{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T17:03:03Z","timestamp":1773939783219,"version":"3.50.1"},"reference-count":55,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T00:00:00Z","timestamp":1738108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Depressive symptoms are a common complication in patients with cataracts and may exacerbate cataract symptoms. Therefore, it is important to focus on depressive symptoms and their influencing factors in older people with cataracts. The purpose of this study was to investigate the prevalence rate of depressive symptoms and influencing factors in Chinese older people with cataracts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Descriptive analyses were used to report the sociodemographic characteristics, lifestyle, health status, and depressive symptoms of old people with cataracts in China. The chi-square test was used to compare differences between subjects with different demographic characteristics. Binary logistic regression was used to analyze the factors that influenced the depressive symptoms of cataract patients. Meanwhile, a random forest model was developed in this study to rank the importance of the influencing factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred and six (25.27%) of 1,211 cataract patients included in this study suffered from depressive symptoms. Logistic regression analysis suggested that poor economic situation (AOR\u202f=\u202f3.162, 95%CI: 1.719\u20135.817), social participation (AOR\u202f=\u202f1.530, 95%CI: 1.053\u20132.222), having hearing disorder (AOR\u202f=\u202f1.445, 95%CI: 1.040\u20132.008), poor self-reported health status (AOR\u202f=\u202f2.646, 95%CI: 1.705\u20134.106), poor life satisfaction (AOR\u202f=\u202f3.586, 95%CI: 1.652\u20137.784) were risk factors for depressive symptoms in cataract patients and consumption of fresh fruits (AOR\u202f=\u202f0.587, 95%CI: 0.369\u20130.933) was a protective factor for depressive symptoms in cataract patients. The results of the random forest showed that self-reported health status was the most important factor influencing depressive symptoms in cataract patients. The other factors, in order of importance, were life satisfaction, economic situation, fruits, hearing disorder, and social participation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results suggested that the development of depressive symptoms in cataract patients was influenced by various factors. Medical staff should monitor these influencing factors more closely when treating and caring for patients with cataracts.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1504275","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T05:23:24Z","timestamp":1738128204000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Depressive symptoms and its influencing factors of older people with cataracts in China: a national cross-sectional survey"],"prefix":"10.3389","volume":"13","author":[{"given":"Tengfei","family":"Niu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiwei","family":"Cao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaobing","family":"Xian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunyang","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingxi","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/S0140-6736(05)70803-5","article-title":"Age-related cataract","volume":"365","author":"Asbell","year":"2005","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"010804","DOI":"10.7189\/jogh.08.010804","article-title":"The national and subnational prevalence of cataract and cataract blindness in China: a systematic review and meta-analysis","volume":"8","author":"Song","year":"2018","journal-title":"J Glob Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"e144","DOI":"10.1016\/S2214-109X(20)30489-7","article-title":"Causes of blindness and vision impairment in 2020 and trends over 30 years, and prevalence of avoidable blindness in relation to VISION 2020: the right to sight: an analysis for the Global Burden of Disease Study","volume":"9","year":"2021","journal-title":"Lancet Glob Health"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1016\/j.ajo.2017.04.008","article-title":"Socioeconomic disparity in global burden of cataract: an analysis for 2013 with time trends since 1990","volume":"180","author":"Lou","year":"2017","journal-title":"Am J Ophthalmol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2300","DOI":"10.1097\/JS9.0000000000001105","article-title":"The association between cataract surgery and mental health in older adults: a review","volume":"110","author":"Wang","year":"2024","journal-title":"Int J Surg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"46453","DOI":"10.1038\/srep46453","article-title":"The prevalence of depression and depressive symptoms among eye disease patients: a systematic review and meta-analysis","volume":"7","author":"Zheng","year":"2017","journal-title":"Sci Rep"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1439","DOI":"10.1136\/bjo.2008.141747","article-title":"Circadian photoreception: ageing and the eye's important role in systemic health","volume":"92","author":"Turner","year":"2008","journal-title":"Br J Ophthalmol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"11671","DOI":"10.1038\/s41598-018-29489-1","article-title":"Illness uncertainty, anxiety and depression in Chinese patients with glaucoma or cataract","volume":"8","author":"Zhang","year":"2018","journal-title":"Sci Rep"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.ophtha.2006.10.006","article-title":"Depression and anxiety in visually impaired older people","volume":"114","author":"Evans","year":"2007","journal-title":"Ophthalmology"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1001\/jamaophthalmol.2013.61","article-title":"Vision function, functional vision, and depression","volume":"131","author":"Morse","year":"2013","journal-title":"JAMA Ophthalmol"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1176\/appi.ajp.2020.19080848","article-title":"Hormonal treatments for major depressive disorder: state of the art","volume":"177","author":"Dwyer","year":"2020","journal-title":"Am J Psychiatry"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1016\/j.ophtha.2008.12.001","article-title":"Use of inhaled and oral corticosteroids and the long-term risk of cataract","volume":"116","author":"Wang","year":"2009","journal-title":"Ophthalmology"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"753","DOI":"10.1001\/jamaophthalmol.2021.1557","article-title":"Association between visual impairment and depression in patients attending eye clinics: a meta-analysis","volume":"139","author":"Parravano","year":"2021","journal-title":"JAMA Ophthalmol"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"h 6127","DOI":"10.1136\/bmj.h6127","article-title":"Stepped care for depression and anxiety in visually impaired older adults: multicentre randomised controlled trial","volume":"351","author":"van der Aa","year":"2015","journal-title":"BMJ"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1097\/OPX.0000000000000960","article-title":"Cataract and depressive symptoms among older Chinese adults","volume":"93","author":"Wang","year":"2016","journal-title":"Optom Vis Sci"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e9397","DOI":"10.7717\/peerj.9397","article-title":"Prevalence and correlates of depressive symptoms among Chinese patients with cataracts treated in tertiary general hospitals","volume":"8","author":"Liu","year":"2020","journal-title":"Peer J"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"105941","DOI":"10.1016\/j.asoc.2019.105941","article-title":"An improved random forest-based rule extraction method for breast cancer diagnosis","volume":"86","author":"Wang","year":"2020","journal-title":"Appl Soft Comput"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"251","DOI":"10.1186\/s12935-020-01274-z","article-title":"Random-forest algorithm based biomarkers in predicting prognosis in the patients with hepatocellular carcinoma","volume":"20","author":"Guo","year":"2020","journal-title":"Cancer Cell Int"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1038049","DOI":"10.3389\/fpsyt.2023.1038049","article-title":"The prevalence of anxiety and its key influencing factors among the elderly in China","volume":"14","author":"Liu","year":"2023","journal-title":"Front Psych"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"2145","DOI":"10.1093\/eurheartj\/ehae206","article-title":"Body mass index, waist circumference, and mortality in subjects older than 80 years: a Mendelian randomization study","volume":"45","author":"Lv","year":"2024","journal-title":"Eur Heart J"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"e41","DOI":"10.1056\/NEJMp2310179","article-title":"Depression-understanding, identifying, and diagnosing","volume":"390","author":"Anderson","year":"2024","journal-title":"N Engl J Med"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"1961","DOI":"10.1016\/S0140-6736(05)66665-2","article-title":"Depression in the elderly","volume":"365","author":"Alexopoulos","year":"2005","journal-title":"Lancet"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.eurpsy.2019.09.003","article-title":"Trajectories and determinants of functional limitations in late-life depression: a 2-year prospective cohort study","volume":"62","author":"Wassink-Vossen","year":"2019","journal-title":"Eur Psychiatry"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"985","DOI":"10.1016\/j.jagp.2018.05.005","article-title":"A six-year prospective study of the prognosis and predictors in patients with late-life depression","volume":"26","author":"Jeuring","year":"2018","journal-title":"Am J Geriatr Psychiatry"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"166411","DOI":"10.1016\/j.scitotenv.2023.166411","article-title":"Estimating the joint effect of household solid fuel use and social isolation on depression among middle-aged and older adults in China","volume":"901","author":"Zhao","year":"2023","journal-title":"Sci Total Environ"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"e1916591","DOI":"10.1001\/jamanetworkopen.2019.16591","article-title":"Association of depressive symptoms with incident cardiovascular diseases in middle-aged and older Chinese adults","volume":"2","author":"Li","year":"2019","journal-title":"JAMA Netw Open"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"102579","DOI":"10.1016\/j.ejon.2024.102579","article-title":"Prediction of high-level fear of cancer recurrence in breast cancer survivors: an integrative approach utilizing random forest algorithm and visual nomogram","volume":"70","author":"Ren","year":"2024","journal-title":"Eur J Oncol Nurs"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1016\/j.ultrasmedbio.2023.03.024","article-title":"Assessment of renal fibrosis in patients with chronic kidney disease using shear wave elastography and clinical features: a random Forest approach","volume":"49","author":"Chen","year":"2023","journal-title":"Ultrasound Med Biol"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"308","DOI":"10.1198\/tast.2009.08199","article-title":"Variable importance assessment in regression: linear regression versus random Forest","volume":"63","author":"Gr\u00f6mping","year":"2009","journal-title":"Am Stat"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"13421","DOI":"10.1038\/s41598-020-70285-7","article-title":"Cataract and the increased risk of depression in general population: a 16-year nationwide population-based longitudinal study","volume":"10","author":"Chen","year":"2020","journal-title":"Sci Rep"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1001\/jamaophthalmol.2019.1085","article-title":"Longitudinal associations of self-reported vision impairment with symptoms of anxiety and depression among older adults in the United States","volume":"137","author":"Frank","year":"2019","journal-title":"JAMA Ophthalmol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1111\/ceo.12800","article-title":"Depressive symptoms in older adults awaiting cataract surgery","volume":"44","author":"Palagyi","year":"2016","journal-title":"Clin Experiment Ophthalmol"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"404","DOI":"10.1016\/j.ajo.2008.05.014","article-title":"The impact of cataract surgery on cognitive impairment and depressive mental status in elderly patients","volume":"146","author":"Ishii","year":"2008","journal-title":"Am J Ophthalmol"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1093\/aje\/kwf182","article-title":"Socioeconomic inequalities in depression: a meta-analysis","volume":"157","author":"Lorant","year":"2003","journal-title":"Am J Epidemiol"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"1746","DOI":"10.1016\/j.clnu.2022.06.023","article-title":"Community optimized management for better eating after hospital sTay among geriatric patients of poor socio-economic status - the COMEAT study","volume":"41","author":"Theilla","year":"2022","journal-title":"Clin Nutr"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1097\/ICU.0000000000000537","article-title":"Nutritional effect on age-related cataract formation and progression","volume":"30","author":"Sella","year":"2019","journal-title":"Curr Opin Ophthalmol"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"101403","DOI":"10.1016\/j.arr.2021.101403","article-title":"Associations between nutrition and the incidence of depression in middle-aged and older adults: a systematic review and meta-analysis of prospective observational population-based studies","volume":"70","author":"Matison","year":"2021","journal-title":"Ageing Res Rev"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1038\/s41380-020-00925-x","article-title":"Diet and depression: exploring the biological mechanisms of action","volume":"26","author":"Marx","year":"2021","journal-title":"Mol Psychiatry"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"957586","DOI":"10.3389\/fpubh.2022.957586","article-title":"Self-reported visual impairment and depression of middle-aged and older adults: the chain-mediating effects of internet use and social participation","volume":"10","author":"He","year":"2022","journal-title":"Front Public Health"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1093\/aje\/kwv015","article-title":"Social participation and depression in old age: a fixed-effects analysis in 10 European countries","volume":"182","author":"Croezen","year":"2015","journal-title":"Am J Epidemiol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"S64","DOI":"10.1093\/geronb\/63.2.S64","article-title":"Productive activities and psychological well-being among older adults","volume":"63","author":"Hao","year":"2008","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"S277","DOI":"10.1093\/geronj\/49.6.S277","article-title":"Multiple roles and psychological well-being in a national sample of older adults","volume":"49","author":"Adelmann","year":"1994","journal-title":"J Gerontol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1093\/geronb\/gbs062","article-title":"The mediating role of loneliness in the relation between social engagement and depressive symptoms among older Korean Americans: do men and women differ?","volume":"68","author":"Park","year":"2013","journal-title":"J Gerontol B Psychol Sci Soc Sci"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1016\/j.ophtha.2014.10.022","article-title":"Psychologic adjustment to irreversible vision loss in adults: a systematic review","volume":"122","author":"Senra","year":"2015","journal-title":"Ophthalmology"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"825","DOI":"10.1001\/jamaophthalmol.2019.1230","article-title":"Association of Perceived Discrimination with Emotional Well-being in older adults with visual impairment","volume":"137","author":"Jackson","year":"2019","journal-title":"JAMA Ophthalmol"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1001\/jamaophthalmol.2019.1234","article-title":"Addressing the maze of vision loss and depression","volume":"137","author":"Morse","year":"2019","journal-title":"JAMA Ophthalmol"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.arr.2009.05.005","article-title":"Chronic diseases and risk for depression in old age: a meta-analysis of published literature","volume":"9","author":"Huang","year":"2010","journal-title":"Ageing Res Rev"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1017\/S2045796018000045","article-title":"Effects of self-reported hearing or vision impairment on depressive symptoms: a population-based longitudinal study","volume":"28","author":"Han","year":"2019","journal-title":"Epidemiol Psychiatr Sci"},{"key":"ref49","doi-asserted-by":"publisher","first-page":"1439","DOI":"10.1001\/jamaneurol.2018.1868","article-title":"Hearing and vision loss in an older man","volume":"75","author":"Ho","year":"2018","journal-title":"JAMA Neurol"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"2307","DOI":"10.1002\/alz.12887","article-title":"Concurrent hearing and vision impairment and 8-year memory decline in community-dwelling older adults","volume":"19","author":"Huang","year":"2023","journal-title":"Alzheimers Dement"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"823","DOI":"10.2105\/AJPH.94.5.823","article-title":"Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning","volume":"94","author":"Crews","year":"2004","journal-title":"Am J Public Health"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"e2322489","DOI":"10.1001\/jamanetworkopen.2023.22489","article-title":"Physical activity dose and depression in a cohort of older adults in the Irish longitudinal study on ageing","volume":"6","author":"Laird","year":"2023","journal-title":"JAMA Netw Open"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.jad.2017.06.009","article-title":"Multimorbidity and depression: a systematic review and meta-analysis","volume":"221","author":"Read","year":"2017","journal-title":"J Affect Disord"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1016\/j.jad.2024.05.162","article-title":"Latent class analysis of health lifestyle among older adults living alone and associations with life satisfaction and depressive symptoms","volume":"361","author":"Cho","year":"2024","journal-title":"J Affect Disord"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.jagp.2022.12.192","article-title":"Life-satisfaction, engagement, mindfulness, flourishing, and social support: do they predict depression, suicide ideation, and history of suicide attempt in late life?","volume":"31","author":"O'Brien","year":"2023","journal-title":"Am J Geriatr Psychiatry"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1504275\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T05:23:28Z","timestamp":1738128208000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1504275\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,29]]},"references-count":55,"alternative-id":["10.3389\/fpubh.2025.1504275"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1504275","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,29]]},"article-number":"1504275"}}