bluuebunny/crossref_metadata_2025 huggingface dataset:
EVIDENCE-BASED INTERGENERATIONAL PRACTICES SUPPORT AFU PRINCIPLES
Authors: Jarrott Shannon , Juris Jill , Scrivano Rachel
Published: December 2022

Theory and research informed a framework of best intergenerational practice that has proven effective in the field of community programs. Reflecting a number of AFU principles, this set of proven practices can promote positive intergenerational contact in college classrooms as well. Here, we present evidence-based and promising practices salient to the AFU, offering examples from the classroom and suggesting low- and high-tech solutions. For example, the intergenerational practices of offering meaningful roles and engaging youth and older adults in a novel activity can support AFU principle 4 reciprocal sharing of expertise between learners of all ages. Stakeholders, including instructors, university students, older adult learners, and community partners, benefit from preparation for the distinctive needs and opportunities of intergenerational learning experiences in higher education. Effective implementation of intergenerational strategies helps both younger and older learners to reimagine aging, offering the potential to address a critical need of individuals and communities.
EXAMINING LINKAGES BETWEEN NEIGHBORHOOD DISADVANTAGE AND SUBCLINICAL CARDIOVASCULAR DISEASE
Authors: Wright Regina , Allan Alexa , Gamaldo Alyssa , Morgan Adrienne Aiken , Lee Anna
Published: December 2022

Limited research has examined the extent neighborhood disadvantage relates to subclinical CVD such as carotid atherosclerosis, arterial stiffness, and endothelial dysfunction which are key, understudied CVD risk markers. Our objective was to examine associations between neighborhood disadvantage and subclinical CVD and whether associations vary by age, sex, race, and education. The analysis included 165 Black and White older adults (mean age=64.5y). Neighborhood disadvantage was characterized using the Area Deprivation Index (ADI). Multivariable regression analysis, adjusted for age, sex, race, education, and depression, showed that national and state ADI were significant, inverse predictors of carotid atherosclerosis (near wall IMT; p=.02) and state ADI was a significant, inverse predictor of flow-mediated dilation (p=.04). A significant interaction between state and national ADI and education predicting carotid IMT emerged, but the simple slopes were non-significant (p=.02, .03). Future research should consider the role of neighborhood as a predictor of early cardiovascular risk.
AREA DEPRIVATION INDEX EFFECTS ON LONGITUDINAL REPORTS OF PHYSICAL HEALTH AMONG OLDER BLACK ADULTS
Authors: Allan Alexa , Gamaldo Alyssa , Wright Regina , Morgan Adrienne Aiken , Lee Anna , Allaire Jason , Thorpe, Jr. Roland J , Whitfield Keith
Published: December 2022

Despite the association of neighborhood quality with poorer adult health, limited research has explored the association between neighborhood disadvantage, e.g., Area Deprivation Index (ADI), and older Black adults’ health, prospectively. The Baltimore Study of Black Aging (n = 424) was utilized to examine the association between ADI and prospective physical health. Multiple regression analyses, covarying for age, sex, education, and income, showed that living in a neighborhood with greater disadvantage was significantly associated with decreasing average heart rate from wave 1 to wave 2 (approximately 33 months apart) (p < .05). This result was specifically significant for women living in neighborhoods with greater disadvantage. Additionally, findings indicated that living in a neighborhood with greater disadvantage was significantly associated with increased difficulty with activities of daily living (p < .01). More research is needed to examine the implications of neighborhood context on older Black adults’ health prospectively.
EQUALITY IN CAREGIVING: RATIONALE AND DESIGN FOR AN INTERVENTION ON CAREGIVER MASTERY AMONG LGB CAREGIVERS
Authors: Kittle Krystal , Likos Kelly , Verble Danielle , Flatt Jason , Anderson Joel , Wharton Whitney
Published: December 2022

Compared to heterosexual and cisgender caregivers, lesbian, gay, bisexual, transgender and queer (LGBTQ+) caregivers face unique challenges (e.g., physical, emotional, financial strain). The initial purpose of this pilot study was to assess an existing evidence-based intervention, the Savvy Caregiving Program, according to context-specific challenges faced by LGBTQ+ caregivers of people with Alzheimer’s disease and related dementias (ADRD), improve caregiver mastery and mood, while reducing caregiver burden and physiological stress biomarkers. Given the inability to perform research in-person due to COVID-19, we redirected our research efforts. Trial modifications included: national vs local participation, shift to social media recruitment, virtual SCP classes and focus groups, addition of cross sectional health and caregiving data collection for all LGBTQ caregivers, and removal of biomarker collection. We will present survey results from a national sample of 49 LGBTQ caregivers. Descriptive statistics and non-parametric tests were used to assess differences between ADRD and non-ADRD caregivers.
BARRIERS AND FACILITATORS OF PARTICIPATORY ACTION RESEARCH WITH LGBTQ+ ELDERS OF COLOR DURING COVID-19
Authors: Oswald Austin
Published: December 2022

Participatory action research (PAR) is a promising approach to engage older adults in self-determined research that influences policies and practices; however, the voices of older adults are very often missing from most PAR projects. The purpose of this paper is to reflect upon the challenges and opportunities of engaging lesbian, gay, bisexual, transgender, and queer (LGBTQ+) elders of color in PAR during the Covid-19 pandemic. Data were generated through interviews with LGBTQ+ elders of color and their caregivers and analyzed thematically. Findings illustrate several barriers and facilitators of conducting PAR during the pandemic. Barriers included feelings of distrust toward research(ers), pandemic related issues and illnesses, and competing priorities and interests. Facilitators included leveraging community connections and participating in community-based activities. Study findings have the potential to advance a critical turn in gerontology that is committed to the liberation of marginalized older adults in aging research, policies, and practices.
SOCIAL SUPPORT FROM FRIENDS AND INCIDENCE OF COGNITIVE IMPAIRMENT A DECADE LATER
Authors: Moorman Sara , Pai Manacy
Published: December 2022

We inquire how diverse forms of social support from non-kin are associated with cognitive aging across ten years. We analyze data from 4,687 participants in the 2011 and 2021 waves of the Wisconsin Longitudinal Study (WLS), a cohort study of Wisconsin adolescents from the birth cohort of 1939 and their siblings. Net of sex, educational attainment, income, smoker status, depressive symptoms, self-reported health, diabetes, heart disease, high blood pressure, high cholesterol, and stroke incidence, each additional domain in which participants perceived that they had instrumental support available from friends in 2011 was associated with a 0.07 standard deviation increase in cognitive function (i.e., TICS-m score) a decade later (p = .001). Moreover, participants who had a non-kin confidante in 2011 had significantly lower odds of mild cognitive impairment (MCI) in 2021 (OR = 0.57; p = .006). Robust social engagement may help protect and maintain older adults’ cognitive skills.
THE CHALLENGE OF ASSESSING AND MEASURING SOCIAL INCLUSION AND EXCLUSION IN LATER LIFE
Authors: Waldegrave Charles , Aartsen Marja
Published: December 2022

Social exclusion is a serious problem that can lead to diminished well-being, health problems, premature death and increased societal costs. Depending on the definition used, 10 to 30% of the older adults experience social exclusion, and many have been confronted with prolonged isolation during the pandemic. Constructing measures for social inclusion and exclusion is a challenging yet important endeavor, and various approaches exist. For example, EU-policy makers define social exclusion mainly in terms of poverty and lack of labor market participation However, a too narrow definition of social exclusion leaves large groups of people unattended leading to sub-optimal understandings of social exclusion and ineffective interventions. This symposium brings together scholars from different cultures. The first paper discusses newly developed social and well-being scales, that more adequately address cultural notions of exclusion and discrimination experienced by older Māori (indigenous New Zealanders). Based on unique data from time-diaries kept by older women from several European countries and the U.S, the second speaker discusses how increased time spend alone is key factor behind widows’ reduced well-being. The last study finds a northwest to southeast gradient in objective exclusionary states, with the rates in southeast Europe to be pronounced among older women.
HOME ALONE: WIDOWS' WELL-BEING AND TIME
Authors: Myck Michal , Adena Maja , Hamermesh Daniel , Oczkowska Monika
Published: December 2022

We provide a comprehensive picture of well-being in widowhood. Most importantly, our analysis accounts for time use in widowhood, an aspect which has not been studied previously. Based on data from several European countries we trace the evolution of well-being of women who become widowed by comparing them with their matched non-widowed ‘statistical twins’ and examine the role of an exceptionally broad set of potential moderators of widowhood’s impact on well-being. We confirm a dramatic decrease in mental health and life satisfaction after the loss of partner, followed by a slow recovery. An extensive set of controls recorded prior to widowhood, including detailed family ties and social networks, provides little help in explaining the deterioration in well-being. Unique data from time-diaries kept by older women from several European countries and the U.S. tell us why: the key factor behind widows’ reduced well-being is increased time spent alone.
GENDERED PATHWAYS AND OUTCOMES OF EXCLUSION FROM SOCIAL RELATIONS IN OLDER AGE
Authors: Pavlidis George , Hansen Thomas , Aartsen Marja , Motel-Klingebiel Andreas
Published: December 2022

Exclusion from social relations (ESR) in older age is associated with worse quality of life and adverse mental health outcomes. Recent evidence suggest that the perception of solitude and the evaluation of existing social networks modify the disadvantages of ESR among excluded older persons. This presentation takes a gender perspective on the topic, bringing together the quantitative evidence of the GenPath project. The results of the project suggest that over and above loneliness and objective ESR indicators, the perception of solitude and the evaluation of existing social relations modify the gendered risks of depression in older age. The findings also reveal a northwest to southeast gradient in objective ESR states, with the rates in southeast Europe to be pronounced among older women. It is concluded that objective and subjective factors at the micro and macro levels may shape gendered disadvantages among older persons who are challenged by ESR states.
THE DAILY LIFE OF HEALTHY AGING: CONSIDERING PERCEPTIONS, APPRAISALS, AND CONSEQUENCES
Authors: Hill Patrick
Published: December 2022

For decades, researchers have shown how individuals deal with both stressful and positive events is central to our understanding of healthy aging. Multiple studies have demonstrated that reactivity to daily events shapes our health and wellbeing, with the potential for compounding effects to cause greater hindrance by older adulthood. This literature also notes that individuals differ significantly in their appraisals, resources, and experience with stressors, leading to the need for multimethod research into the role that daily events play in adult development. The current series of talks will investigate these topics using a variety of methodologies, while considering multiple perspectives on the study of stress and wellbeing. First, Megan Wilson will consider the deleterious outcomes associated with a specific form of daily stressors, everyday experiences of discrimination, focusing on how daily discrimination may negatively impact adults’ sense of purpose in life. Second, Eric Cerino will discuss a collaborative effort that compares approaches to studying control beliefs at the dispositional and daily level, showing that researchers may benefit from considering daily stressor control as a construct unique from general beliefs. Third, Jessica Maras will also consider the role of perceptions, by examining how cognitive appraisals of stressful events impact future health outcomes. Fourth, Patrick Klaiber will present meta-analytic work that combines daily studies to consider whether the benefits of positive events on wellbeing differ by age. Taken together, these studies provide new insights into the daily life of healthy aging, and how it differs based on individual differences and stressor type.
CUMULATIVE DAILY DISCRIMINATION AS A RISK FACTOR FOR REDUCED PURPOSE
Authors: Wilson Megan , Ong Lydia , Pfund Gabrielle , Burrow Anthony , Sin Nancy
Published: December 2022

Past research shows that discriminatory experiences may reduce sense of purpose among older adults, though these associations are inconsistent across groups. Work is needed both to understand the nuanced role discrimination plays on individuals’ sense of purpose, whether it leads to feeling derailed from life goals, and if effects differ for younger versus older adults. The current study asked 354 American adults (age 19-74) to complete daily surveys over the course of two weeks, to examine whether experiencing discrimination during that two-week period led to a decline in purposefulness. Overall, findings suggest marked stability in sense of purpose during this short timeframe. However, greater daily discrimination predicted decreases in sense of purpose, and increases in derailment over the two weeks. While these associations were similar across age, older adults did report less discrimination at baseline. Findings will be discussed with a focus on successful aging among marginalized groups.
INTERGENERATIONAL SUPPORT EXCHANGES AND OLDER PARENTS' CARE RECEIPT AND EXPECTATIONS
Authors: Bui Cindy , Kim Kyungmin , Fingerman Karen
Published: December 2022

Distinguishing between support and care, this study investigated how different types of past support exchanges with children were associated with older parents’ care receipt and expectations. Older parents (N=190; Mage=79.98) reported on tangible, non-tangible, and childcare support exchanges with each of their adult children (N=709; Mage=52.69) in two waves of the Family Exchanges Study (2008 and 2013). Multilevel, within-family, logistic regression models were estimated. Parents with functional limitations more likely received care from children whom they received more tangible support from at the prior wave. Parents without current limitations more likely named children whom they previously provided childcare support to and received more tangible support from as their expected future caregiver. These findings emphasize continuity in the transition from receiving tangible support to receiving and expecting care from adult children. The importance of older parents’ childcare support given to adult children also highlights reciprocity in intergenerational care exchanges.
CHRONIC NEGATIVE SOCIAL TIES: IMPLICATIONS FOR EXPOSURE AND REACTIVITY TO DAILY SOCIAL INTERACTIONS
Authors: Birditt Kira , Turkelson Angela , Gonzalez Richard , Antonucci Toni
Published: December 2022

Negative relationships (i.e., irritating, demanding) predict poor well-being and daily processes may account for these links. This study examined longitudinal trajectories of negative ties and their links with daily social interactions and well-being. A total of 169 individuals ages 33 to 91 reported negative relationship quality (spouse/child/friend) in 1992, 2005, 2015, and 2018 and completed 4-5 days of surveys every three hours regarding positive and negative social interactions and negative affect. Latent class growth models revealed two trajectories of negative relationships (moderate-stable and low-decreasing). Individuals in the moderate-stable trajectory reported more frequent daily interpersonal tensions but no link with positive interactions. The link between negative relationship trajectories and daily negative affect was moderated by daily positive interactions such that the association was reduced when individuals had positive interactions. Thus, negative ties may increase exposure but not reactivity to daily tensions and daily positive interactions buffer the negative tie-well-being link.
CONNECTING MOBILITY AND SOCIAL PARTICIPATION IN OLDER ADULTS: A QUESTION OF CULTURE AND CLIMATE?
Authors: Jansen Carl-Philipp
Published: December 2022

The main aim of the project is to investigate the relationship between life-space mobility and social participation in older adults (65+) taking into account cultural and climatic differences across several European countries. A mixed-methods approach will be applied, combining sensor-based movement data, GPS-based geolocation data, and in-situ participant-reported information by use of experience sampling. This will allow a deeper insight into the connection of mobility and social participation taking into account different environmental and socio-cultural realities. Linkage of seasonal climate across different climate zones can help to extrapolate multi-faceted transformation of future mobility behavior of older adults under pressure of more extreme weather and climate conditions. This is of clinical relevance as there may be no “one size fits all” answer on how to best adapt to this pressure and it can be used to steer uptake and maintenance of health-enhancing mobility, social participation, and sustainable quality of life.
SOCIAL INTERACTIONS REDUCE ASSOCIATION BETWEEN LIFE-SPACE AND DAILY HAPPINESS IN OLDER ADULTS WITH AND WITHOUT HIV
Authors: Kamalyan Lily , Yang Jiue-An , Pope Caitlin , Paolillo Emily , Campbell Laura , Tang Bin , Depp Colin , Moore Raeanne
Published: December 2022

Objective

We used global positioning system (GPS) derived indicators and ecological momentary assessment (EMA) to assess real-time relationships between life-space, mood, and social interactions among older adults with and without HIV.

Methods

Participants (People with HIV [PWH] n=54, HIV- n=34) completed smartphone-based EMA surveys assessing mood and social interactions four times/day for 14-days. Participants’ smartphones were GPS enabled. Mixed-effects models analyzed concurrent and lagged associations among life-space and mood.

Results

PWH spent more time at home (79% vs 70%, z=-2.08; p=.04) and reported lower mean happiness (3.2 vs 3.7; z=2.63; p=.007). More daily social interactions were associated with higher ratings of real-time happiness (b=0.12; t=5.61; p< 0.001). Prior day social interactions (b=0.15; t=7.3; p<.0001) and HIV status (b=-0.48; t=-2.56; df= 1026.8; p=0.01) diminished the effect of prior day time spent at home on happiness.

Conclusions

Interventions targeting social interaction may help increase positive mood in isolated older adults.
BENEFICIAL EFFECTS OF CONTACT WITH OLDER ADULTS FOR AGE STEREOTYPES AND SELF-VIEWS OF AGING
Authors: Hess Thomas , Graf Sylvie , Liou Shyhnan , de Couto Clara Paulo , Fung Helene , Nikitin Jana , Rothermund Klaus , Cohn-Schwartz Ella
Published: December 2022

Intergenerational contact is beneficial for improving attitudes toward older people, including age stereotypes (AS). To date, however, research on the topic has focused on younger adults (intergenerational contact), overlooking the possible perks for older adults themselves (contact with same-age peers). The current study investigated the association between contact with older adults and views of the self in old age (VSOA) among younger and older adults in a domain-specific way. The sample comprised younger (39-55 years, n = 1,012) and older (65-90 years, n = 1,344) adults from the Ageing as Future international study. Findings indicated that contact with older adults was related to more positive VSOA and this was partly mediated by AS. These relations were stronger for older adults, indicating that interactions with other older adults may help favorably shape how older adults view their ingroup and aging. Beneficial effects emerged mostly in the friends and leisure domains.
BUILDING OUR LARGEST DEMENTIA (BOLD) INFRASTRUCTURE FOR RISK REDUCTION
Authors: Holt Heidi , Whalen Laura , Garbarino Lisa
Published: December 2022

The Building Our Largest Dementia (BOLD) Infrastructure for Alzheimer's Act (PL115-406) supports public health agencies to develop a uniform dementia infrastructure across the US. Applying a robust public health approach to ADRD that emphasizes data driven decision-making and action along with primary, secondary, and tertiary prevention strategies (e.g., risk reduction, early diagnosis, linkages to treatment and care, and the prevention and management of comorbidities leading to preventable hospitalizations and poor health outcomes) for persons living with dementia and their caregivers. Recipients of the BOLD Public Health Programs funds are expanding jurisdiction Dementia coalitions, updating, or creating Dementia Strategic Plans, and implementing strategies from those plans that address a wide variety of life-course strategies for brain health and dementia, including risk reduction. This presentation will explain how risk reduction is integrated and provide examples of several activities being planned and implemented by recipients.
SKELETAL MUSCLE MITOCHONDRIAL PHYSIOLOGY IN CHILDREN WITH CEREBRAL PALSY: CONSIDERATIONS FOR HEALTHY AGING
Authors: Dayanidhi Sudarshan
Published: December 2022

During healthy aging, there is an overall decline in mitochondrial activity and abundance, increase in mitochondrial DNA mutations, increase in oxidative stress, and reduction in overall muscular capacity. Individuals with cerebral palsy (CP) have significantly increased energetics of movement, reduced endurance capacity, and increased perceived effort. We will cover the results of recent work in muscles in ambulatory children with CP that show a marked reduction in mitochondrial function. Muscles show that mitochondrial protein content and DNA copy number are lower, suggesting a reduction in mitochondrial abundance, along with a reduction in markers for mitochondrial biogenesis. Gene expression networks are reduced for glycolytic and mitochondrial pathways and share similarities with gene networks with aging and chronic inactivity. Given the importance of mitochondria for energy production and changes with aging, ongoing efforts are needed to assess changes in mitochondria across the lifespan in people with CP.
THE FORMULA FOR CARDIOVASCULAR HEALTH AND WELL-BEING IN ADULTS WITH CEREBRAL PALSY
Authors: McPhee Patrick
Published: December 2022

Persons with cerebral palsy (CP) have mobility limitations, heightened sedentary behavior, and are at increased risk for cardiovascular disease (CVD). Dr. McPhee will cover his innovative work to develop a core outcome set for cardiometabolic disease risk assessment in adults with CP, and will further discuss recent findings from ongoing work pertaining to novel CVD risk indicators showing accelerating cardiovascular aging in CP. Dr. McPhee will also present recent work on the role of exercise, sleep, and healthy nutrition in the context of healthy aging for individuals with CP across the lifespan.
COHORT DIFFERENCES IN SOCIAL TIES TO FAMILY AND FRIENDS
Authors: Choi Won , Waite Linda
Published: December 2022

Dramatic changes in family life may have altered the structure and quality of social ties to family and friends. However, little is known about whether and how social relationships vary between older adults from different cohorts. Using data from the National Social Life, Health, and Aging Project, we compared social network composition and social support between older adults at ages 57 to 67 from the Silent Generation cohort (N=2,316) and the Baby Boom cohort (N=1,500). Compared with the Silent Generation cohort, the Baby Boom cohort had significantly higher odds of not listing any kin in their core discussion network. There were no cohort differences in proportion of friends in the network. The Baby Boom cohort also reported lower levels of family and friend support than their counterparts. Results suggest that the Baby Boom cohort is more socially disconnected from friends and particularly family compared with the Silent Generation cohort.
INCREASING TECHNOLOGY ACCESS TO FOR UNDERSERVED COMMUNITIES: CATCH-ON CONNECT
Authors: Emery-Tiburcio Erin , Wang Siqi , Reaves Steven , Castaneda Salvador
Published: December 2022

Many older adults from underserved communities do not have access to technology or a reliable internet connection. Even when access is not an issue, older adults often find technology challenging. CATCH-ON Connect provides community-dwelling adults age 65+ with cellular-enabled tablets with pre-installed apps to enable them to reduce social isolation and engage in telehealth visits. This program also provides personalized technical assistance and education about accessing electronic health records and the 4Ms. For example, participants are encouraged to address the 4Ms during telehealth visits. Among 139 participants enrolled, 51% were non-Hispanic Black, 30% non-Hispanic white, 13% Hispanic, and 7% other. Willingness to engage in telehealth appointments increased 9% (p<.05), discussions with primary care providers about mobility increased by 13% (p<.001), and loneliness scores decreased by 0.6 (p<.05) in the first three months of participation. Implementation and policy implications for ongoing technology device and training services will be discussed.
COST OF US EMERGENCY DEPARTMENT AND INPATIENT VISITS FOR FALL INJURIES IN OLDER ADULTS: 2016–2018
Authors: Reider Lisa , Falvey Jason , Okoye Safiyyah , Levy Joseph
Published: December 2022

Falls are a leading cause of injury among older adults. While numerous studies have estimated the economic burden of falls, how health care spending varies by sociodemographic and injury factors is not well understood. The purpose of this study was to describe the average annual frequency of emergency department and inpatient visits and associated costs for fall injuries among older adults in the United States and identify factors associated with higher cost using data from the 2016-2018 National Inpatient Sample and National Emergency Department Sample. The study cohort included encounters with an ICD-10 external cause of injury code for fall (W00-W19). Number of visits was computed using survey weights. Direct visit cost was estimated from charges, applying cost-to-charge and professional fee ratios. On average, an estimated 2.7 million (95%CI: 2.5-2.9) fall-related ED visits and 1.1 million (95%CI: 1.1-1.2) inpatient visits occurred annually. The annual average cost was $1,105 (95%CI: $1,083-$1,127) per ED visit and $18,047 (95%CI: $17,905-$18,189) per inpatient visit totaling $22.9 billion annually. Higher inpatient cost was associated with age (65-74: $20,258 vs 85+: $16,183), gender (men: $19,541 vs. women: $17,181), and race (White: $17,570 vs. Black/Hispanic: $19,602); higher ED cost was associated with age (65-74: $1,009 vs. 85+: $1,198) and dementia diagnosis ($1,369 vs. $1,073). Fifty five percent of inpatient and 25% of ED visits were for fracture which had higher cost compared to sprains, dislocations, and superficial injuries. Results indicate growing number of fall-related admissions and costs underscoring need for targeted prevention and intervention strategies.
HOW ARE MULTIPLE CHRONIC CONDITION COMBINATIONS DIFFERENTIALLY ASSOCIATED WITH HEALTH SERVICE USE?
Authors: Ogletree Aaron , Katz Benjamin
Published: December 2022

A growing body of literature describes important advances in the study of chronic conditions, most notably a paradigm shift from the study of individual chronic conditions to the study of multiple chronic conditions (MCCs). Despite these advances, little research has explored MCC combinations, and almost no published research has explored how MCC combinations are related to health service utilization. Using data from the 2018 wave of the Health and Retirement Study, we categorized 16,447 older adults into one of 32 groups using self-reports of five prevalent chronic conditions: arthritis, diabetes, heart problems, hypertension, and respiratory problems. ANOVAs assessed associations between MCC combinations and two self-report measures of health service use: (1)number of medical visits, including emergency room visits, clinic visits, and house calls; and (2)total out-of-pocket costs for major medical expenses. Results show that older adults with more conditions had a greater number of medical visits (p< 0.0001). The pattern between total number of conditions and out-of-pocket costs is less clear, though still varied significantly (p< 0.01). Findings demonstrate variability in outcomes among MCC combinations with the same total number of conditions. Those in the Heart-Hypertension-Respiratory group averaged 9 medical visits while those in the Arthritis-Diabetes-Heart group averaged 16. Adults in the Diabetes-Heart group averaged $2,546 in out-of-pocket costs, which is nearly double the costs reported by the Diabetes-Hypertension group ($1,254). Findings highlight complex associations of MCC combinations with health service use, and can inform resource allocation, policy priorities, and care planning among providers serving older adults with MCCs.
POPULATION TRENDS IN HEALTHCARE USE BY MEXICAN ADULTS AGED 60 AND OLDER WITH AND WITHOUT COGNITIVE IMPAIRMENT
Authors: Downer Brian , Castro Jose Eduardo Cabrero , Wong Rebeca
Published: December 2022

Government policies that have greatly expanded health insurance coverage in Mexico have taken place in the context of rapid population aging and an increasing number of older adults living with cognitive impairment. We used data from the Mexican Health and Aging Study to investigate population-level trends in self-reported healthcare use by cognitive status in 2001, 2012, 2015, and 2018. Healthcare measures included having an outpatient procedure, any doctor visits, staying >1 nights in the hospital, and screenings for high cholesterol, diabetes, and hypertension. All outcomes were dichotomized as yes/no. The sample sizes included 6179 (2001), 8924 (2012), 9429 (2015), and 8916 (2018) participants aged 60 and older who completed a direct interview (total N=33,448). Participants with cognitive impairment were identified using five cognitive assessments (2001 n=1000; 2012 n=1273; 2015 n=1467; 2018 n=1372). Generalized estimating equations that adjusted for demographic characteristics and self-reported health conditions were used. The adjusted odds of having spent >1 night in the hospital, outpatient procedures, any doctor visits, and preventive screenings were significantly higher in 2012, 2015, and 2018 than in 2001 regardless of cognitive status. Overall, participants with cognitive impairment had significantly higher adjusted odds for >1 nights in the hospital (OR=1.31, 95% CI=1.20-1.42), but significantly lower odds for any doctor visits (OR=0.81, 95% CI=0.75-0.88), outpatient procedures (OR=0.70, 95% CI=0.57-0.85), and preventive screenings for high cholesterol (OR=0.75, 95% CI=-.70-0.81), diabetes (OR=0.78, 95% CI=0.72-0.85), and hypertension (OR=0.76, 95% CI=0.70-0.82). These results are important to understanding the healthcare needs of Mexico’s growing older adult population.
A KNOWLEDGE USERS' PERSPECTIVE; CONSTRUCTING MEANINGFUL PARTNERSHIPS AT THE IMPLEMENTATION SCIENCE PROJECT
Authors: Lalji Kahir
Published: December 2022

Objective

United Way of British Columbia (UWBC) mission is to strengthen community capacity to address social issues for British Columbians. We use the Community-based Seniors’ Services (CBSS) sector framework to promote healthy aging within the community. Our mission in Population Health is to keep older adults active, connected, and engaged. Assistive technology is very relevant to connect and support older adults. Over the past few years, the development of innovative assistive technologies (ATs) has gained significant momentum and is viewed as an important potential contributor to enhancing healthy ageing and living in place.

Methods

This project uses a Community-Based Participatory Action Research approach focusing on broader stakeholder engagement to enlist with a large array of knowledge users in participatory, collaborative action research processes. As a knowledge-user for this project, we have participated in monthly advisory committee and expert panel meetings and have participated on key team discussions.

Results

We have actively facilitated the development of effective and meaningful partnerships between the academic research community and UWBC and its partner organizations. This partnership has strengthened the capacity for implementation research and the potential for improved outcomes vis-à-vis our healthy ageing mandate in BC.

Conclusions

The UWBC will benefit from the outcomes from this study. We aim to disseminate the research results across our vast network of community organizations through the Collaborative Online Resources Education (CORE) initiative. Additionally, through our work with policymakers, we will support the equitable deployment of ATs to older adults and their caregivers in BC.
AN AGE-FRIENDLY UNIVERSITY INITIATIVE: EMERITI PROFESSORS' INTEREST IN INTERGENERATIONAL ACTIVITIES
Authors: Gautam Ramraj , Melillo Karen Devereaux , Sritan Sarawut , Khumrungsee Montri
Published: December 2022

The Age-Friendly University (AFU) Climate Survey (in collaboration with UMass Boston) in 2019 identified the need to engage the University’s own emeriti professors; this need reflects the AFU Principle 9. The objective of this study was to explore emeriti professor’s perspectives and areas of interest in intergenerational activities. After IRB approval, an online Qualtrics survey was sent to 315 emeriti professors. Eighty-six (27.3%) participants responded to the survey. About 60% reported interest in guest lecturing either online or face-to-face, and 48% reported interest in sharing retirement experiences with students. In addition to descriptive statistics this paper will present the analysis of open-ended questions relating to intergenerational education, research, service activities and their interest in establishing an emeriti association as a venue to connect with the University. The AFU principles will be discussed in the context of engaging emeriti professors in intergenerational relationships benefiting both students and the University.
THE AGE-FRIENDLY DREXEL PILOT GRANT PROGRAM: A GRASSROOTS APPROACH TO THE AGE-FRIENDLY UNIVERSITY MOVEMENT
Authors: Clark Katherine , Gitlin Laura , DiMaria-Ghalili Rose Ann
Published: December 2022

In January 2022, Drexel University’s AgeWell Collaboratory launched the Age-friendly Drexel Pilot Grant Program to catalyze university-wide knowledge about and projects that will establish our campus as a lifelong community. This suite of funded initiatives includes faculty, staff and students from seven different colleges, each focusing on different components of the 10 AFU principles. We sought out projects that: create learning environments that disrupt ageism; highlight the intersectionality of aging, race, ethnicity and health disparities; foster intergenerational connectivity; and innovate through research. Awarded projects are now increasing access to campus buildings through a design charrette; inventorying university wellness and recreational services to be offered to older community members, alumni, and retirees; developing novel intergenerational courses and experiences abroad through virtual reality, memoir writing and product design; adding older adults to existing community engagement programming; and addressing the technology divide. This presentation will cover the design, implementation, and challenges of this program.
DIFFERENCES IN HEALTH TRAJECTORIES BETWEEN CANCER SURVIVORS AND NONCANCER OLDER ADULTS
Authors: Ye Minzhi , Kahana Eva , Deimling Gary , Perzynski Adam , Stange Kurt
Published: December 2022

The current study addresses how cancer and aging influence older adults' health trajectories differently. The unique cross-sequential design allowed the study to compare the health changes between long-term (5 years +) older cancer survivors (breast, prostate, and colorectal cancer) and demographic-matched older adults without a history of cancer in the same geographic area within the same period by merging two longitudinal studies. The study also captured comprehensive information on health disparities over time. General linear models were employed. The findings showed that neither previous cancer experience nor aging affects health trajectories in later life. Conversely, comorbidities, being African American, female, having less than a college degree, and living alone significantly decreased the health trajectory in later life for all older adults. Moreover, when compared to other groups, older African American cancer survivors reported low scores in self-reported health after controlling for other conditions.
USING NATURALLY OCCURRING QUALITATIVE DATA IN GERONTOLOGICAL CANCER RESEARCH
Authors: Halpin Sean , Konomos Michael
Published: December 2022

Cancer therapies for older adults have accelerated at breakneck speed in the last few decades, necessitating evaluation of their delivery and uptake to ensure patients receive their maximum benefit. Among the vast array of evaluation tools available, those utilizing naturally occurring data—data produced without intervention from a researcher—are a powerful but underused tool. In this presentation, we will review two methods for examining naturally occurring data, participant observation and conversation analysis (CA), in an educational intervention study of multiple myeloma patients receiving autologous stem cell transplant. First, we will review how participant observation of nurse-led education visits (n=70) was incorporated to iteratively improve video-based education. Next, we will review use of CA in reviewing audio recordings containing reference to the education videos of 12 nurse-led education visits (1011 minutes of audio). Ultimately, understanding the purposes of and ways of using naturally occurring data have potential for improving the evaluation of patient education.
DISCUSSING AND DELIVERING THE COVID-19 VACCINE: EXPERIENCES IN VA'S HOME BASED PRIMARY CARE PROGRAM
Authors: Wyte-Lake Tamar , Gillespie Suzanne , Manheim Chelsea , Dobalian Aram , Haverhals Leah
Published: December 2022

COVID-19 vaccines represented a new type of vaccination with specific logistical challenges for distribution and administration. As the Department of Veterans Affairs (VA) embarked on a campaign to vaccinate its Veterans, homebound Veterans presented unique challenges. Therefore, we studied how VA’s Home Based Primary Care (HBPC) teams vaccinated Veterans to inform best practices for future vaccination efforts for similar vulnerable populations. From March-May 2021, we fielded a survey to HBPC staff at 145 VA programs nationally, gathering insights from 73 teams. Findings highlighted the importance of vaccine communication and education; the need to prioritize HBPC Veterans receiving vaccines; ironing out vaccine distribution and administration logistics; and that internal and external structures were required to safely vaccinate Veterans in-home.
DOES LOSS OF A LOVED ONE TO COVID-19 MODERATE THE ASSOCIATION OF LONELINESS AND MENTAL HEALTH AMONG OLDER PUERTO RICANS?
Authors: Morgan Matthew , Kim Seon , Becker Todd , Buckley Thomas
Published: December 2022

Loneliness is a well-established risk factor for poor mental health. During COVID-19, loneliness and mental health have been exacerbated by widespread disease-related mortality, suggesting that loss of a loved one may influence this relationship. Using data from 187 older adults in Puerto Rico, we assessed the association between loneliness and mental health and the potential moderating role of loss. Moderated multivariable linear regression results indicated that loneliness was significantly, positively associated with mental health (B = 1.58, p < .001). Although loss due to COVID-19 was not significantly associated with mental health (p = .473), it did moderate the relationship between mental health and loneliness (B = −1.00, p = .048). The lack of significant association of loss and mental health contrasts with previous research on COVID-19 and warrants further investigation. Nevertheless, the statistically significant interaction suggests that grief should be considered when assessing individual and community support during the pandemic.
SELF-DIRECTED CARE IN HOME-BASED LONG-TERM CARE DURING THE PANDEMIC: POLICY AND PRACTICE IMPLICATIONS
Authors: Wendel-Hummell Carrie , LaPierre Tracey , Sullivan Darcy , Babitzke Jennifer , Swartzendruber Lora , Olds Danielle
Published: December 2022

The COVID-19 pandemic highlighted strengths and challenges of the self-directed care model for home-based long-term care. We discuss policy and practice implications drawing on interviews with over 50 home-and-community-based-services consumers, caregivers, workers, and providers in Kansas. Low-pay, lack of benefits, rising wages in competing sectors, enhanced unemployment and COVID-19 concerns exacerbated workforce shortages that compromised consumer safety and well-being. The lack of budget authority for self-directed consumers in Kansas limited their ability to address these issues. Furthermore, the self-directed model was excluded from emergency funding sources that would have enhanced pay and benefits for workers, including sick pay for quarantine, pointing to the need for targeted funding. Emergency flexibility allowing paid family caregivers addressed care needs for some but is temporary and should be expanded. In the managed care model, MCOs still kept their capitated payment despite significant unfilled care hours, and thus pay-for-performance incentives need to be revisited.
THE EXPERIENCE OF SUBJECTIVE AGE DURING EVERYDAY LIFE
Authors: Touron Dayna , Hughes Matthew
Published: December 2022

Empirical work has shown that subjective age is susceptible to momentary fluctuation throughout the day, and in certain contexts like challenging cognitive evaluations. We propose and test a contextual model that describes how momentary experiences impact subjective age, which in turn impacts daily activities and well-being. Using an experience sampling approach, 200 participants were asked to complete 6 surveys per day for a week. Questions asked about the task they were engaged in, including mental, physical and social engagement, challenge, motivation, confidence, and enjoyment. Participants also completed a manipulation of mental challenge and reported their momentary subjective age. Preliminary multilevel models show that certain momentary factors, such as whether participants were enjoying a task or found the task engaging, predict fluctuations in subjective age. We will also discuss moderators, subjective age domains, time of day effects, and the cross-lagged influence of cognitive stressors over time.
BREAKING GROUND IN TRANSLATIONAL GEROSCIENCE: FROM BIOMARKERS TO CLINICAL TRIALS
Authors: Justice Jamie
Published: December 2022

The geroscience hypothesis posits that common biological mechanisms of aging drive susceptibility of aged individuals to functional decline, multi-morbidity, and death. The promise of geroscience is that some of these mechanisms may be intervenable, thereby preventing or delaying declines, and providing new therapeutic opportunities for hard-to-treat chronic diseases. This is supported by specific examples of translational research models, and interventions that are at the point of entering human clinical trials. This award presentation will review how we are reimagining existing resources and creating new translational frameworks to test the geroscience hypothesis in humans.
SEX DIMORPHISM IN AGING
Authors: Benayoun Bérénice
Published: December 2022

In this symposium, the speakers will discuss how sex can influence aging trajectories using complementary perspectives and approaches across multiple biological scales and systems. Indeed, accumulating evidence across species has revealed that aging is a highly sex-dimorphic process. On the one hand, women outlive men consistently across populations, and most supercentanarians are women. On the other hand, especially after the onset of menopause, women are at increased risk for most age-related diseases (e.g. Alzheimer’s disease, osteoporosis, etc.). However, the molecular pathways underlying such sex-differences in aging and longevity are still largely unexplored and poorly understood. Dr. Austad will discuss how compatibility between the mitochondrial and nuclear genomes during aging is influenced as a function of sex. Dr. Dubal will discuss the impact of sex chromosome complement on cognition with aging in mouse models, and how sex chromosomes may underlie sex-differences in brain aging. Dr. Ucar will discuss work from her lab revealing that the genomic signatures of immune aging in humans are specific to sex. Finally, Dr. Benayoun will discuss how aging of innate immune cells (e.g. macrophages or neutrophils) is regulated by the female vs. male milieu, with sex-specific age-related trajectories remodeling the immune compartment in mice.
INCREASING RISK FOR ELDER MISTREATMENT? A QUALITATIVE STUDY OF CAREGIVER EXPERIENCES DURING COVID-19
Authors: Marnfeldt Kelly , Estenson Lilly H , Marinez Julia , Gassoumis Zach , Wilber Kathleen
Published: December 2022

Family caregivers (CGs) of community-dwelling older adults faced unprecedented psychosocial challenges in the face of the COVID-19 pandemic. Social isolation, lack of social support, truncated care networks, financial hardship and other factors put many older adults at risk for elder mistreatment (EM). Even in normal times, incidents of EM are only identified and formally reported in about one out of every 24 cases. Social distancing restrictions in the caregiving context, including decreased access to healthcare providers, rendered older adults with higher dependency needs inordinately vulnerable to abuse and neglect. We collected qualitative data on the experiences of 24 CGs receiving telephonic support sessions between March 2020 and February 2021. Data from 100 distinct post-session case notes were analyzed using thematic content analysis to generate codes and themes. Caregivers reported rapid deterioration of care receiver’s (CRs) physical health, resulting in higher levels of dependency. Declines in mental health and cognitive impairment, including behavioral issues, were an indicator of stress for both CR and CG. CGs reported lack of access to services and social supports, fractured care networks, and increased feelings of isolation. Preliminary content analysis indicates that serious risk factors for EM were present across all 13 months of the study, and those risk factors continued or worsened over time. Findings suggest that the unintended consequences of the public health response to COVID-19 may have amplified the risk for EM in vulnerable community-dwelling older adults.