Digital exclusion and cognitive impairment in older people: findings from five longitudinal studies

医学 认知障碍 康复 老年学 认知 老年人 物理医学与康复 纵向研究 精神科 物理疗法 病理
作者
Yuge Wang,Zhigang Wu,Lanzhi Duan,Sijia Liu,Ruzhao Chen,Tao Sun,Jiang Wang,Jianghua Zhou,Hongxia Wang,Pan Huang
出处
期刊:BMC Geriatrics [BioMed Central]
卷期号:24 (1) 被引量:3
标识
DOI:10.1186/s12877-024-05026-w
摘要

Abstract Objectives Older people are more likely to have digital exclusion, which is associated with poor health. This study investigated the relationship between digital exclusion and cognitive impairment in older adults from 23 countries across five longitudinal surveys. Design and measurements Digital exclusion is defined as self-reported non-use of the Internet. We assessed cognitive impairment on three dimensions: orientation, memory, and executive function. We used generalized estimation equations fitting binary logistic regression with exchangeable correlations to study the relationship between digital exclusion and cognitive impairment, and apply the minimum sufficiently adjusted set of causally directed acyclic graphs as the adjusted variable. Setting and participants We pooled a nationally representative sample of older adults from five longitudinal studies, including the China Health and Retirement Longitudinal study (CHARLS), the English Longitudinal Study of Ageing (ELSA), the Health and Retirement Study (HRS), the Mexican Health and Ageing Study (MHAS) and the Survey of Health, Ageing and Retirement in European (SHARE). Results We included 62,413 participants from five longitudinal studies. Digital exclusion varied by country, ranging from 21.69% (SHARE) in Denmark to 97.15% (CHARLS) in China. In the original model, digital exclusion was significantly associated with cognitive impairment in all five studies. In the adjusted model, these associations remained statistically significant: CHARLS (Odds ratio [OR] = 2.81, 95% confidence interval [CI] 1.84–4.28, ELSA (1.92 [1.70–2.18]), HRS(2.48[2.28–2.71), MHAS (1.92 [1.74–2.12]), and SHARE (2.60 [2.34–2.88]). Conclusion Our research shows that a significant proportion of older people suffer from digital exclusion, especially in China. Digital exclusion was positively correlated with cognitive impairment. These findings suggest that digital inclusion could be an important strategy to improve cognitive function and reduce the risk of cognitive impairment in older adults.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
刚刚
Denning发布了新的文献求助10
1秒前
1秒前
貔貅完成签到,获得积分10
1秒前
2秒前
Liufgui应助氯化钾芝士采纳,获得10
2秒前
飞天817发布了新的文献求助10
2秒前
活力臻发布了新的文献求助10
3秒前
依然小爽完成签到,获得积分10
3秒前
Flynn完成签到,获得积分10
3秒前
852应助沐晴采纳,获得30
4秒前
ff发布了新的文献求助10
4秒前
赶路人完成签到,获得积分10
5秒前
崔懿龍发布了新的文献求助10
6秒前
6秒前
6秒前
小张发布了新的文献求助10
7秒前
Liufgui应助徐智秀采纳,获得20
7秒前
焦糖发布了新的文献求助20
7秒前
薇薇快跑完成签到,获得积分20
8秒前
Orange应助独特的凝云采纳,获得10
8秒前
8秒前
9秒前
万能图书馆应助轻歌水越采纳,获得10
9秒前
量子星尘发布了新的文献求助10
9秒前
lm发布了新的文献求助10
11秒前
12秒前
yewungs完成签到,获得积分10
12秒前
薇薇快跑发布了新的文献求助10
12秒前
小坤同学发布了新的文献求助10
13秒前
14秒前
14秒前
111完成签到,获得积分20
15秒前
活泼水桃发布了新的文献求助10
15秒前
16秒前
单纯糖豆完成签到,获得积分20
16秒前
17秒前
17秒前
栗子完成签到,获得积分10
18秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Economic Geography and Public Policy 900
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988786
求助须知:如何正确求助?哪些是违规求助? 3531116
关于积分的说明 11252493
捐赠科研通 3269766
什么是DOI,文献DOI怎么找? 1804771
邀请新用户注册赠送积分活动 881870
科研通“疑难数据库(出版商)”最低求助积分说明 809021