互联网使用与中国中老年人的社会孤立及孤独感的双向关系:一项纵向交叉滞后研究

Bidirectional associations between internet use, social isolation, and loneliness among Chinese middle-aged and older adults: a longitudinal cross-lagged study

  • 摘要: 目的:探究中国中老年人互联网使用、社会孤立与孤独感之间的双向纵向关联及其在不同性别间的模式差异。方法:基于中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)2018年、2020年两期纵向调查数据,建立交叉滞后模型,探究中老年人互联网使用、社会孤立与孤独感的自回归效应和两两间的交叉滞后效应,并按性别进行分层分析。结果:自回归分析表明,中老年人的互联网使用、社会孤立和孤独感均具有持续性(P<0.001)。交叉滞后分析显示,互联网使用(β=-0.185,95% CI:-0.213~-0.156)与社会孤立存在双向的负向预测关系(β=-0.319,95% CI:-0.366~-0.272);社会孤立可正向预测后续孤独感(β=0.091,95%CI:0.056~0.126),而孤独感会降低后续社会孤立水平(β=-0.056,95% CI:-0.094~-0.018);孤独感可正向预测后续互联网使用(β=0.139,95%CI:0.090~0.188),而互联网使用可以降低后续的孤独感水平 (β=-0.053,95%CI:-0.081~-0.024)。上述自回归与交叉滞后效应在男性群体中与总体基本一致,而女性群体中互联网使用对孤独感以及孤独感对社会孤立的预测效果没有统计学意义。结论: 互联网使用、社会孤立与孤独感在中国中老年人群中相互影响。应鼓励社区中老年人使用互联网,以增强社会联结,减轻孤独感,提升心理健康水平。

     

    Abstract: Objective: To examine the bidirectional longitudinal associations among internet use, social isolation, and loneliness in Chinese middle-aged and older adults, and to explore potential gender differences in these relationships. Methods: Using two-wave follow-up data (2018 and 2020) from the China health and retirement longitudinal study (CHARLS), a cross-lagged panel model was established to analyze the autoregressive and cross-lagged effects among internet use, social isolation, and loneliness. Gender-stratified analyses were further performed. Results: Autoregressive analyses indicated temporal stability in internet use, social isolation, and loneliness among middle-aged and older adults over time (P<0.001). Cross-lagged analyses revealed a bidirectional negative predictive relationship between internet use (β=-0.185, 95% CI: -0.213 to -0.156) and social isolation (β=-0.319, 95% CI: -0.366 to -0.272). Social isolation positively predicted later loneliness (β=0.091, 95% CI: 0.056 to 0.126), whereas loneliness reduced subsequent social isolation (β=-0.056, 95% CI: -0.094 to -0.018). Loneliness positively predicted later internet use (β=0.139, 95% CI: 0.090 to 0.188), while internet use decreased subsequent loneliness (β=-0.053, 95% CI: -0.081 to -0.024). The autoregressive and cross-lagged patterns in males were largely consistent with the overall results. However, among females, the predictive effects of internet use on loneliness and of loneliness on social isolation did not reach statistical significance. Conclusion: Internet use, social isolation, and loneliness are reciprocally associated among Chinese middle-aged and older adults. Accordingly, encouraging internet use among community-dwelling middle-aged and older adults is warranted to enhance social connectedness, reduce loneliness, and promote mental health.

     

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