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老年人中的数字排斥和抑郁症状:来自24个国家的5项衰老队列研究的发现
Jingjing Wang1,2,3, Xinran Lu4, Sing Bik Cindy Ngai5
1Department of Global Health, School of Public Health, Peking University, Beijing, China.
Health data science
|January 10, 2025
概括
数字排斥在全球范围内显著增加了老年人的抑郁风险. 提供互联网接入可以减轻这种情况,特别是对于那些收入较低,家庭接触较少的人来说.
科学领域:
- 老年学和数字健康
- 全球心理健康研究研究
- 健康的社会经济决定因素
背景情况:
- 数字排斥是一个重大的全球挑战,影响着老年人,特别是在低收入和中等收入国家.
- 关于数字排斥对不同经济环境中老年人的心理健康影响的研究有限.
- 了解这种差异对于制定有针对性的干预措施至关重要.
研究的目的:
- 调查数字排斥与老年人抑郁症状之间的关联.
- 分析来自不同国家的多个纵向队列之间的这种关系.
- 确定受数字排斥影响不成比例的弱势子组.
主要方法:
- 分析了来自24个国家的5个纵向队列 (HRS,ELSA,SHARE,CHARLS,MHAS) 的数据.
- 数字排斥的定义是自我报告的缺乏互联网接入.
- 使用普森回归的概括估计方程模型,调整为最小足够调整集 (MSAS),包括人口统计,社会经济地位和社会互动.
主要成果:
- 数字排斥的流行率差异很大,从丹麦的21.1%到中国的96.9%.
- 在所有队列中观察到数字排斥和抑郁症状之间的统计学意义上的关联 (IRR从1.30到1.62).
- 在较低财富五分位数的个人和与孩子接触较少的人中,这种关联更强烈.
结论:
- 数字排斥是全球老年人中普遍存在的问题,与抑郁症状风险增加有关.
- 弱势群体,包括那些社会经济地位较低,家庭支持有限的人,面临着更高的风险.
- 优先考虑老年人互联网接入是减少抑郁症症状和促进数字包容性的潜在策略.
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