The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 |
doi: 10.3389/fpubh.2024.1452285
This article is part of the Research Topic Mental health and suicide prevention in sensory impairment populations View all articles
Study on Factors Contributing to Elevated Depressive Symptoms in Middle-aged and Elderly Patients with Hearing Loss and the Construction of a Nomogram Model
Provisionally accepted- Bengbu Medical College, Bengbu, China
Abstract Objective: This study aims to explore the influencing factors of depressive symptoms in middle-aged and elderly patients with hearing loss and to construct a nomogram risk prediction model. Methods: A total of 2729 middle-aged and elderly patients with hearing loss from the community were selected as the study subjects. Single-factor and multifactorial stepwise logistic regression analyses were used to screen influencing factors. Based on these predictive factors, a nomogram prediction model was constructed. The model's efficacy was validated using the area under the receiver operating characteristic curve (AUC) and 1000 bootstrap resamples. Results: Multifactorial logistic regression analysis revealed that age, gender, pain, cognitive abilities, daily living abilities, sleep duration, and self-rated health status are the main influencing factors for depressive symptoms. Based on these factors, the constructed nomogram model demonstrated good calibration (χ2=3.367, P=0.909), with an AUC value of 0.741 (95% CI: 0.723-0.759), and a sensitivity of 0.683, showing good discriminative ability and accuracy. Conclusion: The incidence of depressive symptoms is relatively high among middle-aged and elderly individuals with hearing loss. The model developed in this study can effectively identify middle-aged and elderly patients with hearing loss who are at risk of depressive symptoms. This provides strong empirical support for the early detection, diagnosis, and intervention of depressive symptoms in middle-aged and elderly patients with hearing loss.
Keywords: Hearing Loss, depressive symptoms, Middle-aged and Elderly People in community, nomogram, CHARLS
Received: 20 Jun 2024; Accepted: 02 Dec 2024.
Copyright: © 2024 Liu, Zhou, yang, Jiaxue, Zeng, MA, Li, Li, Huang and Xie. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Chunlu Zeng, Bengbu Medical College, Bengbu, China
Juju Huang, Bengbu Medical College, Bengbu, China
Hui Xie, Bengbu Medical College, Bengbu, China
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.