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Relationship between digital exclusion and cognitive impairment in Chinese adults.

作者信息

Liu Xiaoli, Wang Xiaoxiao, Zhang Hua, Pei Minyue, Li Nan

机构信息

Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing, China.

Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

出版信息

Front Aging Neurosci. 2023 Jul 3;15:1194348. doi: 10.3389/fnagi.2023.1194348. eCollection 2023.


DOI:10.3389/fnagi.2023.1194348
PMID:37465320
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10350515/
Abstract

OBJECTIVE: We aimed to evaluate the relationship between digital exclusion, such as neither mobile payments nor WeChat use, and cognitive impairment in Chinese individuals aged 45 and older. METHODS: A population-based cross-sectional study utilizing data from the fourth national survey of the China Health and Retirement Longitudinal Study (CHARLS). In the fourth wave of CHARLS, 10,325 participants aged 45 and older with complete information were included in this analysis. Self-reported mobile payments and WeChat usage constituted our exposure. Cognitive impairment was the primary outcome. Univariate and multivariate logistic regression were used to assess the relationships between cognitive impairment risk and digital exclusion. RESULTS: Data were analyzed from 10,325 participants [mean (SD) age, 60.3 (9.1) years; 44.8% women], including 1,232 individuals with cognitive impairment and 9,093 cognitively normal individuals. The overall proportion of users who did not use either mobile payment or WeChat and those who only used WeChat were 81.3 and 6.7%, for cognitively impaired individuals 95.0 and 3.1%, and for cognitively normal individuals 79.5 and 7.2% [neither WeChat nor mobile payments vs. control unadjusted odds ratio (OR), 8.16; < 0.001; only WeChat use vs. control unadjusted OR, 2.91; < 0.001]. Participants who did not use either WeChat or mobile payments had an elevated risk for cognitive impairment after adjusting for a number of covariates (neither WeChat nor mobile payments vs. control adjusted OR, 3.48; < 0.001; only WeChat use vs. control adjusted OR, 1.86; = 0.021). CONCLUSION: Our study reveals a positive correlation between digital exclusion and cognitive impairment in Chinese adults, providing insights for promoting active digital integration among older adults. Further longitudinal research is needed to further validate this hypothesis.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c8/10350515/678875cbcece/fnagi-15-1194348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c8/10350515/24e160d6d5c0/fnagi-15-1194348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c8/10350515/678875cbcece/fnagi-15-1194348-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c8/10350515/24e160d6d5c0/fnagi-15-1194348-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8c8/10350515/678875cbcece/fnagi-15-1194348-g002.jpg

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[1]
Relationship between digital exclusion and cognitive impairment in Chinese adults.

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引用本文的文献

[1]
A meta-analysis of technology use and cognitive aging.

Nat Hum Behav. 2025-4-14

[2]
Digital Exclusion and Cognitive Function in Elderly Populations in Developing Countries: Insights Derived From 2 Longitudinal Cohort Studies.

J Med Internet Res. 2024-11-15

[3]
Relationship Between Internet Use and Cognitive Function Among Middle-Aged and Older Chinese Adults: 5-Year Longitudinal Study.

J Med Internet Res. 2024-12-2

[4]
Digital exclusion and cognitive impairment in older people: findings from five longitudinal studies.

BMC Geriatr. 2024-5-7

本文引用的文献

[1]
Usability and acceptability of wearable technology in the early detection of dementia.

Alzheimers Dement. 2022-12

[2]
Peer support through video meetings: Experiences of people with young onset dementia.

Dementia (London). 2023-1

[3]
Effects of WeChat use on the subjective health of older adults.

Front Psychol. 2022-9-12

[4]
Could Mental and Physical Exercise Alleviate Alzheimer's Disease?

Psychiatr Danub. 2021

[5]
Does e-shopping service quality enhance customers' e-shopping adoption? An extended perspective of unified theory of acceptance and use of technology.

PLoS One. 2022

[6]
Social health, social reserve and dementia.

Curr Opin Psychiatry. 2022-3-1

[7]
Improving the Sustainable Usage Intention of Mobile Payments: Extended Unified Theory of Acceptance and Use of Technology Model Combined With the Information System Success Model and Initial Trust Model.

Front Psychol. 2022-1-10

[8]
Nutrition, Physical Activity, and Other Lifestyle Factors in the Prevention of Cognitive Decline and Dementia.

Nutrients. 2021-11-15

[9]
Internet Use and Cognitive Functioning in Later Life: Focus on Asymmetric Effects and Contextual Factors.

Gerontologist. 2022-3-28

[10]
Cognitive health after menopause: Does menopausal hormone therapy affect it?

Best Pract Res Clin Endocrinol Metab. 2021-12

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