The bidirectional relationship between social participation, social media use and depressive symptoms: a nationwide longitudinal study.
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| Názov: | The bidirectional relationship between social participation, social media use and depressive symptoms: a nationwide longitudinal study. |
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| Autori: | Zheng T; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China., Zheng X; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Public Health and Management, Guangzhou University of Chinese Medicine, Guangzhou, China., Xue B; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Public Health, Southern Medical University, Guangzhou, China., Xiao S; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Public Health, Southern Medical University, Guangzhou, China., Yang L; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; Nanfang Hospital, Southern Medical University, Guangzhou, China., Zhang X; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Public Health, Southern Medical University, Guangzhou, China., Chen C; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Nursing, Southern Medical University, Guangzhou, China., Li X; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China.; School of Public Health, Southern Medical University, Guangzhou, China., Zhang M; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China., Liao Y; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China., Li Y; School of Health Management, Southern Medical University, Guangzhou, China.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China., Zhang C; School of Health Management, Southern Medical University, Guangzhou, China. zhangchichen@sina.com.; Key Laboratory of Philosophy and Social Sciences of Colleges and Universities in Guangdong Province for Collaborative Innovation of Health Management Policy and Precision Health Service, Guangzhou, China. zhangchichen@sina.com.; Southern Medical University Center for Health Policy and Governance (Guangdong Provincial Social Science Research Base), Guangzhou, China. zhangchichen@sina.com. |
| Zdroj: | BMC public health [BMC Public Health] 2025 Oct 06; Vol. 25 (1), pp. 3311. Date of Electronic Publication: 2025 Oct 06. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: London : BioMed Central, [2001- |
| Výrazy zo slovníka MeSH: | Social Media*/statistics & numerical data , Social Participation*/psychology , Depression*/epidemiology , Depression*/psychology, Humans ; Longitudinal Studies ; Male ; Female ; Aged ; Middle Aged ; China/epidemiology ; Aged, 80 and over |
| Abstrakt: | Competing Interests: Declarations. Ethics approval and consent to participate: CHARLS investigations were approved by the Biomedical Ethics Review Committee of Peking University, Beijing, China (IRB00001052-11015). All participants were voluntarily involved and obtained informed consent. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests. Background: Improving the mental health and digital divide issues is crucial for promoting active aging. This study aimed to examine the bidirectional relationship and intricate mechanisms between social participation, social media use, and depressive symptoms among a nationwide sample of Chinese older adults. Methods: We utilized data from two waves (2018, 2020) of the China Health and Retirement Longitudinal Survey, which included 4928 older adults aged 60 years and above. We Used a cross-lagged model to examine the bidirectional relationship between social participation, social media use, and depressive symptoms. Results: In two years, social media use competency and social participation frequency can be predicted bidirectionally, and social media use competency and depressive symptoms can also be predicted bidirectionally. However, there is no cross-temporal bidirectional relationship between social participation frequency and depressive symptoms. Depressive symptoms can predict social participation frequency two years later, while social participation frequency cannot directly predict depressive symptoms. The mediation analysis indicated that social media use competency played a complete mediating role between social participation frequency and depressive symptoms. Conclusions: Continuous social participation may enhance social media use competency and alleviate depressive symptoms in older adults. Social media use may alleviate the decrease in social participation frequency and increase in depressive symptoms in older adults. Therefore, social media can be an effective tool to promote the integration of the older adults into society and alleviate negative emotions. (© 2025. The Author(s).) |
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| Grant Information: | 72274091 National Natural Science Foundation of China; GD23CGL06 Guangdong Philosophy and Social Science Foundation |
| Contributed Indexing: | Keywords: Depressive symptoms; Digital divide; Health management; Older adults; Social media use; Social participation |
| Entry Date(s): | Date Created: 20251005 Date Completed: 20251005 Latest Revision: 20251008 |
| Update Code: | 20251008 |
| PubMed Central ID: | PMC12498433 |
| DOI: | 10.1186/s12889-025-24629-5 |
| PMID: | 41047381 |
| Databáza: | MEDLINE |
| Abstrakt: | Competing Interests: Declarations. Ethics approval and consent to participate: CHARLS investigations were approved by the Biomedical Ethics Review Committee of Peking University, Beijing, China (IRB00001052-11015). All participants were voluntarily involved and obtained informed consent. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.<br />Background: Improving the mental health and digital divide issues is crucial for promoting active aging. This study aimed to examine the bidirectional relationship and intricate mechanisms between social participation, social media use, and depressive symptoms among a nationwide sample of Chinese older adults.<br />Methods: We utilized data from two waves (2018, 2020) of the China Health and Retirement Longitudinal Survey, which included 4928 older adults aged 60 years and above. We Used a cross-lagged model to examine the bidirectional relationship between social participation, social media use, and depressive symptoms.<br />Results: In two years, social media use competency and social participation frequency can be predicted bidirectionally, and social media use competency and depressive symptoms can also be predicted bidirectionally. However, there is no cross-temporal bidirectional relationship between social participation frequency and depressive symptoms. Depressive symptoms can predict social participation frequency two years later, while social participation frequency cannot directly predict depressive symptoms. The mediation analysis indicated that social media use competency played a complete mediating role between social participation frequency and depressive symptoms.<br />Conclusions: Continuous social participation may enhance social media use competency and alleviate depressive symptoms in older adults. Social media use may alleviate the decrease in social participation frequency and increase in depressive symptoms in older adults. Therefore, social media can be an effective tool to promote the integration of the older adults into society and alleviate negative emotions.<br /> (© 2025. The Author(s).) |
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| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-025-24629-5 |
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