Internet Use and Psychological Well-Being at Advanced Age: Evidence from the English Longitudinal Study of Aging
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Measurements
- The evaluative component was assessed using the Satisfaction with Life Scale (SWLS) [27]. The scale consists of five statements and 7 possible values that range from 0 (strongly disagree) to 6 (strongly agree). That is, the maximum score, associated with the greatest satisfaction with life, is 30.
- The hedonic dimension of well-being was measured with the Enjoyment of Life Scale, which is obtained from CASP-19 scale [28]. This indicator, closely related to the pleasure scale of CASP-19, and already tested in previous studies [29,30], summarizes the scores of four questions with responses in the range 0 to 3. Higher values indicate higher enjoyment of life.
- The eudaimonic well-being, was evaluated using the questions of CASP-19 that were not used to measure the previous dimension. That included questions related to different aspects of the concept [31] such as control, personal growth, and self acceptance. The score in this scale ranged from 0 to 45 with higher scores indicating greater eudaimonic well-being.
- Age: classified in four intervals: 50–59 (1), 60–69 (2), 70–79 (3), and 80 and older (4).
- Sex: dichotomous variable that specifies whether the participant is a man (0) or a woman (1).
- Education: this variable indicates the highest academic qualification obtained by the subject using a 3-way qualification split. The categories considered were: Less than O-level or equiv (0) O-level or equivalent (1) and higher than a-level (3). These were used to represent no qualification, intermediate qualification or degree or equivalent, respectively.
- Wealth: the relevance of the association of this variable and well-being is supported in previous works like [34]. In this study wealth will be defined as the net non-pension household wealth. This item will be categorized in quintiles, as [35] suggests that relative income might be more important than absolute income, and the variable will be defined in the range 1 to 5. Higher values represent more wealth.
- Lack of impairments: given the importance of this aspect in the independence and quality of life for older people, the study includes a dichotomous variable that indicates whether the person reported (0) or not (1) having suffered any limitation in activities of daily living (ADLs) or instrumental activities of daily living (IADSLs) from emotional, physical, mental or memory problems for more than three months.
- Physical activity. This marker for health behavior summarizes the self-reported physical activity of the subject using four levels in the range 0 to 3. These values represent sedentary, low, moderate and high, respectively. Given that the last waves of the survey replace this summary item with more detailed information, a categorization criterion was required. Following [36], the equivalence was established as: Sedentary: mild exercise 1–3 times a month and no moderate or vigorous activity; Low: mild, but no vigorous activity at least once a week; Moderate: moderate activity more than once a week, or vigorous activity between once a week to 1–3 times a month. Finally the physical activity indicator was considered as high in case it involved heavy manual work or vigorous activity more than once a week. This equivalence is also consistent with [37,38,39].
- Associative interests. This proxy for social connectedness measures the number of different kinds of organizations that the individual reported to be part of. These are grouped into eight broad categories: political party, trade union or environmental groups; tenants groups, resident groups, neighborhood watch; church or other religious group; charitable associations; education, arts or music groups or evening classes; social clubs; sports clubs, gyms, exercise classes; other organizations, club or societies. It should be noted that the indicator summarizes the number of categories, not the number of organizations, and, therefore, it is defined in the 0 to 8 range. The importance of social connectedness in general has been reported, among others, in [42].
- Cognitive ability. This variable was proxied with one of the tests included in the Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) Neuropsychological battery [43]. More specifically, a learning recall test is performed over a delayed word-list. This exercise consists of 10 randomly selected words that the respondents are asked to recall with a 5-min delay. The variable represents the number of correct answers to this test.
2.3. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Acknowledgments
Author Contributions
Conflicts of Interest
Abbreviations
ADL | Activity of daily living |
IADSL | Instrumental activities of daily living |
ELSA | English Longitudinal Study of Aging |
GEE | Generalized Estimating Equations |
SWLS | Satisfaction with Life Scale |
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Mean | Std. Dev. | Min. | Max. | |
---|---|---|---|---|
SWLS Score * | 20.49 | 6.159 | 0 | 30 |
EOLS Score * | 10.13 | 1.624 | 2 | 12 |
EDS Score * | 32.94 | 6.589 | 6 | 45 |
Internet/Email User | 0.66 | 0.475 | 0 | 1 |
Delayed Recall | 5.32 | 1.778 | 0 | 10 |
Physical Activity | 2.09 | 0.719 | 0 | 3 |
Org. membership | 1.79 | 1.410 | 0 | 8 |
Voluntary Work | 0.39 | 0.487 | 0 | 1 |
Sex | 0.55 | 0.498 | 0 | 1 |
Marital Status | 0.75 | 0.431 | 0 | 1 |
Education | 1.18 | 0.807 | 0 | 2 |
Lack of impairments | 0.85 | 0.360 | 0 | 1 |
Wealth Quintile | 3.35 | 1.357 | 1 | 5 |
Age Interval | 1.74 | 0.780 | 1 | 4 |
Non-Internet/Email Users | Internet/Email Users * | |||||||
---|---|---|---|---|---|---|---|---|
Mean | Std. Dev. | Min. | Max. | Mean | Std. Dev. | Min. | Max. | |
SWLS Score * | 19.77 | 6.368 | 0 | 30 | 20.86 | 6.015 | 0 | 30 |
EOLS Score * | 9.93 | 1.781 | 2 | 12 | 10.24 | 1.526 | 4 | 12 |
EDS Score * | 31.20 | 6.983 | 8 | 45 | 33.59 | 6.280 | 6 | 45 |
Delayed Recall | 4.79 | 1.748 | 0 | 10 | 5.60 | 2.989 | 0 | 10 |
Physical Activity | 1.97 | 0.732 | 0 | 3 | 2.16 | 0.703 | 0 | 3 |
Org. membership | 1.52 | 1.339 | 0 | 8 | 1.93 | 1.426 | 0 | 8 |
Voluntary Work | 0.34 | 0.224 | 0 | 1 | 0.41 | 0.492 | 0 | 1 |
Sex | 0.62 | 0.485 | 0 | 1 | 0.51 | 0.5 | 0 | 1 |
Marital Status | 0.68 | 0.467 | 0 | 1 | 0.79 | 0.165 | 0 | 1 |
Education | 0.78 | 0.028 | 0 | 2 | 1.40 | 0.732 | 0 | 2 |
Lack of impairments | 0.77 | 0.419 | 0 | 1 | 0.89 | 0.319 | 0 | 1 |
Wealth Quintile | 2.94 | 1.345 | 1 | 5 | 3.56 | 1.315 | 1 | 5 |
Age Interval | 2.06 | 0.821 | 1 | 4 | 1.57 | 0.701 | 1 | 4 |
SWLS Score * | EOLS Score * | EDS Score * | |||||
---|---|---|---|---|---|---|---|
n (%) | Mean | Std. | Mean | Std. | Mean | Std. | |
Internet/Email User | |||||||
No | 792 (34%) | 19.77 | 6.368 | 9.93 | 1.781 | 31.20 | 6.983 |
Yes | 1522 (66%) | 20.86 | 6.015 | 10.24 | 1.526 | 33.59 | 6.280 |
Physical Activity | |||||||
Sedentary | 42 (2%) | 16.57 | 7.979 | 8.86 | 1.555 | 27.51 | 8.055 |
Low | 373 (16%) | 19.34 | 6.709 | 9.65 | 1.750 | 30.50 | 7.065 |
Moderate | 1225 (53%) | 20.48 | 5.975 | 10.12 | 1.614 | 32.99 | 6.331 |
High | 674 (29%) | 21.37 | 5.849 | 10.49 | 2.125 | 34.52 | 6.099 |
Voluntary Work | |||||||
No | 1423 (61%) | 19.80 | 6.438 | 9.99 | 1.689 | 32.34 | 6.875 |
Yes | 891 (39%) | 21.59 | 5.511 | 10.35 | 1.489 | 33.89 | 5.988 |
Sex | |||||||
Male | 1041 (45%) | 20.64 | 5.934 | 10.04 | 1.648 | 32.85 | 6.370 |
Female | 1273 (55%) | 20.36 | 6.336 | 10.12 | 1.600 | 33.01 | 6.765 |
Marital Status | |||||||
Single | 572 (25%) | 18.05 | 6.896 | 9.86 | 1.659 | 32.49 | 6.884 |
Married | 1742 (75%) | 21.29 | 5.676 | 10.22 | 1.602 | 33.08 | 6.485 |
Education | |||||||
None | 579 (25%) | 20.11 | 6.220 | 9.94 | 1.699 | 31.65 | 6.984 |
Intermediate | 729 (32%) | 19.98 | 6.391 | 10.02 | 1.640 | 32.78 | 6.639 |
Degree | 1006 (43%) | 21.07 | 5.904 | 10.22 | 1.625 | 33.79 | 6.183 |
Lack of impairments | |||||||
Yes | 354 (15%) | 16.64 | 7.169 | 9.15 | 1.806 | 28.27 | 7.152 |
No | 1960 (85%) | 21.05 | 5.786 | 10.31 | 1.523 | 33.78 | 6.115 |
Wealth Quintile † | |||||||
Q1 | 290 (12%) | 17.27 | 7.517 | 9.42 | 1.863 | 29.48 | 7.655 |
Q2 | 383 (16%) | 19.34 | 6.539 | 9.80 | 1.728 | 31.24 | 7.075 |
Q3 | 479 (21%) | 20.38 | 5.919 | 10.19 | 2.307 | 32.51 | 6.360 |
Q4 | 548 (24%) | 21.27 | 5.393 | 10.34 | 1.497 | 33.73 | 5.896 |
Q5 | 614 (27%) | 22.10 | 5.260 | 10.43 | 1.489 | 35.25 | 5.379 |
Age | |||||||
50–59 | 1059 (46%) | 19.58 | 6.559 | 10.05 | 1.708 | 32.74 | 6.721 |
60–69 | 839 (36%) | 20.82 | 5.983 | 10.20 | 1.539 | 33.28 | 6.719 |
70–79 | 385 (17%) | 21.01 | 5.355 | 10.16 | 1.577 | 32.62 | 6.076 |
>79 | 31 (1%) | 22.52 | 4.434 | 10.03 | 1.791 | 34.10 | 6.156 |
Org. membership | 2314 (100%) | 20.49 | 6.159 | 10.13 | 1.624 | 32.94 | 6.589 |
Delayed Recall |
SWLS Score * | EOLS Score * | EDS Score * | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Coef. † | 95% Conf. Int. | p § | Coef. † | 95% Conf Int. | p § | Coef. † | 95% Conf. Int. | p § | ||||
Inf | Sup | Inf | Sup | Inf | Sup | |||||||
Internet/Email user (predictor) | 0.078 | 0.192 | 0.015 | |||||||||
No | Ref | Ref | Ref | |||||||||
Yes | 0.367 | −0.041 | 0.776 | 0.075 | −0.037 | 0.187 | 0.584 | 0.113 | 1.054 | |||
Physical Activity | <0.001 | <0.001 | <0.001 | |||||||||
Sedentary | Ref | Ref | Ref | |||||||||
Low | 0.496 | −0.056 | 1.048 | 0.274 | 0.128 | 0.420 | 0.970 | 0.377 | 1.562 | |||
Moderate | 1.023 | 0.464 | 1.583 | 0.570 | 0.418 | 0.722 | 2.139 | 1.528 | 2.750 | |||
High | 1.448 | 0.812 | 2.084 | 0.804 | 0.634 | 0.975 | 3.153 | 2.458 | 3.848 | |||
Voluntary Work | <0.001 | 0.001 | 0.001 | |||||||||
No | Ref | Ref | Ref | |||||||||
Yes | 0.938 | 0.606 | 1.270 | 0.158 | 0.068 | 0.247 | 0.601 | 0.233 | 0.968 | |||
Sex | 0.633 | <0.001 | 0.120 | |||||||||
Male | Ref | Ref | Ref | |||||||||
Female | 0.098 | −0.303 | 0.499 | 0.226 | 0.116 | 0.336 | 0.354 | −0.092 | 0.801 | |||
Marital Status | <0.001 | <0.001 | 0.723 | |||||||||
Single | Ref | Ref | Ref | |||||||||
Married | 2.250 | 1.741 | 2.760 | 0.253 | 0.125 | 0.382 | −0.094 | −0.618 | 0.429 | |||
Education | 0.001 | 0.136 | 0.746 | |||||||||
None | Ref | Ref | Ref | |||||||||
Intermediate | −1.016 | −1.556 | −0.477 | 0.066 | −0.081 | 0.214 | −0.170 | −0.784 | 0.443 | |||
Degree | −0.737 | −1.281 | −0.193 | −0.061 | −0.216 | 0.094 | −0.241 | −0.862 | 0.379 | |||
Lack of impairments | <0.001 | <0.001 | <0.001 | |||||||||
Yes | Ref | Ref | Ref | |||||||||
No | 2.613 | 2.155 | 3.071 | 0.897 | 0.777 | 1.016 | 4.535 | 4.041 | 5.029 | |||
Wealth Quintile | <0.001 | <0.001 | <0.001 | |||||||||
Q1 (Poorest) | Ref | Ref | Ref | |||||||||
Q2 | 1.102 | 0.416 | 1.787 | 0.202 | 0.028 | 0.377 | 1.282 | 0.525 | 2.038 | |||
Q3 | 1.353 | 0.672 | 2.035 | 0.334 | 0.160 | 0.509 | 1.794 | 1.030 | 2.557 | |||
Q4 | 2.028 | 1.336 | 2.720 | 0.455 | 0.278 | 0.631 | 2.883 | 2.119 | 3.647 | |||
Q5 (Wealthiest) | 2.766 | 2.068 | 3.463 | 0.463 | 0.285 | 0.642 | 3.611 | 2.838 | 4.384 | |||
Age | <0.001 | <0.001 | 0.004 | |||||||||
50–59 | Ref | Ref | Ref | |||||||||
60–69 | 0.551 | 0.193 | 0.908 | 0.183 | 0.082 | 0.283 | 0.679 | 0.274 | 1.084 | |||
70–79 | 1.440 | 0.989 | 1.891 | 0.291 | 0.163 | 0.419 | 0.616 | 0.096 | 1.136 | |||
>79 | 1.845 | 1.069 | 2.621 | 0.186 | −0.028 | 0.399 | 0.005 | −0.829 | 0.840 | |||
Delayed Recall | 0.044 | −0.045 | 0.133 | 0.332 | 0.025 | 0.001 | 0.048 | 0.037 | 0.146 | 0.052 | 0.239 | 0.002 |
Org. membership | 0.095 | −0.030 | 0.220 | 0.134 | 0.110 | 0.077 | 0.143 | <0.001 | 0.212 | 0.071 | 0.353 | 0.003 |
Linear trend | 13.605 | 12.506 | 14.703 | <0.001 | 7.622 | 7.332 | 7.912 | <0.001 | 22.579 | 21.369 | 23.789 | <0.001 |
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Quintana, D.; Cervantes, A.; Sáez, Y.; Isasi, P. Internet Use and Psychological Well-Being at Advanced Age: Evidence from the English Longitudinal Study of Aging. Int. J. Environ. Res. Public Health 2018, 15, 480. https://doi.org/10.3390/ijerph15030480
Quintana D, Cervantes A, Sáez Y, Isasi P. Internet Use and Psychological Well-Being at Advanced Age: Evidence from the English Longitudinal Study of Aging. International Journal of Environmental Research and Public Health. 2018; 15(3):480. https://doi.org/10.3390/ijerph15030480
Chicago/Turabian StyleQuintana, David, Alejandro Cervantes, Yago Sáez, and Pedro Isasi. 2018. "Internet Use and Psychological Well-Being at Advanced Age: Evidence from the English Longitudinal Study of Aging" International Journal of Environmental Research and Public Health 15, no. 3: 480. https://doi.org/10.3390/ijerph15030480
APA StyleQuintana, D., Cervantes, A., Sáez, Y., & Isasi, P. (2018). Internet Use and Psychological Well-Being at Advanced Age: Evidence from the English Longitudinal Study of Aging. International Journal of Environmental Research and Public Health, 15(3), 480. https://doi.org/10.3390/ijerph15030480