bluuebunny/crossref_metadata_2025_split huggingface dataset:
RACE DIFFERENCES IN ALLOSTATIC LOAD AMONG BLACK AND WHITE MEN: DOES AGE MATTER?
Authors: Thorpe Roland J , Zare Hossein , Archibald Paul , Bruce Marino A , Norris Keith , Whitfield Keith E 
Published: November 2019

Abstract
Although Black-White disparities in health and mortality among men persist, there is a paucity of work focusing on race differences in physiological dysregulation of biological processes resulting from the cumulative impact of stressors among men. The purpose of this study was to assess potential race differences in Allostatic Load (AL) among adult men and if such differences vary by age. Data were drawn from the 1999-2010 NHANES, and the study population included 2700 non-Hispanic Black (NHB) and 19930 Non-Hispanic White (NHW) born in US. AL was derived by summing across cardiovascular, metabolic, and inflammatory biomarkers considered to be high risk, resulting in a count variable ranging from 0 to 9. Race was based on self-report. Age was categorized: 18-24, 25-44, 45-64, and 65 years and older. Negative binomial regression was used to examine the relationship between race and AL score. Models included education, marital status, family income, health insurance and self-reported health. Adjusting for potential confounders, NHB men had a higher AL score ((incidence rate ratio (IRR) = 1.06, 95% confidence interval (CI) 1.01, 1.11) than NHW men. NHB men 25-44 years old had a higher AL score than (IRR = 1.14, 95% CI;1.04, 1.24) than their NHW peers. No race differences with respect to AL score were observed among the other age groups. Race differences in AL vary by age categories. Efforts to improve longevity should focus on developing age-tailored health promoting strategies to reduce stress among Black men during early adulthood.
MIGRATION, MOBILITY, AND PURSUIT OF GOOD OLD AGES: NARRATIVES OF OLDER PUERTO RICAN ADULTS WHO MIGRATE
Authors: Jespersen Brooke V 
Published: November 2019

Abstract
Migration research has articulated “regimes of mobility,” or multi-scalar movements (within and across households, communities, and borders) that are interconnected and embedded in unequal power relations. Research on late-life migration has been limited by: (1) simplistic conceptualizations of mobility as adaptive or traumatic; and (2) a focus on transnationalism. The migration of older adults between Puerto Rico and US mainland presents a new frontier for examining mobility in aging. Puerto Rico’s population is rapidly aging and out-migrating. Moreover, as US citizens, Puerto Ricans experience no legal restrictions on migration typical of transnationalism. Yet little is known about their migration patterns and associated narrated meanings. I conducted semi-structured interviews and participant observation among older Puerto Ricans who migrated to the US mainland in late-life. Preliminary findings suggest that older Puerto Ricans negotiate competing definitions of “good” old ages based on residential context. They report migrating to the mainland to pursue “good” old ages defined in material terms, namely access to social and medical services. Post-migration, however, older Puerto Ricans report experiences of confinement and loneliness, due to language barriers and familial separation. In narrating hopes for the future, they describe an alternative “good” old age in Puerto Rico, emphasizing belonging and familial connection. As older Puerto Ricans negotiate multiple definitions of “good” old ages through circular mobility, the social and economic inequalities which first necessitated migration reproduce disadvantage in the new location. This study highlights the need to conceptualize multi-scalar mobilities that intersect with inequality to shape aging among migrant populations.
SOCIOCULTURAL DETERMINANTS IN PAIN PERCEPTION AND MANAGEMENT AMONG OLDER CHINESE AMERICANS
Authors: Kwon Simona , Wong Jazmine , Pan Janet , Rosenberg Andrew , Cuff Germaine , Aye Myint 
Published: November 2019

Abstract
Background: Chinese Americans make up the largest Asian American subgroup in the US. Data from a large health system indicate that older Chinese Americans experience lower satisfaction in pain management after surgery compared to all other racial/ethnic groups. Objective: To understand pain experience among older Chinese American patients to improve pain satisfaction strategies Methods: A mixed methods study was conducted, including: 1. A scoping review of the peer-reviewed published literature; 2) face-to-face survey; and 3) qualitative interviews. 14 Chinese American postsurgical patients &gt;65 years of age were recruited for the survey and interview with a trained bilingual Community Health Worker. Questions from the Survey on Disparities in Quality of Healthcare and Kleinman’s Explanatory Model of Illness guided the data collection tools. Results: The 31 studies identified in the review were largely observational; none assessed pain control or management interventions for older Chinese Americans. Most participants reported experiencing a language barrier that hindered healthcare staff communication during hospital stay. Even with an interpreter, limited English proficient patients reported lower understanding of health information compared to those who did not need interpretation. Ideas of “pushing through” pain, perceiving physicians as “busy people,” and mismatch in pain assessment tools contributed to pain attendance delay. Facilitators to care included family support, culturally and linguistically-tailored tools, and availability of cultural remedies. Conclusions: This mixed-methods study identified key themes including socio-cultural barriers and facilitators to effective pain care and management. Findings will inform tools and resources to better capture and address pain management in Chinese Americans.
MIDDLE-AGED AND OLDER LATINOS’ SATISFACTION OF BAILAMOS LATIN DANCE PROGRAM
Authors: Balbim Guilherme M , Aguinaga Susan , Marques Isabela G , Guzman Jacqueline , Marquez David X , Vasquez Priscilla 
Published: November 2019

Abstract
Older Latinos engage in low levels of leisure-time physical activity (LTPA). Dance is a culturally appropriate activity which can be used to increase LTPA levels. We examined middle-aged and older Latinos’ satisfaction with the revised BAILAMOS Latin dance program. Healthy and low actives middle-aged and older Latinos (Mage = 64.89±7.08) were randomized to a 4-month dance program (n=167) or health education (n=166). The dance program consisted of four Latin dance styles (Merengue, Bachata, Cha Cha Cha, and Salsa). Classes were held twice a week for one hour. A total of 113 participants completed the program. Participants completed a program evaluation about the 4-months program regarding time, duration, settings, instructor, and overall satisfaction. Items were evaluated on a 1 (strongly disagree/very bad) to 4 (strongly agree/excellent) Likert agreement scale. A total of 73 participants evaluated the 4-month dance program. Participants evaluated the program adequacy agreeing or strongly agreeing as far: time, duration and setting (96-98%); instructor’s enthusiasm, quality of instructions, and eager to help (96-100%); dance program’s progression and enjoyment (93-96%); difficulty level (59%). Participants reported they intended to keep dancing by themselves (93%) and would recommend the program to friends and family (98%). Many participants (88%) reported feeling physically excellent or good as a result of the program, 95% found the program excellent or good, and 100% thought the program was worth their time. Overall, the BAILAMOS program evaluation demonstrated high participants’ acceptability and satisfaction. Those results can promote sustained LTPA and provide initial evidence to translation into community settings.
EXPERIENCES OF DISCRIMINATION ARE ASSOCIATED WITH DECREASED FUNCTIONAL ABILITY IN AFRICAN IMMIGRANT OLDER ADULTS
Authors: Nkimbeng Manka , Bandeen-Roche Karen , Han Hae Ra , Szanton Sarah L , Thorpe Roland 
Published: November 2019

Abstract
Discrimination impacts functional health outcomes of African Americans and other racial/ethnic minorities in the United States; yet this is understudied in African immigrants whose population has risen by 137% since 2000. We examined the relationship between discrimination and physical function with a convenience sample of first-generation African immigrants age 50+ recruited through community-based organizations (N=124). Discrimination was measured with the Everyday Discrimination scale with higher scores indicating more experiences of discrimination (range=0-23). High versus low levels of discrimination were categorized at the mean. Physical function was measured using the PROMIS Physical Function measure with high scores indicating greater functional ability (range=11-50). Raw function scores were converted to standardized T-scores with a population mean of 50 and standard deviation (SD) of 10. Linear regression was used for analyses. Mean age of the sample was 61.4(SD=7.9) years. About two-thirds (63%) were female, more than half (52.4%) immigrated in search of better opportunities and half of the sample had high levels of discrimination. The mean function score was 44.2(SD=8.3) indicating that this sample had functional ability 6 points less than the population average. After adjusting for demographic and migration factors, the mean physical function score was 2.5 points lower (b=-2.53, 95% CI= -5.04, -0.01) for participants with more experiences compared to those with fewer experiences of discrimination. In conclusion, discrimination was associated with poor physical function in African immigrant older adults after adjusting for covariates. Longitudinal studies of discrimination and physical functioning should be pursued in more diverse, larger samples of African immigrants.
THE UPSIDE OF GETTING OLD: TESTING A MODEL OF OLDER AGE AND BETTER EMOTIONAL WELL-BEING
Authors: Wilson Jenna , Strough JoNell , Shook Natalie 
Published: November 2019

Abstract
Older adults often report better emotional well-being than younger adults. Socioemotional Selectivity Theory posits that with age, reduced future time perspective motivates prioritizing emotional well-being in the present moment (Carstensen, 2006). Mindfulness, a receptive attention to experiences as they occur (Brown & Ryan, 2003), and savoring, the ability to regulate positive feelings in the moment (Bryant, 2003), are present-oriented processes associated with greater well-being. Recent evidence indicates that greater mindfulness in part accounts for age differences in positive affect (Shook et al., 2017). The current study investigated whether older age is associated with a greater present-oriented time perspective, which in turn is related to greater savoring and mindfulness, thus statistically accounting for older adults’ better well-being. Participants (N = 888, 20-88 years, Mage = 46.37, SD = 15.20) recruited via MTurk completed an online survey. Data were analyzed using structural equation modeling. The model provided an adequate fit to the data (CMIN/DF = 2.94, CFI = 0.985, RMSEA = 0.048). Older age was associated with greater present-oriented time perspective, and present-oriented time perspective was associated with greater savoring and mindfulness which, in turn, were associated with better emotional well-being. Alternative models were tested, but did not significantly improve model fit. Findings suggest that there may be benefits for younger adults’ well-being if they learned to be more present focused, savor the moment, and be more mindful like older adults. Thus, present-oriented time perspective may be an important factor for healthy aging.
DOES PERSONALITY PREDICT PATTERNS OF AGING? LONGITUDINAL FINDINGS FROM THE VA NORMATIVE AGING STUDY
Authors: Nath Ritwik , Aldwin Carolyn M , Choun Soyoung , Kurth Maria , III Avron Spiro 
Published: November 2019

Abstract
Previous research using the Veterans Affairs Normative Aging Study identified four patterns of aging using group-based multi-trajectory modelling to identify joint changes in life satisfaction (LS) and functional health (FH) (Nath et al., 2018a,b). The purpose of the present study was to examine whether personality traits predicted these four patterns: impaired (stable low LS and FH), normal (decreasing LS and FH), optimal (high LS, decreasing FH), and successful aging (high LS and FH). The sample consisted of 992 NAS men who provided 3,853 observations (M=2.81, SD=1.54, range 1–8) between 1987 and 2010 (Mage=62.31, SDage=7.50, range 44-86 in 1987). Multinomial logit regression analysis with robust estimation controlled for marital, employment, and self-rated health status, using optimal aging as the reference group. Compared to the optimal aging group, neuroticism predicted membership to the normal aging (RR=1.61, CI=1.16–2.22) and the successful aging groups (RR=.55, CI=.38–.79). Optimism predicted membership to all groups, with lower risk ratios to the impaired aging group (RR=.11, CI=.04–.33) and normal aging group (RR=.57, CI=.42–.79), and higher risk ratio to the optimal aging group (RR=1.96, CI=1.35–2.85). Extraversion only predicted membership in the impaired aging group (RR=.27, CI=.12–.63) indicating high levels of social isolation. Thus, personality may play an important role in determining the patterns of aging.
CROSS-SECTOR COLLABORATION TO BUILD DEMENTIA-FRIENDLY BUSINESSES: ENGAGING STUDENTS IN PUBLIC ISSUES IN AGING
Authors: Huber Lesa L , Mosier Amanda , Abramenaka-Lachheb Victoria 
Published: November 2019

Abstract
Despite a nationwide campaign to build dementia friendly communities, increasing awareness and engagement with programs like Dementia Friendly Businesses remains a challenge for local champions. To create welcoming environments for people living with dementia (PLWD), communities may benefit from cross-sector collaboration. Fundamental to collaborative efforts is the conviction that individuals, families, businesses, organizations, and institutions each play a role in reducing the stigma associated with dementia and facilitating welcoming environments. This exploratory study considers the outcomes of a cross-sector collaboration between a university, a hospital, individual community members, and students to build awareness of the need for new norms that reduce stigma for people living with dementia. We measured change at each ecological level. Through this collaboration, 61 local businesses and organizations are now DFB certified, 350 individuals have participated in training, and 150 students have joined 12 community trainers to advocate for dementia friendly spaces. Students’ survey responses show that 75% agree or strongly agree that the project engaged them in a meaningful real world experience and advocating for the need for dementia friendly spaces. PLWD provide qualitative data on feeling welcomed in the community. The university and hospital co-created an online open access dementia friendly training taken by 89 people in 6 months. 150 community members came together for a day-long workshop to build capacity and innovate solutions. Implications of the project suggest that changing cultural norms about dementia requires creative solutions that meaningfully engage individuals, organizations, institutions, and communities to collaborate across multiple sectors
EXPLORING DEATH AND DYING WITH HEALTHCARE STUDENTS
Authors: Foti Megan , Cassel Stacy 
Published: November 2019

Abstract
Although death is a universal experience, many avoid discussing or learning more about the topic (Mak, 2011). However, healthcare professionals are expected to be knowledgeable, resourceful, and professional within their scopes of practice, but oftentimes avoid end of life topics (Ramvi & Gripsrud, 2017). Students also report concerns when working with clients at the end of life expressing fear of how they will handle an encounter with a dying client (Ek et al., 2014). Therefore, professionals need didactic and personal preparation to be more comfortable with discussions related to end of life treatment and planning (Kumar et al, 2013). Evidence supports that students can benefit from self-reflective and narrative exercise with older adults that challenge their perspectives on end of life. Students who are able to openly discuss death, dying, illness and loss express a desire to learn more about working with the older adult population and increased sensitivity to the beliefs and attitudes of older adults (Butler & Baghi, 2008; Nelson et al., 2018). In order to provide students with an opportunity to explore end of life topics, professors designed an educational module which included activities such as writing a living will, discussing end of life topics with older adults, and critically reflecting on their experiences. This proposed poster will highlight current background literature relevant to end of life topics, methods for integrating end of life topics into academic curricula, and student perceptions related to end of life topics as shared in their reflections.
THE IMPACT OF DEMENTIA TRAINING ON HOSPITAL STAFF’S KNOWLEDGE AND ATTITUDES
Authors: Schneider Julia , Teichmann Birgit , Kruse Andreas 
Published: November 2019

Abstract
Older people with dementia are more frequently hospitalized and more strongly associated with negative outcomes. We examined the acceptance and the effect of a dementia training on attitudes and knowledge of the hospital staff. In the current study, we utilized a mixed-methods research design to examine a clinic group of six hospitals in Germany. Besides semi-structured interviews, we collected quantitative data with a questionnaire given before and three-months after the training. The questionnaire contained German translated versions of the Knowledge in Dementia (KIDE) Scale and the Dementia Attitudes Scale (DAS-D) to assess changes in attitudes. The participant population (N=60) consisted of nurses (n=35, 58%), medical assistants (n=13, 22%) and other medical professions. Satisfaction with the training was predominantly positive, 92% would recommend the training to their colleagues. At baseline, a small but significant correlation between the standardized questionnaires KIDE and DAS-D was evident (r(60)=.357, p=.005). The participants (n=32) showed a more positive attitude in the post-test (M=5.39, SD=0.64) than in the baseline-test (M=5.19, SD=0.66). This difference was significant (t(31)=-2.434, p=.021). However, we did not find any significant effects on the KIDE. The reason for this may be the use of a standardized questionnaire, which does not reflect the increase in knowledge, or there has been no increase in knowledge of dementia. The results are based on a small sample size. However, they have demonstrated that dementia training can positively influence attitudes toward people with dementia. A significant increase in knowledge was expected but could not be demonstrated.
SELF-MANAGEMENT INTERVENTIONS IN DIALYSIS FACILITIES
Authors: Washington Tiffany R , Mingo Chivon , Smith Matthew L 
Published: November 2019

Abstract
There have been few attempts to implement self-management interventions in dialysis facilities. This paper presentation describes four studies that constitute the formative work necessary to inform implementation. Studies one and two examined the relationship between psychosocial factors and kidney disease self-management, finding depression and cognitive decline to undermine self-management behaviors. Study three examined how dialysis patients define and think about self-management and their interest in participating in a self-management program. Among them, 78% affirmed they would participate in a self-management program if it were offered in their facility. Finally, when examining organizational readiness to implement a self-management intervention in dialysis facilities, staff perceived it to be consistent with facility values, and agreed they were well-positioned to implement the program. Taken together, these findings suggest a self-management intervention would be beneficial and supported, but would require thoughtful implementation considerations. These studies have implications for developmental self-management research with other chronic conditions.
MULTIPLE SOURCES OF SOCIAL STATUS IN OLD AGE: THE ROLE OF AGE GROUPS AND GENERATIONS
Authors: Weiss David , Zhang Xin 
Published: November 2019

Abstract
This cross-cultural study compared attitudes towards age and generational groups across the life span in China, Germany, and the US including N = 1302 participants between 18 and 86 years of age. We asked younger, middle-aged, and older respondents to rate either age (e.g., adolescents, young adults, middle-aged adults, and older, adults) or generational groups (e.g., Millennials, Generation X, Baby Boomer, and Silent Generation) on various characteristics. Results demonstrate that across all three cultures older age groups were perceived consistently less positive and more negative, whereas older generations were perceived as significantly more positive and less negative. Our results suggest that generations in contrast to age groups represent a source of high social status in later life providing a sense of respect, value, and admiration. Thus, social status can be derived from multiple sources and older adults can draw upon alternative social status domains (their generation) when confronted with loss.
PARADOXICAL ASSOCIATION BETWEEN AGING STEREOTYPES AND PROSOCIAL BEHAVIORS TOWARD OLDER ADULTS
Authors: Zhang Xin , Xing Cai , Liu Ming 
Published: November 2019

Abstract
According to stereotype content model, older adults were perceived as low in competence (but high in warmth). Studies have demonstrated that such negative stereotypes could affect older adults significantly. However, it remained unclear how younger adults could be influenced, especially during intergenerational interactions, i.e., would positive or negative aging stereotypes promote more prosocial behaviors toward older adults. 104 younger adults were randomly assigned to three aging stereotype conditions (i.e., negative, neutral vs. positive), and they were then introduced to play two prosocial tasks (i.e., social value orientation and ultimatum game), in which they were imagined to play with either a younger or an older adults. It was found that younger adults exhibited more prosocial tendencies toward older partners than that to younger partners in both tasks. Moreover, activation of a negative aging stereotype could make younger adults behave more prosocially to the older partners in the social value orientation task.
INCREASE IN HSP25 EXTENDS LIFESPAN AND IMPROVES RESPONSE TO TAU TOXICITY THROUGH A CELL, NON-AUTONOMOUS MECHANISM
Authors: Rodriguez Karl 
Published: November 2019

Abstract
The accrual of aggregation-prone cytotoxic proteins underlies neural pathologies seen in aging, Alzheimer’s disease and other dementias. Recent evidence indicates that heat shock protein 25kDa (HSP25) interacts with tau. To demonstrate a causal role for HSP25 in these pathologies, we overexpressed HSP25 protein in worms. This manipulation led to an increase in life span. Moreover, the longevity-effect was associated with increased expression of genes downstream of the SKN-1/Nrf2 stress-response transcription factor. HSP25 over-expression also reduces aggregate pathology and extends lifespan in a C. elegans neuronal-specific, aggregate-prone tau model . We propose that over-expression of HSP25 could provide protection from protein aggregation induced neurodegeneration. However, it is not yet clear whether this HSP25 effect could be efficaciously provided exogenously by other cell types. Thus, we will test whether increased peripheral HSP25 will reduce protein aggregation and stimulate a global Skn-1 stress-response pathway, reduce toxicity in neurons, and improve health outcomes.