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Integrating Temporal Disaggregation and Distributed Lag Nonlinear Models for Bayesian Spatio-Temporal Disease Mapping with High-Resolution Environmental Exposures
Authors:
Alejandro Rozo Posada,
Maxime Fajgenblat,
Christel Faes,
James Colborn,
Emanuele Giorgi,
Baltazar Candrinho,
Thomas Neyens
Abstract:
Environmental conditions are major drivers of malaria transmission, but epidemiological analyses are often constrained by temporal misalignment between health outcomes reported at coarse time scales and environmental exposures available at finer resolutions. Conventional approaches aggregate environmental data to match health outcomes, potentially obscuring delayed and nonlinear relationships. We…
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Environmental conditions are major drivers of malaria transmission, but epidemiological analyses are often constrained by temporal misalignment between health outcomes reported at coarse time scales and environmental exposures available at finer resolutions. Conventional approaches aggregate environmental data to match health outcomes, potentially obscuring delayed and nonlinear relationships. We propose a Bayesian spatio-temporal framework that addresses this limitation through a latent daily disease process linked to observed monthly malaria counts by temporal disaggregation. The framework integrates distributed lag nonlinear models for climatic effects, spatio-temporal random effects, and intervention covariates within a unified hierarchical model.
The methodology was applied to malaria surveillance data from 161 districts in Mozambique between 2017 and 2024, integrating temperature, precipitation, relative humidity, vegetation, elevation, and malaria interventions. Compared with a conventional monthly model, the proposed framework improved predictive accuracy and uncertainty quantification while exploiting the temporal resolution of environmental data. Estimated relationships showed nonlinear associations between climatic variability and malaria incidence, including an optimal temperature range, increasing risk with positive vegetation anomalies, and nonlinear precipitation effects.
By avoiding temporal aggregation of environmental exposures, the framework provides a flexible approach for investigating delayed environmental effects from routine surveillance data and can be extended to other environmentally sensitive diseases with mismatched temporal resolutions.
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Submitted 20 August, 2026;
originally announced August 2026.
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Spatially varying distributed lag non-linear models using Laplacian P-splines
Authors:
Sara Rutten,
Thomas Neyens,
Elisa Duarte,
Antonio Gasparrini,
Christel Faes
Abstract:
Although distributed lag non-linear models (DLNMs) are commonly used to quantify delayed and non-linear exposure-response relationships, most existing applications assume that these relationships are constant across space. However, in many geographical and environmental studies, local characteristics vary substantially across areas, making a spatially varying effect more realistic.
Extending DLN…
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Although distributed lag non-linear models (DLNMs) are commonly used to quantify delayed and non-linear exposure-response relationships, most existing applications assume that these relationships are constant across space. However, in many geographical and environmental studies, local characteristics vary substantially across areas, making a spatially varying effect more realistic.
Extending DLNMs to allow for spatial heterogeneity remains challenging, and only a limited number of modelling strategies have been proposed in literature. The most popular extension is a two-stage meta-analysis approach, which requires sufficiently large sample sizes at each location. Therefore, its usefulness is limited when working with sparse count data in small area data analyses. Although a number of alternative one-stage approaches have been introduced, their computational burden restricts their applicability in real-life data applications.
In this paper, we introduce a computationally efficient Bayesian one-stage spatially-varying DLNM for count data. We define four model variants, differing in the assumed spatial dependence structure and the flexibility of the DLNM spline specification. To address the computational burden typically associated with these flexible models, we use Laplace approximations, offering an efficient alternative to classically used Markov Chain Monte Carlo (MCMC) approaches. Model comparison criteria are provided to facilitate the selection of a suitable model in a real-life data application.
The proposed methods are evaluated through simulation studies, and their practical usefulness is illustrated through a real-life data application, investigating the temperature-mortality relationship in every municipality of Sicily, Italy.
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Submitted 10 April, 2026;
originally announced April 2026.
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Distributed lag non-linear models with spatial effect modification using Laplacian P-splines
Authors:
Sara Rutten,
Thomas Neyens,
Elisa Duarte,
Antonio Gasparrini,
Christel Faes
Abstract:
Distributed lag non-linear models (DLNMs) are a popular approach to flexibly model the effect of time-delayed exposures. Classical DLNMs specify a common exposure-lag-response relationship across geographical areas. However, this relationship might be altered by an effect modifier that differs between spatial units. Although some methods have been proposed to account for effect modification, their…
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Distributed lag non-linear models (DLNMs) are a popular approach to flexibly model the effect of time-delayed exposures. Classical DLNMs specify a common exposure-lag-response relationship across geographical areas. However, this relationship might be altered by an effect modifier that differs between spatial units. Although some methods have been proposed to account for effect modification, their applicability is context-dependent. For example, a meta-analysis can account for heterogeneity between groups, but this technique requires sufficiently large study groups. This limitation is particularly relevant when working with count data, where small numbers of events are often encountered. In this paper, we review existing methods that allow for spatial effect modification for count-based outcomes and propose a Bayesian DLNM alternative method that accounts for the modifier through flexible interaction effects. Through the use of Laplacian P-splines, we provide a computationally fast estimation procedure by avoiding the use of classical Markov Chain Monte Carlo (MCMC) approaches. The performance of the different methods is evaluated through simulation studies. Moreover, the practical applicability of our proposed method is showcased through a data application, containing daily temperature and mortality count data in 87 Italian cities.
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Submitted 19 March, 2026;
originally announced March 2026.
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Backcasting biodiversity at high spatiotemporal resolution using flexible site-occupancy models for opportunistically sampled citizen science data
Authors:
Maxime Fajgenblat,
Marc Herremans,
Pieter Vanormelingen,
Kristijn Swinnen,
Dirk Maes,
Robby Stoks,
Luc De Meester,
Christel Faes,
Thomas Neyens
Abstract:
For many taxonomic groups, online biodiversity portals used by naturalists and citizen scientists constitute the primary source of distributional information. Over the last decade, site-occupancy models have been advanced as a promising framework to analyse such loosely structured, opportunistically collected datasets. Current approaches often ignore important aspects of the detection process and…
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For many taxonomic groups, online biodiversity portals used by naturalists and citizen scientists constitute the primary source of distributional information. Over the last decade, site-occupancy models have been advanced as a promising framework to analyse such loosely structured, opportunistically collected datasets. Current approaches often ignore important aspects of the detection process and do not fully capitalise on the information present in these datasets, leaving opportunities for fine-grained spatiotemporal backcasting untouched. We propose a flexible Bayesian spatiotemporal site-occupancy model that aims to mimic the data-generating process that underlies common citizen science datasets sourced from public biodiversity portals, and yields rich biological output. We illustrate the use of the model to a dataset containing over 3M butterfly records in Belgium, collected through the citizen science data portal Observations.be. We show that the proposed approach enables retrospective predictions on the occupancy of species through time and space at high resolution, as well as inference on inter-annual distributional trends, range dynamics, habitat preferences, phenological patterns, detection patterns and observer heterogeneity. The proposed model can be used to increase the value of opportunistically collected data by naturalists and citizen scientists, and can aid the understanding of spatiotemporal dynamics of species for which rigorously collected data are absent or too costly to collect.
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Submitted 11 November, 2025;
originally announced November 2025.
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A Time-Series Model for Areal Data Using Area-Specific Gaussian Processes with Spatially Correlated Hyperparameters
Authors:
Alejandro Rozo Posada,
Oswaldo Gressani,
Christel Faes,
James Colborn,
Baltazar Candrinho,
Emanuele Giorgi,
Thomas Neyens
Abstract:
In many applied settings, areal data are observed repeatedly over long time periods, as commonly occurs in infectious disease surveillance and environmental or demographic monitoring. Accurate characterization of local temporal dynamics and uncertainty is important for monitoring disease trends, identifying local changes, and supporting public health decision-making. Traditional spatio-temporal mo…
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In many applied settings, areal data are observed repeatedly over long time periods, as commonly occurs in infectious disease surveillance and environmental or demographic monitoring. Accurate characterization of local temporal dynamics and uncertainty is important for monitoring disease trends, identifying local changes, and supporting public health decision-making. Traditional spatio-temporal models generally represent spatial, temporal, and space-time interaction components through structured random effects acting on the latent outcome process. We propose a Bayesian spatio-temporal hierarchical framework in which temporal dynamics are modeled using area-specific Gaussian processes, while spatial dependence is introduced through spatially correlated Gaussian-process covariance hyperparameters. This allows neighboring regions to share information about the characteristics of their temporal dependence while retaining area-specific temporal trajectories, providing an alternative representation of spatio-temporal dependence. Inference is performed using Markov chain Monte Carlo methods. The approach is illustrated using monthly malaria incidence data from three Mozambican provinces and evaluated using the Root Mean Squared Error, Continuous Ranked Probability Score, empirical coverage probability, and credible interval width. Compared with established spatio-temporal models, the proposed framework achieves competitive predictive accuracy and better-calibrated predictive uncertainty. Spatially structuring the temporal hyperparameters also improves predictive interval calibration relative to an equivalent model with independent temporal processes, demonstrating the value of borrowing spatial information on temporal dependence and supporting this formulation as a competitive alternative to conventional outcome-level spatial smoothing for spatio-temporal areal data in disease surveillance.
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Submitted 20 August, 2026; v1 submitted 1 September, 2025;
originally announced September 2025.
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A Bayesian Geoadditive Model for Spatial Disaggregation
Authors:
Sara Rutten,
Thomas Neyens,
Elisa Duarte,
Christel Faes
Abstract:
We present a novel Bayesian spatial disaggregation model for count data, providing fast and flexible inference at high resolution. First, it incorporates non-linear covariate effects using penalized splines, a flexible approach that is not typically included in existing spatial disaggregation methods. Additionally, it employs a spline-based low-rank kriging approximation for modeling spatial depen…
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We present a novel Bayesian spatial disaggregation model for count data, providing fast and flexible inference at high resolution. First, it incorporates non-linear covariate effects using penalized splines, a flexible approach that is not typically included in existing spatial disaggregation methods. Additionally, it employs a spline-based low-rank kriging approximation for modeling spatial dependencies. The use of Laplace approximation provides computational advantages over traditional Markov Chain Monte Carlo (MCMC) approaches, facilitating scalability to large datasets. We explore two estimation strategies: one using the exact likelihood and another leveraging a spatially discrete approximation for enhanced computational efficiency. Simulation studies demonstrate that both methods perform well, with the approximate method offering significant computational gains. We illustrate the applicability of our model by disaggregating disease rates in the United Kingdom and Belgium, showcasing its potential for generating high-resolution risk maps. By combining flexibility in covariate modeling, computational efficiency and ease of implementation, our approach offers a practical and effective framework for spatial disaggregation.
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Submitted 22 July, 2025;
originally announced July 2025.
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Distributed lag non-linear models with Laplacian-P-splines for analysis of spatially structured time series
Authors:
Sara Rutten,
Bryan Sumalinab,
Oswaldo Gressani,
Thomas Neyens,
Elisa Duarte,
Niel Hens,
Christel Faes
Abstract:
Distributed lag non-linear models (DLNM) have gained popularity for modeling nonlinear lagged relationships between exposures and outcomes. When applied to spatially referenced data, these models must account for spatial dependence, a challenge that has yet to be thoroughly explored within the penalized DLNM framework. This gap is mainly due to the complex model structure and high computational de…
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Distributed lag non-linear models (DLNM) have gained popularity for modeling nonlinear lagged relationships between exposures and outcomes. When applied to spatially referenced data, these models must account for spatial dependence, a challenge that has yet to be thoroughly explored within the penalized DLNM framework. This gap is mainly due to the complex model structure and high computational demands, particularly when dealing with large spatio-temporal datasets. To address this, we propose a novel Bayesian DLNM-Laplacian-P-splines (DLNM-LPS) approach that incorporates spatial dependence using conditional autoregressive (CAR) priors, a method commonly applied in disease mapping. Our approach offers a flexible framework for capturing nonlinear associations while accounting for spatial dependence. It uses the Laplace approximation to approximate the conditional posterior distribution of the regression parameters, eliminating the need for Markov chain Monte Carlo (MCMC) sampling, often used in Bayesian inference, thus improving computational efficiency. The methodology is evaluated through simulation studies and applied to analyze the relationship between temperature and mortality in London.
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Submitted 5 June, 2025;
originally announced June 2025.