bluuebunny/crossref_metadata_2025 huggingface dataset:
A DISCUSSION ON THE STATE OF AFFAIRS ON DIRECT ACTION TO SUPPORT OLDER ADULTS DURING DISASTERS
Authors: Haverhals Leah , Dosa David
Published: December 2023

As the frequency and severity of disasters increases, supporting older adults before, during, and after disasters is paramount. Steps toward adequate disaster preparedness include ensuring older adults possess awareness of increased disaster and hazard events and understand their role in preparedness. This symposium will address the current state of affairs in the United States (US) on direct actions to support older adults before, during, and following major disasters. Additionally it will provide context on how continuing effects of climate change impact these efforts. Dr. Lisa Brown will share perspectives and describe efforts of the US National Advisory Committee on Seniors and Disasters. Dr. Sue Anne Bell will discuss the role of implementation science in improving the emergency preparedness in nursing homes. Dr. Lindsay Peterson will describe existing state policies around home and community-based service providers. Dr. Tamar Wyte-Lake will share directions the Department of Veterans Affairs is moving in to best support vulnerable populations, focusing on older Veterans. Dr. Karl Pillemer will address the role of older adults as active agents in climate change prevention and mediation. Dr. David Dosa will act as discussant. These presenters will provide important insights into ongoing efforts while highlighting areas in need of improvement and aligned action, with the hopes that this will generate important discussions well into the future. This is a Disasters and Older Adults Interest Group Sponsored Symposium.
CARING FOR PATIENTS IN ACUTE CARE LIVING WITH DEMENTIA: WHERE WE ARE AND WHERE WE NEED TO GO
Authors: Resnick Barbara
Published: December 2023

There are many challenges to caring for older adults living with dementia when hospitalized including medication management, pain identification and management, behavioral symptoms associated with dementia, and sedentary behavior. To help staff, particularly the nurses providing care to these patients, we developed Function Focused Care for Acute Care using the Evidence Integration Triangle (FFC-AC-EIT) to best address increasing physical activity, pain assessment and management, appropriate use of medications and management of behavioral symptoms associated with dementia. FFC-AC-EIT includes the implementation of four steps: (1) Environment and policy assessments; (2) Education of staff; (3) Establishing patient goals; and (4) Mentoring and motivating of staff, patients, and families. The testing of FFC-AC-EIT is ongoing as a cluster randomized controlled trial that to date has included 365 patients from 10 hospitals randomized to FFC-AC-EIT or FFC-AC-Education only. Eligibility of patients is based on being 55 years of age and older, admitted for a medical reason excluding COVID-19, and demonstrating evidence of dementia. This symposium will address the care and changes that occur during the hospital stay for these participants. Specifically, the following areas will be addressed: psychotropic medication use, participation in function focused care, the impact of physical activity on behavioral symptoms associated with dementia, and treatment of pain. The findings can be used to help guide researchers and clinicians in optimal ways to address the common challenges to care of hospitalized patients living with dementia. Presenters will provide information about future work needed to improve care across each of these areas.
SAN ANTONIO TRANSPORTATION PLANNING SYSTEM: MAPPING INFRASTRUCTURE CAPACITY AND COORDINATION
Authors: Keyes Laura , Balachandran Sowmya , Andrew Simon
Published: December 2023

Ride Connect Texas and its partnering agencies seek to develop an expanded senior mobility management system supported by a One Call One Click transportation planning system. Its purpose is to enhance on-demand transportation system coordination and the application of technology, providing consumers, service providers, and mobility managers with direct access to comprehensive transportation information. GIS mapping is used to help develop a spatial awareness of the transportation challenges among older people and individuals with a disability and the current system capacity. Interviews with transit, non-transit, and health and human service agencies will reveal factors that influence coordination among providers and opportunities for capacity expansion. Surveys and focus groups of older adults and individuals with disability will show differentiating characteristics of riders and transportation needs and challenges. GIS mapping will allow us to geocode these findings relative to the user’s street address and zip code, illustrating variations in specialized client needs, service availability, travel behavior, and available amenities for basic daily living. Mapping will identify gaps in transportation services, hot zones revealing high user demand and low system capacity, and the ability to reduce fragmentation of service through seamless technology-based coordination. The mapping element informs the measurement of a community’s transportation system capacity for this user group. The value proposition of this tool is its ability to help any community measure its readiness toward developing a comprehensive implementation strategy for coordinated demand response transportation, including resource mobilization strategies, capacity augmentation, phasing of the system, and implementation timeline.
PERCEIVED BARRIERS AND SOCIOCULTURAL FACTORS OF ADVANCE CARE PLANNING AMONG CHINESE AMERICAN OLDER ADULTS
Authors: Zhang Peiyuan , Sun Fei , Hirsch Jen
Published: December 2023

Despite documented benefits of advance care planning (ACP), persistent racial and ethnic disparities exist in ACP engagement. This study, guided by a social ecological model, examined perceived barriers and sociocultural factors associated with informal ACP conversations among Chinese American older adults. A purposive sample of 281 community-dwelling older Chinese Americans aged 55 years or older in Arizona and Maryland completed a survey in 2018. The average age of participants was 77.8 (SD = 9.4) and the average number of years living in the U.S. was 24.9 years (SD = 13.4). Most participants were first-generation immigrants (94.7%) and reported Chinese as their primary language (91.8%). About 26.5% of participants had ACP conversations with family. Hierarchical logistic regression results suggest that more perceived barriers were associated with lower odds of ACP conversations (OR = 0.87, p < 0.01). Sociocultural factors were associated with greater odds of ACP conversations, including more years in the U.S. (OR = 1.04, p = 0.02) and English language proficiency (OR = 11.85, p = 0.02). Social support had a significant moderation effect (b = -.01, p < 0.01), indicating a larger effect of perceived barriers on ACP conversations among those with lower social support. Findings highlighted the importance of language services, translated informational materials, and social support in facilitating ACP discussions among Chinese American older adults. Community-based ACP facilitators who have both language skills and cultural competence may be particularly beneficial in engaging this population. Effective ways to reduce barriers to ACP at various levels are needed.
HELPING KOREAN AMERICAN OLDER ADULTS THROUGH EDUCATION, RESOURCES, AND VOLUNTEERING: A CASE STUDY OF SOMANG SOCIETY
Authors: Cassidy Jessica , Shin Hye-Won , Lee Kathy
Published: December 2023

Many community organizations serving Korean Americans lack culturally or linguistically tailored services for end-of-life care. Subsequently, Korean American older adults often lack understanding of end-of-life care, particularly advance care planning and hospice. Somang Society is a nonprofit organization serving Korean American older adults and their family caregivers with a mission to promote healthy aging, dignity in later life, and a meaningful death. This study details how Somang Society utilizes education, resources, and volunteer programs to increase the awareness of end-of-life issues among Korean American older adults. The organization provides two distinct community education and volunteer trainings regarding (1) end-of-life care planning program and (2) older adults living with dementia and their family caregivers. They provide community education and volunteer trainings in Korean and expect the volunteers to educate others in the community about the importance of healthy aging, dementia, and advanced care planning. As a result, 15,717 Korean American seniors have filed a living will and advance healthcare directives as of February 2023. In addition, Somang Society emphasizes the importance of whole-body donation for training medical students and healthcare professionals. As a result, 2,134 Korean American seniors have donated or registered for the UCI Willed Body Program through Somang Society since 2008. To further disseminate their programming, the organization actively uses social media to educate Korean Americans on these issues. Their YouTube channel analytics indicate the viewers’ positive responses and the potential impact technology usage can have for sharing education with this hard-to-reach population.
TRANSITION AND STABILITY OF PLACE AND AGING IN LATER LIFE: HOUSING AND NEIGHBORHOOD CONTEXTS
Authors: Oswald Frank , Schmidt Steven , Cutchin Malcolm
Published: December 2023

Transition and stability in housing and neighborhood contexts reflect both, a central field of research and policies on place and aging for health and well-being in later life. Studies have demonstrated effects of improving the physical environment, particularly with respect to specific needs, such as for people living with dementia. Moreover, relationships between perceived housing and health and well-being on the one hand and life transitions and health and well-being on the other hand have been addressed. However, research on complex interactions of place and transitions in later life is scarce. This symposium aims to address the dynamic relationship between transition and stability of place and aging in later life in relation to indicators of good ageing. The first contribution by Eriksson and colleagues presents quantitative results on the relationships between perceived housing and changes in health and well-being over time among community-dwelling Swedish older adults. Second, Kylén and colleagues present quantitative data describing which housing preferences are most important when considering relocation in older age. The third contribution by Slaug and colleagues uses a quantitative approach to qualitative interview data from Sweden and Germany, analyzing sequences of and relationships between life transitions over 10 years. Fourth, Chaudhury and colleagues show data that aims to identify spatial and temporal patterns in activities undertaken outside home by people living with dementia, and ways in which the neighborhood-built environment affects their outdoor mobility and social participation. Finally, Malcom P. Cutchin will serve as the session’s discussant.
HOUSING ATTRIBUTE PREFERENCES WHEN CONSIDERING RELOCATION IN OLDER AGE
Authors: Kylén Maya , Slaug Björn , Iwarsson Susanne , Dahlgren David , Bjork Jonas , Zingmark Magnus
Published: December 2023

For the last decades, interdisciplinary researchers have studied housing preferences of various groups in the population. To contribute to knowledge on the needs and preferences of the aging population we have established a cohort (N=1,509) of adults, 55 years or older, who are considering relocation. The baseline survey included questions on the current housing situation and preferences regarding future housing alternatives. The aim was to investigate preferred housing attributes when considering relocation and whether such attributes differed depending on the type of housing participants wanted to move to. Preliminary results show that having a balcony/patio was rated as most important (84%), with significant differences between men and women. Leisure activities and/or social gatherings initiated by the landlord was the least important (1.5%). Differences in preferred attributes were found between those wanting to move to privately-owned housing (e.g., villa), where having a garden (81%) or a view (57%) were the most important attributes, and those wanting to move to an apartment, where having a balcony (86%) or lift (72.6%) were deemed most important. We expect that the longitudinal follow up of the cohort will contribute with new knowledge on housing preferences among people in later life. Such knowledge is important to inform and inspire planners and policymakers to develop more age-friendly communities, including housing options that better meet the needs of this segment of the population.
LEVERAGING THE COMMUNITY AS PARTNERS TO ADVANCE CANCER RESEARCH IN SOCIALLY DIVERSE OLDER ADULT POPULATIONS
Authors: Grant Shakira
Published: December 2023

Older Black adults with cancer suffer a “double disadvantage” to their health due to the compounding effects of ageism and racism. This “double disadvantage” further fuels the disparities in cancer-related mortality observed for this population. For example, multiple myeloma (MM) is an incurable and debilitating blood cancer that predominantly affects older Black adults. Despite overall improvements in MM-related survival observed following the introduction of novel therapies, older Black persons with MM continue to die at twice the rate of their White counterparts. This survival gap is largely driven by differential healthcare access and disappears when older Black adults are given equal access to care. Using MM as a chronic disease model, we are partnering with a community advisory board to design and pilot test a community lay navigator program that seeks to address some of the upstream determinants of healthcare access that limit how older Black adults newly diagnosed with MM perceive the need for, seek, reach and engage with the healthcare system. Through our foundational qualitative work focused on older North Carolinians (patients and caregivers) affected by MM, we have identified the following multilevel (individual, interpersonal, and community level) intervention targets: trust, knowledge and health beliefs, availability and adequacy of social support, and patient empowerment. In addition, we are leveraging the resources of an established core (Rapid Case Ascertainment) housed within our Comprehensive Cancer Center and linked to the statewide N.C. Central Cancer Registry to facilitate early identification of eligible participants (within 4-8 weeks of diagnosis) and patient outreach.
WHAT CAN OTHER DEMENTIA CARE SETTINGS LEARN FROM GREEN CARE FARMS? AN EXPLORATION OF THEIR FUNCTIONS AND FORMS
Authors: Rosteius Katharina , de Boer Bram , Steinmann Gijs , Verbeek Hilde
Published: December 2023

Green Care Farms (GCFs) are an innovative long-term care alternative in dementia. They aim to better meet residents’ needs by integrating nature and animals into daily life. This study explores the functions of GCFs and possible forms of realizing them in practice. A multiple case study using ethnographic methodology was conducted on two sites: one original GCF established for seven years and one regular nursing home redesigned and recently opened aiming to apply GCF characteristics. Participatory observations (n=58), interviews (n=64), a focus group, an environmental assessment and expert panels were conducted. Six functions of GCFs were identified, crucial for the successful execution of their innovative vision in practice: providing opportunities for purposeful activities, stimulating residents, creating a community, sharing responsibilities, integrating the vision in all actions and continuously transforming. These functions may take several forms, which could be implemented in regular care, taking into account the specific local context.
DIGITAL NARRATIVE GERONTOLOGY AS BRIDGES BETWEEN GENERATIONS TO IMPROVE WELL-BEING, LEARNING, AND SHARED EXPERIENCES
Authors: Pecorini Béatrice Crettenand , Duplàa Emmanuel
Published: December 2023

Elders are an essential society component for the collective success of the demographic transition, for social inclusion and the fight against ageism (Berrut, 2020). Ageism - discrimination by age, is a very present concern. One way to respond to this challenge is to build bridges between generations in society; intergenerational programs can reduce the perception of stereotypes about other generations (Barbosa et al., 2021; Pentecouteau & Eneau, 2017), strengthen intergenerational solidarity, and help develop capital and social cohesion (Topping, 2020). Based on the theories of lifelong learning and intergenerational learning, our research engages digital narrative gerontology (Crettenand Pecorini, 2019). We have organized several meetings in pairs (elder – young) where each pair created a digital narrative from the oral narration of the elder life story, supported by the multimedia skills that the young adult acquired during the workshop we have set up. From individual and pairs semi-directed interviews, logbooks, debriefings, and digital narrative, based on case study thematic analysis, our preliminary results confirm the results obtained in 2019: improved general well-being, reduction in the perception of generation stereotypes, reduction in feelings of loneliness and isolation, strengthening intergenerational solidarity, satisfaction to rediscover one’s life or the projection of one’s life stimulated by example, new knowledge acquisition, as well as the pride of artifact creation and its sharing. This innovative project can be applied in schools, colleges, and universities as well as in community centers and seniors’ residences.
DIGITAL STORIES FROM AN INTERGENERATIONAL, TELEPHONE-BASED REMINISCENCE PROGRAM
Authors: Fields Noelle , Xu Ling , Troutman Brooke , Daniel Kathryn , Westmore Megan , Cassidy Jessica
Published: December 2023

Reminiscence strategies combined with an intergenerational approach may yield social and mental health benefits for older adults with cognitive impairment. There is also evidence to support the use of digital storytelling (DST) with persons with cognitive impairment combined with intergenerational programs. DST typically involves the production of a two-to-five-minute audio-visual clip combining text, images, music, photographs, voice-over narration, and other audio. However, there are few studies that combine reminiscence, DST, and an intergenerational approach with persons with cognitive impairment. The current study is a thematic analysis of DST products created by university students in collaboration with older adults with cognitive impairment (N = 27) as part of a larger project examining how intergenerational reminiscence using DST may improve the social and emotional well-being of persons with memory loss. After the completion of a structured, six-week, telephone-based reminiscence, the younger and older adults co-created a storyboard and script as well as selected photos and music to accompany the narrative in the DST. An interactive team approach using the phases of thematic analysis of the DST products resulted in six themes: 1) family, 2) religion and purpose in life, 3) loves and hates, 4) career/work, 5) stress and coping, and 6) major life turning points. Sub-themes included childhood and early adulthood, family legacy, faith, volunteering, travel, music, and resilience. Findings from the study extend current research by examining intergenerational connections, reminiscence, and the use of DST with persons with memory impairment. We close with recommendations for practice and research.
MEASURING QUALITY IN LONG-TERM SERVICES AND SUPPORTS THROUGH PERSON-REPORTED OUTCOMES: VALUE OF NCI DATA
Authors: Shippee Tetyana , Giordano Stephanie
Published: December 2023

Long-Term Services and Supports (LTSS) include medical, social, and personal care services that people may need to perform activities of daily living due to physical or cognitive impairments. Measuring the quality of LTSS is essential for improving the care and outcomes of people with disabilities and older adults and ensuring that services meet consumer needs. Several frameworks have been developed to measure LTSS quality, including the National Quality Forum’s LTSS Framework. Yet, few data sources are available to measure person-reported quality in HCBS. This symposium will provide an overview of National Core Indicators (NCI) as a unique data source to address this gap. It also includes presentations from researchers from organizations in two states who utilize NCI data – Minnesota and Massachusetts – who will share their perspectives about the value of the data, results from empirical analyses, and how they use and plan to use the data to inform policy. Researchers from the Lurie Institute for Disability Policy will present findings on the association between person-centered planning and key person-reported outcomes in Medicaid HCBS. Researchers from the University of Minnesota School of Public Health and Brown University will share findings from national NCI data on unmet needs among older adults by dementia status and race/ethnicity. They will also share results of analyses in MN, linking person-reported HCBS plan quality and healthcare utilization, using claims data. Collectively, this symposium will address the gap in measurement of HCBS quality nationally and identify key directions for policy and future research.
MEASURING UNMET NEEDS FOR COMMUNITY-DWELLING CONSUMERS OF HOME- AND COMMUNITY-BASED SERVICES USING NCI-AD DATA
Authors: Shippee Tetyana , Bucy Taylor , Mulcahy John , Jutkowitz Eric
Published: December 2023

Rebalancing efforts have focused on helping more people age in the community rather than institutional settings. Yet, we know little of whether actual services being offered meet consumer needs. HCBS provides intermittent services and supports to consumers and variability can create increased reliance on informal caregivers, contributing to unmet need. This can be especially true for consumers living with Alzheimer’s disease and Alzheimer’s disease and related dementias (AD/ADRD), whose needs may fluctuate and intensify as functional and/or cognitive impairments advance. This presentation examines unmet need among a national sample of older adult (65+) consumers of publicly funded HCBS, using data from the National Core Indicators - Aging and Disability (NCI-AD) survey from 2016-2019. We restrict our sample to community-dwelling older adults, where community-dwelling includes: own or family house/apartment, senior living apartment/complex, group home, adult family home, foster, or host home. Our results showed that services that were most commonly used were home-based services (57%), with at least half of the consumers using two different services to support their needs. Factors associated with wanting more services included being a woman, living alone, having a physical disability, and a diagnosis of AD/ADRD. Older adults with AD/ADRD desired more services than those without AD/ADRD, with additional desired services for caregiver supports and transportation. Our findings speak to the need to measure and improve person-centered quality of publicly-funded HCBS for older adults, with particular attention to the needs of those living with AD/ADRD.
EARLY WARNING SIGNS AND CRISES IN ADRD/AD: VIEWS FROM LATINO/AFRICAN AMERICAN CAREGIVERS AND PROVIDERS
Authors: Kavanaugh Melinda
Published: December 2023

Incidence of Alzheimer’s disease and related dementias (ADRD) in Latino and African American populations is significantly greater than for non-Hispanic Whites. Latino and African American caregiver families rely on family for care, including children and youth, and access formal care systems less frequently and at later stages compared to non-Latino White families. Yet we know little about what precipitates the eventual move to formal care. This study sought to understand whether African American and Latino families living with ADRD were able to identify Early Warning Signs (EWS) and potential crises in persons living with ADRD and explore differences in how families and health care professionals perceive EWS and crises. Semi-structured interviews were conducted with health care professionals (n = 26), Latino and African American adult (n = 36), and youth caregivers aged 10 – 19 (n = 31). Participants listed eight EWS (cooking, getting lost, forgetfulness, emotional/anger, repeating, bringing up the past) and defined Crisis as an event or series of events that led to seeking formal care, included getting lost, bad falls, and death of a loved one. Adults felt frustration, even at the beginning of EWS while youth found humor in the care. There were differences in stories shared within the same caregiver family; youth recognized EWS but reported that adults would not talk about it. Health care professionals identified EWS but believed families would be unable to identify EWS. This potential misperception needs further attention to reduce communication barriers around the care planning for this population.
HOME CARE DYADIC COMMUNICATION PATTERNS OF FAMILY CAREGIVERS AND PERSONS LIVING WITH DEMENTIA: SEQUENTIAL ANALYSIS
Authors: Kim Sohyun , Liu Wen , Williams Kristine
Published: December 2023

Examining temporal relationships of communication patterns between family caregivers and persons living with dementia (care recipients) is useful to determine which caregiver communication patterns are more effective in engaging care recipients and prioritize the use of such communication patterns. This study examined temporal relationships between antecedent family caregiver communication and subsequent care recipient communication during 75 in-home care video observations. A 5-second timed-window analysis was conducted to examine the likelihood of the relationships between dyadic communication patterns. Joint frequency and conditional probability statistics demonstrated that care recipients used the same communication patterns at differing frequencies during and within a 5-second window following each communication pattern by family caregivers. Dyadic communication patterns yielded likelihood probabilities with an effect size greater than chance (Yule’s Q = 0.31-1.00). Care recipient’s engaging body language most likely occurred after the caregiver’s facilitative body language preceded (Yule’s Q = 0.31-.1.00). Care recipient’s relevant communication and verbal response most likely occurred after the caregiver’s simplified message preceded (Yule’s Q = 0.55-1.00). Specific caregiver facilitative communication exhibited subsequent care recipient engaging communication. Future research can expand on how characteristics, types, and frequencies of caregiver communication would impact care recipient engaging communication.
NIA Office of Special Populations
Authors: Jones Patricia
Published: December 2023

Dr. Jones will discuss the work of the NIA Office of Special Populations. Dr. Jones will also be available for small group discussion.
NEIGHBORHOOD SOCIOECONOMIC POSITION, LIVING ARRANGEMENTS, AND CARDIOMETABOLIC DISEASE AMONG OLDER PUERTO RICANS
Authors: Quashie Nekehia Tamara , Garcia Catherine , Meltzer Gabriella , Andrade Flavia , Matos-Moreno Amilcar
Published: December 2023

Cardiometabolic diseases are among the leading causes of mortality worldwide and are increasingly prevalent in rapidly aging populations such as Puerto Rico. Neighborhood socioeconomic position (SEP) and living arrangements are increasingly recognized as important determinants of cardiometabolic health but have not been examined within Puerto Rico. Using longitudinal data from the Puerto Rican Elderly Health Conditions Project (Waves I 2002/03, and II 2006/07), linked with 2000 Census data for neighborhood-level conditions, this study examined the association between neighborhood SEP, living arrangements, and risk of cardiometabolic conditions among island-dwelling Puerto Ricans aged 60 and older, who lived in the same residence across both waves (N=2,769). Findings show that residence in a socioeconomically advantaged neighborhood was positively associated with reporting having one cardiometabolic condition at baseline, but neighborhood SEP was unrelated to developing cardiometabolic conditions at follow-up. Living without a partner - alone, with children, or with others - was negatively associated with reporting having and developing cardiometabolic conditions relative to living with a partner. Living arrangements significantly modified the relationship between neighborhood SEP and cardiometabolic conditions. Compared to living with a partner, living alone was associated with lower risk of reporting having one condition, and living with children was associated with lower risk of developing one cardiometabolic condition when living within a socioeconomically advantaged neighborhood. Living arrangements are more salient to cardiometabolic health than neighborhood SEP. Social services focused on household composition and familial support are needed to identify older Puerto Ricans potentially at risk of underdiagnosed chronic conditions.
LARGE-SCALE POPULATION-LEVEL DATA FOR STUDYING GRANDPARENTING IN THE UNITED STATES
Authors: Flood Sarah
Published: December 2023

The questions we can answer about grandparenting in the United States are shaped by the availability of data. This presentation will review previous research on trends and sociodemographic variation in grandparenting in the United States based on large-scale population-level data from IPUMS (www.ipums.org). It will highlight the various ways that researchers have measured families that include grandparents (e.g., three-generation families, grandfamilies). It will also discuss the limitations of these data, specifically the focus on coresidence, for studying grandparents. The presentation will then review research on grandparents using the American Time Use Survey, the only data in IPUMS that enables analyses of grandparents time spent with both their resident and non-resident grandchildren. These analyses will focus on the leisure activities that grandparents share with their grandchildren and how this varies by living arrangements and sociodemographic characteristics.
RACIAL DISPARITIES IN OCCUPATIONAL EXPOSURES AND LATER-LIFE HEALTH
Authors: Sonnega Amanda , Andrasfay Theresa
Published: December 2023

Racial and ethnic health disparities remain a persistent and urgent social problem. Researchers are beginning to explore the role of work experiences, both good and bad, in attenuating or exacerbating health disparities. The recent availability of the entire life course experience of work in the Health and Retirement Study (HRS) Life History Mail Survey (LHMS) has spurred innovative research on the role of occupational exposures on health disparities in later life. Linking these data to the information available in the Occupation Information Network (O*NET) provides a rich characterization of lifetime occupational exposures. Sheftel et al. use work histories from the LHMS to study the role of racial segregation in occupations on later life dementia. They show that complex work with data during working ages may be protective against dementia at older ages, potentially contributing to the differentials in dementia prevalence by race/ethnicity. Park et al. similarly use data on lifetime work histories, to investigate the role of accumulated years of physically demanding work (PDW) in young and middle adulthood on the number of functional limitations at age 60. They show that cumulative PDW is strongly associated with functional limitations at age 60 and accounts for a part of the racial/ethnic gap in functional limitations at age 60. Both papers will discuss policy implications of findings. Andrasfay will provide critical commentary and discussion.
STEM CELLS HOMEOSTASIS AND AGING
Authors: Jones Leanne , Passegue Emmanuelle
Published: December 2023

Adult (tissue) stem cells support tissue homeostasis and repair throughout the life of an individual. Numerous changes occur with age that result in altered stem cell behavior and reduced tissue maintenance and regeneration. Changes can be cell autonomous including changes in cell cycle progression, decreased bioenergetic efficiency, increased DNA damage, and epigenetic alterations. In addition, poorly understood changes to the local and systemic environments occur that result in decreased stem cell activity or alterations in commitment or differentiation potential. This symposium will cover the impact of aging on multiple adult stem cell systems, including hematopoietic stem cells (HSCs), intestinal stem cells (ISCs), and neural stem cells.
AGE STEREOTYPE INTERNALIZATION ACROSS AGE AND CULTURES
Authors: Ki Fung Nicole Long , Fung Helene
Published: December 2023

The stereotype embodiment theory suggests that people internalize age stereotypes when they become self-relevant. This study explored the relationship between age and age stereotype internalization across cultures. We recruited adults aged 30 to 99 years from Hong Kong (N=524, Mage= 62.49), the United States (N=492, Mage= 57.90), Germany (N=790, Mage=63.38), Czechia (N=617, Mage=62.05), and Taiwan (N=660, Mage=60.78). Participants rated their self-perception of aging and attitude towards older adults. Across all the items, we calculated an intra-personal correlation score between self-perception of aging and attitude towards older adults. This index serves as a proxy of age stereotype internalization. Among all cultures, Hong Kong (r=0.57) and Taiwan (r=0.58) have the highest levels of internalization, followed by Czechia (r=0.47) and Germany (r=0.45). The United States (r=0.40) has the lowest level of internalization. The relationship between internalization and age varied across cultures. In Germany, there was a cubic relationship between internalization and age (p <.001). Internalization decreased with age till 52 years old, then it went up with age till 79 years old and dropped again. In Taiwan, we observed a quadratic relationship between internalization and age (p <.001). Internalization increased with age till the age of 64, then started decreasing. In Czechia, internalization increased with age linearly (p <.001). In Hong Kong and the United States, internalization was not associated with age. Our findings suggest that the internalization of age stereotypes into the self depends on cultures and age. More cross-cultural and longitudinal studies should be conducted to understand the age stereotype internalization process.
NEGATIVE AGE STEREOTYPES TEMPORARILY MAKE YOU FEEL YOUNGER BUT MAKE YOU FEEL OLDER OVER TIME
Authors: Kornadt Anna E , Weiss David , de Paula Couto M Clara P , Rothermund Klaus
Published: December 2023

Negative age stereotypes have negative, assimilative effects on the subjective aging experience due to internalization processes, but positive contrast effects are reported as well, reflecting dissociation and downward comparisons. Our aim was thus to compare short-term and long-term consequences of age stereotypes on the subjective aging experience, to test the hypothesis that contrast effects are visible cross-sectionally, whereas internalization processes are observed when considering more long-term effects. We assessed age stereotypes and subjective age in a sample of N=459 participants (initial age range 30 – 80 years) from the aging-as-future project (Lang et al., 2022) across three consecutive measurement occasions spanning a longitudinal interval of 10 years. Short-term and long-term effects were estimated with latent change-score models by assessing effects of age stereotypes on the intercepts (cross-sectional) and on the slopes (longitudinal) of subjective age, respectively, while also taking current self-views into account. Age stereotypes had opposite effects on subjective age depending on the time frame. A cross-sectional contrast effect was found (B = -.17, SE = .05, p < .001), whereas longitudinal effects were assimilative in nature (B = .36, SE = .18, p = .04). Our findings support the time-dependent nature of effects of age stereotypes on the subjective aging experience. Negative age stereotypes can temporarily lead to a significant younger subjective age, indicating dissociation from one’s age group and downward comparison. In the long run, however, negative (positive) age stereotypes become internalized into the self-views of older people and are linked to an older (younger) subjective age.
JOSEPH T. FREEMAN AWARD AND EXCELLENCE IN REHABILITATION OF AGING PERSONS AWARD PRESENTATIONS AND LECTURES
Authors: Corazzini Kirsten
Published: December 2023

The Joseph T. Freeman Award lecture will feature an address by the 2023 Freeman Award recipient Joe Verghese, MD, FGSA of the Albert Einstein College of Medicine. The Joseph T. Freeman Award is a lectureship in geriatrics awarded to a prominent clinician in the field of aging, both in research and practice. The award was established in 1977 through a bequest from a patient’s estate as a tribute to Dr. Joseph T. Freeman. The Excellence in Rehabilitation of Aging Persons Award lecture will feature an address by the 2023 Excellence in Rehabilitation Award recipient Brad Manor, PhD of Hinda and Arthur Marcus Institute for Aging Research. The Excellence in Rehabilitation of Aging Persons Award is designed to acknowledge outstanding contributions in the field of the rehabilitation of aging individuals.
TRANSCRANIAL ELECTRICAL STIMULATION AS A TOOL TO UNDERSTAND AND ENHANCE MOBILITY IN OLDER ADULTS
Authors: Manor Brad
Published: December 2023

Standing and walking are complex cognitive-motor tasks that rely on the function of numerous brain networks. This reliance upon supraspinal elements of the motor control system increases with age and many age-related diseases, especially when an individual must navigate unfamiliar environments and/or simultaneously perform cognitive tasks like talking, reading signs, or making decisions. Noninvasive transcranial electrical stimulation (tES) can safely and selectively induce both acute and longer-term changes in brain network function. It thus enables cause-and-effect study of the motor control system and moreover, holds promise as a therapeutic strategy to counteract age- and disease-related alterations in standing, walking, and mobility. The purpose of this talk is to introduce the fundamentals of tES, describe the effects of tES on the neural control of mobility in older adults, and finally, discuss current limitations and related avenues for future research and development within this rapidly-growing field of study.
RECIPROCITY AMONG CARE PARTNER DYADS AND ITS INFLUENCE ON OUTCOMES IN DEMENTIA FAMILY CAREGIVERS
Authors: Falzarano Francesca , Czaja Sara
Published: December 2023

Dementia family caregiving is a heterogenous experience influenced by multidimensional inter- and intra-personal factors. The interdependence between the well-being of caregivers and care-recipients, and that feelings of mutuality and shared involvement in care responsibilities by both the caregiver (CG) and care-recipient (CR) influence family caregiver outcomes. This presentation will present findings from an analysis that examined the influence of caregiver/care-recipient demographic characteristics, care intensity (functional status, medical/nursing tasks), degree of cognitive impairment, and CR depression and quality of life on CG outcomes including burden, self-efficacy, depression, and positive aspects of caregiving. Baseline data were drawn from 99 family caregiver-care-recipient dyads who participated in the Care Partners intervention, a non-pharmacological intervention for individuals with Alzheimer’s disease and their caregivers. Results showed that CG difficulty in performing medical/nursing tasks, greater distress related to the CR’s functional impairment, CR’s degree of cognitive impairment, lower levels of mutuality, and lower CR ratings of quality of life and depression were significantly related to higher CG burden, depression, and lower CG self-efficacy. Alternatively, being a male CG and greater CG distress related to performing medical/nursing tasks and assistance with activities of daily living was associated with lower positive aspects of caregiving. Having a female CR and reporting higher levels of mutuality and preparedness was subsequently associated with more positive appraisals of caregiving. These findings underscore the importance of reciprocal interactions and the need to target both members of the dyad in interventions aiming to improve quality of life and well-being in dementia care partners.
WHY DO I CARE? MOTIVATIONS OF SURVIVORS OF PARENTAL CHILDHOOD HARM WHO ARE CARING FOR THEIR PARENTAL PERPETRATOR
Authors: Goldberg Jaime , Kong Jooyoung
Published: December 2023

Adult child survivors of parental childhood maltreatment may remain in relationship with their parental perpetrator across the life course and even take on the caregiving role when their parent becomes older and/or ill. Yet, becoming a caregiver for a parent who was harmful is associated with increased depressive symptoms, heightened stress responses, and maladaptive coping for the caregiver. Given that survivors of parental childhood maltreatment may find caregiving to be detrimental to their mental health and well-being, it is crucial to better understand why an adult child would choose to engage in caregiving for their parental perpetrator. This qualitative research, grounded in Intergenerational Solidarity Theory, examines the motivations to participate in parental caregiving through serious illness or the end of life for survivors of childhood parental harm. Based on the phenomenological perspective, in-depth semi-structured interviews were conducted with 22 adults ages 24-70. Participants were recruited through word-of-mouth and social media. Content analysis revealed five themes: 1) obligation and ambivalence; 2) differentiating from the abuser; 3) “a second chance;” 4) belief systems that influence caregiving; and 5) financial incentives. This information heightens awareness of the experiences of this often-overlooked population of caregivers and invites gerontological researchers and practitioners to consider the complexity in their decision to participate in their perpetrator’s care. Gaining a better understanding of the lived experiences of adult children who are caregivers for their parental perpetrator and their motivations for participating in such care can inform the development of trauma-informed assessment and intervention strategies tailored to this population.
EXTREME HEAT VULNERABILITY AMONG OLDER ADULTS: A MULTILEVEL RISK INDEX FOR PORTLAND, OREGON
Authors: Kohon Jacklyn , Tanaka Katsuya , Himes Dani , Toda Eiji , Carder Paula , Carlson Bryant
Published: December 2023

Extreme heat is an environmental health equity concern disproportionately impacting low- income older adults and people of color. Exposure factors, such as living in rental housing and lack of air conditioning, and sensitivity factors, such as chronic disease and social isolation, increase mortality risk among older adults. Older persons face multiple barriers to adaptive heat mitigation, particularly for those living in historically temperate climates. This study measures two heat vulnerability indices to identify areas and individuals most vulnerable to extreme heat and discusses opportunities to mitigate vulnerability among older adults. We constructed two heat vulnerability indices for the Portland, Oregon metropolitan area: one using area scale proxy measures extracted from existing regional data and another at the individual scale using survey data collected following the 2021 Pacific Northwest Heat Dome event. These indices were analyzed using principal component analysis (PCA) and Geographic Information Systems (GIS). Results indicate that the spatial distribution of areas and individuals vulnerable to extreme heat are quite different. The only area found among the most vulnerable on both indices has the largest agglomeration of age- and income-restricted rental housing in the metropolitan area. Due to spatial variations in heat-related risk at the individual and area scales, measures addressing heat risk should not be spatially uniform. By focusing resources on older adult individuals and areas in particular need of assistance, heat risk management policies can be both highly efficient and cost-effective.
EMBRACING CULTURE AND DESIGNING AN INTERGENERATIONAL TRAINING PROGRAM TO SUPPORT LATINE ELDERS
Authors: Cotton Quinton , Kissell Paul , Johnson Elma , Chambers Yolima , Nkimbeng Manka , Gaugler Joseph
Published: December 2023

Although there have been efforts to promote health equity and increase representational diversity in research, there is a gap in our understanding on how to integrate cultural considerations into the intervention design process. Dementia caregiving interventions too frequently lack prioritization and integration of community-directed and culturally appropriate inputs during intervention planning. Consequently, intervention fit among racial and ethnic populations is sometimes culturally incongruent and intervention acceptability in community settings is weakened. We conducted a formative analysis drawing from research team member memos, document review, World Cafes with Latine community residents, and group interviews with Latine organizational staff to understand the intervention development process of an intergenerational dementia training program to support elders within the Latine community. The design process integrated iterative periods of listening through data gathering, informing by applying learned information to the developing program, and affirming through validation. Our analysis demonstrates the need for a broad range of skills and capacity to facilitate effective intervention design (language mastery among key research team members, program design skills, listening, relationship building).
WHO WORKS LONGER IN LATER LIFE? KEY VARIATIONS IN WORKING LIFE EXPECTANCY IN INTERNATIONAL PERSPECTIVE
Authors: Beach Brian , Westerlund Hugo
Published: December 2023

In the context of population aging, policymakers are eager to encourage and enable longer working lives, assuming this will lead to increased tax revenue and reduced demand on social security and health care systems. Simultaneously, individuals who work longer will gain additional income and may experience the psychosocial benefits that come from workplace engagement. However, many factors drive early labor market exit, and blanket policy strategies to extend working lives often ignore the nuances that shape the length of real working lives. Such policies have emerged partly from increased life expectancies, although these measures fail to capture subgroup differences in the capacity to continue working. They also do not account for often discontinuous labor market trajectories, particularly around retirement. As such, scholars have turned to more refined methodologies and concepts like working life expectancy (WLE) to better inform policies that actively aim to increase retirement ages. This symposium highlights an ongoing program of work by the IDEAR network, which examines WLE using longitudinal studies of aging in Europe. The symposium features results from Sweden and England, estimating WLE using multi-state models. Unlike other approaches to estimate life expectancy employing the Sullivan method, this approach allows for reversible transitions between work and non-work, reflecting the dynamic and complex nature of modern labor market transitions and exits. The symposium further presents how WLE varies according to key determinants, including socioeconomic status, healthy lifestyles, and unpaid caregiving, highlighting the policy implications that emerge from recognizing inequalities and variations in WLE across vulnerable subgroups.