The promotion mechanism of physical and mental health of the elderly in China: the impact of the digital divide and social capital.

Publication date: Jul 14, 2025

With the deep integration of population aging and digital transformation, the society has benefit from digital dividend, while also giving rise to the issue of the aging population’s digital divide. This study is based on the three-level digital divide theory analysis framework, concentrating on the impact of the digital divide on elderly people’s health during the Covid-19 pandemic in China, conducts multiple regression analysis, and uses the instrumental variable method and PSM propensity matching for robustness testing. Constructs a multiple mediation model of digital skill-social capital-elderly health, and applies Bootstrap-based structural equation model(SEM) to analyze and examine the influencing mechanism and pathway of digital skill on elderly people’s physical and mental health. The research results indicate that: (1) From self-rated health, physical health, and mental health three aspects, digital skill significantly promotes elderly people’s health, moreover, the elderly health is negatively impacted by the digital divide. (2) Among the elderly, their physical and psychological health are linked by a “cyclic cumulative causal effect”. (3) The effect of digital skill on elderly people’s health exists urban-rural difference. (4) A mediating effect of social capital in the connection between digital skill and elderly people’s health. Digital skill enhances the state of elderly people’s health by enriching relational and structural social capital, and aged adults’ health is negatively impacted by a reduction in cognitive social capital. Therefore, in the future, it is necessary to fully leverage the health promotion function of digital skill, broaden senior citizens’ social network, promote their social participation, bridge the senior citizens’ digital divide, so then realize healthy aging and sustainable development.

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Concepts Keywords
China Digital divide
Covid Digital skill
Enriching Elderly health
Pandemic Mediating effect
Rural Social capital

Semantics

Type Source Name
disease MESH Covid-19 pandemic
pathway REACTOME Reproduction
disease IDO production
disease IDO country
drug DRUGBANK Coenzyme M
disease IDO process
drug DRUGBANK Trestolone
drug DRUGBANK Polyethylene glycol
disease MESH education level
disease MESH loneliness
disease MESH depression
disease MESH anxiety
disease MESH chronic illnesses
disease MESH lifestyle
disease MESH general health
drug DRUGBANK Aspartame
drug DRUGBANK Tretamine
disease MESH marital status
drug DRUGBANK 5-amino-1 3 4-thiadiazole-2-thiol
disease IDO intervention
drug DRUGBANK Isoxaflutole
disease MESH psychological well being
disease MESH causality
drug DRUGBANK Esomeprazole
drug DRUGBANK Ademetionine
drug DRUGBANK L-Valine
disease IDO quality
disease IDO facility
disease IDO site
disease MESH sedentary behavior
disease MESH Retirement
drug DRUGBANK Silver
disease MESH suicidal ideation
drug DRUGBANK Iodine
drug DRUGBANK Guanosine
drug DRUGBANK Carboxyamidotriazole
drug DRUGBANK (S)-Des-Me-Ampa

Original Article

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