Baseline and Changes in Internet Use and Incident Depression in Middle-Aged and Older Chinese Adults.

Objective: Internet use had been correlated with depression previously. But the association between dynamic changes in internet use status and depression remains unclear. Therefore, the objective of this study was to explore whether changes in internet use status could affect the risk of depression....

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Publicado en:International Journal of Psychiatry in Medicine Vol. 61; no. 2; pp. 149 - 164
Autores principales: Wang, Qiuqiu, He, Ting, Zeng, Yupeng, Hong, Weijun
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Psychiatry in Medicine
      issn: 00912174
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      dt: Mar2026
      vid: 61
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.1177/00912174251398684
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        atl: Baseline and Changes in Internet Use and Incident Depression in Middle-Aged and Older Chinese Adults.
      aug:
        au:
          Wang, Qiuqiu
          He, Ting
          Zeng, Yupeng
          Hong, Weijun
        affil: Department of Geriatrics, Zhabei Central Hospital, Shanghai, China
      sug:
        subj:
          Chinese Persons
          Internet Utilization
          Depression Risk Factors
          Depression Risk Factors
          Risk Assessment
          Human
          China
          Male
          Female
          Middle Age
          Aged
          Prospective Studies
          Questionnaires
          Multivariate Analysis
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Two-Tailed Test
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objective: Internet use had been correlated with depression previously. But the association between dynamic changes in internet use status and depression remains unclear. Therefore, the objective of this study was to explore whether changes in internet use status could affect the risk of depression. Method: All the data were from China Health and Retirement Longitudinal Study (CHARLS). We selected wave 3 (2015) and wave 4 (2018) as the baseline and dynamic changes analyses, respectively. A total of 11,335 participants were included. Internet use was assessed by questionnaire, and depression was assessed using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). Multivariable logistic regression models were employed to assess the association of internet use and changes with risk of depression. Result: After adjusting for potential confounders, baseline internet use was negatively associated with risk of developing depression. After 2-year follow-up, compared with those who did not use the internet in either 2015 or 2018 (non-users), people who ever used (OR = 0.81, 95% CI = 0.58-0.98), or continuously used the internet (OR = 0.64, 95% CI = 0.51-0.82) demonstrated a lower risk of incident depression. Moreover, the risk of the depression significantly declined when the offline individuals commenced using the internet (OR = 0.66, 95% CI = 0.55-0.79). Conclusion: Internet use and initiation of Internet use were associated with reduced risk of developing depression in middle aged and older Chinese adults.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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