Work

Creation and verification of a predictive nomogram model for the incidence of social isolation among China’s older population

Year: 2025

Type: article

Abstract: Objectives To explore the risk factors associated with social isolation among the older adult in China, develop a nomogram model to forecast the risk, and evaluate its predictive accuracy. Methods An investigation was conducted into the demographic, socioeconomic, health, and health behavior aspects of the older adult population. Using logistic regression and backward stepwise analysis, a nomogram model was constructed to predict the risk of social isolation by screening independent risk factors. Results Social isolation was prevalent in 42.1% of Chinese older adults. Nomogram prediction models were created for the five screened variables, which included type of residence, health self-assessment, disability, depression, and sedentary hours. The nomogram model had an AUC of 0.734 (95%CI: 0.701–0.767) in the training cohort, and an AUC of 0.653 (95%CI: 0.580–0.725) in the validation cohort. The Hosmer-Lemeshow goodness-of-fit test revealed that there was a good fit (p > 0.05). DCA results showed that clinical intervention had a high net benefit in the older adult when the threshold probability was 20–85% for the training cohort and 30–65% for the control cohort. Conclusion Social isolation is a common issue for the older adult population in China. The prediction model using a nomogram for the older adult can efficiently detect and screen high-risk individuals for social isolation, forecasting its occurrence. The proposed nomogram may serve as a preliminary screening tool for social isolation risk but requires further optimization to improve accuracy. Future research should incorporate additional predictors or advanced modeling techniques to enhance clinical utility.

Source: Frontiers in Public Health

DOI: 10.3389/fpubh.2025.1571509

Authors: Mei You, Yuan Ding, Zixuan Wei, Nannan Han, Annuo Liu

Institutions: First Affiliated Hospital of Anhui Medical University, Anhui Medical University

Language: English

Topic: Aging, Health, and Disability

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801