Chinese Middle-Aged and Older Adults' Internet Use and Happiness: The Mediating Roles of Loneliness and Social Engagement

Internet Use and Loneliness Among Urban and Non-Urban Chinese Older Adults: The Roles of Family Support, Friend Support, and Social Participation

OBJECTIVES

This study investigated the association between internet use and loneliness among older Chinese adults, and the mediating effects of family support, friend support, and social participation. These associations were evaluated in the context of urban and non-urban geographic settings.

METHODS

This study used data from the 2018 wave of the China Longitudinal Ageing Social Survey (N = 10,126), examining samples of urban (n = 3,917) and non-urban (n = 6,209) older adults separately. Linear regression and path analysis within a structural equation modeling framework were employed.

RESULTS

Internet use was negatively associated with loneliness for both urban and non-urban residing older adults. Family support and social participation mediated the association between internet use and loneliness for both urban and non-urban residing older Chinese adults, but friend support mediated this association only for urban older residents.

DISCUSSION

This study shed light on our understanding of the relationship between internet use and loneliness among older adults in the Chinese context. Also, these findings suggested that digital interventions for loneliness should pay special attention to the different characteristics of urban and non-urban dwelling older Chinese adults.

Internet use and loneliness among older Chinese adults

OBJECTIVES

This study examined the association between Internet use and loneliness among Chinese older adults (aged 60+) over a two-year period using nationally representative survey data from China.

METHODS

Using data from the 2016 and 2018 waves of the China Longitudinal Ageing Social Survey (N = 8,059), we estimated difference-in-differences regression models to assess the association between Internet use and levels of loneliness over time.

RESULTS

Compared to Internet non-users, Chinese older adults who were new Internet users, as well as those who were continuous Internet users, reported lower levels of loneliness over time (B = -0.21, p < 0.001 and B = -0.16, p < 0.001, respectively). Conversely, those Chinese older adults who used the Internet in wave 1 but then disengaged from using the Internet in wave 2 demonstrated an upward trend in loneliness over time, similar to Internet non-users (the estimate of difference-in-differences was non-significant for the comparison between disengaged-users and non-users: B = -0.03, p = 0.42).

CONCLUSION

This study provided new evidence to support the potential benefits of Internet use for reducing the risk of loneliness among Chinese older adults. The findings suggested that supporting current Internet users to remain digitally engaged is as important as encouraging Internet non-users to cross the digital divide.

The Vicious Cycle between Loneliness and Problematic Smartphone Use among Adolescents: A Random Intercept Cross-Lagged Panel Model

Despite extensive research on the psychological impacts of digital technology, the nuanced dynamics between adolescent loneliness and problematic smartphone use, particularly across different educational levels and genders, remain underexplored. This study aims to fill this gap by employing a Random Intercept Cross-Lagged Panel Model to dissect the bidirectional relationship between loneliness and problematic smartphone use among adolescents, with a focus on the moderating roles of educational levels and gender. Engaging 3132 students from various educational institutions in China, the research conducted a three-wave longitudinal analysis across 2022-2023. The final number of participants included 1120 adolescents (53.5% female; age in 2022: M = 14.57 years, SD = 1.57). Results reveal that loneliness significantly predicts problematic smartphone use, but not vice versa, highlighting a unidirectional influence. The study uncovers crucial differences across educational levels and gender, emphasizing the stronger effect of loneliness on problematic smartphone use among junior high students and female adolescents. These findings underscore the complexity of adolescent loneliness and its relationship with digital behavior, suggesting a need for tailored interventions considering both gender and developmental stages.

Diversity of purposes of use, time spent online, and depression among older Chinese Internet users

Objectives: Previous studies on the associations between Internet use and older people's depression have mostly focused on single types of online activities, especially online social engagement. The current study investigated the diversity of purposes of Internet use and its interaction with the time spent online in shaping older Chinese Internet users' depression.

Method: A sample of 974 Internet users aged 60 and above was adopted from the 2020 China Family Panel Studies wave. We adopted a latent class analysis (LCA) to explore the diverse purposes of internet usage.

Results: The participants were classified into three distinct types: socializers, basic users, and maximizers. Basic users and maximizers use the Internet for various purposes, despite different intensities; socializers use the Internet only to keep connected with families and friends. Compared with basic users and maximizers, a longer time spent online among socializers was significantly associated with a higher level of depression.

Conclusion: This study calls for a closer examination of online profiles among older Internet users; more attention should be paid to the potential harms of excessive Internet use for social reasons only among older adults. Practitioners should enhance older Internet users' digital literacy to maximize the wide-range benefits of Internet use and reduce potential health inequality.

Multidimensional Internet Use, Social Participation, and Depression Among Middle-Aged and Elderly Chinese Individuals: Nationwide Cross-Sectional Study

BACKGROUND

There is growing evidence that the internet has beneficial effects on the mental health of middle-aged and older people (≥45 years), but the evidence is inconclusive, and the underlying mechanisms are less known.

OBJECTIVE

This study aims to explore the relationship between multidimensional (devices, frequency, and purpose) internet use and depression in middle-aged and elderly Chinese, as well as the mediating effect of social participation. Moreover, this study will explore the moderating effect of the regional informatization development level (RIDL) on the relationships between individual internet use, social participation, and depression.

METHODS

Data on 17,676 participants aged 45 years or older were obtained from the China Health and Retirement Longitudinal Study (CHARLS) 2018 data set. The 10-item Center for Epidemiologic Studies Depression Scale (CES-D-10) was used to identify the presence of depression. Logistic regression was used to explore the relationship between each dimension of internet use and depression. Multiple linear regression was used to explore the mediating effect of social participation and the moderating effect of the RIDL.

RESULTS

The results showed that 28.33% (5008/17,676) of the total population had depression. In terms of regional subgroups, respondents living in the western region exhibited the highest proportion of depression (2041/5884, 34.69%). Internet use was negatively associated with depression (odds ratio 0.613, 95% CI 0.542-0.692; P<.001). Various dimensions of internet use positively contributed to individual social participation and reduced individual depression (devices: β=-.170, 95% CI -0.209 to -0.127; frequency: β=-.065, 95% CI -0.081 to -0.047; and purpose: β=-.043, 95% CI -0.053 to -0.031). In addition, the RIDL weakened the relationship between individual-level internet use and social participation (internet use: F74.12,9.82=7.55, P<.001; devices: F51.65/9.88=5.23, P=.005; frequency: F66.74/10.08=6.62, P=.001; and purpose: F66.52/9.78=6.80, P=.001), and negatively moderated the relationship between the frequency of internet use and depression (frequency: F662.67/188.79=3.51, P=.03).

CONCLUSIONS

This study found that different dimensions of internet use are associated with lower levels of depression. Social participation partially mediates the association between multidimensional internet use and depression in the eastern, central, and western regions, respectively. Additionally, the RIDL helps individuals further their internet use and social participation, reducing the impact of depression. However, this effect weakens sequentially from the western region to the central region and then to the eastern region.

Information technology ability mediates the association between older adults' subjective age and social activity: A STROBE-compliant cross-sectional analysis

BACKGROUND

The association between subjective age and social activity has been reported in the extant literature, but whether this association is mediated by information technology ability and its domains (i.e., internet use assessment, packaged software use assessment, and innovativeness attitude) has not been examined.

AIM

To assess the association between subjective age and social activity and to ascertain whether this association is mediated by information technology ability.

METHODS

This study adopted a cross-sectional design characterising sensitivity analyses and common methods bias. The participants were 895 community-dwelling older adults aged 60 years or higher in Accra, Ghana. We measured subjective age, information technology ability, and social activity with previously validated Likert scales, each of which was internally consistent at a Cronbach's α ≥0.7. The data were analysed with partial least squares structural equation modelling (PLS-SEM) and hierarchical linear regression (HLR) analysis.

RESULTS

Subjective age was positively associated with social activity, and this association was partially mediated by information technology ability but none of the three domains of information technology ability mediated this relationship. Subjective age was positively associated with information technology ability and its three domains. Information technology ability (but not its domains) was positively associated with social activity.

CONCLUSION

Older subjective age was associated with higher social activity through information technology ability. Social activity and information technology ability levels among older adults depend on subjective age, which has implications for ageing and gerontology as reported in this paper.

Shared Destiny in the Digital Era: Sensation Seeking, Loneliness, and Excessive Internet Use among Middle-Aged and Older Adults in Mainland China

With digital infrastructures becoming the foundation of modern life and a shared lifestyle, the internet has become a popular leisure tool for middle-aged and elderly individuals. However, inappropriate use of the internet can jeopardize their health and quality of life, and excessive internet use by middle-aged and older adults is a cause for concern. This study found that middle-aged and older adults are vulnerable to excessive internet use. One predictor of excessive use is loneliness, but its effect is relatively limited. It is a mediating variable rather than the essential cause of excessive internet use by middle-aged and older adults. The effect of sensation seeking is a strong predictor of middle-aged and older adults' excessive internet use, which means they have a strong desire to use the internet to satisfy their emotional needs, thus, resulting in excessive internet use. The social nature of digital infrastructure in a relational framework and the impact of the internet on different populations are likely more complex than we imagine and have the potential to cause many unintended effects.

The Impact of Internet Use on the Happiness of Chinese Civil Servants: A Mediation Analysis Based on Self-Rated Health

With the rapid socioeconomic development of China, studies related to Internet use and civil servants' happiness have become a research hotspot in Chinese academia. This study empirically analysed the impact of Internet use on the happiness of Chinese civil servants using a sample of 3793 civil servants in Hunan Province, China. It showed that Internet use significantly enhanced the subjective well-being of Chinese civil servants. Furthermore, heterogeneity analysis revealed significant heterogeneity in the effect of the Internet on civil servants' happiness, which varied across civil service groups with different education and gender. Moreover, the effect of Internet use on the happiness of the male and better educated civil servant groups was more pronounced than in the female and less educated civil servant groups. Additionally, mediation analysis revealed that Internet use and the happiness of civil servants were not linear, with health having a significant mediating effect. This indicates that Internet use helps civil servants maintain good health, and thereby enhances the happiness of civil servants. In addition, we also use a propensity score matching model (PSM) to address the endogeneity problem due to sample selectivity bias. The results show that the estimates are more robust after eliminating sample selectivity bias. The effect of Internet use on civil servants' subjective well-being would be underestimated if the sample selectivity bias is not removed.

The Effects of Online Social Interactions on Life Satisfaction of Older Chinese Adults: New Insights Based on a Longitudinal Approach

Population aging and digitalization have become universal phenomena. Over the past two decades, digital inclusion has started to play a crucial role in supporting successful aging. Based on a nationally representative sample of around 5200 older adults in China over the period of 2014-2018, we explore the effects of online social interactions (OSIs) on the life satisfaction of older adults. We find that OSIs can improve the levels of life satisfaction of older Chinese adults. Estimates from fixed effect and cross-lagged structural equation models further suggest that OSIs work by increasing physical activities, healthy time allocation, interpersonal trust, and informal social engagement and reducing loneliness. We also find that OSIs narrow the social inequality in life satisfaction across groups from rural-urban areas and groups with different social statuses. Moreover, a comparison among different online engagements shows that not all online activities positively affect older adults' life satisfaction. Different online activities have varying effects. Our results highlight that public digital interventions focusing on social functions can benefit the lives of older adults.

Internet Use and Subjective Well-Being of the Elderly: An Analysis of the Mediating Effect Based on Social Capital

At present, the Internet has a profound impact on the lifestyle and ideas of the elderly and has an important impact on the subjective well-being of the elderly. Based on the data of 2020 China Family Panel Studies (CFPS), 4463 elderly people aged 60 years and above were selected in the empirical research, including 2321 males and 2142 females. The average age was 68.07 (SD = 5.75). The ordinary least square regression (OLS) model was used to test the effect of Internet use on the subjective well-being of the elderly; the structural equation model was used to analyze the influence path of social capital in the process of Internet use affecting the subjective well-being of the elderly, and the Sobel test is used to further verify the mediating effect of social capital. The results indicated the important positive effect of Internet use on the improvement of the subjective well-being of the elderly and confirms the mediating role of social capital in the process of Internet use affecting the subjective well-being of the elderly. Among them, the mediating effects of bonding social capital and bridging social capital accounted for 18.69% and 28.17%, respectively. It can be seen that the mediating effect of bridging social capital is significantly higher than that of bonding social capital. Marital status moderates the latter half of the mediation mechanism of "Internet use-bridging social capital-subjective well-being of the elderly", that is, "bridging social capital-subjective well-being of the elderly."

Disparities in Online Use Behaviours and Chinese Digital Inclusion: A 10-Year Comparison

This study focuses on the disparities in Chinese online use behaviours (frequency and diversity) based on educational background and socioeconomic status over 10 years to reveal the Chinese digital inclusion process. We used the China Family Panel Studies (CFPS) 2010 and 2018 panels and considered the time and cohort effects separately. Ordinary least squares analysis revealed usage frequency. The generalized partial proportional odds model demonstrated participants' prioritization of online study, work, entertainment, and social activity. The results show that the profile of the individuals with the most time spent online has changed from those with high education and income levels to mid-range education and income levels. Individuals with high education and income levels prefer to use the internet for studying and working. There are no clear preference differences between entertainment and social activities amongst most educational backgrounds and socioeconomic statuses. Regarding frequency of internet use, digital inclusion has spread downwards from the upper to the middle classes. Regarding diverse internet uses, upper-class individuals prefer to conduct capital-enhancing activities, and youth remain the main force for diverse online activities; however, over time, middle-aged groups have increased their capital-enhancing activities, and older adults have increased their digital social activities.

Bridging the Digital Divide: Childhood Social Relationships and Mobile Payment Use Among Chinese Middle-Aged and Older Adults

This research accordingly examines the effect of childhood social relationships on the use of mobile payment and e-money among Chinese middle-aged and older adults from a life course perspective and tests the mediation role of social activities in such a path with the Karlson-Holm-Breen (KHB) method. The findings support that good childhood community relationships, peer relationships, and close relationships positively affect mobile payment and electronic money use when people enter middle and old age. These effects are significantly mediated by social activities in later life. The findings make marginal contributions to life course theory (LCT), with practical implications for individuals, commercial enterprises, governments, and societies in their efforts to facilitate a society that promotes the digital inclusion of middle-aged and older adults.

Cyberchondria and Associated Factors Among Brazilian and Portuguese Dentists

Cyberchondria is a psychopathological behavior that affects people who compulsively consult the internet, by searching the symptoms of different pathologies from which they believe they are suffering, and when influenced by what they read, are sure they have some of these diseases. The aim of this study was to assess the cyberchondria level and associated factors among Brazilian and Portuguese dentists. A total 597 Brazilian and Portuguese dentists participated in this cross-sectional study. They were contacted via WhatsApp and asked to complete an online questionnaire on the Google Forms platform, from January 17 to 31, 2021, during the COVID-19 pandemic. Sociodemographic information was collected and cyberchondria was measured using the Portuguese language version of the Cyberchondria Severity Scale. Binary logistic regression models were used to estimate the unadjusted and adjusted Odds Ratio (OR) and corresponding 95% confidence interval (CI) for theassociationofcyberchondria and covariates. Each covariate was individually included in the regression model, and the unadjusted OR (95% CI) was estimated. Most participants were Brazilian (62.8%), women (75.5%), married (60.5%) and with children (55.6%). Average age was 42.1 years (+ 12.5). In the final model, it was found that with each increase of one year in age, the chance of a high level of cyberchondria decreased (OR=0.97; 95% CI 0.95-0.98). Brazilian dentists were 1.85 times more likely (95% CI 1.25-2.75) to have a high level of cyberchondria than Portuguese dentists. Women were 1.62 times more likely (95% CI 1.07-2.44) to have a high level of cyberchondria than men. It was concluded that young age, Brazilian nationality, and female gender favored the high level of cyberchondria among the participants in this sample during COVID-19 pandemic.

Social Capital Mediates the Association between the ICT Usage and Well-Being of Older People in Japan: Implication for a New Design Paradigm

As the population ages, the question of how to prevent isolation among older people and increase their well-being becomes a social issue. It has often been argued that Information and Communication Technology (ICT) usage can be a solution to these challenges, but empirical studies have not shown consistent results. Moreover, there are even fewer studies targeting older people in Japan, which is the most aging country in the world. Therefore, using the psychological comprehensive data of Japanese people aged 60 and over recorded in World Values Survey Wave 7, we conducted a study to clarify the relationship between the ICT usage, social capital, and well-being of older people to make a meaningful contribution to policymakers and the scientific community. As a result of the analysis, it was shown that ICT usage indirectly enhances well-being by increasing social capital. This indicates that for older people, ICT usage does not have a large effect on enhancing well-being, but becomes sufficiently large only through the improvement of social capital. The pros and cons of such modern communication means should be utilized as a reference when considering the development of future communication means and a human coach—a person who supports the use of communication means by older people. In other words, to think about the spread of communication means to community-dwelling older people in the future, it is always necessary to think about technology usage emphasizing the relationship between older people and society.

The Impact of Internet Use on Perception of the Poor–Rich Gap: Empirical Evidence from China

The advancement of Internet technology has provided a great impetus to alleviate poverty and promote economic progress. However, studies on the negative impact that the development of the Internet may have on individual perceptions are still rare. This paper uses data from the China Family Panel Studies (CFPS) in 2018 to construct multiple econometric models to empirically study the impact of Internet use (ITU) on the perception of the poor–rich gap (PPRG) and its mechanism in China. The instrumental variable (IV) model and Heckman model are used to solve potential endogenous problems. The research found that ITU has aggravated the PPRG of residents, and the test results are still robust after considering various endogenous sources. Additional analysis shows that the degree of dependence on the Internet is one of the transmission mechanisms of ITU on the impact of the PPRG, and its mediating effect accounts for 32.12% of the total effect. Another test result of the impact mechanism shows that the Internet media expands the reference group of residents through virtual areas and aggravates the PPRG of residents. Some test results from the perspective of heterogeneity show that: the effect of urban residents’ ITU on PPRG is higher than that of rural residents. ITU of residents in economically developed areas has a significantly higher effect on the PPRG than residents in economically underdeveloped areas. The impact on ITU by residents of different age groups on aggravating the PPRG show an obvious increasing linear law. Our research provides an ITU interpretation path for the impact of PPRG from sociological theory and provides a new entry point for the impact of the Internet and subjective well-being.

Effects of Internet Use on Well-Being in Rural China

Given the rapid development of internet and dramatic change it has brought to human life, this study examines the effect of internet use on well-being in rural China. Findings indicate that the act of engaging with internet and the increase in its usage frequency both have significant positive effects on well-being in rural China, whereas the effect attenuates with the increase of usage frequency. These results imply that internet use features diminishing marginal returns. In the sub-groups divided by education and age, the higher educated and the younger groups use internet more frequently. However, internet use significantly promotes well-being of the lower educated, the middle-aged and the elderly groups, and its effect on the higher educated and the younger groups is insignificant. A further analysis uncovers that internet use increase well-being through relieving loneliness. This study affirms the benefits of internet in rural China, but obsessive internet use could offset the benefits. Thus, the implication of using internet appropriately are highlighted.

Internet-Based Medical Service Use and Eudaimonic Well-Being of Urban Older Adults: A Peer Support and Technology Acceptance Model

Currently, internet services are developing rapidly, and the relationship between specific types of internet services and the well-being of older adults is still unclear. This study took a total of 353 urban older adults aged 60 years and above as research objects to explore the impact of the use behavior toward internet-based medical services (IBMS) on their well-being through an online questionnaire. This study integrated well-being theory and peer support theory, constructed an extended structural equation model of technology acceptance based on the technology acceptance model (TAM), and analyzed the variable path relationship. The results confirm the proposed model: older adults improved their eudaimonic well-being through using IBMS; perceived usefulness significantly affected the older adults’ attitudes towards IBMS; perceived ease of use significantly affected the use of IBMS through mediation; peer support significantly affected older adults’ attitudes, willingness, actual use, and well-being in the process. This study proposes that facilitating IBMS use for older adults in the development and design of internet technology programs should be considered in order to provide them with benefits. Moreover, paying attention to peer support among older adults plays an important role in the acceptance of new technologies and improving their well-being. The “peer support” of this study expanded and contributed to the research on the impact on older adults’ well-being and the construction of a technology acceptance model. The peer support in this study extended the influence factor of eudaimonic well-being and contributed to the further development of the TAM.