ArticleDigital health
Digital inclusion and depressive symptoms among Chinese older adults: The moderating role of cognitive function.
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.
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Abstract
Background: Digital inclusion has become increasingly important for healthy aging, yet evidence on its association with depression among older adults remains limited, particularly with respect to potential cognitive heterogeneity. Objective: This study examined the association between digital inclusion and depressive symptoms among Chinese older adults and explored whether cognitive function moderates this association, as well as potential mediating pathways. Methods: Data were drawn from the 2020 wave of the China Health and Retirement Longitudinal Study, including 9,111 individuals aged 60 years and older. A multidimensional digital inclusion index was constructed based on access, use, and skills related to digital technologies, standardized to a 0-10 scale. Depressive symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale (CES-D-10; each item scored 0-3, total range 0-30, treated as a continuous score). Multi-variable regression models were used to examine associations, with interaction terms and Johnson-Neyman analysis applied to assess moderation by cognitive function, with effect size estimated using Cohen's f Results: Cognitive function significantly moderated the association between digital inclusion and depressive symptoms (β = -0.002, Conclusions: These findings suggest that greater digital inclusion is associated with lower depressive symptoms among older adults and that cognitive function shapes heterogeneity in this association. Enhancing digital inclusion while accounting for cognitive differences may help inform digital health strategies aimed at promoting mental well-being in aging populations.
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