Smart Health Devices and Cognitive Level in Older Adults: Heterogeneous Mediating Pathways and Community Contextual Barriers Across the Digital Divide.

Background: Given China's rapidly developing aging process, the growing popularity of smart health devices, and the rapid growth of the digital economy, this study explores the impact of smart health devices on the cognitive level of older adults and the mechanisms through which they influence the l...

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Publicado en:Health & Social Care in the Community Vol. 2026; pp. 1 - 15
Autores principales: Zhang, Chi, Lin, Longxuan, Zhang, Heyang, Hu, Han
Formato: equations & formulas research tables/charts Journal Article
Publicado: Wiley-Blackwell 9/9/2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 9/9/2026
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        atl: Smart Health Devices and Cognitive Level in Older Adults: Heterogeneous Mediating Pathways and Community Contextual Barriers Across the Digital Divide.
      aug:
        au:
          Zhang, Chi
          Lin, Longxuan
          Zhang, Heyang
          Hu, Han
        affil: School of Philosophy and Sociology,, Lanzhou University,, Lanzhou, Gansu, China, lzu.edu.cn
      sug:
        subj:
          Wearable Sensors Utilization
          Cognition Evaluation
          Cognition Evaluation
          Digital Divide Evaluation
          Computer Literacy Evaluation
          Human
          Male
          Female
          Mediation Analysis
          Multiple Linear Regression
          Stratified Random Sample
          Support, Social
          Exercise
          Health Behavior
          Empowerment
          Health Promotion
          Health Services for Older Persons
          Economic and Social Security
          Community Support
          Multi-Stage Cluster
          Probability Sample
          China
          Middle Age
          Aged
          Aged, 80 and Over
          Surveys
          Descriptive Statistics
          Wheelchairs, Powered
          Sphygmomanometers
          Lipids Blood
          Intelligent Systems
          Polysomnography Equipment and Supplies
          Reading
          Cross Sectional Studies
          Exercise Intensity
          Financial Support
          Intergenerational Relations
          Health Status
          Activities of Daily Living
          Mental Health
          Summated Rating Scaling
          Poisson Distribution
          Questionnaires
          Community Service
          Funding Source
          Digital Health
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Given China's rapidly developing aging process, the growing popularity of smart health devices, and the rapid growth of the digital economy, this study explores the impact of smart health devices on the cognitive level of older adults and the mechanisms through which they influence the level. Methods: Using multiple linear regression, this study examined the impact of smart health devices on the cognitive level of older adults based on the CLASS2020 dataset, a robustness test was conducted using the instrumental variable method with propensity score matching. This study also analyzed the mediating effect of smart health devices on the cognitive level of older adults using the Sobel method and the bootstrap method. We explored the heterogeneity of the impact of smart health devices on the cognitive level of older adults in terms of digital access and digital literacy. Results: This study found that older adults experience empowerment from using smart health devices. The analysis of the mediating effects revealed that these devices promote intergenerational social support and change exercise behavior, thereby empowering older adults and promoting the mental health of older adults. The analysis of moderating effects revealed that elderly services, as well as community and societal security, played a negative role. Conclusion: Smart health devices have a more powerful cognitive impact on older adults who have limited digital access and are less digitally literate. The government is encouraged to promote the widespread use of smart health devices to further eliminate the digital divide and inequality among older adults.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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