bluuebunny/crossref_metadata_2025_split huggingface dataset:
WORRIES OF OLD-AGE SUPPORT FOR PARENTS AND THEMSELVES: VIEWS FROM OLDER BACHELORS IN RURAL CHINA
Authors: Wang Ying , Liu Huijun , Wu Bei , Pei Yaolin 
Published: November 2019

Abstract
Due to China’s gender imbalance, it is estimated that more than 30 million adult males were unable to get married. The old-age support for older unmarried sons (so-called forced bachelors) and their parents faces a significant challenge. Using data from a survey in Central and Western rural China, the present study examined the impact of family structure and health status on the worries about old-age support for themselves and their parents from the perspective of older unmarried sons. The sample included 359 older unmarried sons with rural Hukou (housing registration) status. The age of he sample ranges from 28 to 51. The results showed that 52.64% and 54.8% of respondents were worried about their own and their parents’ old-age support, respectively. Ordered logistic regression showed that having a sister(s) was negatively related to worries about their own and parents’ old-age support. Those with living mothers had less worries than their counterparts, and those who had a brother(s) had less worries about their parents’ old age support. Moreover, having any brothers who were also older unmarried sons was positively related to worries about their own and parents’ old-age support. Older unmarried sons who had two frail old parents had more worries for their parents’ old-age support than those whose parents were physically independent. The study highlights the importance of family structure and parental health status as important factors in worries over old-age support in China.
OPTIMISM AND EXPECTATIONS REGARDING AGING AMONG YOUNG ADULTS AND OLDER ADULTS
Authors: Vleet Samuel C Van , Moore Jenna M , Edzards Sarah , Smith Leah N , Sawyer Jennifer , Coldiron Allyson M , Sandlin Allie M , Barnett Michael D 
Published: November 2019

Abstract
A large body of research has found that individuals’ attitudes toward aging may influence their future health. Previous research has found that age is associated with more negative expectations toward aging. However, it is possible that optimism, or generalized positive expectancies regarding future outcomes may play a role in expectations regarding aging. Optimism has been identified as a key component of successful aging. The purpose of this study was to compare expectations regarding aging among young adult and older adult age cohorts, controlling for optimism, and to investigate the differential relationships between optimism and expectations regarding aging by age cohort. Young adults (n = 130) and older adults (n = 335) completed a survey containing the Expectations Regarding Aging – 12 and the Optimism-Pessimism Scale. Results found that, after controlling for optimism, older adults endorsed more negative expectations regarding aging. Comparison of the correlation coefficients between optimism and expectations regarding aging among age cohorts found that optimism was significantly associated with expectations regarding aging among older adults but not young adults and that this difference was significant. Taken together, the results suggest that older adults have more negative expectations for aging and that optimism may play a key role in older adults’ expectations regarding aging.
ADOLESCENTS’ ATTITUDES ON GRANDPARENT INVOLVEMENT IN CHILD CARE
Authors: del Rosario Katherine E , Ferrer Raphael 
Published: November 2019

Abstract
This descriptive associative study focused on the attitudes of selected adolescents toward the involvement of grandparents (maternal grandmother, maternal grandfather, paternal grandmother, paternal grandfather) in childcare. Specifically, it aimed at determining the rate of closeness of these adolescents toward their own grandparents; their attitudes toward the involvement of their grandparents; and the relationship between the students’ closeness with their grandparents and their attitudes toward grandparents’ involvement. A survey was administered to 185 adolescents aged 16 to 22 from the University of the Philippines. Results showed that most of the respondents (43.38%) are either very close or close to their grandparents, especially their maternal grandmother (n = 126). The attitudes of the respondents toward grandparents’ involvement were measured by looking at their rate of agreeableness on 17 statements. Results showed that most of the respondents either agree or neither agree nor disagree (M = 2.60) on grandparents’ involvement. The correlation analysis showed a moderate to high positive linear association between MGM closeness and MGM involvement (r=.72); MGF closeness and MGF involvement (r=.74); PGM closeness and PGM involvement (r=.63); and PGF closeness and PGF involvement. This implies that perceived closeness increases with perceived involvement. The findings of this study emphasized on the role grandparents play in the lives of adolescent grandchildren. Some implications of this study with regards to future research in this field are described.
IMPACT OF FAMILY FUNCTION ON THE RELATIONSHIP BETWEEN SELF-PERCEPTION OF AGING AND STRESS IN MIDLIFE
Authors: Yeom Hyun-E , Park Eunyoung , Jung Misook 
Published: November 2019

Abstract
Midlife is a transitional period with considerable stress related to health changes and interpersonal responsibilities. Understanding how self-perception of aging and family function affect stress is essential to improve quality of life in midlife and beyond. The purpose of this study was to examine the association among self-perception of aging, family function, and stress with a specific focus on the interaction between self-perception of aging and family function, which affect stress in midlife Koreans. This is a cross-sectional study. Data on a convenience sample of 249 midlife Koreans (age mean= 50.6, 50.1% male) were collected through a self-administered survey and analyzed using the PROCESS macro for SPSS. Self-perception of aging was significantly related to family function (r= -.121, p=.045), and family function was related to stress (r= -.402, p&lt;.000). Self-perception of aging was a significant predictor for stress (β= -.130, p=.008) after adjusting for age, gender, subjective health status, and chronic health problems. A significant interaction between family function and self-perception of aging on stress was found (β= -.261, p=.006), indicating that the influence of self-perception of aging on stress was different depending on family function. Self-perception of aging was a strong predictor of stress in individuals who reported poorer support from family members, but not in those who reported better support. Our findings emphasize the importance of supportive family function, which could regulate the impact of self-perception of aging on stress in midlife. Developing psycho-cognitive interventions to improve self-perception of aging and supportive interaction between family members is warranted.
IMPACT OF SELF-PERCEPTION OF AGING ON THE RELATIONSHIP BETWEEN HEALTHY BEHAVIOR, STRESS, AND HEALTH IN MIDLIFE
Authors: Yeom Hyun-E , Park Eunyoung , Jung Misook 
Published: November 2019

Abstract
Self-perception of aging may affect the interpretation of health-related changes that influence behaviors. Understanding how self-perception of aging is associated with healthy behavior, stress, and health is essential to prepare healthy aging. The purposes of this study are to examine the influence of healthy behavior on stress and subjective health status and to investigate whether self-perception of aging affects the association in midlife Koreans. This is a cross-sectional study. Data were collected through a self-administered survey using a convenience sampling of 466 midlife Koreans (mean age = 50.7, 52.4% male). The PROCESS macro for SPSS was applied for data analysis. Self-perception of aging was significantly related to stress (r= .20, p&lt;.00), and subjective health was related to healthy behavior (r= .22, p&lt;.00) and stress (r= -.38, p&lt;.00). Healthy behavior predicted stress, which, in turn, affected subjective health status (index=.05, 95% CI [.01, .10]). A significant interaction between healthy behavior and self-perception of aging was found (β= -.22, p=.002), indicating that the influence of healthy behavior on stress was different depending on the individual’s self-perception of aging. It means that the impact of healthy behavior on stress was stronger in individuals with a more negative self-perception of aging. The findings demonstrate the critical role of self-perception of aging, which affects the benefits of healthy behavior on stress and subjective health status. This study highlights the importance of assessing self-perception of aging and developing cognitive behavioral interventions that contribute to modifying stereotyped beliefs about aging for better quality of life in midlife.
I CAN'T SLEEP IN MY BED: THE RELATIONSHIP BETWEEN SLEEP AND LATE-LIFE HOARDING
Authors: Davidson Eliza J , Dozier Mary E , Nadorff Michael , Ayers Catherine R 
Published: November 2019

Abstract
Hoarding disorder in late life has been associated with increased risk for medical conditions and decreased ability to perform activities of daily living in the home; however, no studies have yet examined the relationship between geriatric hoarding and sleep. This study represents a secondary data analysis of older adults who received 26 sessions of group behavioral treatment for hoarding disorder (n = 41; mean age 64, range 55-85). Baseline sleep disturbance was significantly associated with hoarding severity, even when controlling for inability to sleep in a bed due to household clutter level. However, no significant change in sleep disturbance was reported following completion of treatment and baseline sleep disturbance was not significantly predictive of change in hoarding symptom severity. Findings suggest that disturbed sleep quality is associated with greater hoarding symptom severity but does not preclude positive symptom change in treatment.
COMBINED EFFECT OF CMV SEROPOSITIVITY AND SYSTEMIC INFLAMMATION ON DEMENTIA PREVALENCE IN CANCER SURVIVORS
Authors: Vivek Sithara , Thyagarajan Bharat , Nelson Heather , Prizment Anna , Crimmins Eileen , Faul Jessica 
Published: November 2019

Abstract
Though cancer patients treated with multi-modal therapies demonstrate higher levels of systemic inflammation, which is associated with dementia, cancer survivors have not shown a consistent association with dementia. Since several studies reported an independent association between cytomegalovirus (CMV) infection, inflammation and dementia in non-cancer populations, we have evaluated whether CMV infection and systemic inflammation were associated with increased prevalence of dementia in cancer survivors in Health and Retirement Study (HRS). We evaluated prevalence of dementia (using score ≤7 on the 27-point scale) among 1607 cancer survivors, in whom we measured CMV seropositivity and two biomarkers of systemic inflammation: C-reactive protein (CRP) and neutrophil-lymphocyte ratio (NLR). The prevalence of CMV seropositivity was 68.26% (n=1097), while prevalence of increased systemic inflammation [CRP &gt;5mg/L and NLR &gt;4] was 4.23% (n=68). Using survey logistic regression, adjusted for age, race, gender, BMI (Body Mass Index) and sampling design, cancer survivors who were both CMV seropositive and had increased systemic inflammation had the highest odds of dementia compared to those who were CMV seronegative and had low levels of systemic inflammation (OR=6.59; 95% CI [2.81, 15.44]; p&lt;.0001). Cancer survivors who were CMV seropositive without evidence of systemic inflammation had a lower but increased odds of dementia (OR=2.02; 95% CI [1.17, 3.47]; p=0.01). Odds of dementia among those who were CMV seronegative with elevated systemic inflammation was not significant (p=0.09). Our study demonstrates a possible role for ongoing CMV induced inflammation in determining dementia prevalence among cancer survivors that needs further confirmation.
SOCIAL NETWORK BY ENVIRONMENTAL DESIGN: FACILITATING THERAPEUTIC EFFECT IN LTCF FOR PEOPLE EXPERIENCING DEMENTIA
Authors: Ferdous Farhana 
Published: November 2019

Abstract
The relationship between the physical environment and the prevalence of social interaction have been a core topic of inquiry in environmental gerontology. It has been estimated that around 25 million people worldwide have dementia, and the number will exceed 80 million by 2040. A growing body of literature in the areas of environment-behavior studies shows that the physical environment affects positive behavioral changes, in turn, affecting individual, group and organizational outcomes, but little research has focused on older adults especially those with cognitive impairment by targeting the Dementia Enabling Environment of care facilities. By using non-pharmacological interventions, the purpose of this study is to initiate positive social network among dementia residents and staff by analyzing the spatial configuration of the physical environment and layout in long-term care facilities (LTCF). The findings may give evidence-based design guidelines for future research and design of memory care facilities to promote therapeutic experience for older people experiencing early to moderate stage dementia. Using a 3-stage, multi-method research design such as space syntax, behavior mapping techniques and direct observations, this study objectively measured the spatial configuration of LTCF (physical environment) to evaluate the provision of social interactions (among dementia residents and staff), promote positive health outcomes and healthy living for people experiencing early to moderate stage dementia. This study was able to establish that the architectural layout and environmental design could have a positive and protective effect against dementia in environmental gerontology and geriatrics.
PREDICTORS OF INSOMNIA IN INDIVIDUALS WITH MILD COGNITIVE IMPAIRMENT
Authors: Mattos Meghan , Davis Eric M , Manning Carol 
Published: November 2019

Abstract
Insomnia is a common disorder that affects up to 40% of people age 65 and older. Untreated insomnia can decrease quality of life, increase healthcare use, and exacerbate cognitive problems. Individuals with cognitive impairment experience more sleep disorders than those without cognitive concerns, yet little is known about insomnia and mild cognitive impairment (MCI). Our objective was to examine predictors of insomnia in persons with MCI (PwMCI). Using data from the National Alzheimer’s Coordinating Center Uniform Data Set, a cross-sectional study of older PwMCI was conducted. Independent sample t-tests and contingency tables with chi-square tests of independence were used to examine differences between PwMCI with and without insomnia. Multivariate binary logistic modeling was performed. The total sample (N=1543) was comprised of 234 (15.1%) with clinician-reported insomnia and 1309 (84.9%) without insomnia. PwMCI and insomnia were more likely to be younger, take more medications, and smoke cigarettes (p.05). Three variables significantly predicted insomnia in PwMCI subjects in a multivariate model: active depression (OR 1.66, 95%CI 1.21, 2.27), active anxiety (OR 2.16, 95%CI 1.57, 2.99) and arthritis (OR 1.78, 95%CI 1.33, 2.39). Differences in predictors of insomnia in PwMCI highlight the need for geriatric and mental health specialists to provide specialized care to this population. Future studies should examine conversion of PwMCI with insomnia to dementia and the compounding effects of insomnia on cognition.
AGE AND ADVANCE CARE PLANNING PREDICTS SELF-PERCEIVED RISK FOR DEMENTIA
Authors: Yun Stacy W , Maxfield Molly 
Published: November 2019

Abstract
Self-perceived Alzheimer’s disease and related disorders (ADRD) risk may be highly influenced by the sense of control which one has over the prevention and negative impact of such diagnoses (Kessler et al., 2012). This study examined whether age, advance care planning (ACP), and experimentally manipulated dementia salience (DS) are related to self-perceived risk of dementia. Participants (N = 122, 40 to 88 years old, M = 65.66, SD = 9.71) completed the computerized study using Qualtrics software. Participants completed questionnaires assessing individual differences, self-perceived risk, and demographics. Multiple regression was calculated to predict self-perceived ADRD risk based on age, ACP, and DS induction. The set of predictors explained 15.3% of variance in participants’ self-perceived risk of dementia, F(3, 118) = 7.08, p &lt; 0.001. Specifically, being older (β = -0.40, p &lt; 0.001) and having less ACP items completed (β = 0.26, p &lt; 0.01) uniquely predicted lower perceived risk. DS condition (β = -0.01) did not attain significance in the model. Younger age might be associated with less ADRD exposure and understanding, which may influence perceived risk. It is possible that older adults are less worried about developing dementia as they may (erroneously) believe they have “passed” the time to develop ADRD. Additionally, high levels of self-perceived ADRD risk may have resulted in motivation for greater levels of planning for the future among those with greater ACP. Future studies will investigate the level or point in which perceived risk changes from being beneficial and health-promoting to problematic and anxiety-provoking.
USE OF FDA-APPROVED ALZHEIMER’S DISEASE MEDICATIONS AMONG NON-INSTITUTIONALIZED U.S. ADULTS AGE 60 YEARS AND OLDER
Authors: Frenk Steven , Sautter Jessica M 
Published: November 2019

Abstract
This study examined the use of Alzheimer’s Disease medications (ADMs) among non-institutionalized U.S. adults aged 60 years and older. It described the characteristics of ADM users, compared them to adults who were not currently using ADMs, and examined how demographic characteristics, living arrangements, healthcare utilization, and self-perceived cognition are associated with use of ADMs. It also identified the duration of ADM use and the most commonly used ADMs. Data come from the National Health and Nutrition Examination Survey, a nationally representative study of the non-institutionalized U.S. population (2009-2014). Respondents were classified as ADM users if they reported using one or more of the following prescription ADMs in the past 30 days: donepezil, rivastigmine, memantine, galantamine, or a drug combination of donepezil and memantine. During the study period, 1.9% of non-institutionalized U.S. adults aged 60 years and older reported using an ADM in the past 30 days. Use of ADMs was associated with concurrent use of antidepressant medications and also frequent or worsening memory loss and confusion. Most ADM users (82.3%) reported using ADMs for more than one year and the most frequently used ADM was donepezil. In 2009-2014, about 1.1 million non-institutionalized adults aged 60 years and older used an ADM in the past 30 days. They reported relatively poor cognitive abilities, frequent healthcare utilization, and concurrent use of antidepressant medications compared to non-users. Newly released public survey data will be useful to provide updated estimates of ADM use in the community.
A WEB-BASED MOBILE APPLICATION TO SUPPORT SOCIAL ENGAGEMENT IN PERSONS WITH DEMENTIA
Authors: McCarron Hayley R , Zmora Rachel , Gaugler Joseph E 
Published: November 2019

Abstract
Assistive technology has been recognized as a promising tool to improve the lives of persons living with dementia and their caregivers. The use of assistive technology in dementia care is expanding, although it is most often applied to manage care and promote safety. There is a lack of assistive technology designed to aid persons with dementia to participate in meaningful activities. The present study utilizes a pilot randomized controlled trial (RCT) design to evaluate the feasibility, acceptability, and effects of an assistive technology device, the Social Support Aid (SSA), designed to assist persons with dementia engage in social interaction. Quantitative data were collected initially and three and six months later, and participants in the technology group participated in qualitative interviews. Feasibility and utility scores indicated that participants felt neutral about the technology. Use of the SSA was not significantly associated with changes in quality of social interactions or quality of life measures over the six months of follow-up (P &gt; .05). The qualitative analysis revealed three themes that described how and why the SSA worked or did not: (1) outcomes (2) reasons why (not) useful and (3) recommendations. There is a need to develop effective assistive technology that improves the quality of life of persons with dementia. Assistive technology that allows persons living with dementia to maintain some level of autonomy should be a priority for future research. Results provide recommendations for future assistive technology development and evaluation.
MILD BEHAVIORAL IMPAIRMENT AS A PREDICTOR OF COGNITIVE FUNCTIONING IN OLDER ADULTS
Authors: Rouse Hillary J , Small Brent J , Schinka John 
Published: November 2019

Abstract
Background: Mild behavioral impairment (MBI) is considered to be a late life transitional state between normal aging and dementia that describes individuals who have persistent behavioral changes and/or psychiatric symptoms. Individuals with MBI are found to be at greater risk of dementia compared to those without these symptoms. Identifying how MBI might relate to different domains of cognition is of key importance, as it could be an early indicator of a future dementia diagnoses. Method: Secondary data analysis of a sample (n=512) of older adults from the Florida Alzheimer’s Disease Research Center who were either cognitively healthy or presenting with mild cognitive impairment (MCI). Some individuals presented with MBI, as defined by decreased motivation, affective dysregulation, impulse dyscontrol, social inappropriateness, or abnormal perception/thought content. Executive function, attention, short-term memory, and episodic memory, were compared using a battery of neuropsychological assessments. Results: Individuals with MCI performed worse on all tasks across all cognitive domains, where individuals with MBI performed worse on several tasks associated with executive function, attention, and episodic memory. Compared to individuals with only MCI, individuals with MCI and MBI performed significantly worse on tasks associated with executive function and episodic memory. Conclusion: The present study found evidence that individuals with MBI will perform worse on tasks of executive function, attention, and episodic memory. Further, those with MCI and MBI will perform significantly worse on executive function and episodic memory tasks. Future research should explore if these findings can help to predict specific dementia diagnoses.