TY  - JOUR
AU  - Guo, Lin
AU  - Li, Yunwei
AU  - Cheng, Kai
AU  - Zhao, Ying
AU  - Yin, Wenqiang
AU  - Liu, Ying
PY  - 2025
DA  - 2025/1/31
TI  - Impact of Internet Usage on Depression Among Older Adults: Comprehensive Study
JO  - J Med Internet Res
SP  - e65399
VL  - 27
KW  - internet usage
KW  - depression
KW  - older people
KW  - mechanism
KW  - heterogeneity
KW  - mobile phone
AB  - Background: Depression is a widespread mental health issue affecting older adults globally, with substantial implications for their well-being. Although digital interventions have proven effective in high-income countries, research on the potential of internet usage to alleviate depression among older adults in high-income countries remains limited. Objective: This study aimed to examine the impact of internet usage on depression among older adults in high-income countries by developing a comprehensive theoretical framework and testing key hypotheses. Methods: Using data from the China Health and Retirement Longitudinal Study (CHARLS), a 2-stage instrumental variable approach was applied to address endogeneity and estimate causal relationships between internet usage and depression. Results: The findings indicate that internet usage results in a 1.41% reduction in depression levels among older adults. This effect is mediated by four primary mechanisms: (1) enhanced social interaction, (2) increased physical activity, (3) improved intergenerational contact, and (4) expanded access to educational opportunities. A heterogeneity analysis revealed that these effects are more pronounced in urban areas, eastern regions, and regions with superior internet infrastructure. Conclusions: Internet usage plays a crucial role in alleviating depression among older adults in high-income countries, with regional variations. The findings highlight the need for targeted policy interventions to improve internet access and digital literacy, which can mitigate depression and enhance the mental health of older adults. 
SN  - 1438-8871
UR  - https://www.jmir.org/2025/1/e65399
UR  - https://doi.org/10.2196/65399
DO  - 10.2196/65399
ID  - info:doi/10.2196/65399
ER  -