bluuebunny/crossref_metadata_2025_split huggingface dataset:
Neighborhood Cohesion, Acculturation, and Oral Health Problems Among Older Chinese American Immigrants
Authors: Mao Weiyu , Wu Bei , Chi Iris , Yang Wei , Dong XinQi 
Published: December 2020

Abstract
The influences of neighborhood characteristics remain understudied in relation to oral health, especially within the context of immigration. Acculturation exerts influences on the oral health of immigrants. This study investigated the relationship between neighborhood cohesion and oral health problems among older Chinese American immigrants and examined the moderating role of acculturation in such a relationship. The working sample included 3,157 older Chinese American immigrants aged 60 years or older from the baseline of the Population Study of Chinese Elderly in Chicago. Stepwise logistic regression models with interaction terms were conducted. Individuals experiencing higher levels of neighborhood cohesion reported a lower likelihood of having oral health problems. The protective effect of neighborhood cohesion against having oral health problems was stronger when individuals resided in ethnic enclaves such as Chinatown. To promote optimal oral health, interventions need to account for individuals’ perceptions and levels of integration into their neighborhoods and communities.
The Housing Experiment: Citizen Science Engaging Older Adults and School Pupils to Assess Housing Accessibility
Authors: Iwarsson Susanne , Brounéus Fredrik , mårtensson Knut , Granbom Marianne 
Published: December 2020

Abstract
Citizen science is gaining momentum as an approach in many scientific fields. However, it is scarcely used in aging research. Since 2009 in Sweden, Public & Science (NGO) has coordinated an annual mass-experiment where thousands of school pupils have collected data that would have been impossible for researchers to collect on their own. Designed as a cross-generational endeavour, the 2020 mass-experiment, the Housing Experiment, is based on scientific methodology for data collection on housing accessibility. The aim of this presentation is to describe the iterative development process involving older adults, stakeholders in the housing sector, teachers and pupils. We will present the app and instructions developed and piloted for data collection, as well as usability and interrater reliability results. With media attention already in the planning phases, this citizen science initiative has the potential to both generate a unique dataset and increase engagement in housing matters concerning the aging population.
Technology Use of Older Adults and Caregivers: Discoveries and Opportunities for Improvement
Authors: Sefcik Justine , Huh-Yoo Jina 
Published: December 2020

Abstract
Innovative technology can improve the lives of older adults, including those diagnosed with dementia, and their caregivers. Yet a lack of careful attention to preferences and needs of end-users and continuous updates to resources could leave consumers without a valuable user experience. This symposium will cover exemplar cases of innovative technologies, available resources, and current research. The first presentation will discuss virtual reality used among older adults with dementia and the opportunities to further explore it’s use as an intervention. The second presentation will share the process of seeking stakeholders’ preferences in the design specifications for a socially assistive robot and how the perspectives shaped the development of the Quori robot. The third presentation will focus on detailing the Information Quality Framework for Online Dementia Care Resources. The fourth presentation will discuss the implications of a systematic review that revealed researchers are reporting on all older adults within a category of 65 and older, thus failing to present variance among different older age cohorts. These presentations will all conclude with a discussion on opportunities for improvement in the respective areas.
Predictors of Everyday Care Preference Importance Ratings for Veterans Living in the Nursing Home Setting
Authors: Madrigal Caroline , Jiang Lan , Mills Whitney , Wu Wen-Chih , Berish Diane , Roberts Tonya , Van Haitsma Kimberly , Rudolph James 
Published: December 2020

Abstract
Preference-based care is required by the Centers for Medicare and Medicaid Services and is linked to improved quality of nursing home care. The federally mandated Minimum Data Set (3.0) Preference Assessment Tool (PAT) is a 16-item standardized measure used to facilitate preference-based care through rating how important residents’ daily and activity preferences are. Little work has explored how Veterans’ unique demographic backgrounds and functional/cognitive abilities may influence how they rate their preferences (compared to general nursing home residents). Therefore, the purpose of this retrospective study was to explore the relationships between Veterans’ demographic/clinical characteristics and number of preference importance ratings. Our sample (n=194,068) consisted of Veterans admitted to community nursing homes after hospitalization at a Veterans Affairs facility for heart failure between 2010-2015. We used ordinal regression to explore predictors of preference importance ratings. Veterans were, on average, 78-years-old (SD=10.42) and mostly male (95%), white (81%), married (46%), cognitively intact (74%) with extensive functional impairment (60%) and minimal depressive symptoms (74%). Veterans rated an average of 12.47 preferences as important (SD=2.86; range=0-16). Veterans living with cognitive impairment, depression, and extensive functional impairment who were not married or separated had a lower number of important preferences (all p&lt;0.0001). Veterans that were female, under the age of 85, and any race but white had a higher number of important preferences (all p&lt;0.0001). Discussion will include implications for planning and delivering preference-based care for Veterans as well as next steps in research and practice to better understand and fulfill Veterans’ everyday care preferences.
Psychological Sense of Community and the Use of Condoms and PrEP Among a Sample of Aging Black MSM
Authors: Brown Andre , Brennan-Ing Mark , Meanley Steven , Haberlen Sabina , Ware Deanna , Egan James , Friedman Mackey , Plankey Michael 
Published: December 2020

Abstract
Psychological sense of community (PSOC) in Black men who have sex with men (BMSM) may facilitate condom and pre-exposure prophylaxis (PrEP) use to prevent HIV transmission. Understanding BMSM’s PSOC contribution to HIV risk reduction may inform HIV prevention efforts for this population, that is disproportionately affected by HIV. Adjusted for sociodemographic characteristics and HIV status, we conducted logistic regressions to test the association between PSOC and condom use among aging BMSM (n=176). Multivariate analyses exhibited no association between PSOC and condom use (AOR= 0.994, 95% CI= 0.942, 1.049). HIV+ participants had higher condom use odds compared to HIV- participants (AOR= 4.031, 95% CI= 1.723, 9.426). A sub-analysis of HIV- participants (n=61), showed no associated between PSOC and PrEP use (AOR= 1.002, 95% CI= 0.904, 1.112). These results have implications for secondary HIV prevention and future research on alternative aspects of social support that may increase BMSM’s HIV risk reduction behaviors.
Self-Perception of Aging and Frailty Phenotype Among HIV+ and HIV- Older Men
Authors: Plankey Michael , Nieves-Lugo Karen , Ware Deanna , Haberlen Sabina , Althoff Keri , Egan James , Brown Andre , Friedman Mackey 
Published: December 2020

Abstract
Self-perception of aging is an important predictor of health. We examined the relationship of self-perception of aging (age discrepancy and aging satisfaction) with frailty phenotype between HIV+ and HIV- men in the Multicenter AIDS Cohort Study. 499 HIV+ and 549 HIV- men were included in the analytic sample (median age 61 years IQR 56-66 years). Frailty status was based on the Fried frailty phenotype and measured at semi-annual study visits beginning 3/2015 or 9/2015, 3/2016 and 3/2019. Baseline frailty was: HIV- 8.9%; HIV+ 13.9%. Low aging satisfaction and feeling older was positively associated with remaining frail (ORs: 6.64;95%CI:3.88-11.38; 5.68; 95%CI:3.06-10.56) or transitioning between non-frail and frail states (ORs: 2.72;95%CI:1.56-4.74; 2.50; 95%CI:1.11-5.64),), over a 3-year period. There was no statistically significant difference by HIV status. Assessment of self-perception of aging may be useful in the setting of frailty evaluation among HIV+ and HIV- men.
Theorizing Cultural and Social Intersections of Age and Gender: The Approach of Anocriticism
Authors: Maierhofer Roberta 
Published: December 2020

Abstract
This contribution discusses empirical applications of the approach of ‘anocriticism’ in interdisciplinary gerontological research. Despite the connection in terms of epistemology and ontology, the intersection of gender and age has been mostly ignored, privileging works focusing either on age or gender (Calasanti & Slevin 2001:27; Denninger & Schütze 2017:7). Age/ing Studies, however, would not have been established as a field without the theoretical and methodological approaches of feminist theory (Maierhofer (2019:2). Anocriticism was originally developed in order to investigate cultural representations of age/ing (Maierhofer 2003, 2004b, 2004a, 2007, 2012), but has recently been taken up in social sciences (Ratzenböck 2016a, 2016b, 2017a, 2017b; Gales and Loos 2020, forthcoming) in order to draw attention to four dimensions: (a) age and aging’s collective cultural construction and relation to gender, (b) the individual dimension of aging, (c) people’s interpretative power and narrative performance, and (d) age/ing’s potential for resistance and change.
Implications and Recommendations for Research, Education, and Practice
Authors: Bettger Janet , Hughes Susan , Raj Mina , Hughes Jaime 
Published: December 2020

Abstract
Throughout this symposium, we have advocated for increased attention to how the chronicity and complexity of older adults’ health might impact their ability to maintain health behaviors over time. This final presentation will explore some implications of this chronicity and complexity on research study designs, formal education and professional training, and routine clinical practice. For example, existing research designs and funding mechanisms such as tightly controlled randomized controlled trials within a five-year grant may not permit researchers to study behaviors over an extended period of time and to do so within the real-world environments and social contexts in which older adults live. In contrast, integrating principles of community-engaged and participatory research, adaptive designs, pragmatic trials, and implementation science may encourage researchers to design for widespread dissemination. This session will close with recommendations to enhance educational initiatives and professional development to promote cross-disciplinary teams.
Conceptualizing Resilience: Impacts of Adverse Stressor Severity, Chronicity, and Relevance
Authors: Griswold Michael , Windham B Gwen , Henegan James , Bandeen-Roche Karen , Mcmullan Matthew , Kucharska-Newton Anna , Palta Priya , Mosley Thomas 
Published: December 2020

Abstract
Guidance on frameworks for physical resilience, resistance and reserve are underdeveloped. We examined different “physical resilience” characterizations within n=6,538 Atherosclerosis Risk in Communities Study participants (median age: 75 years), followed for 5+ years. Fifteen illustrative clinical, lifestyle and social stressors, each having varying levels of severity, chronicity and relevance, were paired with six functional outcome measure trajectories. Contrasts were made against four fundamental comparator groups (including those without stressors). Particular pairings of stressors and functional measures substantially impacted resilience classifications and related determinants. For example, 5-year recurring robustness (0/5 frailty indicators) was only 12% for participants after Heart Failure (HF), versus 47% with no HF event; relative-risk: RR=0.26 (95%CI: 0.15,0.44). Conversely, recurring robustness was 43% after reporting low social support versus 51% with adequate support; RR=0.87(0.73,1.02). We highlight major components that impacted resilience determinations and outline a broad conceptual framework to help optimize physical resilience assessment and aid future research. Part of a symposium sponsored by Epidemiology of Aging Interest Group.
Future Caregiving Scenarios: Effects of Technology Innovation and Adoption
Authors: Rudnik John , D’Ambrosio Lisa , Lee Chaiwoo , Coughlin Joseph 
Published: December 2020

Abstract
Based on the expert panel’s response to the first round of the study, four scenarios that describe possible futures for the intersection of caregiving and technology were created. These scenarios differ along two dimensions – focus of technology deployment and adoption promotion – along which stakeholders’ decisions make a crucial difference for outcomes. These four scenarios describing possibilities for the year 2030 will be illustrated during this presentation, along with results from the second round of the study, which include the expert panel’s evaluations of their likelihood and impacts on caregiving.
Using Technologies to Address Caregiving Challenges
Authors: Lee Chaiwoo , Rudnik John , Coughlin Joseph 
Published: December 2020

Abstract
As the caregiver ratio declines, technology will play an increasingly important role in supporting formal and informal caregivers. This presentation will report on the particular effects that frontier technologies may have on various tasks associated with caregiving, including assisting with basic Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). The expert panel predicted that different technologies and new products will have varied effects on caregiving tasks, and that some tasks may be more impacted than others. Some of the key opportunities and barriers to integrating technologies into various tasks of caregiving will be discussed.
Patient Risk Factor Profiles Associated With Timing of Goals-of-Care Consultation Before Death
Authors: Starr Lauren , Ulrich Connie , Junker Paul , Huang Liming , O’Connor Nina , Meghani Salimah 
Published: December 2020

Abstract
Early palliative care consultation to discuss goals-of-care (“PCC”) benefits seriously ill patients. To identify risk factor profiles associated with inpatient PCC timing before death, we conducted a secondary analysis of seriously ill adults who had PCC at a high-acuity hospital and died 2014-2016. Of 1,141 patients, 54% had PCC “close to death” (0-14 days before death); 26% had PCC 15-60 days before death; 21% had PCC &gt;60 days before death (median 13 days). Classification and Regression Tree modeling showed Hispanic or “Other” race/ethnicity intensive care patients with extreme illness severity (85%) were most likely to have PCC close to death, with age &lt;46 or &gt;75 increasing probability (98%). Among age groups, the highest proportion of patients with PCC close to death was &gt;75 years. Complex variable interactions associated with PCC timing suggests we need a systematic process for initiating PCC earlier and effective primary palliative training for providers across settings.
Socioeconomic Status, Health Behaviors, and Oral Health of Older Adults In China
Authors: Pei Yaolin , Chen Xi , Saunders Michele 
Published: December 2020

Abstract
Many Chinese older adults suffer from oral health diseases and problems due to low oral health literacy, limited dental coverage and lack of dental care services for this segment of the population in China. However, so few studies have been conducted to examine social and behavior factors related to oral health among Chinese older adults. This symposium examines how socioeconomic status (SES) and health behaviors are associated with oral health among Chinese older adults. The first paper used the Nanjing Centenarians Study to examine the association between health behaviors and oral health among Chinese centenarians. The results showed that health behaviors were associated with self-rated oral health and edentulism. Using the Chinese Longitudinal Healthy Longevity Survey, the second one employed an ‘after death’ approach to examine risk factors for orofacial pain symptoms at the end of life among Chinese older adults. The third paper investigated the association between SES and tooth loss among middle-aged and older adults in ten cities of China. SES played a stronger role in tooth retention for non-migrants and migrants with high education vs those migrants with low education. The last paper examined the association between health behaviors and retention of teeth among Chinese older adults using data from the Chinese 4th National Oral health Survey. This symposium provides empirical evidence on the current status of oral health and health behaviors at the national level, and also suggests that is critical to improve oral health education and access to dental care.
Best Practices in Museum Programming for People With Dementia and Their Care Partners
Authors: Halpin-Healy Carolyn , Noble James 
Published: December 2020

Abstract
As more people are living longer with dementia, museums can play an important public health role to support individuals, families, and communities. Arts & Minds programs for people with dementia and their care partners are designed according to principles of person-centered care and adult learning theory. The approach builds on research and evaluation to provide contact with art, which has been shown to reduce apathy and soothe agitation in persons with dementia and also to reduce caregiver stress. According to our observation- and feedback-based assessments of more than 500 program participants over the past 10 years, the processes of collective looking and art making specifically address symptoms of dementia and support human dignity. This presentation addresses the growing research base on the benefits of museum programming, and the ways in which research and evaluation support best practices in museum education to address the challenge of living well with dementia.
I’m Completely Satisfied But…: Barriers and Facilitators to Fulfilling Nursing Home Residents’ Preferences
Authors: Madrigal Caroline , Behrens Liza , Burshnic Vanessa , Murpy Julie , Abbott Katherine , Van Haitsma Kimberly 
Published: December 2020

Abstract
The US federal government mandates nursing homes (NHs) provide preference-based, person-centered care for residents. Yet only 2% of NHs successfully implement person-centered care. The Care Preference Assessment of Satisfaction (ComPASS) is a 16-item tool that facilitates residents’ preference fulfillment (i.e., satisfaction with quality of daily care and activities). This study examines barriers/facilitators to preference fulfillment from the perspective of residents who completed ComPASS. Secondary data analysis from an R21 (NR011334-01) provided qualitative data from 196 residents across 28 NHs on why residents were satisfied (or not) with the fulfillment of their individual preferences. Most residents were female (70.4%) and white (80.1%) with a range of cognitive/physical abilities. Content analysis revealed six thematic codes classifying barriers/facilitators to preference fulfillment: resident agency, values, and physical characteristics; social support systems; staff competence; communication success; built environment; access to resources. Discussion will include implications for ameliorating barriers to preference fulfillment while meeting government mandates. Part of a symposium sponsored by the Research in Quality of Care Interest Group.
Facts and Fictions: Rethinking Vulnerability and Resistance in Late-Life Narratives and Why Age Matters
Authors: Kriebernegg Ulla , de Medeiros Kate 
Published: December 2020

Abstract
Narrative gerontology examines the experience of aging through life stories and other first-person accounts. Literary gerontology explores cultural narratives (e.g., novels, films) that link us to our own aging through stories of others, real or imagined. Our paper focuses on narrative constructions of vulnerability, resistance, subjectivity and agency in life stories, interviews and fictional texts (e.g., Margaret Atwood’s short story “Torching the Dusties.”) It considers how aspects of vulnerability are embedded in stories and what they reveal about the cultural construction of age and aging or what makes us vulnerable as we age. Overall, our paper highlights the socio-cultural construction of vulnerability in narratives related to age and aging, focusing on the representation of vulnerability as a form of resistance and position of strength.
Toward a Greater Contextualization of Music and the Arts in Aging and Cognitive Disorders
Authors: Lee Sophie , Moss Hilary , O’Neill Desmond 
Published: December 2020

Abstract
Research suggests that group music-making can improve well-being and cognitive function in people with dementia and their family carers. The importance of the music facilitator’s role is recognised. However, empirical studies rarely capture their experiences and perspectives. Semi-structured interviews were conducted with three music therapists and three community musicians with specialisms in dementia care. The interviews sought to gain a detailed understanding of their work with people with dementia. Interpretative Phenomenological Analysis revealed eight super-ordinate themes: (1) benefits of music-making for people with dementia; (2) challenges of working with people with dementia; (3) involving family carers; (4) musical content; (5) impact of the facilitator; (6) developing field of Arts and Health; (7) work as a privilege; and (8) potential for misuse of music. This study provides a useful basis from which to further develop concepts for the amelioration of people living with dementia and their families.
Diet Composition, Adherence to Calorie Restriction, and Cardiometabolic Disease Risk Modification
Authors: Das Sai Krupa , Senior Alistair , Silver Rachel , Gilhooly Cheryl , Couteur David Le 
Published: December 2020

Abstract
Calorie restriction (CR) is a promising strategy to attenuate age-related disease risk. Higher protein diets enhance satiety but may also impair metabolic health and accelerate aging. The effect of higher protein intake on adherence to CR and cardiometabolic markers of healthspan remains unknown. We used the Geometric Framework for Nutrition to examine the association between diet composition and 1) CR adherence; and 2) cardiometabolic risk factors during a 2-year intervention. The CR group consumed higher percentage energy from protein and lower fat at 12 months compared to baseline (logit % protein=0.1; 95% CI=0.05, 0.15; logit % fat= -0.12; CI=-0.29, -0.18). Higher protein intake over the 2-year intervention was associated with higher adherence to CR. No effect of diet composition on cardiometabolic risk factors was observed. These findings suggest that dietary protein plays a critical role in adherence to CR with no adverse effects on cardiometabolic markers of healthspan. Part of a symposium sponsored by the Nutrition Interest Group.