How does internet use affect the mental health of older adults: examining the mediating pathways of perception of social fairness and physical activity.
Yu F, Niu L, Shen Y • Frontiers in public health • 2026
Internet use was significantly and directly associated with better mental health in older adults, but operated through a complex mechanism involving both positive indirect pathways via physical activity and negative indirect pathways via reduced perceived social justice, with a significant chained mediation effect of internet use → lower perceived social justice → reduced physical activity → poorer mental health.
Key Findings
Results
Internet use was significantly and directly associated with better mental health in older adults.
Sample consisted of 3,206 adults aged 60 and above from the 2023 China General Social Survey (CGSS).
Direct association: β = 0.098, p < 0.001.
Mental health was operationalized using a single-item measure of the frequency of depressive moods.
Structural equation modeling (SEM) was used for analysis.
Robustness checks were conducted using propensity score matching (PSM).
Results
Internet use had a negative indirect effect on mental health through reduced perceived social justice.
This was identified via parallel mediation analysis.
The indirect effect estimate was β = -0.017, p < 0.001.
Internet use was associated with lower perceived social justice, which in turn was associated with poorer mental health.
This pathway opposed the direct positive association of internet use with mental health.
Results
Internet use had a positive indirect effect on mental health through increased physical activity.
This was identified via parallel mediation analysis.
The indirect effect estimate was β = 0.027, p < 0.001.
Internet use was associated with greater physical activity, which in turn was associated with better mental health.
This pathway aligned with the direct positive association of internet use with mental health.
Results
A significant chained mediation pathway was identified from internet use through lower perceived social justice and reduced physical activity to poorer mental health.
The chained pathway was: internet use → lower perceived social justice → reduced physical activity → poorer mental health.
The chained mediation effect estimate was β = -0.018, p < 0.001.
The authors describe this as a potential 'cognition-behavior' transmission pathway.
This chained pathway represents an additional negative indirect mechanism beyond the parallel mediators.
Results
Multi-group analysis confirmed significant gender differences in the mediating pathways between internet use and mental health.
Gender differences were identified in the indirect pathways via perceived social justice and physical activity.
Specific gender-stratified effect sizes were not reported in the abstract.
The analysis used multi-group SEM to test for moderation by gender.
Methods
The study design was cross-sectional, precluding causal inference from the mediation findings.
Data were drawn from the 2023 China General Social Survey (CGSS), a cross-sectional dataset.
The authors explicitly state: 'these mediation analyses are statistical and exploratory in nature, and do not establish temporal or causal ordering.'
A cross-sectional design is listed as a key limitation of the study.
Yu F, Niu L, Shen Y. (2026). How does internet use affect the mental health of older adults: examining the mediating pathways of perception of social fairness and physical activity.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1765599