Exercise & Training

How does internet use affect the mental health of older adults: examining the mediating pathways of perception of social fairness and physical activity.

TL;DR

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

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).

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.

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.

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.

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.

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.

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Citation

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