社会隔离与抑郁在农村老年人数字排斥与认知功能间的链式中介效应
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女,硕士在读,学生

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广东省基础与应用基础研究基金面上项目(2025A1515011403);广东省基础与应用基础研究基金面上项目(2023A1515012522);中山大学中央高校基本科研业务费专项资金资助项目(24qnpy178)


The chain mediation effect of social isolation and depression on the relationship between digital exclusion and cognitive function in rural older adults
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    目的 探讨数字排斥对农村老年人认知功能的影响,以及社会隔离和抑郁在两者间的链式中介效应。方法 选取2018年中国健康与养老追踪调查(CHARLS)中的5 941名60岁及以上农村老年人的数据,分析其社会隔离和抑郁在数字排斥与认知功能之间的链式中介效应。结果 农村老年人数字排斥占比98.30%,认知功能得分(18.36±6.48)分,社会隔离得分1.00(1.00,2.00)分,抑郁得分8.00(4.00,14.00)分。中介效应分析结果显示,数字排斥对认知功能的直接效应显著(β′=-0.243);社会隔离(β′=-0.111)和抑郁(β′=-0.017)对认知功能的中介效应显著;社会隔离和抑郁的链式中介效应显著(β=-0.003)。结论 数字排斥可直接对农村老年人认知功能产生影响,也可间接通过社会隔离和抑郁产生影响。应积极推动老年人融入数字社会,并加强对其社会隔离和抑郁风险的识别,及时提供必要的支持与心理干预,预防认知功能减退。

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    Objective To explore the impact of digital exclusion on cognitive function among rural older adults and to examine the chain mediation effects of social isolation and depression between digital exclusion and cognitive function.Methods Data of 5,941 rural older adults aged 60 and above were extracted from the 2018 China Health and Retirement Longitudinal Study (CHARLS).The chain mediation effects of social isolation and depression in the relationship between digital exclusion and cognitive function were analyzed.Results The prevalence of digital exclusion among rural older adults was 98.30%.The cognitive function score was 18.36±6.48, social isolation score was 1.00(1.00,2.00), and depression score was 8.00(4.00,14.00).Mediation analysis showed that the direct effect of digital exclusion on cognitive function was significant (β′=-0.243).The mediating effects of social isolation (β′=-0.111) and depression (β′=-0.017) on cognitive function were significant as well.Moreover, a significant chain mediation effect of social isolation and depression was observed (β=-0.003).Conclusion Digital exclusion has a direct impact on cognitive function among rural older adults and also exerts indirect effects through social isolation and depression.Efforts should be made to actively promote the integration of elderly individuals into the digital society, strengthen the identification of risks rela-ted to social isolation and depression, and timely provide necessary support and psychological interventions.

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杨巧玲,刘慧,段娅娟,桑妮,刘巧,程丽.社会隔离与抑郁在农村老年人数字排斥与认知功能间的链式中介效应[J].护理学杂志,2025,(15):23-28

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  • 收稿日期:2025-03-17
  • 最后修改日期:2025-05-20
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  • 在线发布日期: 2025-08-25