Greater London neighborhoods, MedGNN improved predictions by over 25% on average compared to baseline methods. Using depression prescriptions as a case study, we analyzed graph embeddings via geographical principal component analysis, identifying findings that: align with prior research (e.g., higher antidepressant prescriptions among older and White populations), contribute to ongoing debates (e.g., greenery linked to higher and NO2 to lower prescriptions), and warrant further study (e.g., canopy evaporation correlated with fewer prescriptions). These results demonstrate MedGNN's potential, and more broadly, of carefully applied machine learning, to advance transdisciplinary public health research.
format Preprint
id arxiv_https___arxiv_org_abs_2504_04739
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedGNN: Capturing the Links Between Urban Characteristics and Medical Prescriptions
Zhao, Minwei
Scepanovic, Sanja
Law, Stephen
Obadic, Ivica
Wu, Cai
Quercia, Daniele
Machine Learning
Computers and Society
I.2.6; J.3; H.2.8
Understanding how urban socio-demographic and environmental factors relate with health is essential for public health and urban planning. However, traditional statistical methods struggle with nonlinear effects, while machine learning models often fail to capture geographical (nearby areas being more similar) and topological (unequal connectivity between places) effects in an interpretable way. To address this, we propose MedGNN, a spatio-topologically explicit framework that constructs a 2-hop spatial graph, integrating positional and locational node embeddings with urban characteristics in a graph neural network. Applied to MEDSAT, a comprehensive dataset covering over 150 environmental and socio-demographic factors and six prescription outcomes (depression, anxiety, diabetes, hypertension, asthma, and opioids) across 4,835 Greater London neighborhoods, MedGNN improved predictions by over 25% on average compared to baseline methods. Using depression prescriptions as a case study, we analyzed graph embeddings via geographical principal component analysis, identifying findings that: align with prior research (e.g., higher antidepressant prescriptions among older and White populations), contribute to ongoing debates (e.g., greenery linked to higher and NO2 to lower prescriptions), and warrant further study (e.g., canopy evaporation correlated with fewer prescriptions). These results demonstrate MedGNN's potential, and more broadly, of carefully applied machine learning, to advance transdisciplinary public health research.
title MedGNN: Capturing the Links Between Urban Characteristics and Medical Prescriptions
topic Machine Learning
Computers and Society
I.2.6; J.3; H.2.8
url https://arxiv.org/abs/2504.04739