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Influence of Internet use on physical and mental health of empty-nest elderly in China: a propensity score matching-based analysis of CHARLS 2020 data
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Xiaochen FENG1, Yongqiang WANG1, Xin WANG1, Ran WANG2, Sheng LUO1, Wei LI2, Zhaofeng YU3
Chinese Journal of Public Health | 2025, 41(3) : 320 - 326
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Chinese Journal of Public Health | 2025, 41(3): 320-326
• Survey and Report •
Influence of Internet use on physical and mental health of empty-nest elderly in China: a propensity score matching-based analysis of CHARLS 2020 data
Full
Xiaochen FENG1, Yongqiang WANG1, Xin WANG1, Ran WANG2, Sheng LUO1, Wei LI2, Zhaofeng YU3
Affiliations
  • 1School of Management, Shandong Second Medical University, Weifang 261053, China
  • 2School of Public Health, Shandong Second Medical University, Weifang 261053, China
  • 3Personnel Office, Shandong Second Medical University, Weifang 261053, China
Published: 2025-03-10 doi: 10.11847/zgggws1145361
Outline
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Objective

To analyze the influence of Internet use on the physical and mental health of older empty nesters and to provide a reference for improving their health status.

Methods

Data on 3 970 empty nesters (living alone or only with spouse/cohabitant for at least 180 days in the past year) aged 60 years and older were extracted from a survey of the China Health and Retirement Longitudinal Study (CHARLS) in 2020. Physical and mental health were assessed in the 2020 survey using the Basic Activities of Daily Living Scale (BADL) and the Center for Epidemiologic Studies Depression Scale (CESD-10), respectively. From all participants, 638 Internet users (observation group) were matched with the same number of non-Internet users (control group) using 1:1 propensity score matching (PSM). Univariate and multiple linear regression analyses were used to examine the influence of Internet use on the physical and mental health of the older empty nesters.

Results

Of the 3 970 participants, 19.75% reported Internet use. Before the PSM, there were statistically significant differences in the covariates between the observation and control groups (P<0.05 for all), but after the PSM, the between-group differences in the covariates were not statistically significant (all P>0.05). Multivariate linear regression analysis showed that Internet use was positively associated with the physical health (β=0.289, P<0.05) and mental health (β=1.024, P<0.05) of older empty nesters. In addition, physical health was also influenced by gender, age, social participation, and nighttime sleep duration (all P<0.05), while mental health was also influenced by gender, household registration type, education, alcohol consumption, and nighttime sleep duration (P<0.05). Among these factors, social participation and nighttime sleep duration had the greatest influence on physical health (β= –0.411, P<0.05) and mental health (β=2.235, P<0.05).

Conclusions

The Internet usage rate among China's elderly empty nesters is relatively low. Internet use can effectively improve the physical and mental health of this population. Social participation and nighttime sleep duration are important factors influencing the physical and mental health of elderly empty nesters.

internet  /  empty-nest elderly  /  physical and mental health status  /  propensity score matching
冯晓晨, 王永强, 王欣, 王冉, 罗盛, 李伟, 于兆锋. 互联网使用对空巢老人身心健康影响. 中国公共卫生, 2025 , 41 (3) : 320 -326 . DOI: 10.11847/zgggws1145361
Xiaochen FENG, Yongqiang WANG, Xin WANG, Ran WANG, Sheng LUO, Wei LI, Zhaofeng YU. Influence of Internet use on physical and mental health of empty-nest elderly in China: a propensity score matching-based analysis of CHARLS 2020 data[J]. Chinese Journal of Public Health, 2025 , 41 (3) : 320 -326 . DOI: 10.11847/zgggws1145361
Year 2025 volume 41 Issue 3
167
68
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Article Info
doi: 10.11847/zgggws1145361
  • Receive Date:2024-07-08
  • Online Date:2026-10-25
  • Published:2025-03-10
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History
  • Received:2024-07-08
  • Revised:2024-08-23
  • Accepted:2024-11-21
Affiliations
    1School of Management, Shandong Second Medical University, Weifang 261053, China
    2School of Public Health, Shandong Second Medical University, Weifang 261053, China
    3Personnel Office, Shandong Second Medical University, Weifang 261053, China

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LI Wei, E-mail:
YU Zhaofeng, E-mail:
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