Evidence map›Paper›PMID 42597749›Full record

ArticleDigital health

Digital quality gradient and the burden of elderly depression: A spatial multi kernel SVR analysis of socio economically vulnerable groups in England.

Jin Rui, Yijing Li, Hector D Menendez, Mariana Pinto da Costa

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Jin RuiDepartment of Geography, King's College London, London, UK.ORCID https://orcid.org/0000-0002-0926-0947
Yijing LiDepartment of Informatics, King's College London, London, UK.ORCID https://orcid.org/0000-0002-9831-0298
Hector D MenendezDepartment of Informatics, King's College London, London, UK.ORCID https://orcid.org/0000-0002-6314-3725
Mariana Pinto da CostaInstitute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.ORCID https://orcid.org/0000-0002-5966-5723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Digital infrastructure is increasingly understood as part of the contemporary built environment and as a policy-relevant area-level correlate of older adults' mental health. Existing studies have often relied on linear models and have paid limited attention to spatial heterogeneity, making it difficult to identify how broadband quality is associated with depression-related burden across vulnerable groups. This cross-sectional ecological study examines nonlinear and spatially varying associations between digital infrastructure and antidepressant prescribing among socio-economically vulnerable older populations in England. Using area-level data collected and processed in July 2025, the analysis focuses on older adults in areas with low social grade (DE) and high income deprivation. We used stepwise regression, multi-kernel support vector regression (SVR), and spatially weighted multi-kernel SVR to estimate the conditional contribution of digital infrastructure after accounting for built-environment covariates. The results indicate a digital quality gradient: high-speed and gigabit-capable broadband variables show stronger predictive contributions for low-social-grade areas, whereas medium-speed broadband coverage is more consistently associated with the depression-related burden of older adults in high-deprivation areas. Spatial coefficient maps identify policy-relevant priority geographies, including post-industrial communities in the Northwest and Midlands and remote or ageing communities in northern and southwestern England. The multi-kernel SVR model achieved cross-validated R

Indexed as

digital quality gradientelderly depressionspatial analysisspatial multi-kernel SVRvulnerable group

Identifiers

PMID42597749
PMCPMC13469525

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.