ICT Use and Mental Health Among Asian American Older Adults: Does Independent Learning Matter?

Abstract

This study explores the relationships between ICT uses for various purposes and mental health and the moderating effect of technology learning among Chinese and Korean older Americans. The survey data were collected from 513 Chinese and Korean older Americans in New York City. Negative binomial regression was used to examine the relationships between ICT uses for social, instrumental, and health purposes, and depressive symptoms. Interaction terms between ICT use variables and technology learning styles were created for the moderation test. We found that ICT uses for social contact and health purposes were significantly associated with lower depressive symptoms among the Chinese and Korean older Americans, and the benefits were more pronounced for those who learned ICT independently. This study highlighted the importance of supporting ICT uses for social contact and health purposes and technology learning process to improve mental health of older Asian Americans.

Keywords

independent learning technology use depressive symptoms Asian American

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References

Anderer

(2025). Internet use may boost mental health benefits in older adults. JAMA, 333(3), 195. https://doi.org/10.1001/jama.2024.25506

Andonian

L. C.

(2018). Meanings and experiences associated with computer use of older immigrant adults of lower socioeconomic status: les sens et les expériences associés à l’utilisation des ordinateurs chez les immigrants âgés ayant un faible statut socioéconomique. Canadian Journal of Occupational Therapy, 85(2), 146–157. https://doi.org/10.1177/0008417418754395

Asian American Federation . (2019a). Profile of New York City’s Chinese Americans. https://aafederation.org/wp-content/uploads/2020/12/2019ch.pdf

Asian American Federation . (2019b). Profile of New York City’s Korean Americans. https://www.aafederation.org/wp-content/uploads/2020/12/2019kr.pdf

Baldassar

Wilding

(2020). Migration, aging, and digital kinning: The role of distant care support networks in experiences of aging well. The Gerontologist, 60(2), 313–321. https://doi.org/10.1093/geront/gnz156

Blaschke

C. M.

Freddolino

P. P.

Mullen

E. E.

(2009). Ageing and technology: A review of the research literature. British Journal of Social Work, 39(4), 641–656. https://doi.org/10.1093/bjsw/bcp025

Budiman

Cilluffo

Ruiz

N. G.

(2019). Key facts about Asian origin groups in the US. Pew Research Center.

Chen

Frennert

Östlund

(2022). The use of information and communication technology among older immigrants in need of home care: A systematic literature review. Ageing International, 47(2), 238–264. https://doi.org/10.1007/s12126-021-09417-x

Choi

E. Y.

Wisniewski

K. M.

Zelinski

E. M.

(2021). Information and communication technology use in older adults: A unidirectional or bi-directional association with cognitive function? Computers in Human Behavior, 121(4), 106813. https://doi.org/10.1016/j.chb.2021.106813

10.

Choi

N. G.

DiNitto . (2013). The digital divide among low-income homebound older adults: Internet use patterns, eHealth literacy, and attitudes toward computer/Internet use. Journal of medical Internet research, 15(5), e93.

11.

Choi

N. G.

DiNitto

D. M.

Marti

C. N.

Choi

B. Y.

(2022). Telehealth use among older adults during COVID-19: Associations with sociodemographic and health characteristics, technology device ownership, and technology learning. Journal of Applied Gerontology, 41(3), 600–609. https://doi.org/10.1177/07334648211047347

12.

Cunningham

Murray

J. T.

Evans

Ziaian

(2024). Digital technology uses, purposes, barriers and training programs for culturally and linguistically diverse older adults: A systematic scoping review. Aslib Journal of Information Management, 77(5), 914–937.

13.

Fang

M. L.

Walker

Wong

K. L. Y.

Sixsmith

Remund

Sixsmith

(2022). Future of digital health and community care: Exploring intended positive impacts and unintended negative consequences of COVID-19. In Healthcare management forum (Vol. 35, No. 5, pp. 279–285). Sage Publications. https://doi.org/10.1177/08404704221107362

14.

Foong

H. F.

Lim

S. Y.

Rokhani

F. Z.

Bagat

M. F.

Abdullah

S. F. Z.

Hamid

T. A.

Ahmad

S. A.

(2022). For better or for worse? A scoping review of the relationship between internet use and mental health in older adults during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(6), 3658. https://doi.org/10.3390/ijerph19063658

15.

Forsman

A. K.

Nordmyr

(2017). Psychosocial links between internet use and mental health in later life: A systematic review of quantitative and qualitative evidence. Journal of Applied Gerontology, 36(12), 1471–1518. https://doi.org/10.1177/0733464815595509

16.

Gallo

H. B.

Marshall

L. W.

Levy-Storms

Wilber

K. H.

Loukaitou-Sideris

(2022). Voices of experience: What do low-income older adults tell us about mobility, technology, and social participation? Journal of Applied Gerontology, 41(2), 571–580. https://doi.org/10.1177/07334648211012530

17.

Goodall

Newman

Ward

(2014). Improving access to health information for older migrants by using grounded theory and social network analysis to understand their information behaviour and digital technology use. European Journal of Cancer Care, 23(6), 728–738. https://doi.org/10.1111/ecc.12241

18.

Han

Changsu

Sangmee

Ahn Kwak

Ji-Hyun

Pae

Chi-Un

Steffens

David

Inho

Park

Moon

Ho (2008). Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Comprehensive Psychiatry, 49(2), 218–223. https://doi.org/10.1016/j.comppsych.2007.08.006

19.

M. H.

Lee

J. J.

Yen

H. Y.

(2023). Associations between older adults’ social media use behaviors and psychosocial well-being. Aging Clinical and Experimental Research, 35(10), 2247–2255. https://doi.org/10.1007/s40520-023-02486-9

20.

Huang

Ssempala

Wang

(2025). The role of ICT use in reducing social isolation among older adults during the COVID-19 pandemic: Evidence from frail and healthy older adults in Sakai city, Japan. BMC Public Health, 25(1), 2284. https://doi.org/10.1186/s12889-025-23449-x

21.

Hyman

Stacy

Mohsin

Atkinson

Stewart

Novak Lauscher

(2022). Barriers and facilitators to accessing digital health tools faced by South Asian Canadians in Surrey, British Columbia: Community-based participatory action exploration using photovoice. Journal of Medical Internet Research, 24(1), Article e25863. https://doi.org/10.2196/25863

22.

Ikels

(2004). Filial piety: Practice and discourse in contemporary East Asia. Stanford University Press.

23.

Kim

B. J.

Auh

Lee

Y. J.

Ahn

(2013). The impact of social capital on depression among older Chinese and Korean immigrants: Similarities and differences. Aging & Mental Health, 17(7), 844–852. https://doi.org/10.1080/13607863.2013.805399

24.

Kim

Lee

H. Y.

Won

C. R.

Barr

Merighi

J. R.

(2020). Older adults’ technology use and its association with health and depressive symptoms: Findings from the 2011 National Health and Aging trends study. Nursing Outlook, 68(5), 560–572. https://doi.org/10.1016/j.outlook.2020.05.001

25.

Kouvonen

Kemppainen

Taipale

Olakivi

Wrede

Kemppainen

(2022). Health and self-perceived barriers to internet use among older migrants: A population-based study. BMC Public Health, 22(1), 574. https://doi.org/10.1186/s12889-022-12874-x

26.

Kung

C. S.

Steptoe

(2023). Changes in internet use patterns among older adults in England from before to after the outbreak of the COVID-19 pandemic. Scientific Reports, 13(1), 3932. https://doi.org/10.1038/s41598-023-30882-8

27.

Lee

E.-K. O.

(2007). Religion and spirituality as predictors of well-being among Chinese American and Korean American older adults. Journal of Religion, Spirituality and Aging, 19(3), 77–100. https://doi.org/10.1300/j496v19n03_06

28.

Chi

(2018). Challenges and resilience related to aging in the United States among older Chinese immigrants. Aging & Mental Health, 22(12), 1548–1555. https://doi.org/10.1080/13607863.2017.1377686

29.

Lin

S. Y.

Marathe

A. S.

Bryan

J. L.

Asghar-Ali

A. A.

(2022). Emotional well-being and use of technology during COVID-19 social isolation in a predominantly minority older-adult population. Journal of Technology in Behavioral Science, 7(2), 179–182. https://doi.org/10.1007/s41347-021-00234-2

30.

Liu

Lou

Cheung

E. S. L.

(2024). Beyond dichotomy and stability: ICT use among Asian American older adults during the COVID-19 pandemic. Journal of Applied Gerontology, 43(2), 170–181. https://doi.org/10.1177/07334648231204781

31.

Liu

Zhang

Meng

(2023). Understanding online health information seeking behavior of older adults: A social cognitive perspective. Frontiers in Public Health, 11, 1147789. https://doi.org/10.3389/fpubh.2023.1147789

32.

Malureanu

Panisoara

Lazar

(2021). The relationship between self-confidence, self-efficacy, grit, usefulness, and ease of use of elearning platforms in corporate training during the COVID-19 pandemic. Sustainability, 13(12), 6633. https://doi.org/10.3390/su13126633

33.

Marin

Sabogal

Marin

B. V.

Otero-Sabogal

Perez-Stable

E. J.

(1987). Development of a short acculturation scale for Hispanics. Hispanic Journal of Behavioral Sciences, 9(2), 183–205. https://doi.org/10.1177/07399863870092005

34.

McCausland

McCarron

McCallion

(2023). Use of technology by older adults with an intellectual disability in Ireland to support health, well‐being and social inclusion during the COVID‐19 pandemic. British Journal of Learning Disabilites, 51(2), 175–190. https://doi.org/10.1111/bld.12514

35.

Meyer

Haywood

Sachdev

Faraday

(2008). What is independent learning and what are the benefits for students. Department for Children, Schools and Families Research Report, 51, 1–6.

36.

Mui

A. C.

Kang

S.-Y.

(2006). Acculturation stress and depression among Asian immigrant elders. Social Work, 51(3), 243–255. https://doi.org/10.1093/sw/51.3.243

37.

National Health Aging Trends Study . (2021). National Health and Aging Trends Study COVID-19 Questionnaire. Retrieved from https://www.nhats.org/nhats/methods-documentation?id=heading2

38.

Nguyen

Lee

J.-A.

Sorkin

D. H.

Gibbs

(2019). “Living happily despite having an illness”: Perceptions of healthy aging among Korean American, Vietnamese American, and Latino older adults. Applied Nursing Research, 48(4), 30–36. https://doi.org/10.1016/j.apnr.2019.04.002

39.

Pang

Collin Wang

McGrenere

Leung

Dai

Moffatt

(2021, May). Technology adoption and learning preferences for older adults: Evolving perceptions, ongoing challenges, and emerging design opportunities. In Proceedings of the 2021 CHI conference on human factors in computing systems (pp. 1–13).

40.

Rosell

Vergés

Miranda-Castillo

Sepúlveda-Caro

Gómez

(2022). Predictors, types of internet use, and the psychological well-being of older adults: A comprehensive model. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 77(7), 1186–1196. https://doi.org/10.1093/geronb/gbac054

41.

Safarov

(2021). Personal experiences of digital public services access and use: Older migrants’ digital choices. Technology in Society, 66(2), 101627. https://doi.org/10.1016/j.techsoc.2021.101627

42.

Šatienė

(2020). Older adults’ self-directed learning in productive activity. Studijos–Verslas–Visuomenė: Dabartis Ir Ateities Įžvalgos: Tarptautinės Konferencijos Mokslinių Straipsnių Rinkinys, 5, 132–138.

43.

Sharifi

Chattopadhyay

(2023). Senior technology learning preferences model for mobile technology. Proceedings of the ACM on Human-Computer Interaction, 7(MHCI), 1–39. https://doi.org/10.1145/3604269

44.

Shaver

(2022). The state of telehealth before and after the COVID-19 pandemic. Primary Care: Clinics in Office Practice, 49(4), 517–530. https://doi.org/10.1016/j.pop.2022.04.002

45.

Shi

Zhang

Wang

(2023). Bridging the digital divide: Internet use of older people from the perspective of peer effects. Sustainability, 15(15), 12024. https://doi.org/10.3390/su151512024

46.

Sims

Reed

A. E.

Carr

D. C.

(2017). Information and communication technology use is related to higher well-being among the oldest-old. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 72(5), 761–770. https://doi.org/10.1093/geronb/gbw130

47.

Takamura

J. C.

Browne

Jeung

Yellow Horse

A. J.

Kwok

Howard

(2022). Asian American elders: Caught in the crosshairs of a syndemic of racism, misogyny, and ageism during coronavirus disease 2019. Public Policy & Aging Report, 32(3), 87–93. https://doi.org/10.1093/ppar/prac011

48.

Wang

Bian

Zhao

Wang

Zhang

Zhou

Zhao

(2014). Reliability and validity of the Chinese version of the patient health questionnaire (PHQ-9) in the general population. General Hospital Psychiatry, 36(5), 539–544. https://doi.org/10.1016/j.genhosppsych.2014.05.021

49.

Wannheden

Stenfors

Stenling

von Thiele Schwarz

(2021). Satisfied or frustrated? A qualitative analysis of need satisfying and need frustrating experiences of engaging with digital health technology in chronic care. Frontiers in Public Health, 8, 623773. https://doi.org/10.3389/fpubh.2020.623773

50.

Wilson

Heinsch

Betts

Booth

Kay-Lambkin

(2021). Barriers and facilitators to the use of e-health by older adults: A scoping review. BMC Public Health, 21(1), 1556. https://doi.org/10.1186/s12889-021-11623-w

51.

(2022). Addressing health disparities among older Asian American populations: Research, data, and policy. Public Policy & Aging Report, 32(3), 105–111. https://doi.org/10.1093/ppar/prac015

52.

Xie

Charness

Fingerman

Kaye

Kim

M. T.

Khurshid

(2021). When going digital becomes a necessity: Ensuring older adults’ needs for information, services, and social inclusion during COVID-19. In Older adults and COVID-19 (pp. 181–191). Routledge.

53.

Yam

(2021). New report finds 169 percent surge in anti-Asian hate crimes during the first quarter. NBC News.

54.

Yang

Lai

D. W.

Sun

C.-Y.

Chau

A. K. C.

(2022). Mobile application use and loneliness among older adults in the digital age: Insights from a survey in Hong Kong during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 19(13), 7656. https://doi.org/10.3390/ijerph19137656

55.

Yeung

D. Y.

Chow

L. C.

A. K.

Chung

E. K.

(2023). The effect of information and communications technology use on the well-being of older Hong Kong Chinese adults. Educational Gerontology, 49(8), 710–725. https://doi.org/10.1080/03601277.2022.2160131

56.

Zeng

Han

Jiang

Meng

(2025). The impact of digital finance on the mental health of older adults: Evidence from China. International Journal of Human-Computer Interaction, 41(24), 1–20. https://doi.org/10.1080/10447318.2025.2498488

57.

Zhan

H. J.

Wang

Fawcett

Fan

(2017). Finding a sense of home across the Pacific in old age—Chinese American senior’s report of life satisfaction in a foreign land. Journal of Cross-Cultural Gerontology, 32(1), 31–55. https://doi.org/10.1007/s10823-016-9304-2

58.

Zhao

Kelly

R. M.

Rogerson

M. J.

Waycott

(2023). Older adults using technology for meaningful activities during COVID-19: An analysis through the lens of self-determination theory. In Proceedings of the 2023 CHI conference on human factors in computing systems (pp. 1–17).