Digitization and Active Aging: How Digital Finance Shapes the Mental Health of Empty-Nest Older Individuals
Abstract
1. Introduction
2. Theoretical Analysis and Research Hypothesis
3. Data, Methods, and Variables
3.1. Data
3.2. Variable
3.2.1. Depression
3.2.2. The Degree of Depression
3.2.3. Digital Finance
3.2.4. Control Variables
3.3. Methods
4. Results and Discussions
4.1. Descriptive Statistics
4.2. Baseline Results
4.3. Robustness Test
4.3.1. Additional Control Variables
4.3.2. Excluding Digitally Advanced Cities
4.3.3. Alternative Estimation Strategy
4.4. Heterogeneity Analysis
4.4.1. Supplementary Pension
4.4.2. Educational Attainment
4.4.3. Urban and Rural
5. Underlying Mechanisms
5.1. Security
5.2. Health
5.3. Participation
6. Conclusions and Policy Implications
6.1. Conclusions
6.2. Policy Implications
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable Type | Variables | Definitions |
---|---|---|
Explanatory variable | Digital finance | China Digital Financial Inclusion Index |
Explained variable | Depression | Depression = 1; non-depression = 0 |
Explained variable | Degree of depression | CES-D10 score, scored from 0–30, higher scores indicate more severe depression |
Individual-level control variables | Age | Age of empty-nest older individuals |
Marital status | Married = 1; unmarried = 0 | |
Public pension | Public pension participation status Participated = 1; non-participation = 0 | |
Public medical insurance | Public medical insurance participation status Participated = 1; non-participation = 0 | |
Cognitive ability | The word recall scores, which are immediate and delayed recall of 10 words, were scored from 0–20, with higher scores indicating greater cognitive ability | |
Family income | The logarithm of total family income | |
Family size | Number of family members | |
Municipal-level control variables | GDP | The logarithm of GDP per capita |
Government scale | Local finance general budget expenditure divided by the GDP | |
Consumption level | Total retail sales of consumer goods divided by the GDP |
Variables | N | Mean | SD | Min | Max |
---|---|---|---|---|---|
Depression | 6442 | 0.30 | 0.46 | 0 | 1 |
Degree of depression | 6442 | 8.09 | 6.09 | 0 | 30 |
Digital finance | 6442 | 148.30 | 67.02 | 19.53 | 302.98 |
Age | 6442 | 69.12 | 6.14 | 60 | 105 |
Marital status | 6442 | 0.82 | 0.39 | 0 | 1 |
Public pension | 6442 | 0.55 | 0.50 | 0 | 1 |
Public medical insurance | 6442 | 0.95 | 0.22 | 0 | 1 |
Cognitive ability | 6442 | 6.41 | 3.62 | 0 | 20 |
Family income | 6442 | 8.73 | 2.22 | 0 | 13.60 |
Family size | 6442 | 2.14 | 0.91 | 1 | 12 |
GDP | 6442 | 10.57 | 0.58 | 8.84 | 13.06 |
Government scale | 6442 | 0.18 | 0.08 | 0.06 | 0.70 |
Consumption level | 6442 | 0.40 | 0.09 | 0.03 | 0.65 |
(1) | (2) | (3) | (4) | |
---|---|---|---|---|
Depression | Depression | Degree of Depression | Degree of Depression | |
Digital finance | −0.003 *** (0.001) | −0.003 *** (0.001) | −0.028 *** (0.006) | −0.028 *** (0.007) |
Age | −0.034 (0.040) | −0.035 (0.040) | −0.044 (0.463) | −0.042 (0.465) |
Marital status | −0.030 (0.043) | −0.030 (0.043) | −0.522 (0.568) | −0.520 (0.567) |
Public pension | −0.007 (0.015) | −0.007 (0.015) | −0.169 (0.160) | −0.172 (0.158) |
Public medical insurance | 0.015 (0.028) | 0.014 (0.028) | −0.322 (0.353) | −0.324 (0.353) |
Cognitive ability | −0.007 *** (0.002) | −0.007 *** (0.002) | −0.140 *** (0.025) | −0.140 *** (0.025) |
Family income | −0.002 (0.004) | −0.002 (0.004) | −0.045 (0.043) | −0.045 (0.044) |
Family size | −0.010 (0.010) | −0.012 (0.010) | −0.076 (0.129) | −0.077 (0.125) |
GDP | −0.044 (0.062) | 0.001 (0.688) | ||
Government scale | −0.137 (0.269) | 0.536 (3.925) | ||
Consumption level | −0.049 (0.231) | −0.375 (3.178) | ||
Constant | 2.788 (2.620) | 3.377 (2.829) | 15.074 (30.432) | 14.974 (32.806) |
Individual FE | √ | √ | √ | √ |
Time trend | √ | √ | √ | √ |
Observations | 6442 | 6442 | 6442 | 6442 |
R-squared | 0.626 | 0.626 | 0.720 | 0.720 |
Additional Control Variables | Excluding Digitally Advanced Cities | Alternative Estimation Strategy | ||||
---|---|---|---|---|---|---|
(1) | (2) | (3) | (4) | (5) | (6) | |
Depression | Degree of Depression | Depression | Degree of Depression | Depression | Degree of Depression | |
Digital finance | −0.003 *** (0.000) | −0.027 *** (0.005) | −0.003 *** (0.001) | −0.029 *** (0.007) | −0.020 *** (0.003) | −0.013 *** (0.002) |
Age | −0.041 (0.037) | −0.149 (0.426) | −0.032 (0.041) | 0.016 (0.485) | −0.216 (0.287) | −0.013 (0.177) |
Marital status | −0.026 (0.033) | −0.456 (0.382) | −0.030 (0.043) | −0.523 (0.568) | −0.239 (0.230) | −0.221 (0.183) |
Public pension | −0.007 (0.014) | −0.164 (0.166) | −0.006 (0.015) | −0.140 (0.156) | −0.017 (0.112) | −0.067 (0.074) |
Public medical insurance | 0.022 (0.028) | −0.195 (0.327) | 0.013 (0.028) | −0.353 (0.354) | 0.137 (0.221) | −0.098 (0.148) |
Cognitive ability | −0.007 *** (0.002) | −0.133 *** (0.026) | −0.007 *** (0.002) | −0.140 *** (0.025) | −0.056 *** (0.018) | −0.064 *** (0.012) |
Family income | −0.002 (0.004) | −0.051 (0.041) | −0.002 (0.004) | −0.043 (0.044) | −0.013 (0.027) | −0.019 (0.018) |
Family size | −0.014 (0.010) | −0.113 (0.111) | −0.012 (0.010) | −0.077 (0.125) | −0.065 (0.071) | −0.024 (0.050) |
GDP | −0.049 (0.050) | −0.097 (0.576) | −0.050 (0.064) | −0.072 (0.715) | −0.494 (0.394) | −0.028 (0.261) |
Government scale | −0.155 (0.259) | 0.096 (2.974) | −0.124 (0.268) | 0.659 (3.919) | −1.312 (2.073) | 0.613 (1.416) |
Consumption level | −0.089 (0.173) | −1.009 (1.986) | −0.082 (0.233) | −0.814 (3.188) | −0.276 (1.265) | −0.269 (0.900) |
ADL | 0.043 *** (0.008) | 0.743 *** (0.088) | / | / | / | / |
Employment | −0.012 (0.018) | −0.274 (0.205) | / | / | / | / |
Constant | 3.832 (2.522) | 23.065 (28.916) | 3.219 (2.965) | 12.119 (34.325) | / | / |
Individual FE | √ | √ | √ | √ | √ | √ |
Time trend | √ | √ | √ | √ | √ | √ |
Observations | 6429 | 6429 | 6394 | 6394 | 2225 | 6085 |
R-squared | 0.629 | 0.726 | 0.626 | 0.722 | / | / |
Depression | Degree of Depression | |||
---|---|---|---|---|
(1) | (2) | (3) | (4) | |
With Supplementary Pension | Without Supplementary Pension | With Supplementary Pension | Without Supplementary Pension | |
Digital finance | −0.001 (0.001) | −0.003 *** (0.001) | −0.013 (0.012) | −0.032 *** (0.008) |
Age | 0.042 (0.045) | −0.072 (0.058) | 0.474 (0.612) | −0.125 (0.625) |
Marital status | −0.039 (0.078) | −0.048 (0.049) | −1.113 (0.890) | −0.614 (0.666) |
Public pension | −0.019 (0.045) | 0.005 (0.019) | −0.021 (0.460) | 0.010 (0.213) |
Public medical insurance | −0.154 *** (0.048) | 0.041 (0.035) | −1.745 ** (0.712) | −0.348 (0.435) |
Cognitive ability | −0.007 * (0.003) | −0.007 *** (0.002) | −0.107 *** (0.036) | −0.140 *** (0.030) |
Family income | −0.004 (0.014) | −0.002 (0.005) | −0.134 (0.175) | −0.062 (0.051) |
Family size | 0.005 (0.019) | −0.014 (0.012) | 0.242 (0.242) | −0.172 (0.158) |
GDP | −0.034 (0.079) | −0.026 (0.075) | 0.053 (1.006) | −0.063 (0.803) |
Government scale | −0.329 (0.435) | −0.160 (0.355) | −3.205 (3.984) | 0.257 (5.487) |
Consumption level | 0.264 (0.291) | −0.030 (0.300) | 0.953 (3.489) | 0.643 (3.890) |
Constant | −1.959 (3.074) | 5.653 (4.080) | −20.941 (43.416) | 22.011 (43.763) |
Individual FE | √ | √ | √ | √ |
Time trend | √ | √ | √ | √ |
Observations | 1317 | 4632 | 1317 | 4632 |
R-squared | 0.601 | 0.625 | 0.725 | 0.713 |
p-value for the coefficient difference | 0.073 | 0.066 |
Depression | Degree of Depression | |||
---|---|---|---|---|
(1) | (2) | (3) | (4) | |
Lower Educational Attainment | Higher Educational Attainment | Lower Educational Attainment | Higher Educational Attainment | |
Digital finance | −0.003 *** (0.001) | −0.000 (0.001) | −0.033 *** (0.007) | 0.007 (0.013) |
Age | −0.029 (0.045) | −0.062 (0.066) | −0.047 (0.498) | 0.269 (0.855) |
Marital status | −0.018 (0.045) | −0.170 ** (0.082) | −0.369 (0.580) | −2.163 (1.720) |
Public pension | 0.000 (0.016) | −0.046 (0.053) | −0.077 (0.167) | −0.314 (0.533) |
Public medical insurance | 0.017 (0.030) | −0.040 (0.057) | −0.376 (0.369) | −0.294 (1.265) |
Cognitive ability | −0.008 *** (0.002) | −0.006 (0.005) | −0.144 *** (0.026) | −0.113 * (0.061) |
Family income | −0.001 (0.005) | −0.005 (0.007) | −0.048 (0.047) | −0.023 (0.095) |
Family size | −0.011 (0.010) | −0.011 (0.021) | −0.086 (0.131) | −0.027 (0.289) |
GDP | −0.048 (0.068) | −0.010 (0.093) | −0.159 (0.740) | 1.418 (1.272) |
Government scale | −0.245 (0.315) | 0.794 * (0.440) | 0.060 (4.584) | 6.570 (5.120) |
Consumption level | −0.013 (0.262) | −0.370 (0.309) | 0.015 (3.567) | −3.888 (4.487) |
Constant | 3.021 (3.190) | 4.758 (4.462) | 17.414 (35.036) | −24.003 (58.789) |
Individual FE | √ | √ | √ | √ |
Time trend | √ | √ | √ | √ |
Observations | 5829 | 613 | 5829 | 613 |
R-squared | 0.618 | 0.694 | 0.715 | 0.735 |
p-value for the coefficient difference | 0.034 | 0.005 |
Depression | Degree of Depression | |||
---|---|---|---|---|
(1) | (2) | (3) | (4) | |
Rural | Urban | Rural | Urban | |
Digital finance | −0.003 *** (0.001) | −0.002 ** (0.001) | −0.036 *** (0.008) | −0.017 ** (0.008) |
Age | −0.029 (0.068) | −0.044 (0.039) | 0.045 (0.767) | −0.198 (0.550) |
Marital status | −0.007 (0.052) | −0.065 (0.069) | −0.080 (0.714) | −1.174 (0.858) |
Public pension | 0.008 (0.021) | −0.015 (0.022) | 0.008 (0.216) | −0.226 (0.236) |
Public medical insurance | 0.035 (0.041) | −0.027 (0.039) | −0.188 (0.471) | −0.671 (0.517) |
Cognitive ability | −0.006 * (0.003) | −0.010 *** (0.003) | −0.119 *** (0.034) | −0.175 *** (0.033) |
Family income | 0.004 (0.006) | −0.007 (0.006) | −0.045 (0.063) | −0.041 (0.065) |
Family size | −0.009 (0.014) | −0.019 (0.014) | −0.053 (0.147) | −0.167 (0.209) |
GDP | 0.005 (0.094) | −0.112 * (0.062) | 0.260 (1.025) | −0.237 (0.624) |
Government scale | −0.280 (0.436) | 0.002 (0.243) | −0.773 (6.148) | 1.465 (3.232) |
Consumption level | −0.073 (0.329) | −0.009 (0.230) | −2.249 (4.398) | 3.158 (2.855) |
Constant | 2.448 (4.833) | 4.707 * (2.759) | 7.849 (53.314) | 26.042 (37.272) |
Individual FE | √ | √ | √ | √ |
Time trend | √ | √ | √ | √ |
Observations | 3867 | 2575 | 3867 | 2575 |
R-squared | 0.616 | 0.630 | 0.714 | 0.714 |
p-value for the coefficient difference | 0.034 | 0.062 |
(1) | (2) | (3) | |
---|---|---|---|
Security | Health | Participation | |
Digital Finance | 0.022 *** (0.005) | 0.003 *** (0.001) | 0.026 *** (0.002) |
Control variable | Yes | Yes | Yes |
Individual FE | √ | √ | √ |
Time trend | √ | √ | √ |
Observations | 5585 | 6440 | 6442 |
R-squared | 0.700 | 0.667 | 0.644 |
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Luo, Q.; Zhang, H.; Zhang, W.; Shi, D. Digitization and Active Aging: How Digital Finance Shapes the Mental Health of Empty-Nest Older Individuals. Healthcare 2025, 13, 2189. https://doi.org/10.3390/healthcare13172189
Luo Q, Zhang H, Zhang W, Shi D. Digitization and Active Aging: How Digital Finance Shapes the Mental Health of Empty-Nest Older Individuals. Healthcare. 2025; 13(17):2189. https://doi.org/10.3390/healthcare13172189
Chicago/Turabian StyleLuo, Qian, Haomiao Zhang, Weike Zhang, and Dijia Shi. 2025. "Digitization and Active Aging: How Digital Finance Shapes the Mental Health of Empty-Nest Older Individuals" Healthcare 13, no. 17: 2189. https://doi.org/10.3390/healthcare13172189
APA StyleLuo, Q., Zhang, H., Zhang, W., & Shi, D. (2025). Digitization and Active Aging: How Digital Finance Shapes the Mental Health of Empty-Nest Older Individuals. Healthcare, 13(17), 2189. https://doi.org/10.3390/healthcare13172189