bluuebunny/crossref_metadata_2025_split huggingface dataset:
STAIR CLIMB TIME AND FUNCTIONAL POWER ASSOCIATIONS IN EARLY OLD AGE: SWAN
Authors: Strotmeyer Elsa , Lange-Maia Brittney S , Cauley Jane A , Dugan Sheila A , Khoudary Samar R El , Gabriel Kelley Pettee , Glynn Nancy W , Karvonen-Gutierrez Carrie A 
Published: November 2019

Abstract
Stair climbing assesses neuromuscular components of movement, including muscle power (force*velocity) which may decline earlier in aging vs. strength. We hypothesized age and age-related factor (N=1370; 65.5±2.7 years) associations to stair climb total time (sec), ascend lap time degradation (lap 1 minus 3), power (W/kg body weight) and power degradation (lap 1 minus 3). Adjusting for demographic, lifestyle and age-related comorbidity factors using multivariate linear regression, older age independently related to slower total time and lower power. Non-white ethnicity had slower total time (Black, Hispanic), higher ascend time degradation (Hispanic), and lower power (Hispanic, Chinese, Japanese) vs. Whites. Higher 36-Item Short Form Health Survey (SF-36) and Modified Baecke physical activity scores indicated better performance: lower total time, higher power (SF-36 only), and less degradation in ascend time and power. Stair climb time and power in early old age may capture initial functional loss targets for interventions to prevent late-life disability.
THE ANTHROPOCENE AND THE LONGEVITY REVOLUTION
Authors: Choi Moon 
Published: November 2019

Abstract
The Anthropocene, a term popularized in 2010 by Nobel Prize-winning chemist Paul Crutzen, refers to the current epoch during which human beings have begun to have a significant impact on the earth, e.g., the environment and climate change. Global population has grown approximately seven-fold over the past 200 years, while average life expectancy at birth has dramatically increased due to improvements in nutrition, medicine, and technology. The human Longevity Revolution thus provides important evidence of the Anthropocene. Yet, in the face of the Anthropocene, contemporary lifestyles rooted in capitalism–continually seeking more and bigger–are not sustainable; changes are needed for humanity to “live long on the damaged planet.” This presentation will discuss the Longevity Revolution in the context of the theory and previous research on the Anthropocene, then suggest an agenda for future research related to the intersection between the Anthropocene and the Longevity Revolution.
INTERVENTION EFFECTS ON TARGET PROBLEMS EXPRESSED BY CAREGIVERS OF HOME-DWELLING PERSONS WITH DEMENTIA
Authors: Fortinsky Richard H , Gitlin Laura N , Piersol catherine V 
Published: November 2019

Abstract
Care of Persons with Dementia in their Environments (COPE) is an evidence-based in-home intervention designed to optimize function and activity engagement in persons with dementia (PWD), and teach family caregivers (CG) how to manage dementia care-related problems. In this presentation, we report problems expressed by CGs, and intervention effects on these problems and CG outcomes, in the COPE CT translational study. CGs randomized to COPE who completed the assessment phase (N=134) expressed a total of 409 target problems, grouped as managing PWD behavioral problems (32%), caring for themselves (30%), managing PWD daily activities (24%) and engaging PWD in meaningful activities (14%). Most problems were reduced (75%) or eliminated (21%) among CG completing the intervention. In preliminary outcome analyses, compared to CG not receiving COPE, CG receiving COPE were more likely to report improved ability to manage dementia-related cognitive and behavioral symptoms (p&lt;0.001). Implications for scaling COPE will be discussed.
A MODEL OF CARE FOR OLDER ADULTS WITH IMPAIRED VISION OR BLINDNESS AT THE END OF LIFE
Authors: Morales Ximena , Blondet Ricardo , Milanez Marcos , Mandi Deepak , Lares Gabino , Silverman Michael A 
Published: November 2019

Abstract
Our objectives were to describe unique challenges of visually-impaired patients receiving end-of-life institutional care and to propose a model for the comprehensive care of the vision-impaired patients incorporating bedside techniques and advanced assistive technology. The prevalence of visual impairment in long-term care is increasing. Collaborating with our Blind Rehabilitation Center, we have summarized a care model including the identification of patients who have impaired vision and adjustments of daily routine. Care was consistently provided by staff with voices familiar to patients. Staff is trained to introduced themselves clearly by voice when entering the room. Patients engage in hobbies that are less dependent on vision, such as music therapy. Safety measures are taken to facilitate mobility. We describe the case of a 90-year-old WWII Veteran with dementia and dysphagia who was legally blind and required extensive assistance with his ADLs. Although initially calm, the patient eventually became delirious, reliving his time as a gunner in the Navy and believing he was firing on Japanese Kamikaze planes. After his visual impairment was addressed using the approach described above, the patient became calmer. Listening to his wife’s voice and enjoying his favorite gospel music helped him cope better with the situation until he died peacefully on hospice care. In conclusion, a model of care considering visual impairment was effective at alleviating distress. More emphasis needs to be placed on evaluating and managing sensory impairment when providing care for older adults approaching the end of life.
INTEREST GROUP SESSION—RURAL AGING: INNOVATIONS THAT SUPPORT RURAL OLDER ADULTS’ HEALTH AND WELL-BEING: MODELS, NETWORKS, CASE STUDIES, REFLECTIONS
Authors: O’Sullivan Roger , Holley Lyn , Guest Marc A 
Published: November 2019

Abstract
Access of rural older people to health and wellness services is limited and becoming progressively more limited as trends toward increasing centralization of Government and private services continue. “Top-down” or urban centric models for rural service delivery often miss context essential to effectiveness and sustainability. In this symposium, each presenter in this multidisciplinary group of researchers presents innovative, community-based interventions that address these challenges using different methodologies and in respect to different needs Maiden (Psychology) compares the utilization of mental health services by rural older adults over time with their need for such services. Through the lens of social gerontology Holley examines networks of support that have intersected successfully to generate local solutions to unmet needs of rural-dwelling older adults. Crowther and Ford within a nursing and care context explore community-based models that draw upon the role of culture to integrate care for rural older adults. Katz, from an adult development perspective, reports on an educational game-intervention developed to reduce cognitive decline which is tailored specifically for older adults in rural areas. Wiese presents evidence from a pilot home-based approach that demonstrates a model for increasing rates of AD detection and treatment in a rural retired farm worker community in Florida. Our discussant, an emerging scholar in the field of rural gerontology, will reflect on the major themes that emerge from these multidisciplinary perspectives, especially the role of intersecting networks in community-based innovations and rural aging.
IRVING S. WRIGHT AND VINCENT CRISTOFALO AWARD LECTURE
Authors: Lederman Stephanie , Herman Hattie 
Published: November 2019

Abstract
The Vincent Cristofalo Rising Star Award in Aging Research lecture will feature an address by the 2018 recipient, Nathan K. LeBrasseur, PT, PhD, of the Robert and Arlene Kogod Center on Aging, titled “Biomarkers of Senescent Cell Burden.” The Irving S. Wright Award of Distinction Lecture will feature an address by the 2018 recipient Pinchas Cohen, MD, of the USC Leonard Davis School of Gerontology, titled “Mitochondrial System Biology as a Window Into Diseases of Aging.” These awards are given by the American Federation for Aging Research, Inc.
DIFFERENCES IN HOSPITALIZATIONS, ER ADMISSIONS, AND OUTPATIENT VISITS FOR MEXICAN-AMERICANS AGE 75 AND OLDER
Authors: Downer Brian , Snih Soham Al , Chou Lin-Na , Kuo Yong-Fang , Markides Kyriakos , Ottenbacher Kenneth 
Published: November 2019

Abstract
Few studies have investigated the healthcare utilization of Mexican-American Medicare beneficiaries. We used data from 1,196 Hispanic-EPESE participants aged &gt;75 years that has been linked with Medicare claims to describe the healthcare utilization of older Mexican-Americans and determine common reasons for hospitalizations. Participants were followed for two-years (eight-quarters). We estimated the probability of &gt;1 hospitalization, emergency room (ER) admissions, and outpatient visits per quarter. The percentage of participants who had &gt;1 hospitalizations, ER admissions, and outpatient visits for each quarter ranged from 10.6%-13.2%, 14.6%-19.5%, and 77.2%-80.5%, respectively. Twenty-three percent of hospitalizations were for circulatory conditions and 17% were for respiratory conditions. Older age (OR=1.26) and Spanish language (OR=1.51) were associated with hospitalizations. Women had higher odds than men to have an outpatient visit (OR=1.61). Greater education was associated with ER admissions (OR=0.72). Continued research is needed to identify social determinants and health characteristics associated with healthcare utilization among older Mexican-Americans.
LONGITUDINAL CHANGE OF PHYSICAL AND COGNITIVE FUNCTIONS IN BLSA
Authors: Kuo Pei-Lun , Levine Morgan , Shardell Michelle , Resnick Susan , Simonsick Eleanor M , Schrack Jennifer A 
Published: November 2019

Abstract
Optimally integrating metrics of aging requires evaluating the metrics’ change with aging. We investigated longitudinal changes of physical and cognitive functions in the Baltimore Longitudinal Study of Aging. Usual gait speed declined -0.08 m/s (p&lt;0.001) per decade at age 60 years, -0.10 m/s (p&lt;0.001) per decade at 65 years, and -0.13 m/s (p&lt;0.001) per decade at 70 years, after adjusting for sex and height. No sex difference of gait speed decline was observed after adjustment for height. Time to finish Trails B, an indicator of executive function, increased 11.3 seconds per decade at 60 years, 17.7 seconds (p&lt;0.001) per decade at 65 years, and 24.1 seconds (p&lt;0.001) per decade at 70 years, after adjusting for sex, education, and race. No sex difference of longitudinal decline in executive function was observed. Linking these findings to physiological measures may unveil an important mechanism of aging.
RESILIENCE AND HEALTH AMONG CHINESE OLDER ADULTS: FINDINGS FROM THE U.S. AND CHINA
Authors: Zhang Wei , Wu Bei , Matchar David 
Published: November 2019

Abstract
The new framework of resilient aging has gained its importance in recent years. This symposium provides new findings on resilience and health among the Chinese population. Using data collected among 430 Chinese older adults in Honolulu, the first presentation examines resilience as an explanatory mechanism linking neighborhood social environment and well-being. Results showed that neighborhood cohesion was positively related to psychological well-being and life satisfaction. Resilience contributed to a substantial portion of the associations. Using the same data, the second presentation examines the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience. Findings showed that U.S.-born Chinese immigrant older adults had better OHQoL than their foreign-born Chinese American counterparts. Resilience was positively associated with OHQoL for the former but not for the latter. The third paper presents findings from the same dataset along with a survey of 800 older adults in Wuhan, China. The positive relationship between attitudes towards aging and self-rated health (SRH) was found to be moderated by resilience such that higher levels of resilience weakened this association substantially. Both the positive focal relationship and the moderating effect appeared to be stronger among participants in Honolulu. Using both datasets, the fourth paper investigates patterns of intergenerational transfer and their relationships with SRH as well as the meditating effect of resilience. Findings highlighted the beneficial health effects of receiving emotional support from adult children as well as the mediating role of resilience for older females in both study sites.
SOCIOCULTURAL DETERMINANTS OF RACIAL HEALTH DISPARITIES ACROSS THE LIFECOURSE
Authors: Shaffer Nancy Chiles , Hill Carl V 
Published: November 2019

Abstract
Racial health disparities have been observed across the lifecourse. While some studies have attributed these disparities to underlying biomedical differences, a large body of research supports a sociocultural etiology. In this symposium we will demonstrate that observed racial differences in health outcomes are associated with sociocultural factors, and demonstrate effective strategies for assessing race and racial differences in qualitative and quantitative analyses. We will share an overview of health disparities and aging, highlighting the National Institute on Aging’s Health Disparities Research Framework. After this introduction, four speakers will present scientific projects that exemplify the breadth and depth of research assessing health disparities and social determinants of health across the lifecourse. Dr. Brown will present qualitative work on how social determinants are positively addressed through exercise. Dr. Chiles Shaffer will present findings demonstrating the contribution of financial burden and lower education to racial differences in healthy aging. Dr. Noppert will present evidence highlighting the structural influences that underlie the association between education and metabolic health focusing on differences by race and gender. Dr. Thierry will present research on the association between neighborhood characteristics and telomere length with a focus on heterogeneity by race and urban/non-urban residence. Finally, Dr. Hill will provide an overview of the four presentations and facilitate questions and discussion.
DEVELOPING INTEREST IN GEROPSYCHOLOGY THROUGH INTERGENERATIONAL EXPERIENCE
Authors: King Katherine , Rosowsky Erlene , Jolson Michelle 
Published: November 2019

Abstract
In order to develop interest in geropsychology, it is beneficial for students to have direct experiences with older adults. This presentation reports on the development of an innovative student volunteer group within a doctoral program in clinical psychology. In this group, students engage directly with older adults in the community. With the help of geropsychology faculty, students have developed and led intergenerational activities such as a panel discussion about dating, reminiscence using music, fraud recognition, and social media training. The group consists of 32 current students, along with 7 recent graduates. Community partners have provided overwhelmingly positive feedback. Students have reported benefits including personal satisfaction from intergenerational contact, learning and pleasure from hearing older adults’ stories, and feeling appreciated. Reported challenges include communication issues and feeling unsure how to relate to people with dementia. Students also describe negative assumptions about aging that have changed as a result of their participation.
HOW NETWORKS POWERED MY CAREER STUDYING AGING IN AFRICAN AMERICANS
Authors: Whitfield Keith E 
Published: November 2019

Abstract
This presentation will provide some insights about aging in African Americans I have drawn from the network of scholars in my 30 year journey studying aging in African Americans. This journey has been focused on understanding biobehavioral interplays among demographic, genetic, familial, and psychosocial factors to understand individual variability in health and cognitive aging in African Americans. The presentation will include insights my mentors imparted to me, the contributions of my peers and what I learned from and tried to teach to my mentees. I will also share how my contributions were fueled by funding of my research and interactions with the staff at NIA. I will use data from my Carolina African American Twin Study of Aging, the Baltimore Study of Black Aging and the Study of Longevity and Stress in African Americans to provide examples. I will conclude with some suggestions for the next generation of scholars.
DEVELOPING A NEW FEDERAL POLICY AGENDA TO ADDRESS SOCIAL ISOLATION AND LONELINESS
Authors: MacPherson Andrew 
Published: November 2019

Abstract
The Coalition to End Social Isolation and Loneliness convenes a diverse group of allied stakeholders, including consumer and patient groups, health plans, community-based organizations, private sector researchers and innovators, and others, to address the epidemic of social isolation and loneliness. The Coalition is developing and advocating for bipartisan federal policy solutions to provide individuals the support they need to be socially engaged. This session will describe the role of the Coalition in engaging stakeholders, promoting innovative research, and advocating for policy changes that combat the adverse consequences of social isolation and loneliness and advance approaches and practices that improve social connectedness for all Americans.
ADDRESSING SOCIAL ISOLATION AND LONELINESS AMONG LOW-INCOME SENIORS IN SAN FRANCISCO
Authors: Spensley Catherine 
Published: November 2019

Abstract
Felton Institute has been working to eliminate isolation and loneliness in San Francisco since its inception as a community social service agency 130 years ago. Felton offers culturally and linguistically appropriate programs and services that foster community and social connections among socially isolated, low income older adults, including those living with serious mental illness and those residing in local long-term care facilities. Examples include workforce programs for older adults; the foster grandparent program; and the senior companion program which includes friendly visiting, senior counseling, and peer escort services. This session will highlight lessons learned from these successful programs as well as how they have led to the development of new initiatives focused on conducting outreach, providing trauma-informed services, offering wellness classes, and organizing meaningful activities including a choir, intergenerational gardening, arts and dance classes, and cultural exchange opportunities to isolated older adults living in poverty in San Francisco’s Visitacion Valley.
AGING IN PLACE: REVISITING OLD ASSUMPTIONS ABOUT WHAT PEOPLE WANT AS THEY GROW OLD
Authors: Cohen Marc A , Stone Robyn , Katz Ruth 
Published: November 2019

Abstract
When people are asked how and where they would like to age, they overwhelmingly indicate they want to “age in place”, that is, in their own homes. To support this desire, a range of home and community-based service options have been developed accompanied with major declines in the use of nursing homes and other institutional services. However, what if we’ve been asking the wrong question? Or asking the wrong people? Given that upwards of 70% of people turning age 65 will have a need for long-term services and supports (LTSS) and 52% will have significant need, the more relevant question is: how might you want to age in the presence of LTSS needs? In this research we explore the attitudes and expectations of a nationally representative sample of 1,200 “late Boomers” age 60 to 72 (instead of all adults) regarding how they want their life to look should they become physically or cognitively impaired and need LTSS. The analytic sample was derived from NORC’s AmeriSpeak® Panel. We found that in the presence of significant LTSS need, many people -- 40% if physically disabled and 71% if cognitively impaired -- do not want to remain at home. More than anything else they value safety and do not want to burden their families. They are also concerned about feeling alone. Clearly, late boomers understand that there are circumstances where aging in place may not be right for them and implications for the way we invest resources in the service infrastructure.
EFFECT OF HUKOU MOBILITY ON DEPRESSION IN MID- AND LATER LIFE IN URBAN CHINA
Authors: Song Qian , Smith James 
Published: November 2019

Abstract
We investigate how the hukou system in China creates disparities in psychological well-being among rural-born urban residents in mid- and later-life, using China Health and Retirement Longitudinal Study (2013-2015) and its life history survey (2014). We differentiate merit- (education, employment), policy- (urbanization), and family-based rural-urban hukou converters, and our propensity score analyses show that merit-based (coef.=-0.14,p&lt;0.01) and policy-based (coef.=-0.11,p&lt;0.05) hukou conversion are psychologically protective of the hukou converters over those who still have rural hukou, but family-based conversion does not have an impact. Among all those who realized hukou mobility, those who did so in the period after 1998 has a relative disadvantage. The benefits of policy-based hukou conversion is most prominent for men, childhood converters, and those who realized hukou mobility between 1978 and 1998. Conversion at an older age puts women into disadvantage compared to an earlier age, though this is not the case for men.
A SYSTEMATIC APPROACH TO SPREADING THE WORD ABOUT GERONTOLOGY TRAINING OPPORTUNITIES IN A UNIVERSITY SETTING
Authors: Yorgason Jeremy B 
Published: November 2019

Abstract
Training university students to work in professional gerontology settings is extremely important during an era when the number of older adults is increasing due to the Baby Boom cohort entering their later years. Efforts to reach students are critical given budget and enrollment challenges. Some university students find gerontology resources and training on their own, yet gerontology programs can do much to help students know of opportunities. In this paper, I will share methods that the gerontology program at my university has used to reach out to students and faculty across campus to encourage students to study gerontology. In the last 3 years, student enrollment in this gerontology minor has grown from 65 students housed in 3 colleges, to 275 students housed in 7 colleges. Faculty involvement has grown from a 7-faculty committee, to 61 faculty affiliates. The roles of university resources and fundraising will also be discussed.