دورية أكاديمية
Internet Use and Higher-Level Functional Capacity Decline Suppression in Japanese Older Adults With Low Education: JAGES 2016-2019 Longitudinal Study.
| العنوان: | Internet Use and Higher-Level Functional Capacity Decline Suppression in Japanese Older Adults With Low Education: JAGES 2016-2019 Longitudinal Study. |
|---|---|
| المؤلفون: | Tajika A; Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan., Nakagomi A; Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan., Miyaguni Y; Nihon Fukushi University Faculty of Social Welfare, Aichi, Japan., Koga C; Research Center for Advanced Science and Technology, The University of Tokyo, Tokyo, Japan., Kondo K; Department of Social Preventive Medical Sciences, Center for Preventive Medical Sciences, Chiba University, Chiba, Japan.; Department of Gerontological Evaluation, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Aichi, Japan., Ojima T; Department of Community Health and Preventive Medicine, Hamamatsu University School of Medicine, Shizuoka, Japan. |
| المصدر: | JMIR aging [JMIR Aging] 2024 Sep 20; Vol. 7, pp. e53384. Date of Electronic Publication: 2024 Sep 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: JMIR Publications Inc Country of Publication: Canada NLM ID: 101740387 Publication Model: Electronic Cited Medium: Internet ISSN: 2561-7605 (Electronic) Linking ISSN: 25617605 NLM ISO Abbreviation: JMIR Aging Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Toronto, ON] : JMIR Publications Inc., [2018]- |
| مواضيع طبية MeSH: | Educational Status* , Internet Use*, Humans ; Aged ; Male ; Female ; Longitudinal Studies ; Japan/epidemiology ; Aged, 80 and over ; Independent Living ; Activities of Daily Living ; Functional Status ; Geriatric Assessment/methods ; East Asian People |
| مستخلص: | Background: Higher-level functional capacity (HLFC) is crucial for the independent living of older adults. While internet use positively impacts the health of older adults, its effect on HLFC and how this effect varies with educational attainment remains uncertain. Objective: This longitudinal study aimed to investigate whether internet use could mitigate the risk of HLFC decline and if this benefit extends to older adults with lower levels of education. Methods: The data were sourced from the Japan Gerontological Evaluation Study (JAGES), encompassing 8050 community-dwelling adults aged 65 years and older from 2016 to 2019. The study focused on those who remained self-sufficient from 2016 to 2019, identifying participants with independent HLFC in 2016. The Tokyo Metropolitan Institute of Gerontology Index of Competence defined HLFC operationally, consisting of 3 subscales, namely instrumental activities of daily living, intellectual activity, and social role. The primary variable was the frequency of internet use in 2016; participants who reported using the internet were classified as internet users, while those who answered "No" were identified as nonusers. The study compared the effects of internet use on HLFC decline across educational levels of ≤9 years, 10-12 years, and ≥13 years using Poisson regression analysis adjusted for robust SE to calculate the risk ratio (RR) and 95% CI for HLFC decline in 2019. Results: After adjusting for demographic and health condition risk factors, internet use was significantly linked to a decreased risk of HLFC decline in older adults over 3 years, including those with lower educational levels. Internet users with ≤9 years of educational attainment experienced a suppressed decline in the total score (RR 0.57, 95% CI 0.43-0.76; P<.001); instrumental activities of daily living (RR 0.58, 95% CI 0.38-0.91; P=.02), intellectual activity (RR 0.60, 95% CI 0.41-0.89; P=.01), and social role (RR 0.74, 95% CI 0.56-0.97; P=.03) compared with nonusers. Participants with 10-12 years of education showed suppression rates of 0.78 (95% CI 0.63-0.98; P=.03), 0.59 (95% CI 0.39-0.90; P=.01), 0.91 (95% CI 0.63-1.31; P=.61), and 0.82 (95% CI 0.68-1.00; P=.05), respectively, and those with ≥13 years displayed suppression rates of 0.65 (95% CI 0.51-0.85; P=.001), 0.55 (95% CI 0.36-0.83; P=.01), 0.64 (95% CI 0.37-1.10; P=.11), and 0.83 (95% CI 0.64-1.08; P=.17), respectively. Conclusions: These findings indicate that internet use supports the maintenance of HLFC independence in older adults with higher education and those with lower educational levels. Encouraging internet use among older adults with lower levels of education through future policies could help narrow functional health disparities associated with educational attainment. (©Atsuko Tajika, Atsushi Nakagomi, Yasuhiro Miyaguni, Chie Koga, Katsunori Kondo, Toshiyuki Ojima. Originally published in JMIR Aging (https://aging.jmir.org), 20.09.2024.) |
| فهرسة مساهمة: | Keywords: educational attainment; functional capacity; health disparities; independent living; instrumental activities of daily living; internet impact on seniors; low education; older adults; older adults’ cognitive engagement; older adults’ social role |
| تواريخ الأحداث: | Date Created: 20240920 Date Completed: 20240920 Latest Revision: 20240920 |
| رمز التحديث: | 20240921 |
| DOI: | 10.2196/53384 |
| PMID: | 39303276 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2561-7605 |
|---|---|
| DOI: | 10.2196/53384 |