Evidence map›Paper›PMID 36732716›Full record

ArticleBMC public health2023

Exploring predictors of welfare dependency 1, 3, and 5 years after mental health-related absence in danish municipalities between 2010 and 2012 using flexible machine learning modelling.

Søren Skotte Bjerregaard

Abstract read
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Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

1 author.

Søren Skotte BjerregaardThe National Research Centre for the Working Environment, 105 Lersø Parkallé, DK-2100, Copenhagen, Denmark. ssk@nfa.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUsing XGBoost (XGB), this study demonstrates how flexible machine learning modelling can complement traditional statistical modelling (multinomial logistic regression) as a sensitivity analysis and predictive modelling tool in occupational health research.

designThe study predicts welfare dependency for a cohort at 1, 3, and 5 years of follow-up using XGB and multinomial logistic regression (MLR). The models' predictive ability is evaluated using tenfold cross-validation (internal validation) and geographical validation (semi-external validation). In addition, we calculate and graphically assess Shapley additive explanation (SHAP) values from the XGB model to examine deviation from linearity assumptions, including interactions. The study population consists of all 20-54 years old on long-term sickness absence leave due to self-reported common mental disorders (CMD) between April 26, 2010, and September 2012 in 21 (of 98) Danish municipalities that participated in the Danish Return to Work program. The total sample of 19.664 observations is split geospatially into a development set (n = 9.756) and a test set (n = 9.908).

resultsThere were no practical differences in the XGB and MLR models' predictive ability. Industry, job skills, citizenship, unemployment insurance, gender, and period had limited importance in predicting welfare dependency in both models. On the other hand, welfare dependency history and reason for sickness absence were strong predictors. Graphical SHAP-analysis of the XGB model did not indicate substantial deviations from linearity assumptions implied by the multinomial regression model.

conclusionFlexible machine learning models like XGB can supplement traditional statistical methods like multinomial logistic regression in occupational health research by providing a benchmark for predictive performance and traditional statistical models' ability to capture important associations for a given set of predictors as well as potential violations of linearity.

trial registrationISRCTN43004323.

Indexed as

Mental DisordersMental HealthAdultCitiesDenmarkHumansMachine LearningMiddle AgedYoung AdultCommon mental disordersMachine learningReturn to workShapley additive explanationWelfare dependencyXGboost

Identifiers

PMID36732716
PMCPMC9893621

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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 OpenQuestion graph.