Digital inclusion and depressive symptoms among Chinese older adults: The moderating role of cognitive function - Summary - MDSpire

Digital inclusion and depressive symptoms among Chinese older adults: The moderating role of cognitive function

  • By

  • Gang Xiao

  • Qian Yang

  • Fuyun Bai

  • Yanlong Jia

  • Tingting Nie

  • July 8, 2026

  • 0 min

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Objective:

To examine the association between digital inclusion and depressive symptoms in older adults, and to investigate the moderating role of cognitive function in this relationship.

Approach:
  • Study Design: Cross-sectional analysis using data from the 2020 wave of the China Health and Retirement Longitudinal Study (CHARLS), focusing on adults aged 60 and above.
  • Sample Selection: Included 9,467 older adults after applying criteria to exclude those with proxy-answered questionnaires and severe cognitive impairment.
  • Analytical Framework: Utilized path analysis within an integrated conceptual framework informed by cognitive aging, cognitive reserve, and social integration perspectives.
Key Findings:
  • Cognitive function significantly moderates the association between digital inclusion and depressive symptoms.
  • Stronger protective associations are observed among older adults with higher cognitive function.
  • Digital inclusion is linked to depressive symptoms through multiple pathways, including cognitive enhancement and social participation.
Interpretation:

The study examines the relationship between digital inclusion and mental health, highlighting the moderating role of cognitive function.

Limitations:
  • Cross-sectional design limits causal inferences.
  • Exclusion of individuals with severe cognitive impairment may affect generalizability.
Conclusion:

The study provides insights into the relationship between digital inclusion, cognitive function, and mental health among older adults.

Sources:

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