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Internet use in older African Americans



           Table 3. Ordinal logistic regression on internet use by gender.
                                        Model 1           Model 2           Model 3           Model 4
                                     Men     Women     Men     Women    Men     Women     Men      Women
           Demographic
            Old-old (ref=young-old)      0.33***        0.20***      0.58       0.28***       0.54      0.28***       0.69          0.35***
            Living alone (ref= yes)  0.57*    0.87        1.21  0.99        1.18       0.97       0.38          1.15
           Socioeconomic
            Years of education                            1.32***      1.42***      1.32***      1.41***       1.18**          1.28***
            Married/partnered (ref= yes)                  1.52  0.99        1.61       0.99       0.76          1.32
            Retired (ref= yes)                           0.42***      0.39***       0.44**      0.50***       0.39**          0.39***
            Living in poverty (ref= yes)                 0.26***      0.39***       0.27***      0.42***       0.12***  0.57 +
           Health-related
            Self-rated health                                               1.14       1.19       1.12          1.15
            Number of diseases                                              1.07       0.98       1.05          1.07
            Difficulties in activities of daily                             1.19       0.75*       0.86          0.72*
            living
            Difficulties   in   instrumental                                0.62       0.93       0.97          1.18
            activities of daily living
           Mental health-related
            Depression                                                                       0.77*          0.91
            Discrimination                                                                   1.13          1.18
            Cognitive functioning                                                            1.17***         1.12***
            R square                0.022      0.034   0.115   0.141       0.125       0.151       0.212          0.168
            -Log Likelihood        575.95***  1038.79***  500.78***  892.61***  472.57***  841.84***  238.65***  476.83***
           Effect sizes stand for odds ratio.  p<0.10; *p<0.05; **p<0.01; ***p<0.001.
                               +
           3.4. Sensitivity Analysis

           Sensitivity analyses were conducted and presented in Appendix Tables A1-A3. First, the outcome variable, the internet
           use, was analyzed as a continuous variable, and multilinear regressions were conducted (Appendix Table A1). Second,
           the ordinal internet use variable (1-7) was recoded into two categories: internet nonuser (1) and user (2-7), and binary
           logistic regressions were performed and reported in Appendix Table A2. Third, the ordinal internet use variable (1-7) was
           categorized into a binary variable: active internet user (5-7) versus non-active user (1-4), and its binary logistic regressions
           were conducted and summarized in Appendix Table A3. Results from all the three analyses remained largely the same.

           4. Discussion
           The purpose of this study was to examine internet use among African American older adults and investigate gender and
           age differences on correlates of internet use. Internet users among older African American adults in this study were <70%,
           and the active users, those who used the Internet at least once a week, was only about 55%. Gender and age differences
           in internet use were identified in this study: older women and young-old adults had higher percentages of active internet
           users and lower percentages of non-users than older men and old-old adults, respectively. Gender and age differences on
           the correlates of internet use among older African Americans were revealed: being old-old and difficulties in ADL were
           significant factors only for older women, whereas depression was predictive only for older men. Education and cognition
           were the only two significant predictors for old-old adults. By contrast, for young-old adults, besides education and
           cognition, being retired, living in poverty, and depression all affected their internet use.
             Findings in this study indicated that membership within the old-old category was associated with decreased odds
           of more frequent use of the Internet only among older African American women but not men. This difference may
           be explained by gender differences on internalized ageist stereotypes. Compared to older men, older women are more
           susceptible to internalized ageist stereotypes and are more likely to feel helpless, dependent, and weak and have reduced
           self-esteem and self-efficacy because of their older age (Chrisler, Barney, and Palatino, 2016; Choi, Kim, Chipalo, et al.,
           2020). Due to the negative effects of internalized ageist stereotypes, older women may have lower self-confidence and
           believe that they are not capable of using the Internet when they become older, especially when they have functional

           32                                              International Journal of Population Studies | 2020, Volume 6, Issue 2
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