The Impact of Digital Isolation on Dementia Risk Among Older Adults: Findings from a Longitudinal Cohort Study (Preprint)

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e65379 - e65379

Опубликована: Янв. 13, 2025

Background Dementia poses a significant global health challenge, characterized by progressive cognitive decline and functional impairment. With the aging population, dementia prevalence is projected to surge, reaching an estimated 153 million cases 2050. While impact of traditional social isolation on risk has been extensively studied, influence digital isolation, phenomenon unique age, remains underexplored. Objective This study aimed investigate association between among older adults, hypothesizing that higher levels significantly increase developing dementia. Methods We conducted longitudinal cohort using data from National Health Aging Trends Study (NHATS), analyzing 8189 participants aged 65 years 3rd (2013) 12th wave (2022). Digital was quantified composite index, derived participants’ usage devices, electronic communication, internet access, engagement in online activities. Participants were stratified into low moderate high groups. incidence assessed tests proxy reports. Cox proportional hazards models used estimate risk, adjusting for potential confounders including sociodemographic factors, baseline conditions, lifestyle variables. Results The group demonstrated elevated compared with group. In discovery cohort, adjusted hazard ratio (HR) 1.22 (95% CI 1.01-1.47, P=.04), while validation showed HR 1.62 1.27-2.08, P<.001). pooled analysis across both cohorts revealed 1.36 1.16-1.59, Kaplan-Meier curves corroborated Conclusions Our findings indicate factor adults. underscores importance mitigating suggests promoting literacy access resources should be integral components public strategies at prevention.

Язык: Английский

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Prevalence and Determinants of Loneliness Among Older Adults Living Alone: Evidence From a National Survey Conducted During the COVID-19 Lockdown in Mexico

Journal of Applied Gerontology, Год журнала: 2025, Номер unknown

Опубликована: Апрель 3, 2025

Older people living alone are particularly vulnerable to loneliness. To contribute the understanding of this issue in Global South, we estimated prevalence loneliness and analyzed association between sociodemographic characteristics, digital social isolation, older adults alone, during COVID-19 lockdown Mexico. Data were drawn from National Health Nutrition Survey (ENSANUT) Continua conducted 2020. The was 49.8% (95% confidence interval [CI] 44.7–54.8); while isolation 45.3% CI 40.5–50.2). A multivariate logistic regression model demonstrated that lack education (odds ratio [OR] = 2.40, 95% 1.23–4.69; p .011) widowhood (OR 2.51, 1.54–4.10; < .001) significantly associated with Identifying characteristics who most likely feel lonely can inform designing targeted interventions policies address group.

Язык: Английский

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Diabetes-Specific Quality of Life Changes Associated with a Digital Support Intervention: A Study of Adults with Type 1 Diabetes

Diabetology, Год журнала: 2025, Номер 6(4), С. 28 - 28

Опубликована: Апрель 8, 2025

Although digital platforms have gained popularity in the delivery of diabetes interventions, few models focused on type 1 (T1D), offer different support mechanisms, and involve peer health professional-led support. TRIFECTA is a six-month multi-modal intervention that includes 24/7 texting group, an “ask-the-expert” web-based portal, virtual group-based interactive sessions. This study examined diabetes-specific quality life (DSQoL) changes following TRIFECTA. DSQoL was measured using Type Diabetes Life, self-report survey allows for subscale analysis age groups. Among 60 adults with diabetes, improvements were observed overall life, primarily driven by 26–45 years cohort. Subscale found improved emotional experiences daily activities old, social isolation 46–60 old.

Язык: Английский

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Value of eReaders to Mitigate Apathy and Reduce the Digital Divide in Long-Term Care Settings

Journal of the American Medical Directors Association, Год журнала: 2024, Номер 26(1), С. 105362 - 105362

Опубликована: Ноя. 16, 2024

Язык: Английский

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