Supplementary Material for: Does the digital divide accelerate cognitive function decline related to the poor management of diabetes in later life?

ABSTRACT
INTRODUCTION: The objective is to investigate the role of digital exclusion in the association between diabetes and cognitive function among adults aged 50 and above.
METHODS: 107,188 participants aged 50 years old and above across 31 countries from 2010-2018 were involved. The mixed-effects linear regression models were used to analyze the data.
RESULTS: The presence of diabetes was found to be associated with a notable reduction in the global cognitive function score (unadjusted β=−0.27, 95% CI: −0.28, −0.25). The presence of digital exclusion was found to have a significant association with the decline in cognitive function scores related to diabetes. Similar trends were observed in the scores for memory, numeracy, and orientation.
DISCUSSION: These findings underscore the importance of addressing the digital divide to promote healthy aging. Developing digital interventions targeting diabetes-related cognitive impairments and fostering digital inclusion among older adults with diabetes hold significant value in preventing cognitive impairment.

摘要

引言：本研究旨在探讨数字排斥在糖尿病与50岁以上成人认知功能关联中的作用。
方法：本研究纳入了2010-2018年间来自31个国家的107,188名50岁及以上的参与者。采用混合效应线性回归模型进行分析。
结果：研究发现，糖尿病的存在与全球认知功能评分的显著降低相关（未调整β=−0.27，95% CI: −0.28, −0.25）。数字排斥的存在与糖尿病相关的认知功能评分下降具有显著关联。在记忆力、计算能力和方向感评分上，也观察到了相似的趋势。
讨论：这些发现强调了解决数字鸿沟以促进健康老龄化的重要性。开发针对糖尿病相关认知障碍的数字干预措施，以及促进患有糖尿病的老年人融入数字社会，对于预防认知障碍具有重要意义。