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Does crossing the digital divide protect late-life cognition?

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In 10,098 BABRI participants, digital exclusion tracked with worse processing speed and higher MCI risk; overcoming it linked to slower decline and MCI reversion.

Source

The Digital Divide and Cognitive Disparities Among Older Adults: Community-Based Cohort Study in China

Li Y, Liu C, Sun J, et al. · Journal of medical Internet research · 2024

doi.org/10.2196/59684Read the full paper ↗24 citationscc by

Study at a glance

Design
Cohort — BABRI community cohort with cross-sectional and longitudinal cognitive models
N
N=10098 · Community-dwelling older adults; ~48.9% classified as facing digital divide
Population
Older adults in the Beijing Aging Brain Rejuvenation (BABRI) study, China
Outcome
Multidomain cognition, MCI incidence, and MCI-to-normal reversion by ICT/digital-divide status

Structured fields used in claim comparison tables when every cited study has a complete layer.

What they did

Quantified ICT use (digital divide), then used ANCOVA, mixed models, and Cox models relating divide status to multidomain cognition and MCI transitions.

What they found

48.9% faced the divide; strongest cross-sectional hit was processing speed (r=0.42). Overcoming the divide associated with lower MCI HRs (~0.43–0.5) and higher reversion HRs (~6–9).

The limits

What it doesn't show

That giving internet access alone causally prevents dementia; residual confounding by SES/health remains possible.

Key terms

Digital divide
Unequal ability/frequency of using ICTs.
ICT
Information and communication technologies.
Processing speed
How quickly simple cognitive operations are completed.
MCI
Mild cognitive impairment, an intermediate cognitive state.
BABRI
Beijing Aging Brain Rejuvenation community cohort.
Hazard ratio
Relative instantaneous event rate between groups.

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Quiz yourself

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About what share faced the digital divide?

Common questions

Sample size?

10,098 participants.

Divide prevalence?

48.9%.

Key domain?

Processing speed.

MCI message?

Overcoming divide → lower incidence, higher reversion.

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