bluuebunny/crossref_metadata_2025_split huggingface dataset:
ROLE OF SOCIAL DETERMINANTS IN ENROLLMENT AND DISENROLLMENT IN MEDICARE INSURANCE PLANS IN OLDER MEXICAN AMERICANS
Authors: Kumar Amit , Rivera-Hernandez Maricruz , Chou Lin-Na , Karmarkar Amol , Kuo Yong-Fang , Ottenbacher Kenneth J 
Published: November 2019

Abstract
Objective: The objective of this study is to examine the association between social-medical risk factor with disenrollment from Medicare Fee-for-Service (FFS) and enrollment in a Medicare Advantage (MA) plan in Older Mexican Americans. Methods: The sample included older adults participating in the Hispanic Established Populations for the Epidemiologic Study of the Elderly linked with Medicare data. We used logistic regression to estimate odds ratios (OR) for the association of each sociodemographic and clinical factor with insurance plan switching. Results: FFS enrollees were more likely to speak Spanish, less educated, lower income, disability, and be dual eligible compared to MA enrollees. At 2-year follow up, older adults with social support had higher odds of switching from FFS to MA after controlling for all covariates (OR; 1.73, 95% CI: 1.11-2.69). Conclusion: Having social support from family and the community was strongly associated with disenrollment from FFS and transition to an MA plan.
COMMON UNDERLYING FACTORS FOR KNOWN MODIFIABLE FALL RISKS
Authors: Bergen Gwen , Kakara Ramakrishna , Burns Elizabeth , Stevens Mark R 
Published: November 2019

Abstract
Certain demographics, health conditions, and functional limitations are associated with increased older adult falls. Health conditions and functional limitations are potentially modifiable and may have underlying factors in common. This study’s objective is to understand whether health conditions and functional limitations related to increased fall risk have common underlying factors that could be useful in designing interventions. Factor analysis and multivariate logistic regression were used to analyze 2016 Behavioral Risk Factor Surveillance Survey data for adults aged 65+ years. About half of those who reported difficulty dressing (58%), difficulty running errands alone (53%), difficulty remembering (51%) and depression (48%) reported falling compared to 30% of the general older adult population. Two common factors of cognitive and physical limitations were identified and scales created for each. When controlling for demographic characteristics, both cognitive and physical limitations scales were significantly related to a higher odds of falling (Odds ratios=1.5, 1.4 respectively).
USING MODELING TO COMPARE THE ABILITY OF FALLS SCREENING TOOLS TO PREDICT FUTURE FALLS
Authors: Burns Elizabeth R , Pineau Vicki J , Koff Rosalind , Hodge Sarah , Welch Bess 
Published: November 2019

Abstract
The STEADI initiative recommends screening older adults for falls annually using either the 12-item “Stay Independent” or the “three-key questions” screening tools. Both tools ask about falling in the preceding year. However, the comparative predictability of each tool has not been assessed. In response, CDC and NORC, assessed both tools’ ability to predict falls at six and twelve months. Adults 65+ (n=1900), were recruited from a nationally representative panel and were screened for fall risk at baseline using both tools and then followed for a year to determine if they fell. At baseline, 38% of older adults were categorized at-risk of falling based on the 12-item “Stay Independent” and 56% were considered at-risk based on the three-key questions. The history of falling question was excluded for the six month analyses. The “Stay Independent” identified 60% of fallers and the remaining two questions of the three-key questions identified 57% of fallers.
UNDERSTANDING FACILITATORS AND BARRIERS TO PARTICIPATION IN EVIDENCE-BASED FALL-PREVENTION INTERVENTIONS
Authors: Mark Janice , Bergen Gwen , Moreland Briana 
Published: November 2019

Abstract
Prescribing evidence-based interventions based on older adults’ modifiable risk factors is recommended to prevent falls. Older adults need to adhere to the prescribed intervention to successfully reduce risk. This study reports on a structured systematic review to understand patient attitudes to adherence to fall prevention interventions. A systematic search for publications from 2008-2018 identified 72 articles on patient attitudes toward exercise, physical therapy, medication management, podiatry, and vision care for fall prevention. Three reviewers coded facilitators and barriers based on a socio-ecological model of interpersonal, intrapersonal, community, and policy factors. Perceived susceptibility to falling and perceived effectiveness of the intervention were important factors across all fall prevention interventions. Physician prescribing and discussion facilitated exercise, medication changes, and physical therapy. For attitudes related to community and policy, the most reported barriers were transportation and cost. Information from this review can be used to improve the implementation of fall prevention interventions.
INTEREST GROUP SESSION—INTERGENERATIONAL LEARNING, RESEARCH, AND COMMUNITY ENGAGEMENT: USING INNOVATIVE INTERGENERATIONAL STRATEGIES TO BOOST CAREERS IN AGING
Authors: Montepare Joann M , Donorfio Laura K 
Published: November 2019

Abstract
Populations are aging dramatically, and call for higher education to be more age-friendly and pave the way for career paths in aging. The Careers in Aging Week (CIAW) program sponsored annually by the Academy for Gerontology in Higher Education (AGHE) of GSA has been a core stimulus for building career interest – however, more could be done to strengthen and invigorate this effort. This symposium will show how intergenerational exchange can be used to mount interest in careers in aging and create new pipelines to gerontology programs in higher education. Examples of innovative approaches will demonstrate how career information can be communicated to students in more creative and compelling ways. The first paper will set the stage with an evidence-based overview of emerging areas for career development, and a presentation of career planning models to aid student understanding as to how to make aging career decisions. Two presentations will then focus on different aging-workforce initiatives aimed at building educational pipelines that connect high-school students with college students studying gerontology. In addition to highlighting the oft-overlooked population of high school students, attention will be given to the importance of including minority student populations in career development efforts. The final paper will describe the utility of broader intergenerational strategies that build bridges across students, educators, aging professionals, and community collaborators via campus career events. The discussant will bring these efforts together with an intergenerational programming lens that higher education can use to amplify awareness about the wide-range of career opportunities aging offers.
THE IMPORTANCE OF LOW SOCIAL LONELINESS FOR MAINTAINING GOOD WELL-BEING
Authors: Switsers Lise , De Donder Liesbeth , Dierckx Eva , Dury Sarah 
Published: November 2019

Abstract
Older people are often confronted with dependence, death of spouse and other loss experience. Nevertheless, older adults generally experience a good well-being. This lack of age-related decline of subjective well-being has been named the ‘paradox of ageing’. One possible explanation for this paradox can be found in the socio-emotional selectivity theory of Carstensen. Thus, we hypothesize that low emotional and/or low social loneliness can act as a buffer for the negative relationship between negative life events and well-being. We use data of the D-SCOPE project that includes 869 older community-dwelling adults at risk of frailty residing in Flanders. By means of regression moderating analyses the research gains insights into the relationships between older people and well-being where the absence of social loneliness is detected as a possible buffer against negative outcomes. The discussion develops the argument that the absence of loneliness is a crucial facet for maintaining a good well-being.
SYSTEMS-LEVEL MODELING OF BIOLOGICAL AND MOLECULAR AGING CHANGES OVER TIME
Authors: Levine Morgan E , Kuo Perry , Schrack Jennifer , Simonsick Eleanor M , Resnick Susan , Shardell Michelle , Ferrucci Luigi 
Published: November 2019

Abstract
Aging is associated with numerous changes at all levels of biological organization. Harnessing this information to develop measures that accurately and reliably quantify the biological aging process will require longitudinal modeling and incorporation of systems level approaches. We will describe applications of network modeling for longitudinal multi-system biomarker data. Using data from the Baltimore Longitudinal Study of Aging (BLSA) we are able to generate systems level models of biological and physiological function, and then demonstrate how these networks change with age. We will also link systems-level aging changes to hallmarks of aging, including epigenetic alterations, senescence, mitochondrial dysfunction, and proteostasis. Given the complexity of the biological aging process, modeling of systems dynamics over time will both lead to the development of better biomarkers of aging, and also inform our conceptualization of how alterations at the molecular level propagate up levels of organization to eventually influence morbidity and mortality risk.
AGENCY AS IDEOLOGY: PRECARITY AND DISEMBEDDEDNESS IN THE 21ST CENTURY LIFE COURSE
Authors: huang wenxuan 
Published: November 2019

Abstract
The “individualization” thesis has gradually merged into the discussion of increasing heterogeneity of the life course as well as growing inequality over historical time. As individuals are “disembedded” from both cultural traditions and more recently social institutions, individual agency has drawn revived interest in outlining “choice biography” that is seen as paramount to personal outcomes and even containing overcoming force against structure. This practice mutes the consideration of the ongoing forces of social structure that by their very nature continue to constitute individual selves and possibilities. The uncritical treatment of individual agency makes it problematic for the study of precarity, mystifying and obscuring the analysis of inequality-generating mechanisms, reducing them to the individual-level. We analyze current uses of the concept of agency in the life course research, and particularly in the areas of transition research, e.g., transition to adulthood/retirement, where individual agency is assumed to be most active.
FRAILTY AND PRECARITY: UNTANGLING THE CONCEPTUAL PATHWAYS OF NEED AND DISADVANTAGE IN LATE LIFE
Authors: Grenier Amanda M 
Published: November 2019

Abstract
The concepts of frailty and precarity circulate in social gerontology and studies of aging, with the former a dominant construct, and the latter emerging as a way of linking experiences, insecurities and risks. Although these concepts are used inter-changeably by some authors, their roots, key areas of focus and meanings differ. This paper considers the state of knowledge on frailty, and sets this against the uses of precarity. A After outlining a recent scoping review on precarity that revealed a high number of articles cross-referencing concepts of frailty and vulnerability. the paper distinguishes key aspects of frailty, vulnerability, and precarity. Situating qualitative experiences of each serves as a means to further explore similarities and differences. The paper concludes with reflections on what (if anything) each of these allied concepts may offer understandings of late life, and in particular, the study of disadvantage across the life course and into late life.
NEIGHBORHOOD SOCIAL COHESION, RESILIENCE, AND WELL-BEING AMONG CHINESE OLDER ADULTS IN HONOLULU, HAWAII
Authors: Zhang Wei , Liu Sizhe , Zhang Keqing , Wu Bei 
Published: November 2019

Abstract
Few studies have examined the association of social environment and well-being among Chinese older adults, the fastest growing aging population across all racial/ethnic groups in the U.S. To address this gap, the current study aims to examine the associations of neighborhood social cohesion with psychological distress and life satisfaction as well as the mediating role of resilience and the moderating roles of gender and place of birth using data collected among 430 Chinese older adults in Honolulu. Results show that neighborhood cohesion was significantly associated with both distress and life satisfaction, with resilience being a significant mediator. The association between neighborhood cohesion and distress was moderated by birth place such that the protecting effects of neighborhood cohesion on distress were only salient for the U.S.-born. Our findings indicate the importance of a cohesive social environment in shaping well-being of U.S. Chinese older adults, the U.S.-born in particular, living in Hawai’i.
THE INTERSECT OF SOCIAL DETERMINANTS, MOTIVATION, AND BLACK WOMEN TRIATHLETES
Authors: Brown Candace 
Published: November 2019

Abstract
Social determinants of health are often adjacent to negative impacts on physical health due to the association of a sedentary lifestyle. Yet, knowledge is limited regarding how motivation to exercise, through sport, may relate to social determinants. This study aimed to understand the intersect of social determinants of Black women who exercise, by participating in triathlons, using the novel Motivations for Triathletes Interview Guide (MOTIG). The Organismic Integration Theory guided an assessment of social determinants among (N = 12) Black women from nine scales within the MOTIG. The subtheme ‘physical awareness’ supported Health Orientation while ‘social support’, ‘camaraderie’ and ‘family’, all supported the Affiliation scale. Results indicate that Black women who exercise through triathlon are motivated because certain social determinants are positively addressed. Future interventions directed toward sedentary women should consider how to positively reinforce individual and social determinants to increase motivation to exercise.
RECRUITMENT OF FAMILY CAREGIVERS OF AFRICAN AMERICAN OLDER ADULTS WITH DEMENTIA
Authors: Moss Karen O , Wright Kathy , Brewster Glenna , Rose Karen , Wills Celia E , Monroe Todd 
Published: November 2019

Abstract
Multiple factors influence decision-making of family caregivers of African American older adults with dementia about participation in end-of-life care research. Existing literature on best practices for research recruitment includes little on recruitment strategies for this specific population. The purpose of this presentation is to analyze successful recruitment strategies used with family caregivers of African American older adults with dementia. Sixty-five caregivers of African American older adults with dementia were recruited over 11 months throughout a southeastern state from local communities and Program of All-Inclusive Care for the Elderly. Community partnership strategies such as community-based networking, purposively-targeted presentations, and leveraging of existing social networks provided a strong basis for successful recruitment. These strategies were credible to the participant population and effective in engaging both research participants and community partner stakeholders in working on shared goals of improving older adult and caregiver outcomes near the end of life.
KENT AND KLEEMEIER AWARD LECTURES
Authors: Bartke Andrzej 
Published: November 2019

Abstract
The Donald P. Kent Award is given annually to a member of the The Gerontological Society of America who best exemplifies the highest standards of professional leadership in gerontology through teaching, service, and interpretation of gerontology to the larger society. The Kent lecture will feature an address by the 2018 recipient, Lewis Lipsitz, MD, Hebrew Senior Life. The Robert W. Kleemeier Award is given annually to a member of The Gerontological Society of America in recognition for outstanding research in the field of gerontology. The Kleemeier lecture will feature an address by the 2018 recipient, Keith Whitfield, PhD, Wayne State University.
DEVELOPMENT AND PSYCHOMETRIC TESTING OF THE PERSON-PLACE FIT MEASURE FOR OLDER ADULTS
Authors: Weil Joyce 
Published: November 2019

Abstract
Person-environment fit models are at the core of gerontological theory and practice. The Person-Place Fit Measure for Older Adults (PPFM-OA) was developed to capture key place domains arising from the expansion of aging in place and age-friendly concepts across the continuum of care, increasingly diverse older populations, and the changing meaning of place. The goal of this study was to create a validated measure to assess “fit”. Data from in-depth interviews, focus groups, review of literature and existing comparable measures, and cognitive interviewing created an initial instrument of 90 items. Through the use of a Delphi panel of experts, 60 items were selected and tested in the final measure on Mechanical Turk (MTurk). Results from a sample of persons 60 and older are discussed. Findings from psychometric testing of the PPFM-OA measure are reported. These findings show the final, further-reduced-item version of the Person-Place Fit Measure for Older Adults has good internal consistency and validity. Both this measure and its development process can advance understanding and measurement of place models.
A COMPARATIVE ANALYSIS ON HEALTHY LONGEVITY PHENOTYPES BETWEEN CHINESE AND ITALIAN CENTENARIANS
Authors: Chen Huashuai , Zeng Yi , Chen Huashuai , Yao Yao 
Published: November 2019

Abstract
This paper reviews and compares demographic, socioeconomic, behavioral (including diet) characteristics and heath phenotypes of centenarians in China and Italy. The results revealed that the interactions between familial longevity and any one of the three environmental factors (receipt of adequate medical care when ill as a child, number of living children, and household economic conditions) were significantly associated with the three health outcome indicators (IADL, self-rated life satisfaction, and anxiety-loneness) at old ages. We discovered that the effects of these environmental factors on the health outcome indicators were substantially stronger among elders who had no family history of longevity compared to centenarians’ children who likely carry genes and/or inherited healthy behavior and better lifestyle from long-lived parents.
BEREAVEMENT IN A FAMILY CONTEXT
Authors: Stokes Jeffrey E , Kim Kyungmin , Carr Deborah 
Published: November 2019

Abstract
Bereavement is an impactful, often difficult experience for individuals throughout the life course. Moreover, bereavement experiences inherently involve wider family networks: The death of a spouse is often also the death of a parent, grandparent, or sibling, as well. The present symposium investigates a variety of different family loss experiences that individuals are exposed to in adulthood and older age, and situates such bereavement in a larger family context. Stahl explores how daily routines and sleep patterns can be altered by spousal bereavement, and assesses an intervention designed to improve widowed older adults’ behaviors and, in turn, reduce their depressive symptomology. Kim and colleagues analyze the death of a parent in adulthood, examining the extent to which pre-loss relationship quality and relationship importance may predict post-loss symptoms of grief. Stokes and colleagues extend this intergenerational perspective, examining the death of a grandparent in adulthood, and whether adult grandchildren’s relationships with their middle-generation parents – bereaved adult children themselves – impact their experiences of grief after loss. Focus is also paid to the influence of gender across all three generations. Lastly, Donnelly explores the cumulative consequences of experiencing multiple family deaths throughout the life course for adults’ health trajectories. Together, these papers expand the scope of bereavement research to incorporate spousal, multigenerational, and cumulative loss experiences and their repercussions for midlife and older adults. As discussant, Carr will assess the contributions of these papers to theory and the literature, and highlight potential directions for future research concerning aging, families, and bereavement.
THE DAILY BALANCE PROJECT: AN INQUIRY INTO THE INTRAINDIVIDUAL DYNAMICS OF PERCEIVED AND ACTUAL FALL RISK
Authors: Mejia Shannon T , Hsieh Katherine , Fanning Jason , Sosnoff Jacob 
Published: November 2019

Abstract
An accurate understanding of one’s abilities and limitations allows adaptive response to the challenges that are faced in daily life. However, older adults may over or under estimate their actual abilities. The Daily Balance Project examined the intraindividual dynamics of older adults’ perceived balance with objective measures of balance and physical activity. For 30 consecutive days, following a comprehensive fall risk assessment, 20 older adults rated their balance confidence (Activities Balance Confidence scale) at that moment and then performed five standardized balance assessments measured via smartphone accelerometer held to their chest. Physical activity was measured with an activity monitor. Baseline measurements of fall risk differentiated the extent of intraindividual variation and co-variation of balance and physical activity. For some participants, actual and perceived balance became more closely aligned as the study progressed. The implications of the findings for life-span perspectives on aging and fall prevention are discussed.
LONGITUDINAL EVIDENCE FOR DISCREPANT CHANGES IN NEGATIVE AFFECT REACTIVITY AND BLOOD PRESSURE REACTIVITY WITH AGE
Authors: Koffer Rachel E , Kamarck Thomas W 
Published: November 2019

Abstract
Both affective and blood pressure (BP) reactivity are associated with long term risk of chronic disease and mortality. Thus, understanding age-related changes in negative affect and BP responses to everyday demands is vital for promoting healthy aging. However, few studies have examined both psychological and BP reactivity simultaneously, which would provide more comprehensive understanding of regulatory processes at play. For the present study, 232 adults aged 50-70 years were assessed at baseline and 6 years later with ambulatory BP monitoring and momentary electronic diaries. Reactivity coefficients were output from multilevel models and used to test changes in negative affective and ambulatory BP reactivity to task demand, longitudinally. Results indicate that both systolic and diastolic BP reactivity increase with age, while negative affect reactivity does not change with age. Results are discussed in the context of life course theories of role strain and role changes and socioemotional theories of aging.