Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?

ObjectivesInternet use and the results of mental health are related. Numbers of studies presented the association between Internet use and depression, and the middle-aged and elderly adults with multimorbidity are of concern. The study aimed to explore the relationship between Internet use and depre...

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Main Authors: Jiao Zhang, Yuheng Jia, Lixin Hong, Yixin Zhang, Lihua Li, Kan Tian
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1494979/full
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author Jiao Zhang
Jiao Zhang
Yuheng Jia
Lixin Hong
Yixin Zhang
Lihua Li
Kan Tian
Kan Tian
author_facet Jiao Zhang
Jiao Zhang
Yuheng Jia
Lixin Hong
Yixin Zhang
Lihua Li
Kan Tian
Kan Tian
author_sort Jiao Zhang
collection DOAJ
description ObjectivesInternet use and the results of mental health are related. Numbers of studies presented the association between Internet use and depression, and the middle-aged and elderly adults with multimorbidity are of concern. The study aimed to explore the relationship between Internet use and depression in middle-aged and elderly adults with multimorbidity.MethodsWe selected 2550 respondents aged 45 years and above with multimorbidity from the China Health and Retirement Longitudinal Study (CHARLS) 2018 database. Logistic regression models were constructed to examine the effects of Internet use on depression, as well as comparing gender differences. Meanwhile, propensity score matching (PSM) was used to test the robustness of the results.ResultsOverall, 49.8% of respondents had a risk of developing depression, and 14.9% of the participants used the Internet. Internet use (OR = 0.66, P = 0.002), type of devices (one type: OR = 0.69, P = .011;≥2 types: OR = 0.53, P = 0.03), frequency of Internet use (regularly: OR = 0.67, P = 0.005) were all inversely associated with depression. Significant differences between genders were observed, Internet use was associated with a lower prevalence of depression among men, while the association was not statistically significant among women.ConclusionsThere is a significantly negative association between Internet use and depression in the middle-aged and elderly adults with multimorbidity in China, and this relationship varies across different genders. This suggests that Internet use may be a protective factor for depressive symptoms in the older population, offering a guideline for policymakers to develop specific strategies for different genders.
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spelling doaj-art-3e8468cef90e4c5393c6fbfad12341e32025-01-20T07:20:20ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.14949791494979Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?Jiao Zhang0Jiao Zhang1Yuheng Jia2Lixin Hong3Yixin Zhang4Lihua Li5Kan Tian6Kan Tian7School of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Research Center for Major Health Risk Management and TCM Control Policy, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Pharmacy, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Health Economics and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaJiangsu Research Center for Major Health Risk Management and TCM Control Policy, Nanjing University of Chinese Medicine, Nanjing, ChinaSchool of Elderly Care Services and Management, Nanjing University of Chinese Medicine, Nanjing, ChinaObjectivesInternet use and the results of mental health are related. Numbers of studies presented the association between Internet use and depression, and the middle-aged and elderly adults with multimorbidity are of concern. The study aimed to explore the relationship between Internet use and depression in middle-aged and elderly adults with multimorbidity.MethodsWe selected 2550 respondents aged 45 years and above with multimorbidity from the China Health and Retirement Longitudinal Study (CHARLS) 2018 database. Logistic regression models were constructed to examine the effects of Internet use on depression, as well as comparing gender differences. Meanwhile, propensity score matching (PSM) was used to test the robustness of the results.ResultsOverall, 49.8% of respondents had a risk of developing depression, and 14.9% of the participants used the Internet. Internet use (OR = 0.66, P = 0.002), type of devices (one type: OR = 0.69, P = .011;≥2 types: OR = 0.53, P = 0.03), frequency of Internet use (regularly: OR = 0.67, P = 0.005) were all inversely associated with depression. Significant differences between genders were observed, Internet use was associated with a lower prevalence of depression among men, while the association was not statistically significant among women.ConclusionsThere is a significantly negative association between Internet use and depression in the middle-aged and elderly adults with multimorbidity in China, and this relationship varies across different genders. This suggests that Internet use may be a protective factor for depressive symptoms in the older population, offering a guideline for policymakers to develop specific strategies for different genders.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1494979/fullinternet usedepressionagingmultimorbiditygender difference
spellingShingle Jiao Zhang
Jiao Zhang
Yuheng Jia
Lixin Hong
Yixin Zhang
Lihua Li
Kan Tian
Kan Tian
Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
Frontiers in Psychiatry
internet use
depression
aging
multimorbidity
gender difference
title Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
title_full Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
title_fullStr Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
title_full_unstemmed Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
title_short Association between internet use and depression among the middle-aged and elderly adults with multimorbidity in China: do gender differences exist?
title_sort association between internet use and depression among the middle aged and elderly adults with multimorbidity in china do gender differences exist
topic internet use
depression
aging
multimorbidity
gender difference
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1494979/full
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