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Table 2 Association of internet use with new-onset CMDs, CMM, and all-cause death and the mediating role of depressive symptoms

From: Internet use, cardiometabolic multimorbidity, and death in older adults: a multi-cohort study spanning developing and developed countries

 

CHARLS

MHAS

HRS

SHARE

Pooled

P value for heterogeneity

Diabetes

      

 sHR (95% CI)

0.70 (0.44–1.12)

0.92 (0.81–1.05)

0.87 (0.77–0.99)

0.76 (0.70–0.83)

0.83 (0.74–0.93)

0.061

 Mediation, % (95% CI)

11.7 (4.3–62.5)

 

4.1 (2.1–7.6)

6.3 (4.4–8.9)

  

P values

0.032

0.520

< 0.001

< 0.001

  

Heart diseases

      

 sHR (95% CI)

0.92 (0.62–1.34)

1.05 (0.93–1.19)

1.07 (0.95–1.21)

0.86 (0.80–0.92)

0.97 (0.86–1.11)

0.003

 Mediation, % (95% CI)

   

14.5 (10.3–22.7)

  

P values

0.062

0.108

0.098

< 0.001

  

Stroke

      

 sHR (95% CI)

0.70 (0.38–1.28)

0.99 (0.75–1.30)

0.84 (0.70–1.01)

0.75 (0.67–0.84)

0.81 (0.71–0.92)

0.264

 Mediation, % (95% CI)

  

5.6 (3.0-11.3)

8.6 (6.2–12.3)

  

P values

0.778

0.338

< 0.001

< 0.001

  

CMM

      

 sHR (95% CI)

0.50 (0.27–0.94)

1.12 (0.96–1.30)

0.90 (0.79–1.04)

0.70 (0.62–0.78)

0.83 (0.63–1.09)

< 0.001

 Mediation, % (95% CI)

17.8 (6.8–99.6)

 

12.0 (5.6–39.2)

10.2 (7.2–14.1)

  

P values

0.036

0.076

0.004

< 0.001

  

All-cause death

      

 sHR (95% CI)

0.56 (0.27–1.15)

0.91 (0.81–1.02)

0.58 (0.52–0.65)

0.60 (0.56–0.64)

0.67 (0.52–0.86)

< 0.001

 Mediation, % (95% CI)

 

12.2 (5.5–46.2)

4.0 (2.3–6.7)

5.8 (4.6–7.2)

  

P values

0.230

0.010

< 0.001

< 0.001

  
  1. Notes: CMD, cardiometabolic diseases. CMM, cardiometabolic multimorbidity. CHARLS, China Health and Retirement Longitudinal Study. MHAS, Mexican Health and Aging Study. HRS, Health and Retirement Study. SHARE, Survey of Health, Ageing and Retirement in Europe. sHR, subdistribution hazard ratio. CI, confidence interval. All models were adjusted for age, sex, education, household income, marital status, current smoking, current drinking, abnormal weight, and hypertension