치매 돌봄과 경제활동을 병행하는 국내 취약 근로자의 우울증 위험 요인 예측을 위한 LightGBM 기반 노모그램 개발
LightGBM-Based Nomogram for Identifying Depression Risk Among Vulnerable Workers Balancing Dementia Caregiving and Employment in South Korea
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3,000원
원문정보
초록
영어
Workers who simultaneously engage in dementia caregiving and paid employment represent a critically vulnerable group facing compounded mental health burdens. This study developed a machine learning-based nomogram to predict depression risk among 25,634 family caregivers of home-dwelling dementia patients in South Korea, using data from the 2019-2020 national community health survey. LightGBM identified six key predictors from 135 variables: subjective stress level, subjective health status, cognitive impairment counseling history, economic activity status, gender, and dementia screening history. A Bayesian nomogram derived from multiple logistic regression achieved an AUC of 0.82, accuracy of 0.85, precision of 0.83, recall of 0.85, and F1-score of 0.83 under 10-fold cross-validation. Economically active female caregivers with a history of cognitive impairment counseling and high subjective stress showed a 96% predicted probability of depression, underscoring the urgent need for targeted mental health screening among workers who balance caregiving and employment responsibilities.
목차
Abstract 1. 서론 2. 연구방법 3. 결과 4. 결론 FUND References