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Deep Poisson Case Time Series Model for Complex Environmental Exposure Modeling on Acute Health Outcome
Proceedings of the 11th Machine Learning for Healthcare Conference, PMLR 340:1056-1088, 2026.
Abstract
Modern environmental health studies increasingly collect rich spatio-temporal exposure data, yet existing methods for assessing acute health effects still rely on low-dimensional summaries that discard informative structure. Self-matched designs, such as the case time series, effectively control for stable between-area confounding but do not readily extend to complex, high-dimensional exposure histories. To address this limitation, we introduce the Deep Poisson Case Time Series (DPCTS), a self-matched deep learning framework for area-level health outcomes that integrates within-unit stratification with end-to-end representation learning from complex exposures. DPCTS employs a neural exposure encoder trained with a Poisson objective, incorporates temporal context and multi-scale supervision to capture lagged effects across multiple resolutions, and supports tabular, image-based, and multimodal inputs. In addition, we propose novel evaluation metrics that isolate exposure-driven performance from between-area baseline differences by measuring within-stratum fit, predictive accuracy, and discrimination. Across synthetic, semi-synthetic, and real-world experiments, DPCTS recovers nonlinear exposure-response relationships and fine-scale risk patterns more accurately than classical baselines. These findings establish that representation learning can be embedded within self-matched epidemiologic study designs to analyze complex exposure data while preserving the within-unit comparisons essential for studying short-term health risk.