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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 BMC+Geriatr
2025 ; 25
(1
): 801
Nephropedia Template TP
gab.com Text
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English Wikipedia
Unravelling the association between internet use and loneliness among Chinese
older adults during the COVID-19 pandemic: the role of potentially moderating and
mediating factors
#MMPMID41131462
Zong X
; Gan J
BMC Geriatr
2025[Oct]; 25
(1
): 801
PMID41131462
show ga
BACKGROUND: The benefits of Internet use in reducing loneliness among older
adults have been well-documented, particularly during COVID-19 lockdowns.
However, most existing research has focused on high-income countries. Studies
exploring this relationship in lower-and middle-income countries are lacking,
where low Internet penetration and significant digital divides persist among
older adults. This study aimed to investigate the association between Internet
use and loneliness among older adults in China, a large middle-income country. We
further investigated the moderating effects of several demographic
characteristics and COVID-19-related factors, as well as the mediating roles of
social participation and online social contact in the observed associations.
METHODS: Data from the China Health and Retirement Longitudinal Survey was used
in this study (N?=?7,303). We used ordered logistic regression to evaluate the
association between Internet use and loneliness among adults aged 65 years and
older. Additionally, we examined whether demographic characteristics, such as
gender, marital status, and urban-rural region of residence, the severity of
lockdown, and COVID-19 fears and anxiety, moderated this relationship. We also
explored the mediating roles of social participation and online social contact.
RESULTS: Internet use was significantly associated with lower odds of
experiencing loneliness during the COVID-19 pandemic, even after adjusting for
pre-COVID-19 loneliness levels. Being married further strengthened the
association between Internet use and lower loneliness. Social participation and
online social contact both mediated the association. CONCLUSIONS: These findings
highlight the potential of Internet use as an intervention to mitigate loneliness
among older adults during major public health crises, such as the COVID-19, by
promoting social participation and online social contact. This provides an
implication for developing strategies to support the older population during
future crises.