{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T04:10:53Z","timestamp":1788667853094,"version":"build-2803163510"},"reference-count":33,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Appl Gerontol"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Digital inclusion in later life is often measured as static user\/non-user status, although older adults may enter, remain in, remain outside, or leave digital environments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine whether digital-use transitions, particularly discontinuation, mark cognitive and depressive vulnerability.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed harmonized longitudinal data from CHARLS, ELSA, HRS, and SHARE. Adjacent-wave internet-use transitions were classified as persistent non-use, adoption, persistent use, or discontinuation. Cohort-specific forward, reverse, pre-transition, and marker analyses were pooled with random-effects methods where appropriate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across 250,379 transition intervals, discontinuation was preceded by lower cognition and more depressive symptoms, and was associated with lower subsequent cognition (\u03b2 = \u22120.145) and higher depressive symptoms (\u03b2 = 0.094) than sustained use. Adoption was associated with higher cognition and, on average, fewer depressive symptoms than persistent non-use. Baseline vulnerability predicted lower adoption and higher discontinuation. Adding discontinuation to baseline risk models produced only small gains in discrimination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/07334648261486071","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T12:01:55Z","timestamp":1788523315000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Digital-Use Discontinuation as a Follow-Up Marker of Cognitive and Depressive Vulnerability in Later Life: A Multicohort Longitudinal Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2519-2573","authenticated-orcid":false,"given":"Yang","family":"Liu","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital of Chongqing Medical University"},{"name":"Chongqing Key Laboratory of Structural Birth Defect and Reconstruction"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Wei","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Chongqing Medical University"},{"name":"Chongqing Key Laboratory of Structural Birth Defect and Reconstruction"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0083-561X","authenticated-orcid":false,"given":"Shengde","family":"Wu","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Chongqing Medical University"},{"name":"Chongqing Key Laboratory of Structural Birth Defect and Reconstruction"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"e_1_3_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)30622-6"},{"key":"e_1_3_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt088"},{"key":"e_1_3_10_4_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.7401"},{"key":"e_1_3_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90046-2"},{"key":"e_1_3_10_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1461444814538648"},{"key":"e_1_3_10_7_1","doi-asserted-by":"publisher","DOI":"10.5210\/fm.v7i4.942"},{"key":"e_1_3_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7414.557"},{"key":"e_1_3_10_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1461444818787348"},{"key":"e_1_3_10_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-09861-8"},{"key":"e_1_3_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnab149"},{"key":"e_1_3_10_12_1","doi-asserted-by":"crossref","unstructured":"Lu X. Yao Y. Jin Y. (2022). Digital exclusion and functional dependence in older people: Findings from five longitudinal cohort studies. eClinicalMedicine 54 Article 101708. https:\/\/doi.org\/10.1016\/j.eclinm.2022.101708","DOI":"10.1016\/j.eclinm.2022.101708"},{"key":"e_1_3_10_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/cyber.2019.0736"},{"key":"e_1_3_10_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X18000326"},{"key":"e_1_3_10_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0038038520975587"},{"key":"e_1_3_10_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/01972243.2021.1960659"},{"key":"e_1_3_10_17_1","doi-asserted-by":"publisher","DOI":"10.7826\/ISR-UM.06.585031.001.05.0010.2005"},{"key":"e_1_3_10_18_1","doi-asserted-by":"publisher","DOI":"10.1159\/000353630"},{"key":"e_1_3_10_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-019-1241-9"},{"key":"e_1_3_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2014.01.004"},{"key":"e_1_3_10_21_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.174.4.330"},{"key":"e_1_3_10_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"e_1_3_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tele.2017.07.007"},{"key":"e_1_3_10_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyu067"},{"key":"e_1_3_10_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys168"},{"key":"e_1_3_10_26_1","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2607"},{"key":"e_1_3_10_27_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0040296"},{"key":"e_1_3_10_28_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-024-05026-w"},{"key":"e_1_3_10_29_1","doi-asserted-by":"crossref","unstructured":"Yan R. Liu X. Xue R. Duan X. Li L. He X. Cui F. Zhao J. (2024). Association between internet exclusion and depressive symptoms among older adults: Panel data analysis of five longitudinal cohort studies. eClinicalMedicine 75 Article 102767. https:\/\/doi.org\/10.1016\/j.eclinm.2024.102767","DOI":"10.1016\/j.eclinm.2024.102767"},{"key":"e_1_3_10_30_1","doi-asserted-by":"publisher","DOI":"10.2196\/25760"},{"key":"e_1_3_10_31_1","doi-asserted-by":"publisher","DOI":"10.1038\/s44184-025-00162-6"},{"key":"e_1_3_10_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/gnad100"},{"key":"e_1_3_10_33_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys203"},{"key":"e_1_3_10_34_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-025-06337-2"}],"container-title":["Journal of Applied Gerontology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648261486071","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/07334648261486071","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/07334648261486071","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T03:37:23Z","timestamp":1788665843000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/07334648261486071"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,4]]},"references-count":33,"alternative-id":["10.1177\/07334648261486071"],"URL":"https:\/\/doi.org\/10.1177\/07334648261486071","relation":{},"ISSN":["0733-4648","1552-4523"],"issn-type":[{"value":"0733-4648","type":"print"},{"value":"1552-4523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,4]]},"article-number":"07334648261486071"}}