Internet Usage and Chronic Multimorbidity of Middle-aged and Older Adults in China.

Background: As population aging progresses, chronic multimorbidity has become a global public health issue to affect quality of life in older adults. However, the association between internet usage and chronic multimorbidity are still uncertain. This study aims to analyze the association between the...

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Publicado en:Applied Research in Quality of Life Vol. 21; no. 2; pp. 881 - 895
Autores principales: Liu, Junjiang, Wang, Pengfei
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2026
      vid: 21
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s11482-026-10558-x
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        atl: Internet Usage and Chronic Multimorbidity of Middle-aged and Older Adults in China.
      aug:
        au:
          Liu, Junjiang
          Wang, Pengfei
        affil: https://ror.org/0220qvk04 Antai College of Economics & Management, Shanghai Jiao Tong University, Shanghai, China
      sug:
        subj:
          Internet Utilization
          Internet Utilization
          Morbidity In Old Age
          Morbidity In Middle Age
          Aging
          Public Health
          Quality of Life
          Chronic Disease
          Human
          Male
          Female
          Middle Age
          Aged
          Descriptive Statistics
          China
          Analytic Research
          Socioeconomic Factors
          Life Style
          Odds Ratio
          Confidence Intervals
          Prospective Studies
          Data Analysis Software
          Center for Epidemiological Studies Depression Scale
          Scales
          Activities of Daily Living
          Marital Status
          Insurance, Health
          Alcohol Drinking
          Smoking
          Sleep Duration
          Age Factors
          Educational Status
          Residence Characteristics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: As population aging progresses, chronic multimorbidity has become a global public health issue to affect quality of life in older adults. However, the association between internet usage and chronic multimorbidity are still uncertain. This study aims to analyze the association between the chronic multimorbidity and internet usage among middle-aged and older adults. Methods: We used data from two waves (2018, 2020 surveys) of the China Health and Retirement Longitudinal Study. 6,955 participants aged 45 years and older were included. Chronic multimorbidity was assessed based on 15 non-communicable chronic diseases. Internet usage included internet use, diversity of internet use devices, and diversity of internet use purpose. We employed generalized estimating equations to analyze the association between internet usage and chronic multimorbidity. Results: In the fully adjusted model, internet use, diversity of internet use devices, and diversity of internet use purposes were all significantly associated with a lower risk of chronic multimorbidity. Sensitivity analyses confirmed the robustness of these results after excluding participants with severe disability or those not included at baseline. Subgroup analyses showed relatively stronger effects among females, rural residents, and non-drinkers. Conclusion: This study suggests that greater internet use, along with higher diversity in devices and purposes, is associated with a lower risk of chronic multimorbidity among middle-aged and older adults. Promoting digital literacy, access to devices, and online health resources may help reduce multimorbidity and enhance well-being in this population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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