The impact of media use on disparities in physical and mental health among the older people: An empirical analysis from China

Wang, Han; X, Sun; Wang, Ruyue; Yang, Yang; Wang, Yuwei

doi:10.3389/fpubh.2022.949062

Cited by 8 publications

(5 citation statements)

References 65 publications

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“…Despite the rapid advances in internet technology and its widespread use in recent decades, internet usage among the elderly remains low, particularly in developing countries [ 2 ]. Recently, evidence has indicated that older internet users are less likely to experience mental health issues such as loneliness and physical disorders like functional limitations [ 2 – 4 ]. Internet use can also facilitate access to health information for the elderly, thus improving their health literacy [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Internet use, cardiometabolic multimorbidity, and death in older adults: a multi-cohort study spanning developing and developed countries

Ren,

Xia,

Sun

et al. 2023

Global Health

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Background Internet use is a double-edged sword for older adults’ health. Whether internet use can prevent cardiometabolic diseases and death in older adults remains controversial. Methods Four cohorts across China, Mexico, the United States, and Europe were utilized. Internet use was defined using similar questions. Cardiometabolic diseases included diabetes, heart diseases, and stroke, with 2 or more denoting cardiometabolic multimorbidity. Depressive symptoms were assessed using the Center for Epidemiological Studies Depression Scale and Europe-depression scale. The competing risk analysis based on subdistribution hazard regression, random-effects meta-analysis, and mediation analysis were utilized. Results A total of 104,422 older adults aged 50 or older were included. Internet users (vs. digital exclusion) were at lower risks of diabetes, stroke, and death, with pooled sHRs (95% CIs) of 0.83 (0.74–0.93), 0.81 (0.71–0.92), and 0.67 (0.52–0.86), respectively, which remained significant in sensitivity analyses. The inverse associations of internet use with new-onset cardiometabolic diseases and death were progressively significant in Mexico, China, the United States, and Europe. For instance, older internet users in Europe were at 14-30% lower cardiometabolic risks and 40% lower risk of death. These associations were partially mediated by reduced depressive symptoms and were more pronounced in those with high socioeconomic status and women. Furthermore, patients with prior cardiometabolic conditions were at about 30% lower risk of death if they used the internet, which was also mediated by reduced depressive symptoms. However, certain cardiometabolic hazards of internet use in those aged < 65 years, with low socioeconomic status, men, and single ones were also observed. Conclusion Enhancing internet usage in older adults can reduce depressive symptoms and thus reduce the risks of cardiometabolic diseases and death. The balance of internet use, socioeconomic status, and health literacy should be considered when popularizing the internet in older adults.

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Section: Introductionmentioning

confidence: 99%

Internet use, cardiometabolic multimorbidity, and death in older adults: a multi-cohort study spanning developing and developed countries

Ren,

Xia,

Sun

et al. 2023

Global Health

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“…The built environment’s impact on health is found to be moderated and mediated by PM 2.5 levels and housing prices, offering crucial insights for mitigating health inequalities through informed urban planning in China. 79 In Africa as well, similar trends are seen—A study addressed the lack of long-term air pollution exposure data in growing sub-Saharan African cities by developing high-resolution spatiotemporal land use regression models to map PM 2.5 and black carbon concentrations in the Greater Accra Metropolitan Area. The 1-year measurement campaign at 146 sites informed the models, revealing that 48% to 69% and 63% to 71% of the variance in PM 2.5 and black carbon concentrations, respectively, could be explained by factors related to road traffic, vegetation, and temporal variables.…”

Section: The Complex Interaction Of Different Environments In the Exp...mentioning

confidence: 88%

Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions

Wass,

Hahad,

Asad

et al. 2024

Circulation Research

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There has been increased awareness of the linkage between environmental exposures and cardiovascular health and disease. Atrial fibrillation is the most common sustained cardiac arrhythmia, affecting millions of people worldwide and contributing to substantial morbidity and mortality. Although numerous studies have explored the role of genetic and lifestyle factors in the development and progression of atrial fibrillation, the potential impact of environmental determinants on this prevalent condition has received comparatively less attention. This review aims to provide a comprehensive overview of the current evidence on environmental determinants of atrial fibrillation, encompassing factors such as air pollution, temperature, humidity, and other meteorologic conditions, noise pollution, greenspace, and the social environment. We discuss the existing evidence from epidemiological and mechanistic studies, critically evaluating the strengths and limitations of these investigations and the potential underlying biological mechanisms through which environmental exposures may affect atrial fibrillation risk. Furthermore, we address the potential implications of these findings for public health and clinical practice and identify knowledge gaps and future research directions in this emerging field.

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“…First, limited by the secondary data analysis, we failed to assess and control variables that might influence the inference of our study. For example, older adults are accustomed to using traditional media [ 44 ], which may also transfer PA-related information and influence the outcome of interest in this study. Additionally, the built environment is particularly relevant to the PA of older adults [ 45 , 46 ], and this variable was not included in PAHIOWS either.…”

Section: Discussionmentioning

confidence: 99%

Short-Form Video Exposure and Its Two-Sided Effect on the Physical Activity of Older Community Women in China: Secondary Data Analysis

Wu,

Chen,

Wang

et al. 2023

JMIR Mhealth Uhealth

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Background There is a tendency for older adults to become more physically inactive, especially older women. Physical inactivity has been exacerbated since the COVID-19 pandemic. Lockdowns and information-based preventive measures for COVID-19 increased the number of short-form video app users and short-form video exposure, including content exposure and the duration of exposure, which has demonstrated important effects on youths’ health and health-related behaviors. Despite more older adults viewing short-form videos, less is known about the status of their short-form video exposure or the impacts of the exposure on their physical activity. Objective This study aims to describe physical activity–related content exposure among older adults and to quantify its impacts along with the duration of short-form video exposure on step counts, low-intensity physical activity (LPA), and moderate-to-vigorous physical activity (MVPA). Methods We analyzed a subsample (N=476) of older women who used smartphones and installed short-form video apps, using the baseline data collected from an ongoing cohort study named the Physical Activity and Health in Older Women Study (PAHIOWS) launched from March to June 2021 in Yantai, Shandong Province, China. The information on short-form video exposure was collected by unstructured questions; physical activity–related content exposure was finalized by professionals using the Q-methodology, and the duration of exposure was transformed into hours per day. Step counts, LPA, and MVPA were assessed with ActiGraph wGT3X-BT accelerometers. Multiple subjective and objective covariates were assessed. Linear regression models were used to test the effects of short-form video exposure on step counts, LPA, and MVPA. MVPA was dichotomized into less than 150 minutes per week and 150 minutes or more per week, and the binary logistic regression model was run to test the effects of short-form video exposure on the achievement of spending 150 minutes or more on MVPA. Results Of 476 older women (mean age 64.63, SD 2.90 years), 23.7% (113/476) were exposed to physical activity–related short-form videos, and their daily exposure to short-form videos was 1.5 hours. Physical activity–related content exposure increased the minutes spent on MVPA by older women (B=4.14, 95% CI 0.13-8.15); the longer duration of short-form video exposure was associated with a reduced step count (B=−322.58, 95% CI −500.24 to −144.92) and minutes engaged in LPA (B=−6.95, 95% CI −12.19 to −1.71) and MVPA (B=−1.56, 95% CI −2.82 to −0.29). Neither content exposure nor the duration of exposure significantly increased or decreased the odds of older women engaging in MVPA for 150 minutes or more per week. Conclusions Short-form video exposure has both positive and negative impacts on the physical activity of older adults. Efforts are needed to develop strategies to leverage the benefits while avoiding the harms of short-form videos.

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The impact of media use on disparities in physical and mental health among the older people: An empirical analysis from China

Cited by 8 publications

References 65 publications

Internet use, cardiometabolic multimorbidity, and death in older adults: a multi-cohort study spanning developing and developed countries

Internet use, cardiometabolic multimorbidity, and death in older adults: a multi-cohort study spanning developing and developed countries

Environmental Exposome and Atrial Fibrillation: Emerging Evidence and Future Directions

Short-Form Video Exposure and Its Two-Sided Effect on the Physical Activity of Older Community Women in China: Secondary Data Analysis

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