背景:随着人口老龄化的加剧,中老年人的健康问题日益成为人们关注的焦点。互联网的广泛使用为促进这一人群的健康创造了条件。然而,人们对信息获取对促进互联网使用与中老年人健康之间关系的影响知之甚少。
目的:本研究旨在探讨中老年人网络使用与多维健康之间的关系。以及信息获取的中介作用。此外,这项研究将探讨互联网使用的其他维度(目的和频率)与健康之间的关系。
方法:数据来自2018年进行的中国综合社会调查。健康结果,包括自评,物理,和心理健康,使用5级自评健康量表进行评估,日常生活5级基本活动量表,和5级抑郁量表,分别。使用有序逻辑回归模型来检验中老年人的互联网使用与健康之间的关系。此外,使用Karlson-Holm-Breen分解方法来检验信息获取的中介效应。为了解决内生性问题,采用了两阶段最小二乘法。
结果:在我们的示例中,近一半(n=3036,46.3%)的受访者使用互联网。回归分析显示,互联网使用与自我评估的健康状况呈正相关(比值比[OR]1.55,95%CI1.39-1.74;P<.001),身体健康(OR1.39,95%CI1.25-1.56;P<.001),中老年人的心理健康(OR1.33,95%CI1.19-1.49;P<.001)。互联网使用的各个方面都对健康做出了积极贡献。此外,信息获取显著介导了互联网使用与自评健康之间的关系(β=0.28,95%CI0.23-0.32),身体健康(β=0.40,95%CI0.35-0.45),和心理健康(β=0.16,95%CI0.11-0.20)。此外,在优势人群和弱势群体中,互联网使用与健康之间的关系存在显着差异。
结论:研究表明,互联网使用的不同维度与更好的自我评估健康状况相关,更好的身体健康,以及中年人和老年人更好的心理健康。信息获取调节了互联网使用与健康之间的关系。这一结果强调了促进互联网接入作为增强中国中老年人健康的手段的重要性。
BACKGROUND: With the exacerbation of population aging, the health issues of middle-aged and older adults have increasingly become a focus of attention. The widespread use of the internet has created conditions for promoting the health of this demographic. However, little is known about the effects of information access in promoting the relationship between internet use and the health of middle-aged and older adults.
OBJECTIVE: This study aims to examine the relationship between internet use and multidimensional health in middle-aged and older adults, as well as the mediating effect of information access. Moreover, this study will explore the relationship between other dimensions of internet use (purposes and frequency) and health.
METHODS: Data were sourced from the China General Social Survey conducted in 2018. Health outcomes, including self-rated, physical, and mental health, were assessed using the 5-level self-rated health scale, the 5-level basic activities of daily living scale, and the 5-level depression scale, respectively. The ordinal logistic regression model was used to examine the relationship between internet use and health among middle-aged and older adults. Additionally, the Karlson-Holm-Breen decomposition method was used to examine the mediation effect of information access. To address endogeneity issues, the two-stage least squares approach was applied.
RESULTS: In our sample, nearly half (n=3036, 46.3%) of the respondents use the internet. Regression analyses revealed that internet use was positively associated with self-rated health (odds ratio [OR] 1.55, 95% CI 1.39-1.74; P<.001), physical health (OR 1.39, 95% CI 1.25-1.56; P<.001), and mental health (OR 1.33, 95% CI 1.19-1.49; P<.001) of middle-aged and older adults. Various dimensions of internet use positively contribute to health. In addition, information access significantly mediated the relationship between internet use and self-rated health (β=.28, 95% CI 0.23-0.32), physical health (β=.40, 95% CI 0.35-0.45), and mental health (β=.16, 95% CI 0.11-0.20). Furthermore, there were significant differences in the relationship between internet use and health among advantaged and disadvantaged groups.
CONCLUSIONS: The study showed that different dimensions of internet use are associated with better self-rated health, better physical health, and better mental health in middle-aged and older adults. Information access mediates the relationship between internet use and health. This result emphasizes the significance of promoting internet access as a means to enhance the health of middle-aged and older adults in China.