Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults

Background: Chinese older adults face dual challenges of digital exclusion and mental health burdens. This study examines whether educational attainment mediates the relationship between digital engagement and depression, and whether there is urban-rural heterogeneity in this mediating effect. Methods: Using nationally representative data from 3,206 adults aged ≥60, we conducted chi-square tests and used Hayes' PROCESS macro (Model 4 for mediation, Model 7 for moderated mediation), adjusting for covariates. Results: < 0.01). The education-mediated pathway showed significant urban-rural heterogeneity, being 29% stronger in urban areas (B = 0.102, 95% CI: 0.077-0.127) than rural areas (B = 0.079, 95% CI: 0.058-0.101; Index of Moderated Mediation = -0.023). Conclusion: Digital engagement is associated with significant protection against depression among older Chinese adults, and the education-mediated pathway shows substantial urban-rural heterogeneity. To potentially realize the full mental health potential of digitalization, policymakers must implement synergistic strategies to reduce digital infrastructural inequities and address disparities in the translation of education into health benefits.

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Publication Details

Journal
Frontiers in Public Health
Published
2026-04-10
DOI
https://doi.org/10.3389/fpubh.2026.1685505
Primary Topic
Technology Use by Older Adults
Type
article
Field-Weighted Citation Impact
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article

Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults

Guangwen Gong, Hui Li, Yingchun CHEN, Yuanhang Wang
Frontiers in Public Health
Technology Use by Older Adults
article

Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults

Guangwen Gong, Hui Li, Yingchun CHEN, Yuanhang Wang
article en

Abstract

Background: Chinese older adults face dual challenges of digital exclusion and mental health burdens. This study examines whether educational attainment mediates the relationship between digital engagement and depression, and whether there is urban-rural heterogeneity in this mediating effect. Methods: Using nationally representative data from 3,206 adults aged ≥60, we conducted chi-square tests and used Hayes' PROCESS macro (Model 4 for mediation, Model 7 for moderated mediation), adjusting for covariates. Results: < 0.01). The education-mediated pathway showed significant urban-rural heterogeneity, being 29% stronger in urban areas (B = 0.102, 95% CI: 0.077-0.127) than rural areas (B = 0.079, 95% CI: 0.058-0.101; Index of Moderated Mediation = -0.023). Conclusion: Digital engagement is associated with significant protection against depression among older Chinese adults, and the education-mediated pathway shows substantial urban-rural heterogeneity. To potentially realize the full mental health potential of digitalization, policymakers must implement synergistic strategies to reduce digital infrastructural inequities and address disparities in the translation of education into health benefits.

Frontiers in Public HealthVol. 14
Institute on Governance (CA), Hubei University of Chinese Medicine (CN), State Administration of Traditional Chinese Medicine of the People's Republic of China (CN), Wuhan University (CN), Huazhong University of Science and Technology (CN)
Reduced inequalities
Openalex Percentile: Top 21%
Technology Use by Older Adults
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Urban–rural disparities in education’s mediating role between digital engagement and depression among Chinese older adults — Guangwen Gong, Hui Li, et al. · Frontiers in Public Health (2026) | TGRS Research Map | TGRS