ArticleBeijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences2024
[Sequential mediating role of digital participation and health lifestyle in the relationship between socioeconomic status and depression of older adults].
Article in Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 4 citations in OpenAlex.
- Active health behaviors and their influencing factors among community-dwelling elderly hypertensive patients: a cross-sectional study in Zhengzhou, China.BMC public health · 2026Article
- A narrower access gap, yet persistent divides: the digital inequality among China's urban-rural older adults.BMC public health · 2026Article
- The Association Between the Digital Divide and Health Inequalities Among Older Adults in China: Nationally Representative Cross-Sectional Survey.Journal of medical Internet research · 2025Article
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
objectiveTo explore the potential mechanisms of the relationship between socioeconomic status (SES) and depression of Chinese older adults through the mediating role of digital participation and health lifestyle.
methodsUsing the nationally representative data from the China Family Panel Studies in 2020, 4 846 participants aged 60 years and older were analyzed in our study. We explored the potential mechanisms of the relationship between SES and depression of Chinese older adults in the digital era through a chain multiple mediating effects model. The KHB (The Karlson, Holm, and Breen) method was used to analyze the mediating role of digital participation and health lifestyle and the proportion of mediating effect between the two was also calculated. A series of robustness tests were further conducted and the fit of the model was checked by structural equation modeling.
resultsThe mean age of the 4 846 older adults included in this study was (68.20±5.07) years, 48.06% of whom were female and 51.94% were male. The KHB results showed that both digital participation and health lifestyle could mediate the relationship between SES and depression of older adults (
conclusionOur findings showed that in the digital age, in addition to the direct relationship between SES and depression of older adults, and the health lifestyle as a mediator between the relationship, there is also a sequential mediating role of digital participation and health lifestyle to reduce the risk of depression. The findings suggest that we should pay more attention to the probability of the digital divide exacerbating health inequalities and socioeconomic inequalities accumulation in the digital age and promote the co-progress of digital literacy and health literacy among older adults.
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38595238PMC11004965W4394741913What OpenQuestion holds
Registered trials
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