{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T14:08:41Z","timestamp":1788962921022,"version":"build-2803163510"},"reference-count":113,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background\/objectives<\/jats:title>\n                    <jats:p>In the digital era, research on the digital divide has largely focused on inequalities in access and skills, with less attention paid to differences in the benefits older adults derive from information and communication technology (ICT), the third-level digital divide. Nevertheless, how these heterogeneous patterns relate to health outcomes remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Based on the 2023 wave of the China Longitudinal Aging Social Survey (CLASS), this study employed person-centered latent class analysis (LCA) to identify potential classes of perceived convenience of ICT (PCICT) and further examined factors associated with these classes and these classes\u2019 associations with older adults\u2019 health, and explored the mediating role of attitudes toward aging (ATA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five latent classes of PCICT were identified: All-domains Beneficiaries (21.73%), Foundational-domains Beneficiaries (19.02%), Extended-domains Frustrated (12.76%), Compound Experience (31.71%), and Unaffected (14.77%). The distribution of these classes varied according to individual, family, and community characteristics. The All-domains Beneficiaries and Foundational-domains Beneficiaries classes were generally associated with more favorable health outcomes, whereas the Extended-domains Frustrated class was associated with more depressive symptoms. Furthermore, significant indirect associations through ATA were observed between PCICT classes and health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study reveals the heterogeneity of the third-level digital divide among older adults by identifying different classes of PCICT. These classes were differentially associated with multidimensional health outcomes. ATA partly accounted for these associations. Our evidence underscores the importance of paying attention to different benefits of ICT and fostering positive ATA among older adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1955930","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:14:28Z","timestamp":1788959668000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationships between perceived ICT convenience patterns, attitudes toward aging, and multidimensional health outcomes among older adults"],"prefix":"10.3389","volume":"14","author":[{"given":"Zhibin","family":"Li","sequence":"first","affiliation":[{"name":"School of Public Policy and Administration, Xi\u2019an Jiaotong University","place":["Xi\u2019an, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziheng","family":"Song","sequence":"additional","affiliation":[{"name":"Columbia Uplift","place":["Lisle, IL, United States"]},{"name":"Dartmouth College","place":["Hanover, NH, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"101174","DOI":"10.1016\/j.arr.2020.101174","article-title":"A research agenda for ageing in China in the 21st century (2nd edition): focusing on basic and translational research, long-term care, policy and social networks","volume":"64","author":"Fang","year":"2020","journal-title":"Ageing Res Rev"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1956","DOI":"10.1080\/1369118X.2018.1473460","article-title":"Social participation among older adults in Belgium\u2019s Flanders region: exploring the roles of both new and old media usage","volume":"22","author":"Pan","year":"2019","journal-title":"Inf Commun Soc"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"107538","DOI":"10.1016\/j.chb.2022.107538","article-title":"Internet use among older adults: determinants of usage and impacts on individuals\u2019 well-being","volume":"139","author":"Shi","year":"2023","journal-title":"Comput Hum Behav"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"1607","DOI":"10.1016\/j.tele.2017.07.007","article-title":"Determinants of internet skills, uses and outcomes. 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