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Does internet use enhance the cognitive abilities of middle-aged and older adults? Dual evidence from regression analysis and generalized random forests

Published online by Cambridge University Press:  05 March 2026

Jia Tang
Affiliation:
School of Population and Health, Renmin University of China, Beijing, China Bigdata and Responsible Artificial Intelligence for National Governance, Renmin University of China, Beijing, China
Baokui Shao
Affiliation:
Wenlan School of Business, Zhongnan University of Economics and Law, Wuhan, China
Xiaosen Zang
Affiliation:
School of Economics, University of Chinese Academy of Social Sciences, Beijing, China
Zhenglong Cong*
Affiliation:
School of Social Research, Renmin University of China, Beijing, China
*
Corresponding author: Zhenglong Cong; Email: congzhenglong@ruc.edu.cn
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Abstract

Rapid population ageing and the digitalization of daily life have created a dual challenge: ensuring cognitive health while preventing digital exclusion among older adults. While the ‘use it or lose it’ hypothesis suggests that environmental stimulation protects against cognitive decline, international evidence regarding the causal impact of internet use on cognition remains mixed, particularly in developing contexts where digital adoption is uneven. This study addresses this gap by investigating the causal impact of internet use on cognitive abilities among middle-aged and older adults in China, while also exploring the heterogeneity of effects and potential underlying mechanisms. Utilizing three waves of panel data from the China Health and Retirement Longitudinal Study (CHARLS) with 40,438 observations, we employ instrumental variable (IV) estimation to address endogeneity and generalized random forests (GRFs) to estimate heterogeneous treatment effects. The results demonstrate that internet use significantly enhances cognitive abilities, with the IV estimates confirming a strong causal link. Notably, the GRF analysis reveals that these cognitive benefits are larger for rural residents, individuals with lower education levels and those who adopt the internet in middle age. Mechanism analyses indicate that these benefits are primarily driven by increased social interaction and reduced stress levels rather than changes in health behaviours. We conclude that digital inclusion serves as a critical non-medical intervention for healthy ageing, particularly in developing countries where it can help bridge cognitive disparities caused by socio-economic inequalities.

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Article
Copyright
© The Author(s), 2026. Published by Cambridge University Press.
Figure 0

Table 1. Descriptive statistics of the main variables

Figure 1

Table 2. Regression analysis results

Figure 2

Figure 1. Counterfactual simulation.

Note: The accuracy of the counterfactual predictions for older adults who use the internet may be affected due to the smaller sample size.
Figure 3

Table 3. Average treatment effect estimates based on counterfactual predictions

Figure 4

Table 4. Generalized random forest results

Figure 5

Figure 2. Distribution of average treatment effect estimates for internet use.

Figure 6

Table 5. Heterogeneity test

Figure 7

Figure 3. Heterogeneity test.

Note: The grey dotted line is the baseline result value of 3.726 for the conditional average treatment effect estimate of the generalized random forest model.
Figure 8

Table 6. Mechanism test

Figure 9

Table 7. Further analysis

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