bluuebunny/crossref_metadata_2025_split huggingface dataset:
Age Cohort Differences and Depressive Symptoms Among Community-Dwelling Older Americans
Authors: Cheung Ethan Siu Leung , Mui Ada 
Published: December 2020

Abstract
This study uses Wave 3 National Social Life, Health and Aging Project to examine the correlation between age cohorts [60s (n=1204); 70s (n=1176); 80 and older (n= 724)], cognitive status, and depression symptoms. In the total sample, 53.90% were females, 76.15% Whites, 15.29% Blacks, and 8.56% Asians. Compared to the 60s and 70s cohorts, 80+ cohort was cognitively more impaired [Mean (SD) of MoCA Short Form were 10.7(2.9), 10.0(3.2), and 8.1(3.6)]. There were no age cohorts’ differences in depressive symptoms experienced (Mean of CESD Short Form = 21.03; SD = 4.06). In order to identify predictors of depression, multiple hierarchical regressions were performed. The 60s sample was the reference group to compare with 70s and 80s cohorts. Results showed that age cohort variables had a significant independent effect as well as a joint effect with cognitive status in explaining depression scores. For each age cohort group, parallel regression analyses were conducted and all models were significant. Findings suggest that ADL impairment was the only common predictor for depressive symptoms for the three cohort groups, and the association was the strongest for the 60s cohort (b = .31). Other unique predictors for 60s cohort were lower-income, more IADLs impairment, higher stress and cognitive impairment. For the 70s cohort, unique predictors of depressive symptoms were female gender, unmarried, and less socialization. For the 80 and above group, correlates of depression are female, White, and high stress level. Findings highlight the necessity of age-sensitive programs on depression support for community-dwelling older Americans.
Forgotten Variables in Gerontological Evaluation of Religiosity and Spirituality
Authors: Firdausya Nadia , Bishop Alex , Finchum Tanya 
Published: December 2020

Abstract
Data for this study originated from the Oklahoma 100 Life Project. The purpose of this investigation was to explore oral history storytelling surrounding centenarian religious practices in childhood. Thematic content analysis of oral narratives revealed three prominent themes surrounding the transmission, accessibility, and socialization of religion. Reflection upon the intergenerational transmission of religion, one centenarian recounted if her mother didn’t go to church then, “the kids didn’t go.” Another centenarian noted the influence of rural opportunity structure stating, “Out there in the cotton patch, we didn’t have no church.” Finally, one centenarian participant highlighted value of social value of church during childhood by exclaiming, “We went to church all the time. . .we didn’t know what it was to stay home from church.” Findings will be used to further highlight how assessment of early life experiences is essential to gaining a fuller understanding of religiosity in human longevity.
Daily Marital Strain and Sleep in Same-Sex and Different-Sex Couples
Authors: Garcia Michael 
Published: December 2020

Abstract
Marital strain has consistently been linked to many indicators of daily health and well-being, including sleep. Prior studies show that, on days when marital strain is higher, women in different-sex couples experience poorer sleep outcomes. However, this work has not yet considered whether and how these relationships differ for men and women in same-sex couples. Using 10 days of dyadic diary data from 756 midlife U.S. men and women in 378 gay, lesbian, and heterosexual marriages, we examine the associations of daily marital strain with sleep quality and duration and consider whether these relationships differ across union type. Results suggest that increased marital strain is associated with poorer sleep quality and shorter sleep duration, but only for women married to men. These findings underscore the importance of including same-sex couples when exploring linkages between marital dynamics and health, especially when considering how gender impacts these processes.
Early-Life Circumstances and Late-Life Loneliness: Findings From In-Depth Interviews
Authors: Tiilikainen Elisa 
Published: December 2020

Abstract
This case study examines loneliness from the perspective of two older men, who were interviewed three times as part of a five-year qualitative longitudinal study on loneliness in later life. Both interviewees self-identified as feeling lonely “often” or “all the time” and had experienced loneliness also in previous life phases. The interviews revealed trajectories of long-term loneliness which were impacted by life events and circumstances in early life, childhood and youth. Two critical experiences were identified: childhood bereavement and sexual abuse. These factors contributed to emotional insecurities and impacted the ways the interviewees perceived their selves and their relations with others. The acknowledgement of past life experiences is important for the theoretical and conceptual understanding of loneliness and the development of different intervention strategies. However, more longitudinal analysis is needed on the cumulative disadvantages making people vulnerable to long-term loneliness.
Aging in an Increasingly Technology-Based Society: Past, Present, and Future
Authors: Boot Walter 
Published: December 2020

Abstract
While it took over 70 years for the telephone to reach 50% of U.S. households, it took only 14 years for the cellphone, and 6 years for the MP3 player. Aging takes place in the context of a rapidly evolving technological landscape. What are the implications of such radical and rapid changes for how we age? And how can existing and emerging technologies help support aging adults’ health, wellbeing, social connectivity, and cognition? This talk will explore these issues, starting with the “digital divide” between younger and older adults, the reasons for this divide, and interventions to close the gap. The potential of emerging technologies to support older adults will be summarized, as well as potential pitfalls in the design and implementation of these technologies. The talk will conclude with speculation on the future of the digital divide and whether it can ever be entirely eliminated.
Defining Rurality: Structural Relationships, Regional Differences, and Applications for Research With Older Adults
Authors: Cohen Steven , McIlmail Julia , Greaney Mary 
Published: December 2020

Abstract
There is no universal definition of rurality due to the heterogeneity in what makes a place “rural” or “urban”. This study explored how elements of rurality are related to each other, and how the elements that define rurality vary by region. Data were abstracted for all 1948 non-metropolitan counties in the contiguous 48 states on rurality. K-means cluster analyses (k=4-8) were conducted to examine classification structures among component variables examining regional differences. In the South region, the majority (51.2%) were “Type 2” counties: low population size and density but higher urbanized population. The Midwest had a majority of “Type 3” counties (56.4%): intermediate for population size and density, but higher distances to metro areas. These exploratory findings underscore the heterogeneity and regional variability in rurality and how those measures are structurally related to each other, and essential to understanding those factors that truly drive rural-urban health disparities for older adults. Part of a symposium sponsored by the Rural Aging Interest Group.
Social Isolation as a Mechanism Linking Sensory Impairment With Cognitive Functioning
Authors: Yorgason Jeremy , Tanner Corinna Trujillo , Richardson Stephanie , Burch Allison , Stagg Brian , Hill Melanie 
Published: December 2020

Abstract
Hearing and vision loss have been linked with cognitive decline in older adults. There may be various pathways through which sensory impairments impact cognitive functioning. Sensory impairments may lead individuals to be less socially connected, which may impact cognitive functioning due to less cognitive stimulation. As such, sensory impairments and social isolation may cascade to negatively impact cognitive functioning. Using data from 8,334 individuals aged 65-90+ in waves 6, 7, and 8 of the NHATS study, we estimated a longitudinal mediation structural equation model. Findings indicate that both self-reported vision and hearing impairment in wave 6 of NHATS were linked to concurrent cognitive functioning through social isolation. Only hearing impairment demonstrated longitudinal impact through social isolation across 2 and 3 waves. Findings suggest that medical professionals working with older adults with vision or hearing impairment should assess social isolation, as a point of intervention to maintain cognitive function.
How Is Sleep Related to Anxiety or Depression in Older Adults With Dementia?
Authors: Hwang Yeji , Hodgson Nancy 
Published: December 2020

Abstract
Anxiety and depression are one of the most distressing symptoms for the family caregivers. Little is known about the relationship between sleep impairments and anxiety/depression in this population and how objective and subjective sleep measures differ in relation to anxiety. This study was designed to examine the relationship between sleep impairments and anxiety/depression in people with dementia, using both subjective and objective sleep measures. Among the 170 study participants, 50% (n=85) reported to have anxiety/depression. In univariate logistic regression analyses on anxiety/depression, adjusting for dementia stage, people with more subjective sleep impairment had higher odds of having anxiety/depression (OR=1.111; 95% CI: 1.020-1.211, p=0.016) and people with poorer subjective sleep quality had higher odds of having anxiety/depression (OR=1.702; 95% CI: 1.046-2.769, p=0.032). Objective sleep measures from actigraphy did not show any significant relationships to anxiety/depression. The results suggest that subjective sleep measures are closely related to anxiety/depression in this population.
Relationship Between Sleep and Quality of Life in Older Adults With Mild Cognitive Impairment
Authors: Petrovsky Darina , Varasse Miranda , Hodgson Nancy 
Published: December 2020

Abstract
Our objective was to examine the independent relationship between sleep characteristics and quality of life (QOL) in community-dwelling older adults with cognitive impairment. Objective sleep variables were derived from actigraphy and included total sleep time, wake after sleep onset (WASO), efficiency, and number of awakenings. Subjective sleep quality was measured using Pittsburgh Sleep Quality Index and daytime sleepiness was measured with the Epworth Sleepiness Scale. Caregiver reported QOL-AD was used for QOL. Analyses included Spearman’s correlation and multivariate linear regression. In bivariate analyses, QOL was significantly related to clinical dementia rating scale, sex, depression, daytime sleepiness, sleep quality, WASO, and number of awakenings. Controlling for depression, daytime sleepiness remained independently associated with QOL (β= -0.24; p= 0.03). In addition, number of awakenings trended towards significance (β= -0.13; p= 0.07). Results suggest daytime sleepiness and awakenings are associated with QOL in this population.
The Complex Role of Discrete Emotions in Successful Aging
Authors: Hamm Jeremy , Wrosch Carsten 
Published: December 2020

Abstract
Research shows that emotions play an important role in successful aging. However, previous studies have largely focused on the implications of dimensional indicators of emotion, such as positive and negative affect. This approach may fail to capture important distinctions between discrete emotions such as sadness, loneliness, calmness, and empathy that could become more or less adaptive with age. The present studies adopt a discrete emotion perspective to examine age-related changes in the consequences of different positive and negative emotions for successful aging. Drawing from an evolutionary-functionalist perspective, Haase, Wu, Verstaen, and Levenson investigate whether sadness becomes more salient and adaptive in old age using a multi-method approach. Lee, Lay, Mahmood, Graf, and Hoppmann address the seemingly contradictory consequences of loneliness by examining how state- and trait-loneliness interact to predict older adults’ prosocial behaviors. Hamm, Wrosch, Barlow, and Kunzmann use two studies to examine the diverging salience and 10-year health consequences of discrete positive emotions posited to motivate rest and recovery (calmness) or pursuit of novelty and stimulation (excitement). Barlow and Mauss study the co-occurrence of discrete emotions and their age-dependent associations with well-being using an adult lifespan sample. Finally, Wieck, Katzorreck, Gerstorf, Schilling, Lücke, and Kunzmann examine lifespan changes in the adaptive function of empathy by assessing the extent to which empathic accuracy protects against stress-reactivity as people age. This symposium thus integrates new research on the role of discrete positive and negative emotions and will contribute to a deeper understanding of the complex relationships between emotions and successful aging.
When Concerned Family Members Intervene in Elder Family Financial Exploitation: Goals and Outcomes
Authors: Stum Marlene 
Published: December 2020

Abstract
The role and experience of non-abusing concerned family members (CFMs) in elder family financial exploitation (EFFE) is largely unexplored. This paper examines the experience of “trying to do the right thing,” focusing on what CFM’s were trying to accomplish (motivating goals), and resulting outcomes utilizing data from a qualitative study of 28 CFMs (primarily female adult children of an older victim, and siblings of primary perpetrator). Five common goals appear to be motivating CFM involvement, driven by a priority to ensuring the victim’s quality of life, as well as the desire to honor and respect the victim’s wishes, protect the victim’s financial well-being, preserve family relationships, and deal with the perpetrator(s). CFM help-seeking resulted in a wide range of outcomes, from making a difference by connecting victims to supportive services and interrupting the financial exploitation, to mixed results, and in other cases frustration with no desirable outcomes.
Exploring the Help-Seeking Experience of Concerned Persons: Findings From an Elder Abuse UK Helpline
Authors: Dominguez Silvia Fraga , Storey Jennifer , Glorney Emily 
Published: December 2020

Abstract
Despite their potential role in elder abuse cases, knowledge about concerned persons outside of North America is scarce. This paper will discuss findings from a study focusing on concerned persons in the UK, by addressing their profile, the impact of helping, and several variables relating to help-seeking. Researchers used secondary data from a charity’s helpline, encompassing a year of recorded cases (N = 1623). Concerned persons (n = 1352) were often related to the victim (80%) and/or perpetrator (59%). In 43% of cases, they reported impact as a result of their awareness of the situation or supporting the victim. This impact was thematically analysed and ranged widely in terms of severity, from slight worry to being subjected to the perpetrator’s homicide threats, and it often affected the person’s mental health or financial situation. Concerned persons reported substantial barriers to action relating to the access to and responses from formal services.
Perceived Elderly Stigma and Emotional Well-Being Among Korean Older Adults: The Mediating Role of Self-Esteem
Authors: Namkung Eun Ha , Chung Soondool 
Published: December 2020

Abstract
This study examined whether self-esteem mediates the association between perceived elderly stigma and emotional well-being (loneliness and emotional isolation) among Korean older adults, and how these processes differ by marital status. Using the 2018 Age Integration Survey, a cross-sectional national survey of adults in Korea, we analyzed data from 266 older adults aged 60 and older. Older adults who perceived greater elderly stigma reported higher levels of loneliness and emotional isolation. Self-esteem played a significant indirect role in the association between perceived elderly stigma and the two emotional well-being outcomes. Moderated mediation analyses further revealed significant differences by marital status; self-esteem was a more powerful mechanism among unmarried older adults relative to their married counterparts. The findings suggest that efforts to minimize public and internalized stigmatization of older adults and to improve their own self-esteem may be critical for their emotional well-being.
Life Stressors, Social Capital, and Mental Distress in Multiethnic Groups of Older Asian Americans
Authors: Cho Yong Ju , Hai Audrey , Jang Yuri 
Published: December 2020

Abstract
Using data from older participants from the 2015 Asian American Quality of Life survey (n = 533), the present study assessed direct and interactive effects of life stressors and social capital. The sample includes diverse Asian ethnic groups (Chinese, Asian Indian, Korean, Vietnamese, and others). Among all groups, high levels of mental distress were found in Koreans and Vietnamese. In the multivariate analyses, Korean ethnicity (compared to Chinese) was found to be a significant predictor to mental distress. As significant risk factors to mental distress, all stressor variables accounted for 9% of the variance of mental distress. Social capital variables explained the variance by 4%. None of the interaction terms reached statistical significance. Findings confirmed the negative effects of stressors and the positive effects of social resources across older Asian Americans. However, it was interesting to note that ethnic variations disappeared when stressors and social capitals were taken into considerations.
Experiences of LGBT Patients and Families With Hospice and Palliative Care: Perspectives of the Palliative Care Team
Authors: Berkman Cathy , Stein Gary 
Published: December 2020

Abstract
The lesbian, gay, bisexual, and transgender (LGBT) community experiences discrimination and stigma in accessing health care and social services – including palliative, hospice, and long-term care. Healthcare providers not recognize or address disparities in care. Providers and institutions may be uncomfortable with sexual orientation and gender identity and expression issues, and often don’t inquire about these. LGBT patients fear being open about their identities, not receiving equal or safe treatment, and having their family of choice and designated surrogates disrespected or ignored by healthcare staff. This study examines the degree to which hospice and palliative care providers report inadequate, disrespectful, or abusive care to LGBT patients and family members. A cross-sectional study using an online survey was completed by 865 providers, including social workers, physicians, nurses, and chaplains. Among respondents, 55% reported that LGB patients were more likely than non-LGB patients to experience discrimination at their institution; 24% observed discriminatory care; 65% reported that transgender patients were more likely than non-transgender patients to experience discrimination; 20% observed discrimination to transgender patients; 14% observed the spouse/partner of LGBT patients having their treatment decisions disregarded or minimized; and 13% observed the spouse/partner being treated disrespectfully. Qualitative data are presented to illustrate discomfort with LGBT patients and spouses/partners, disrespectful care, gossip and ridicule, inadequate care, and denial of care. Implications and suggestions for implementing non-discriminatory and respectful institutional and public policy, and for staff education and training to provide competent and respectiful care to this population are presented.
Do Competing Demands Elevate Caregiver Challenges?
Authors: Blieszner Rosemary , Savla Tina , Roberto Karen , McCann Brandy Renee , Knight Aubrey , Hoyt Emily 
Published: December 2020

Abstract
Family members caring for relatives with dementia simultaneously hold other roles and face other everyday challenges related to employment, finances, interactions with others, and the like. Using the Pearlin stress process model as a foundation, we evaluated contributions of secondary role and intrapsychic stressors such as health, relationship, and financial worries, and role captivity and overload, to 157 rural caregivers’ morale and well-being. Whereas family conflict and role overload contributed significantly to higher agitation, money worries, poor health, and role captivity interfered with positive mental health (p&lt;.05). Nevertheless, some caregivers characterized employment and volunteering as respite from caregiving and appreciated informal help even when family ties were complicated. Findings highlight complex responses to dementia-related caregiving and point to the need for a range of resources and support deployed creatively to assist caregivers in places such as rural Appalachia where geography, underfunding, and low income limit access to services.
It's Like We Speak a Different Language: Support Needs and Preferences of Older LGB Women Who Have Lost a Spouse or Partner
Authors: Valenti Korijna 
Published: December 2020

Abstract
Needs during and following end-of-life (EOL) experiences are distinctive for sexual and gender minority (SGM) people and, in particular, older lesbian, gay, and bisexual women (LGB) women; however, access to supportive services is limited. This poster presents findings from a qualitative study of older (60+) LGB women who have lost a spouse or partner. This work draws on queer gerontological theory, addressing issues of individual agency, systemic silence, and marginalization by invisibility of older SGM women in order to illuminate specific areas in which policy may be changed and improved. The study analyzed participants’ (n = 16) reflections on their experiences of losing a loved one, including how they sought out and received essential grief support and the type of support they would have preferred and from whom, particularly immediately following their spouse or partner’s death. Thematic analysis revealed three main findings: 1) having a women-identifying support presence at the time of death for both themselves and their spouse or partner; 2) needing LGB women (or women allies) during EOL for support; and 3) preferring grief groups comprised of other LGB women (or women allies) based on their feelings of difference from gay men and heterosexual/non-SGM women and men. Findings reveal the need for a better understanding among healthcare and social work support professionals regarding LGB women’s grief needs and preferences; grief options (e.g. lesbian and non-monosexual (bi+) grief groups); and how to implement policy changes reflecting these needs and preferences.
Transforming Cultural Ideas of Aging and Disability to Improve Policy and Practice
Authors: Ordway Anne 
Published: December 2020

Abstract
Aging and disability are normative processes that extend across the lifespan. However, ageism and ableism are incorporated into many of our practices, programs, and policies—devaluing the lives of older adults and people aging with disabilities and ultimately preventing their full participation in society. Ageism and ableism are closely connected. For example, both systems identify impairment as an individual and social liability. As recent studies have demonstrated, this has real world implications for the quantity and quality of health care requested, delivered, and received by both older adults and people with disabilities. In this session, we discuss the connections between these two forms of oppression and present recent work by researchers in both fields and the FrameWorks Institute that shows how to transform our cultural ideas of aging and disability and development more inclusive policies and services. Part of a symposium sponsored by the Lifelong Disabilities Interest Group.