Evidence map›Paper›PMID 40759736›Full record

ArticleNPJ digital medicine2025

Determinants of depressive symptoms in multinational middle-aged and older adults.

Can Lu, Shenwei Wan, Zhiyong Liu

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Can Lu *School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Shenwei Wan *School of Agricultural Economics and Rural Development, Renmin University of China, Beijing, China.
Zhiyong LiuSchool of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, Hubei, China. zhiyongliu@hust.edu.cn.

Funding

Soft Science Project of China National Grain and Material Reserves Administration GLRKX2024013
6 · The paper itself

Abstract

This study harnesses machine learning to dissect the complex socioeconomic determinants of depression risk among older adults across five international cohorts (HRS, ELSA, SHARE, CHARLS, MHAS). Evaluating six predictive algorithms, XGBoost demonstrated superior performance in four cohorts (AUC 0.7677-0.8771), while LightGBM excelled in ELSA (AUC 0.9011). SHAP analyses identified self-rated health as the predominant predictor, though key factors varied notably-gender was especially influential in MHAS. Stratified analyses by income and sex revealed marked heterogeneity: wealth, employment, digital inclusion, and marital status exerted greater influence in lower-income groups, with distinct gender-specific patterns. These findings highlight machine learning's capacity to reveal nuanced, context-dependent risk profiles beyond traditional models, emphasizing the need for tailored interventions that address the diverse vulnerabilities of aging populations, particularly those socioeconomically disadvantaged.

Identifiers

PMID40759736
PMCPMC12321985

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.