# Spatially Directional Dual-Attention GAT for Spatial Fluoride Health Risk Modeling

arXiv: https://arxiv.org/abs/2504.09416 · HTML: https://mlsanity.com/paper/2504.09416/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 8 of its 24 references that are in the map.
- First posted on arXiv 13 Apr 2025.

## Builds on (most cited first, 8 of 8)

- [Semi-Supervised Classification with Graph Convolutional Networks](https://mlsanity.com/paper/1609.02907/) (2016)
- [Graph Attention Networks](https://mlsanity.com/paper/1710.10903/) (2017)
- [Inductive Representation Learning on Large Graphs](https://mlsanity.com/paper/1706.02216/) (2017)
- [Neural Message Passing for Quantum Chemistry](https://mlsanity.com/paper/1704.01212/) (2017)
- [Spatio-Temporal Graph Convolutional Networks: A Deep Learning Framework for Traffic Forecasting](https://mlsanity.com/paper/1709.04875/) (2017)
- [GMAN: A Graph Multi-Attention Network for Traffic Prediction](https://mlsanity.com/paper/1911.08415/) (2019)
- [Directional Graph Networks](https://mlsanity.com/paper/2010.02863/) (2020)
- [Graph Neural Networks for Traffic Forecasting](https://mlsanity.com/paper/2104.13096/) (2021)

## Abstract (arXiv)

Environmental exposure to fluoride is a major public health concern, particularly in regions with naturally elevated fluoride concentrations. Accurate modeling of fluoride-related health risks, such as dental fluorosis, requires spatially aware learning frameworks capable of capturing both geographic and semantic heterogeneity. In this work, we propose Spatially Directional Dual-Attention Graph Attention Network (SDD-GAT), a novel spatial graph neural network designed for fine-grained health risk prediction. SDD-GAT introduces a dual-graph architecture that disentangles geographic proximity and attribute similarity, and incorporates a directional attention mechanism that explicitly encodes spatial orientation and distance into the message passing process. To further enhance spatial coherence, we introduce a spatial smoothness regularization term that enforces consistency in predictions across neighboring locations. We evaluate SDD-GAT on a large-scale dataset covering over 50,000 fluoride monitoring samples and fluorosis records across Guizhou Province, China. Results show that SDD-GAT significantly outperforms traditional models and state-of-the-art GNNs in both regression and classification tasks, while also exhibiting improved spatial autocorrelation as measured by Moran's I. Our framework provides a generalizable foundation for spatial health risk modeling and geospatial learning under complex environmental settings.