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 [Springer Nature]
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
大幅提高文件上传限制,最高150M (2024-4-1)

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
科研小狗发布了新的文献求助10
刚刚
李爱国应助小皮球采纳,获得10
刚刚
小老板发布了新的文献求助10
1秒前
木木木完成签到,获得积分10
1秒前
panda_123发布了新的文献求助10
2秒前
李健应助危机的雨梅采纳,获得10
2秒前
2秒前
嘉星糖发布了新的文献求助10
3秒前
diudiu完成签到,获得积分10
3秒前
万能图书馆应助小碗采纳,获得10
3秒前
3秒前
华仔应助zzz采纳,获得10
4秒前
seedcui完成签到,获得积分10
4秒前
4秒前
4秒前
4秒前
自然刺猬应助皮皮鲁采纳,获得20
4秒前
敏感初露发布了新的文献求助10
5秒前
11号楼203完成签到,获得积分10
6秒前
6秒前
6秒前
小老板完成签到,获得积分10
6秒前
7秒前
梦想发布了新的文献求助10
8秒前
爱哀Crazy发布了新的文献求助10
8秒前
斯文败类应助花生仁采纳,获得10
9秒前
9秒前
沉默听芹发布了新的文献求助10
9秒前
共享精神应助淡然的钢笔采纳,获得10
9秒前
星辰大海应助敏感初露采纳,获得10
9秒前
二两发布了新的文献求助10
9秒前
9秒前
酷波er应助yzee采纳,获得10
10秒前
10秒前
10秒前
11秒前
南风发布了新的文献求助10
11秒前
11秒前
Lucas应助自然的小珍采纳,获得10
11秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Very-high-order BVD Schemes Using β-variable THINC Method 870
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 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 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3256024
求助须知:如何正确求助?哪些是违规求助? 2898167
关于积分的说明 8300174
捐赠科研通 2567329
什么是DOI,文献DOI怎么找? 1394429
科研通“疑难数据库(出版商)”最低求助积分说明 652796
邀请新用户注册赠送积分活动 630483