bluuebunny/crossref_metadata_2025_split huggingface dataset:
Risk Factors of Orofacial Pain Symptoms Among Older Adults at the End of Life
Authors: Pei Yaolin , Wu Bei 
Published: December 2020

Abstract
The aims of this study were to examine the prevalence of orofacial pain symptoms in Chinese older adults at the end of life, and to investigate risk factors related to orofacial pain. The sample derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), a national respresentative sample of the oldest-old. The results showed that the 6-month prevalence of pain when chewing or biting at the end of life was 11.1%, and the rate was 5% for jaw joint pain/facial pain. Lower SES, smokers, and having chronic diseases were associated with having orofacial symptoms. Unexpectedly, the results revealed that dentate older adults (retain at least one natural tooth) who brushed their teeth more often were more likely to have orofacial symptoms. Older adults have poor oral health, particularly at the end of their life. This study highlights the importance of improving oral health for vulnerable older adults.
Social Stratification and Tooth Loss Among Migrant and Non-Migrant Middle-Aged and Older Adults in China
Authors: Qu Xiaomin , Wu Bei , Yu Jiaojiao , Zhang Haidong 
Published: December 2020

Abstract
This study investigated the association between socioeconomic status (SES) and tooth loss in middle-aged and older adults by migrant status. The sample included 2,390 participants aged 45-65 from the 2017 Urbanization and New Migrant Survey conducted from 10 cities in China. Results from the negative binomial regression and the marginal effect analysis showed that education, income, and residence in a developed city were negatively associated with tooth loss for non-migrants and migrants with high levels of education. These associations were not found to be significant for migrants with low education levels. The findings suggest that SES plays a more significant role in tooth retention for migrants with higher education levels compared to those with lower education levels. These results may largely be due to different levels of health literacy and unequal access to dental care services. Tailored intervention needs to be target migrant populations with low SES.
From Micro to Macro: Exploring Preference-Based Person Centered Care from Multiple Perspectives
Authors: Abbott Katherine , Williams Kristine 
Published: December 2020

Abstract
Advancing our knowledge related to honoring nursing home resident preferences is a cornerstone of person-centered care (PCC). While there are multiple approaches to providing PCC, we focus on resident preferences as assessed via the Preferences for Everyday Living Inventory (PELI). The PELI is an evidenced-based, validated instrument that can be used to enhance the delivery of PCC. In this symposium, we explore the perspectives of a variety of stakeholders including nursing home residents, staff, and the impact of preference-based care on provider level regulatory outcomes. First, we present a comparative study of preference importance among n=317 African America and White nursing home residents that found more similarities than differences between the two groups. Second, a content analysis of the responses from n=196 interviews with nursing home residents details the barriers and facilitators connected to their levels of satisfaction with their preferences being fulfilled. Third, perspectives from n=27 direct care workers explore the concept of pervasive risk avoidance to the delivery of PCC. Fourth, systems-level practices, such as shift assignments and provider schedules are identified as barriers to successfully fulfilling resident preferences from the perspectives of n=19 staff within assisted living. Our final presentation utilizes a fixed-effects panel regression analysis with n=551 Ohio nursing home providers to explore the impact of PELI use on regulatory outcomes such as substantiated complaints and deficiency scores reported in the CMS Nursing Home Compare data. Discussant Dr. Kristi Williams will integrate findings, highlighting implications for policy, practice, and future directions. Research in Quality of Care Interest Group Sponsored Symposium.
Communicating Guatemalan Villagers’ Experience of Aging Through Photography of Local Aging Advocates
Authors: Perkinson Margaret 
Published: December 2020

Abstract
What does it mean to grow old in a remote Guatemalan village? How do locals perceive the experience and meaning of later life, and how can a non-local access those perceptions? Volunteers from the village church’s committee on aging learned PhotoVoice methodology to document townspeople’s experiences of aging. Team members reassembled to discuss reasons for selecting a particular subject, how the photos’ contents related to their own lives, what the images said about aging in their village, and possible actions to consider in response. Qualitative analysis of the discussions revealed perceptions and meanings attached to family relationships, living environments, work and leisure activities, and health issues of their older subjects. The images evoked exchanges, commentary, and reflections among group members, creating an “eliciting context” in which processes of negotiated, shared meaning-making regarding later life emerged.
Comparing Analytical Methods for Gut Microbiome and Aging: Gut Microbiota and Body Weight in the MrOS
Authors: Shardell Michelle , Parimi Neeta , Langsetmo Lisa , Orwoll Eric , Shikany James , Kado Deborah , Cawthon Peggy 
Published: December 2020

Abstract
Gut microbiome datasets comprise microbial taxa relative abundances that necessarily sum to 1; analysis ignoring this feature may produce misleading results. We assessed 163 genera from the first batch of Microbiome Ancillary Study (n=530) stool samples and examined associations between microbiota and body weight. We compared conventional Bayesian linear regression (BLR) and network analysis to their compositional counterparts, adjusting for past weight and other covariates. Conventional BLR identified Roseburia and Dialister (positive association) and Coprococcus-1 (negative association) after multiple comparisons adjustment(P&lt;.0125). No conventional network module was associated with weight. Using compositional BLR, men with higher Coprococcus-2 and Acidaminococcus had higher weight, whereas men with higher Coprococcus-1 and Ruminococcus-1 had lower weight (P&lt;.05), but findings were non-significant after multiple comparisons adjustment. Two compositional network modules with respective hub taxa Blautia and Faecalibacterium were associated with weight(P&lt;.01). Findings depended on analytical workflow; compositional analysis is advocated to appropriately handle the sum-to-1 constraint.
Towards a Greater Contextualization of Music and the Arts in Aging and Cognitive Disorders
Authors: O’Neill Desmond 
Published: December 2020

Abstract
There is an increasing prominence of arts and cultural interventions related to aging and cognitive disorders in the scholarly literature and at gerontological conferences. However, the mechanisms of the salience and relevance of aesthetics, culture and leisure in the lives of older people remains unclear. One aspect which has emerged is that of aesthetic deprivation and its consequences for well-being. This symposium aims to provide perspectives from a range of researchers involved in programs of research and implementation to try to contextualize and better understand the perspectives of older people, arts practitioners and therapists the place and context of arts, culture and leisure in optimal aging.
ARTZ @ Jefferson: How Arts-Based Experiences Support People With Dementia as Mentors and Aid in Dignity Preservation
Authors: Shifrin Susan , Gelo Florence , Mitchell Anne 
Published: December 2020

Abstract
ARTZ @ Jefferson positions people with dementia and care partners as authorities about their lived experiences; arts-based experiences assist them in communicating with and mentoring health-professions students about those lived experiences. Since Spring 2016, over 100 students have been mentored by people with dementia and their care partners. Their first encounters take place in museum galleries, through facilitated conversations about works of art. Over the next six to eight weeks, students and mentors build relationships through group meetings and individual conversations. Post course surveys demonstrated that nearly 100% of students indicated their increased ability to value listening and listen to others, enhanced the healthcare provider/patient relationship, and prioritized patients’ life experiences. The majority of mentors noted that student interactions added to their quality of life, social engagement and sense of purpose. Preliminary outcomes suggest that arts-based experiences establish mutual respect and empathy between people with dementia and students.
Technology in Exercise Interventions for Older Women: Acceptability, Adherence, and Special Considerations
Authors: Halloway Shannon 
Published: December 2020

Abstract
Women aged 65 years and older participate in less moderate-vigorous physical activity (PA) than men of this age group, which increases the risk for a myriad of chronic health problems. Interventions that utilize a lifestyle approach to increase PA in everyday life are preferred by women compared to structured exercise, but long-term adherence is a challenge. Technology (e.g., wearables, social media, computers) can be efficiently leveraged as motivational tools in lifestyle PA interventions. However, the unique needs of older women must be considered. Thus, the purpose is to examine the: (a) types of technology that were successfully integrated into existing PA intervention studies designed for older women; (b) acceptability and adherence to technological approaches by older women; and (c) additional considerations needed for special populations, including older women with chronic health problems. The efficiency and scalability of technological approaches with clinical and public health implications will also be discussed.
The Effect of a Personalized Automated Exercise Guidance System on the Improvement of obesity
Authors: Noh Yeonsik , Chang Jae-Seung , Chon Ki , Yoon Hyungro , Jeong In Cheol , Kong In Deok 
Published: December 2020

Abstract
This study introduces a personalized automated exercise guidance system for the efficient reduction of obesity. The proposed system was composed of wearable biometric devices and exercise-machine control systems connected with the integrated database server. It was designed for providing customized exercise prescription (intensity, repetition, frequency, etc.) according to ACSM guidelines for obesity based on real-time biosignals feedback and an individual’s exercise capacity. Nineteen subjects participated in evaluating the proposed system, and we found that the risk factors (body composition, hemodynamics, blood enzymes, and exercise variables) related to obesity were statistically significantly improved. Other exercise prescriptions for chronic diseases and symptoms will be able to adapt to the proposed system so that we believe it would be substantially helpful to improve geriatric diseases and symptoms by using technology-driven exercise.
Technology, Yoga, and Hallway Walks to Maintain Function and Self-Efficacy During the Home-Bound Months of Winter
Authors: LeBard-Rankila Kim 
Published: December 2020

Abstract
Winter months present individuals with a unique challenge, decreased daily movement that can lead to decreased physical and emotional health. Snow and ice cause hazardous walkways and driving conditions that can lead to falls and decreased travel out of the home. For those that live in states that have four seasons, when spring comes many of them have spent a large majority of their daily lives indoors for 3-5 months. This isolation can cause decreased daily movement, aggravate medical conditions, challenge healthy eating habits, and cause social isolation. Participants for this study live in a 32-apartment building, which all occupants are independent with daily living skills and are 60 years or older. The study assessed if motivational texting, yoga in the apartment’s community center, and short hall-way walks can help maintain or increase self-efficacy. Flexibility, hand-grip strength, and perceived quality of life were assessed.
Advocates for African American Elders: Engaging Older Adults in Education and Research
Authors: Lincoln Karen 
Published: December 2020

Abstract
Advocates for African American Elders (AAAE) is an outreach and engagement program at the University of Southern California, providing culturally competent health education for older African Americans throughout Los Angeles County (LAC). Founded in 2012 to address racial disparities in health outcomes, AAAE partners with community-based agencies, government, and health plans to address the persistent growing needs of older African Americans. AAAE educates and disseminates information about healthcare policies and resources through fact sheets, educational forums, and the AAAE website. It collaborates with local healthcare providers to improve outreach, education, and care, and assesses service needs and resources via surveys in LAC. The program engages in community-based participatory research to provide real-world solutions for improving health outcomes and build community research capacity. This presentation will highlight AAAE’s community-based approach to raising awareness, increasing knowledge and access to healthcare resources, and improving health outcomes for older African Americans and their families.
Community-Engaged Research of Older Pacific Islander Adults: Results From the PIHS and the NHPI NHIS
Authors: Panapasa Sela 
Published: December 2020

Abstract
Despite the well-established need to measure and address the growing issue of disparities among older minority populations, little is known about the prevalence and correlates of disability, morbidity, and mortality among older US Pacific Islander adults. This paper discusses culturally appropriate approaches for conducting evidence-based research on a representative probability sample of older Native Hawaiian and Pacific Islander adults interviewed as part of the Pacific Islander Health Study and Native Hawaiian and Pacific Islander National Health Interview Survey. Important strategies that increase response rates and respondent participation when engaging this multi-ethnic and culturally diverse special population in research are highlighted. The model describes successful methodologies that combine CBPR approaches of community engagement with more traditional survey design methods. The findings from this work emphasizes the importance of representative data on hard-to-survey populations to illustrate granular differences in health outcomes within underrepresented populations that are not reflected in national health surveys.
Relation Orientation and Ageism: A Cross-Cultural Comparison Between Chinese and Americans
Authors: Zhang Xin 
Published: December 2020

Abstract
Attitudes toward older adults were negatively associated with ageism. However, whether this association is universal or cultural specific remained unknown. On the basis of well-documented cultural difference in relation orientation between westerners and easterners, this study aimed to investigate whether participants of different cultural background would show different association between ageism and attitudes toward close vs. non-close older adults in a sample of 211 Chinese (Mean age = 33.27) and 241 American (Mean age = 34.56) younger adults. Multiple regressions were conducted, and as expected, attitudes toward older adults (of different relation orientation) were found to be associated with ageism differently in two cultures. For American participants, attitudes toward both close and non-close older adults significantly correlated with ageism, while only attitudes toward close older adults were significant predictors of ageism in Chinese sample. This result had important implications for understanding and intervening ageism with people of different culture background.
HIV and Aging Comes into the Spotlight: 2013 to Now
Authors: Taylor Tonya 
Published: December 2020

Abstract
I have had the pleasure of serving as Co-Convener of the HIV, AIDS and Older Adults Special Interest Group (SIG) for seven years (2013 to now). During this time, we witnessed an increase in NIH funding opportunities, most notable was the Multidisciplinary Studies in HIV/AIDS and Aging FOA. NIH also renewed its support for two prominent longitudinal HIV cohort studies (now knowns as the Combined Cohort Study) because of their unmatched ability to provide insight on the effects of HIV infection and aging. Individuals older than 50 years of age are now included in AIDS and HIV prevention clinical trials. And, in 2008 the AIDS Institute launched the first National HIV/AIDS and Aging Awareness Day (Sept 18th). During this period, the SIG continued to raise awareness about HIV and aging through sponsored symposia and Webinars, and participants for the SIG participated in the first HIV and aging GSA Momentum Discussion. Part of a symposium sponsored by the HIV, AIDS and Older Adults Interest Group.
Effect of Longevity Genetic Variants on the Molecular Aging Rate
Authors: Sebastiani Paola , Gurinovich Anastasia , Song Zeyuan , Zhang William , Monti Stefano , Millman Sofiya , Barzilai Nir , Perls Thomas 
Published: December 2020

Abstract
We conducted a genome-wide association study of 1317 centenarians from the New England Centenarian Study and 2885 controls using &gt;9M genetic variants. The most significantly associated variants were correlated to 4131 serum proteins in 224 study participants. The genetic and protein associations were replicated in a genome-wide association study of 480 centenarians and ~800 controls of Ashkenazy Jewish descent and a proteomic scan of approximately 1000 participants of the same study. The analysis replicated a protein signature associated with APOE genotypes and confirmed strong overexpression of BIRC2 (p &lt; 5E-16) and underexpression of APOB in carriers of the APOE2 allele (p&lt; 0.05). The analysis also discovered and replicated associations between longevity variants and slower changes of protein biomarkers of aging, including a novel protein signature of rs2184061 (CDKN2a/CDKN2B in chromosome 9). The analyses show that longevity variants correlate with proteome signatures that could be manipulated to discover healthy aging targets.
Geographical Residency and Quality of Life in Adults with and without Hearing Loss
Authors: Hay-McCutcheon Marcia , Yang Xin 
Published: December 2020

Abstract
There is an increased interest in the impact that hearing loss has on general well-being, including overall quality of life (QOL). The Quality of Life Inventory (QOLI), the Charlson Comorbidity Index and an Accessibility to Health Care questionnaire were administered to 108 participants. For adults with hearing loss who did not have access to hearing health care, lower QOL scores were reported compared to those with access to hearing health care, but this finding was not significant. Effect size calculations indicated that adults with hearing loss who lived in the most rural regions of Alabama, had lower reported QOL scores than their counterparts who had hearing within normal limits. Finally, those with higher incomes, who were older, and who had fewer physical disorders reported higher QOL compared to those with lower incomes, were younger, and who had more physical ailments. Part of a symposium sponsored by the Mental Health Practice and Aging Interest Group.
GSA Managing Editors’ Perspective on Submission Dos and Don’ts
Authors: Jackson Kathleen , Jung Karen 
Published: December 2020

Abstract
In this presentation, the managing editors of GSA’s peer-reviewed journals will discuss how the editorial offices operate and their roles in the publishing process. The topics will include how to navigate the ScholarOne submission system, why it is important to read the Instructions to Authors, and how authors can work with the editorial offices to increase the visibility and impact of their published articles.
Literacy and Cognitive Function in the Context of Marriage: A Study of Older Mexican Couples
Authors: Saenz Joseph 
Published: December 2020

Abstract
Many studies have reported that literacy is associated with favorable cognitive outcomes in late-life. Few have evaluated whether the cognitive benefits of literacy extend to a spouse’s cognitive ability. Among married husband-wife dyads from the 2012 Mexican Health and Aging Study (n=4,078 dyads), literacy was assessed as self-reported ability to read and write. General cognitive ability was assessed using performance across several cognitive domains. Approximately 11% and 15% of husbands and wives, respectively, could not read or write. For both husbands and wives, both own literacy, and having a spouse who could read and write were independently associated with better cognitive ability even after accounting for both partners’ education. Literacy may represent an important form of capital that may be beneficial to preserve cognitive function among older adults. Benefits of spousal literacy may operate by facilitating access to resources such as information and cognitive stimulation.
Physiological Dysregulation and Aging: Implications for Health Equity
Authors: Forrester Sarah , Kiefe Catarina , Thorpe Roland 
Published: December 2020

Abstract
Social determinants of health (SDOH) are a major public health issue that affect the magnitude and prognosis of many diseases in the U.S., including cardiovascular disease and cognitive disorders of aging. These associations are especially deleterious among minority persons in the US due to consistently unfavorable social determinants in this population including socioeconomic position, residential segregation, and quality of education. Physiological dysregulation measures the “true global state” of an individual that includes, but goes beyond, chronological age, reflects the health burden produced, in part, by SDOH, and is associated with the development and prognosis of disease. A better understanding of how and when physiological dysregulation occurs may allow us to prevent or reverse dysregulation among the most vulnerable aging populations leading to improved health equity in cardiovascular and cognitive outcomes.
Advance Care Plans for Sexual Minority Older Adults: Disparities Across Lesbian, Gay, and Bisexual Individuals
Authors: Wardecker Britney , Matsick Jes 
Published: December 2020

Abstract
To ensure preference-based care, health providers advise individuals to establish advance care plans (e.g., power of attorney, valid will; NIA, 2018). Though important for all individuals to prepare for declining health, it is critical for bisexual older adults to establish plans given they evidence more health problems compared to heterosexual, lesbian, and gay counterparts (Fredriksen-Goldsen et al., 2016). To assess factors related to having advance care plans, we used data from sexual minority older adults (n=158) in the Health and Retirement Study (2016). Bisexual individuals reported a lower number of valid wills than lesbian and gay participants, t(152)=3.80, p&lt;.001. This finding is particularly alarming given bisexual people are the numeric majority of sexual minorities and experience elevated health problems in older age. We will discuss mechanisms of disparities, the need for research on end-of-life care for sexual minorities, and implications for improving healthcare providers role in facilitating care plans.