Evidence map›Paper›PMID 39928942›Full record

ArticleJournal of medical Internet research2025

Understanding the Association Between Home Broadband Connection and Well-Being Among Middle-Aged and Older Adults in China: Nationally Representative Panel Data Study.

Lu Yang, Chris Lynch, John Tayu Lee, Brian Oldenburg, Tilahun Haregu

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Article
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

5 authors.

Lu YangSchool of Sociology and Population Studies, Nanjing University of Posts and Telecommunications, Nanjing, China.ORCID 0000-0003-3764-6369
Chris LynchSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID 0000-0001-9503-6994
John Tayu LeeSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID 0000-0002-1551-4923
Brian OldenburgSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID 0000-0002-7712-5413
Tilahun HareguSchool of Psychology and Public Health, La Trobe University, Melbourne, Australia.ORCID 0000-0002-8797-0469

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to digital technology is among the major social determinants of health, and digital divide impacts health inequality. Yet, the impact of digital connectivity on the well-being and psychosocial outcomes in adults has not been fully studied.

objectiveThe aim of this study was to investigate the association of home broadband connection with health and well-being of middle-aged adults and adults older than 45 years in China.

methodsA panel data study design of the national sample of China Health and Retirement Longitudinal Study (CHARLS) was conducted in 2015, 2018, and 2020. This study included 16,185 participants older than 45 years. The associations between digital connectivity (home broadband connection), loneliness, social participation, and life satisfaction were assessed using mixed effects logistic regression models, adjusting for socioeconomic factors, behavioral factors, and locality. Broadband internet connectivity, feelings of loneliness, social participation, and satisfaction with life were measured using the self-reported CHARLS questionnaire.

resultsWe observed a substantial increase in digital connectivity from 29.5% in 2015 to 59.8% in 2020. Broadband internet connection at home was positively correlated with social participation (adjusted odds ratio [AOR] 1.34, 95% CI 1.28-1.41) and life satisfaction (AOR 1.30, 95% CI 1.20-1.40), after adjusting for confounding factors, while the absence of broadband internet connection was associated with increased loneliness (AOR 0.81, 95% CI 0.77-0.86). These associations were consistent across age, gender, socioeconomic groups, and geographic areas.

conclusionsThis study highlights the potential additional health benefits of digital connectivity beyond the known advantages. Our results suggest the importance of expanding broadband access to enhance social inclusion and life satisfaction. Further research is needed to understand the broader implications and digital determinants of health associated with digital connectivity.

Indexed as

InternetAgedChinaFemaleHumansLonelinessLongitudinal StudiesMaleMiddle AgedPersonal SatisfactionSocial ParticipationSocioeconomic FactorsSurveys and QuestionnairesbroadbandChinadigital connectivitydigital dividehealth inequityinequalityinternetinternet connectionlogistic regressionlongitudinal studymiddle ageolder adultpanel data approachpsychosocialquestionnairesurveywell-being

Identifiers

PMID39928942
PMCPMC11851042

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Registered trials

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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.