Explainable machine learning for hypertension prevalence classification: a cross-sectional study in Hainan Province, China - Scorecard - MDSpire

Utilizing Explainable Machine Learning to Classify Hypertension Prevalence: A Cross-Sectional Analysis in Hainan Province, China

  • By

  • Yuewei Wu

  • Shan Huang

  • Miaomiao Qi

  • Yuanyuan Zhang

  • Mei Lu

  • Tianfa Li

  • Yueqiong Kong

  • July 17, 2026

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Clinical Scorecard: Utilizing Explainable Machine Learning to Classify Hypertension Prevalence: A Cross-Sectional Analysis in Hainan Province, China

At a Glance

CategoryDetail
ConditionHypertension
Key MechanismsExplainable machine learning models for classification of hypertension prevalence.
Target PopulationPermanent residents aged ≥18 years in Hainan Province, China.
Care SettingCommunity health screening.

Key Highlights

  • 32.5% prevalence of hypertension identified in the study population.
  • eXtreme Gradient Boosting (XGBoost) model achieved an AUC of 0.8461.
  • Top predictors included age, smoking, urine microalbumin, and diabetes.
  • SHAP and LIME algorithms used for model interpretability.
  • Study supports enhanced hypertension screening and prevention strategies.

Guideline-Based Recommendations

Diagnosis

  • Utilize machine learning models to classify hypertension status.

Management

  • Implement screening programs based on machine learning findings.

Monitoring & Follow-up

  • Regularly assess hypertension prevalence in community settings.

Risks

  • Hypertension is a major risk factor for cardiovascular disease and stroke.

Patient & Prescribing Data

General population in Hainan Province, China.

Focus on early identification and preventive interventions for high-risk individuals.

Clinical Best Practices

  • Incorporate explainable machine learning techniques in clinical practice.
  • Enhance awareness programs for hypertension management.
  • Utilize identified predictors for targeted screening efforts.

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