Digital exclusion and cognitive impairment in older people: findings from five longitudinal studies
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Le résumé fourni par la source
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.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Digital exclusion and cognitive impairment in older people: findings from five longitudinal studies
- Date Crossref
- 07/05/2024
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Central South University pays non établi dans la noticeUniversité ou école supérieure
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Wenzhou Medical University Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
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Jinggangshan University Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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First Affiliated Hospital of Wenzhou Medical University pays non établi dans la noticeÉtablissement de santé
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College of Nursing pays non établi dans la noticeUniversité ou école supérieure
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Xiangya School of Public Health Department of Epidemiology and Health Statistics pays non établi dans la noticeUniversité ou école supérieure
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Online Collaborative Research Center for Evidence-Based Medicine Ministry of Education pays non établi dans la noticeStructure de recherche
Central South University, Department of Cardiology — Wenzhou Medical University et Department of Medicine — Jinggangshan University, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.