bluuebunny/crossref_metadata_2025_split huggingface dataset:
INCREASED CARDIOVASCULAR DISEASE RISK FACTORS IN PERSONS WITH CEREBRAL PALSY
Authors: Heyn Patricia C 
Published: November 2019

Abstract
Cardiovascular disease (CVD) remains the leading cause of global mortality. Individuals with disabilities are at increased risk of CVD in part due to their musculoskeletal and/or cognitive impairments that can challenge their participation in physical activities. Gait ability has been associated to several key health outcomes including morbidity. Unfortunately, there is little research done to understand how individuals with obstructed mobility (i.e. developmental or injury condition) grow older. Our research team (Heyn et al 2019), evaluated the prevalence of CVD risk factors and age-related health outcomes associated to aging on a cohort of adults with cerebral palsy with obstructed mobility. Metabolic syndrome was identified in 17.1% of the cohort, higher than the 10% in the NHANES sample. CVD risk factors were much higher in this cohort as compared to normative population data. There was a positive correlation between mobility level, waist circumference (r=0.28, p=0.02), and waist-to-hip ratio (r=0.28, p=0.02).
COMPARISON OF AGE AND BIOLOGICAL SEX MORTALITY TRENDS BETWEEN ADULTS WITH AND WITHOUT DOWN SYNDROME
Authors: Landes Scott D , Landes Scott D , Stevens James D , Turk Margaret D 
Published: November 2019

Abstract
Age at death and cause of death comparisons between adults with and without Down syndrome reveal distinct mortality trends that can be utilized to inform preventive care efforts to reduce premature mortality in this population. We compare mean and median age at death, and standardized mortality odds ratios (SMORs) for 20 leading causes of death for 9,564 decedents with and 13,050,319 without Down syndrome in the U.S. between 2012 and 2016. Decedents with Down syndrome, on average, were substantially younger than those without Down syndrome, and were more likely to die from Alzheimer disease and dementia at younger ages. In addition, adults with Down syndrome also had higher risk of choking related deaths. Efforts to reduce premature mortality through public health and preventive care interventions for this population should be cognizant of these increased risk factors, as well as variation in age and biological sex mortality trends.
ESPO AND NIA BUTLER-WILLIAMS SCIENTIFIC SYMPOSIUM: INFLUENCE OF RACE, ETHNICITY, AND EXPERIENCE ON HEALTH IN AGING
Authors: Justice Jamie N , Hill Carl V , Thorpe Roland J 
Published: November 2019

Abstract
The NIA’s Butler-Williams Scholars Program and GSA’s Emerging Scholars and Professional Organization are united in providing career development opportunities for early career scholars in a manner that promotes leadership, diversity, and inclusivity. This provides a foundation to develop a network of next generation of scientists, clinicians, and policy makers capable of shaping health in aging. Among the chief concerns of our aging population are disparities in health associated with race/ethnicity, experience, environment, access to health care, and sociocultural and socioeconomic factors. GSA’s early career professionals and alumni of the prestigious NIA Butler-Williams Scholars Program have tackled these issues directly and the scientific scholarship that results is astounding in its breadth and depth. Dr. Vicki Johnson-Lawrence, Ph.D. (Butler-Williams class of 2014), will present on the interacting effects of education and race/ethnicity on multi-morbidity, highlighting lessons learned from the National Health Interview Study. Dr. Lauren Parker (Butler-Williams class of 2018) will review efforts to develop culturally competent content for recruitment of Hispanic and black/African American persons to NIA-supported dementia-caregiving studies. Dr. Ryon Cobb (Butler-Williams class of 2016) will discuss the impact of race/ethnicity on kidney function among older adults, with evidence from the Health and Retirement Study. The final speaker, Dr. Ana Quiñones (Butler-Williams class of 2012), will present on longitudinal tracking of multi-morbidity in racially/ethnically diverse older adults. In sum, the featured talks by rising stars in aging research deepen our understanding of the influence of race, ethnicity, and experience on health and chronic disease in diverse aging populations.
EDUCATION, RACE-ETHNICITY, AND MULTI-MORBIDITY AMONG ADULTS AGES 30-64 IN THE NATIONAL HEALTH INTERVIEW STUDY
Authors: Johnson-Lawrence Vicki , Zajacova Anna , Sneed Rodlescia 
Published: November 2019

Abstract
Demographic risk factors for multimorbidity (living with 2+ chronic conditions) have been identified in numerous population-based studies of older adults; however, there is less data on younger populations, despite the fact that approximately 24% of US adults age 18+ have multimorbidity. To examine the associations of education and race/ethnicity with mutimorbidity among adults aged 30-64 using cross-sectional data from the 2002-2014 National Health Interview Surveys. Compared to having a bachelor’s degree or higher, completing less than HS (OR=1.58, 95% CI = 1.50-1.66) or HS/some college (OR=1.32, 95% CI = 1.27-1.37) were both associated with increased odds of multimorbidity. Non-Hispanic Blacks had greater odds of multimorbidity (OR=1.07, 95% CI = 1.02-1.11) compared to Non-Hispanic Whites with comparable characteristics. Reducing multimorbidity through health promotion efforts across the socioeconomic spectrum and earlier in the life course will be a requirement to age successfully and support overall well-being in the aging US population.
RACE BY AGE PATTERNS IN KIDNEY FUNCTIONING AMONG OLDER ADULTS: EVIDENCE FROM THE HEALTH AND RETIREMENT STUDY
Authors: Cobb Ryon J 
Published: November 2019

Abstract
The present study considers how race combines with chronological age to shape kidney function among older adults. We analyzed cross-sectional data from a nationally representative study of older adults. Our measure of kidney function derived from the cystatin C-based estimated glomerular filtration rate. We use a pattern variable to divide White and Black respondents into four groups based on their age group membership: early midlife (age 52–59), late midlife (age 60–69), young old (age 70–79), and oldest old (80s+ years). Results from our ordinary least squares models reveal that Blacks and Whites in late midlife, young old, and oldest old exhibited poorer kidney function than Whites in early midlife. Our study uncovers evidence of race by age disparities in kidney function among older adults. Future longitudinal studies will provide further insight into how and why race combines with age to pattern kidney function over time.
TRACKING CHANGES IN MULTIMORBIDITY AMONG RACIALLY AND ETHNICALLY DIVERSE POPULATIONS
Authors: Quiñones Ana R , Botoseneanu Anda , Markwardt Sheila , Nagel Corey , Newsom Jason T , Dorr David A , Allore Heather G 
Published: November 2019

Abstract
Multimorbidity is widely recognized as having adverse effects on health and wellbeing above and beyond the risk attributable to individual chronic disease. Much of what is known about multimorbidity rests on research that has largely focused on one point-in-time, or from a static perspective, with little consideration to issues involved in assessing longitudinal changes in multimorbidity. In addition, less focus has been placed on assessing racial and ethnic variations in longitudinal changes of multimorbidity. Addressing this knowledge gap, we highlight important issues and considerations in addressing multimorbidity research from a longitudinal perspective and present findings from longitudinal models that examine differences in the rate of chronic disease accumulation and multimorbidity onset between non-Hispanic white (white), non-Hispanic black (black), and Hispanic study participants in the Health and Retirement Study starting in middle-age and followed for up to 16 years.
THE STUDY OF WOMEN’S HEALTH ACROSS THE NATION (SWAN): FROM MIDLIFE ONWARD
Authors: Avis Nancy E , Avis Nancy E , Crawford Sybil , Colvin Alicia , Derby Carol A , Karvonen-Gutierrez Carrie , Brooks Maria M 
Published: November 2019

Abstract
The Study of Women’s Health Across the Nation (SWAN) is a multisite, multiracial/ethnic longitudinal study of women initially aged 42-52 (N=3302) designed to characterize the physiological and psychosocial changes that occur during the menopause transition and to assess their relations to subsequent health and age-related diseases. Each of seven clinical sites recruited non-Hispanic white women and women belonging to a predetermined racial/ethnic minority (African American, Hispanic, Chinese, or Japanese). Cohort eligibility was determined from a cross-sectional survey of 16,065 women in 1996-97 aged 40-55 who were aged 42-52, had an intact uterus and at least one ovary, and not using hormone therapy. Cohort participants have been assessed in-person approximately annually through follow-up visit 15 in 2017 using a standardized protocol of detailed questions about medical, reproductive and menstrual history; lifestyle and psychosocial factors; physical and psychological symptoms; and anthropometric measurements, reproductive hormones, bone and body composition, and cardiovascular health.
THE WOMEN'S HEALTH INITIATIVE (WHI): STILL LEARNING FROM 161,808 POSTMENOPAUSAL WOMEN
Authors: LaCroix Andrea Z , LaCroix Andrea Z 
Published: November 2019

Abstract
The WHI enrolled 161,808 women ages 50-79 into 1-3 Clinical Trials (n=68,132) or the Observational Study (n=93,676) from 1993-1998. As of March 31, 2018, 70,812 women are alive and continue to be enrolled including 10,179 over the age of 90, 4588 Black/African American, and 1998 Hispanic/Latina women. 54,877 women have died, including 17,010 from cardiovascular disease and 14,553 from cancer. 64,344 reported a fracture during follow-up. Between 2012-2014, 7875 women completed a brief in-person visit as part of The Long Life Study. This examination included the Short Physical Performance Battery, grip strength, height, weight, blood pressure, heart rate and a blood draw. Genetic data of various types have been collected for over 30,000 WHI participants. Whole genome sequencing data is available for over 11,000 WHI participants. Over 1700 manuscripts have been published. The WHI biospecimen repository contains millions of stored biospecimens. CMS (Medicare) data is available and regularly updated.
THE RANCHO BERNARDO STUDY (RBS) OF HEALTHY AGING: A RICH RESOURCE FOR STUDYING AGING IN WOMEN
Authors: McEvoy Linda , McEvoy Linda K , Laughlin Gail A , Kritz-Silverstein Donna , Bettencourt Richelle , Bergstrom Jaclyn 
Published: November 2019

Abstract
RBS is an ideal cohort to study healthy aging in women and to examine sex differences in aging. Initiated in 1972, RBS enrolled 82% of adult residents of Rancho Bernardo, a suburb of San Diego. Residents were white, and middle to upper-middle class. Participants have been followed via 12 research clinic visits at ~4 year intervals and 32 mailed surveys. RBS contains detailed assessment of cardiometabolic disease risk factors, bone health, biomarkers, physical ability, cognitive function, health and reproductive history, medications, behaviors (smoking, drinking, diet, exercise) and psychosocial measures. Of the 6726 participants, 54% are women and 65% were aged ≥50 at enrollment. Vital status is known for 91% of the cohort; overall mortality is 71%. Death certificates have been coded for cause of death for 91% of decedents. We will discuss contributors to healthy longevity in RBS women (average age of death 86.4 yrs; 29% lived to age ≥90).
INTEREST GROUP SESSION—GRANDPARENTS AS CAREGIVERS: GERONTOLOGICAL INTERVENTION SCIENCE: FOUR DIFFERENT APPROACHES TO GRANDFAMILY RESEARCH
Authors: Fruhauf Christine , Yancura Loriena , Hayslip Bert 
Published: November 2019

Abstract
For nearly three decades, the interest in custodial grandparents and their grandchildren has resulted in empirical studies from scholars addressing both the challenges and strengths often experienced by grandfamilies (i.e., grandparents and the grandchildren in their home). As the scholarship of intervention science increases in interest and as scholars continue to advance the field of knowledge with grandfamilies, it is important to share best-practices as we plan the future of gerontological intervention science. In this symposium, investigators with extensive experience researching custodial grandparents and in creating, testing, and refining interventions with grandfamilies will present theoretical, methodological, and practical lessons learned and empirical findings from their interventions. The first paper, by Musil and colleagues, will address a current online training program addressing resourcefulness with grandmothers. Second, Montoro-Rodriguez and Hayslip will discuss the use of the selective optimization with compensation model as applied to a goal-setting intervention with grandparents. The third paper by Fruhauf, Yancura and colleagues will address the progress and impact from the first two years of their intervention with grandparents, grandchildren, and service providers. The final paper, presented by Webster, Smith, and Infurna will focus on a dyadic intervention with grandparents and adolescent grandchildren as they seek to build social intelligence. Hayslip, the discussant, will integrate key points from these interventions while addressing considerations for future research as scholars embark on refining and testing their interventions related to grandparents raising grandchildren.
FACTORS CONTRIBUTING TO SOCIAL ISOLATION AMONG OLDER RURAL RESIDENTS
Authors: Burton Cassandra Cantave 
Published: November 2019

Abstract
AARP research finds one-third of adults age 45 and older consider themselves lonely. Analysis from the National Survey of Adults Age 45-plus on Loneliness and Social Connections will be presented. Findings indicate that sixty-one percent of respondents who have never spoken to a neighbor are lonely, compared with 33 percent who have spoken to a neighbor. Individuals earning less than $25,000, caregivers and LGBTQ people are more likely to be lonely. Moreover, the structure of one’s community also plays an important role in predicting loneliness and was significantly related to a person feeling lonely.
EXAMINING RELIGIOUS DOUBT AND WELL-BEING OVER TIME
Authors: Patrick Julie Hicks , Bernstein Laura , Marello Madeline M , Moore Heather R 
Published: November 2019

Abstract
Drawing on seminal pieces in the field (e.g., Krause et al., 1999; Krause & Ellison, 2009) and our own work (e.g., Henrie & Patrick, 2014; Patrick & Henrie, 2015; 2016), we examine several aspects of religious doubt, including: 1) identifying a multidimensional measure, 2) replicating cotemporaneous associations among doubt and key well-being outcomes, 3) demonstrating the longitudinal stability of doubt over a 2-year period, and 4) examining whether doubt influences the stability or levels of well-being over a two-year period. Our factor analysis supports a 4-factor model of religious doubt, with stability over the 2-year period. Associations among religious doubt and well-being were consistent across multiple samples. Latent growth curve models showed that religious doubt and age significantly influence mean levels of well-being, although neither age nor doubt influenced the trajectory of change in well-being over the 2-year period. Future directions for design and analyses are discussed.
SPIRITUAL AND RELIGIOUS CHANGE IN LATER LIFE
Authors: Bengtson Vern , Silverstein Merril , Copping Samantha , Endacott Camille 
Published: November 2019

Abstract
How does religious and or spiritual engagement change with aging? Is there a “return to religion” among aging baby boomers these days? Some theories of aging posit an increase in spirituality toward the end of life, such as the psycho-developmental theories of James, Jung, Erickson, and Tornstam, while others emphasize continuity (no change). We explore this issue in a mixed-methods longitudinal study of older adults’ spiritual and religious trajectories. Data are from surveys with 981 baby boomer participants of the 45-year Longitudinal Study of Generations panel, and intensive interviews with 70 individuals 65-95 from a variety of religious and non-religious backgrounds. Results indicate complex trajectories of increase, decrease, and continuity as individuals move into their later years. We also detect a “return to religion” among baby boomers. We discuss these findings in terms of both life-course personality theories and social integration/support
SHARING ONE ANOTHER'S BURDENS: CONGREGATIONAL SUPPORT OF CAREGIVERS FOR PERSONS LIVING WITH DEMENTIA
Authors: Garrison Brianna 
Published: November 2019

Abstract
This presentation will discuss the findings and implications from a mixed-methods study examining the impact of support services for caregivers of persons living with Dementia in their faith community. Caregivers and persons living with dementia participating in religious activities report numerous psychosocial benefits. Faith communities are the primary social network for older adults, with 48% of older adults attending religious services at least once weekly. Results will highlight specific opportunities for local congregations to foster spiritual connection and meaningful engagement with caregivers of persons living with Dementia. Findings will also describe key considerations and pathways for social work practitioners, researchers, and religious leaders to better serve older adults in their communities by providing education and strengths-based interventions in the context of local congregations. These findings have the potential to increase the reach of such programs to diverse, underserved populations.
INTEREST GROUP SESSION—RESEARCH IN QUALITY OF CARE: LIVING IN AND LEAVING NURSING HOMES: THE FACTORS THAT CONTRIBUTE TO QUALITY OF LIFE, HEALTH, AND SAFETY OUTCOMES
Authors: Kusmaul Nancy , Bern-Klug Mercedes 
Published: November 2019

Abstract
Nursing homes house some of the most vulnerable older adults. They often have complex medical conditions and/or cognitive impairments that put them at risk for negative outcomes and poor quality of life. These outcomes can be altered through incorporating evidence-based practices aimed to improve care and residents’ life experiences. In this symposium we will explore factors that are shown to influence outcomes and quality of life for people that live in and are discharged from, long term care settings. Amy Roberts and colleagues will explore the influences of nursing home social service staff qualifications on residents’ discharge outcomes. Colleen Galambos and colleagues will present findings on advance directives and their impact on reducing potentially avoidable hospitalizations. Kelsey Simons and colleagues will discuss the potential for unmet needs for mental health services as part of nursing home care transitions, and will discuss a model of quality improvement that addresses this gap in care. Vivian Miller will present findings on the impact transportation access has on the ability of community-dwelling family members to visit and provide social support to their family member residents in long-term care. Finally, Nancy Kusmaul and Gretchen Tucker report the findings of their study comparing perceptions of nursing home residents, direct care staff, management, and families on the care practices that influence resident health and quality of life while they live in a long term care setting.
THE IMPACT OF SOCIAL WORKERS ON POST-ACUTE CARE DISCHARGE OUTCOMES
Authors: Roberts Amy Restorick , Roberts Amy Restorick , Bowblis John R , Smith Austin C 
Published: November 2019

Abstract
Background: Social service staff may play a key role in helping post-acute care patients in skilled nursing facilities return home, yet few studies quantify how social service staff contribute to better patient outcomes. Method: A quasi-experimental statistical approach, regression discontinuity, was used among newly-admitted, Medicare post-acute care patients (65+) to examine the relationship between higher qualifications of social service workers and various discharge outcomes. National data (2011-2015) were drawn from the Online Survey Certification and Reporting system, the Certification and Survey Provider Enhanced Reports, and the Minimum Data Set. Findings: Patients in facilities with a greater proportion of more qualified social service staff (qualified social workers vs. paraprofessionals) had better discharge outcomes. Post-acute care patients were more likely to be discharged home within 30 days, compared to being re-hospitalized or remaining in the facility. Conclusion: Policymakers and providers should support efforts to increase the qualifications of social service staff.
MINORITY AGING BEYOND THE CLASSROOM
Authors: Washington Tiffany R 
Published: November 2019

Abstract
Service-learning is the pedagogical approach of integrating classroom learning objectives with community-based experiences. In gerontology education, service-learning is one way educators can collaborate with their respective communities to expose students to topics in minority aging. This paper presentation describes students’ experiences in a service-learning gerontological social work course embedded in a university-community partnership that took students beyond the classroom and into the community to learn about minority aging. In-classroom topics included social injustices in aging, caregiving in African American families, culturally-tailored caregiving interventions, and health disparities. In the community, students conducted in-home visits engaging persons with dementia in a tailored activities, thus freeing caregivers to engage in self-care activities. Classroom and community experiences were connected through ongoing reflection, critical thinking, and problem solving activities. Survey data revealed students experienced increased gerontological self-efficacy and increased knowledge and attitudes about dementia. This study has implications for future course design around minority aging.
EDUCATION, GERONTOLOGY, AND MUSEUMS
Authors: Williams Ray 
Published: November 2019

Abstract
Many adult museum visitors welcome the invitation to make personal connections to works of art. Time for individual reflection and sharing with others may enable relationships to deepen and new insights to emerge. This presentation describes an approach to gallery teaching that honors the memories, associations, and emotions that visitors bring to their encounters with works of art. The approach has been particularly effective with groups of health care professionals, and as a reminder to docents of the powerful affective experiences that will naturally occur for some members of the public. Drawing on the experiences of collaborative networks of museum and medical educators, we outline the basis of rich opportunities for developing lifespan and gerontological educational projects in museums.
NETWORKING MUSEUMS, OLDER PEOPLE, AND COMMUNITIES: UNCOVERING AND SUSTAINING STRENGTHS IN AGING
Authors: Bonner Teresa 
Published: November 2019

Abstract
Museums, like other cultural institutions, are beginning to embrace a new role: facilitating creativity of older adults through education programs. A cohort of 20 American museums from Alaska to Puerto Rico are embarking on an ambitious two-year program, funded by Aroha Philanthropies, to develop successful creative aging programs in their communities. The cohort includes art museums, history centers, botanical gardens and a science museum. The group has received extensive training and technical assistance to build their capacity and awareness of needs and desires of older adults. The American Alliance of Museums (AAM), a partner in this initiative, is leading a deep dive into the potential of museums to enable older adults to learn, make and share the arts. With Aroha’s support, AAM has created a two-year position, the Aroha Senior Fellowship in Museums and Creative Aging to lead an exploration of how museums can deepen their engagement with creative aging.