bluuebunny/crossref_metadata_2025_split huggingface dataset:
COGNITION AND HISTORY OF MULTIPLE HEALTH CONDITIONS OVER 20 YEARS: EVIDENCE FROM THE HEALTH AND RETIREMENT STUDY
Authors: Bendayan Rebecca , Federman Alex D , Dobson Richard J 
Published: November 2019

Abstract
Research to date on multimorbidity and cognitive impairment is mainly cross-sectional or with limited history information of the health conditions. The present study explores the association between cognitive performance and previous history of health conditions over 24 years in a sample of 4858 respondents of the Health Retirement Study. Data from health conditions between 1998 and 2014 included self-reports for hypertension, diabetes, arthritis, stroke, cancer, lung and heart diseases and psychiatric problems. Duration of the health condition was categorized as more than 10 years, between 4 and 10 years, less than 4 years and no condition. Cognition was assessed using a summary index of cognitive performance including measures of memory, working memory, speed processing, knowledge, and language. ANOVA and post hoc tests were performed to explore the association between cognition and the duration of each health condition independently. Multiple linear regression analyses were performed to explore the association between multiple health conditions and cognitive performance. Results showed significant independent associations between cognitive performance in 2014 and each health condition, except for cancer [F(1,4)=2.60; p =.51]. When all the health conditions were considered in the regression models, we found that cognitive performance is negatively associated with high blood pressure and stroke (independently of the duration of the condition), long-term diabetes and lung diseases (i.e., for more than 10 years) and recent cancer (i.e., in the last 4 years). Our findings highlight that considering duration of co-existent health conditions is key for identifying individuals at greater risk of cognitive impairment.
HEALTHCARE PROVIDERS’ EXPERIENCES IN CARING FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS
Authors: Ploeg Jenny , Yous Marie-Lee , Fraser Kimberly , Dufour Sinéad , Kaasalainen Sharon , McAiney Carrie , Markle-Reid Maureen , Baird Lisa Garland 
Published: November 2019

Abstract
The management of multiple chronic conditions (MCC) in older adults living in the community is complex. Little is known about the experiences of interdisciplinary primary care and home providers who care for this vulnerable group. The aim of this study was to explore the experiences of healthcare providers in managing the care of community-living older adults with MCC and to highlight their recommendations for improving care delivery for this group. A qualitative interpretive description design was used. A total of 42 healthcare providers from two provinces in Canada participated in semi-structured interviews. Participants represented diverse disciplines (e.g., physicians, nurses, social workers, personal support workers) and settings (e.g., primary care and home care). Thematic analysis was used to analyze interview data. The experiences of healthcare providers managing care for older adults with MCC were organized into six major themes: (1) managing complexity associated with MCC, (2) implementing person-centred care, (3), involving and supporting family caregivers, (4) using a team approach for holistic care delivery, (5) encountering rewards and challenges in caring for older adults with MCC, and (6) recommending ways to address the challenges of the healthcare system. Healthcare providers highlighted the need for a more comprehensive integrated system of care to improve care management for older adults with MCC and their family caregivers. Specifically, they suggested increased care coordination, more comprehensive primary care visits with an interprofessional team, and increased home care support.
SELF-REGULATION STRATEGIES IN MANAGING MULTI-MORBIDITIES AMONG COMMUNITY-DWELLING PEOPLE AGING WITH ARTHRITIS
Authors: Zhang Wenhui , Radhakrishnan Kavita , Becker Heather , Acton Gayle , Holahan Carole K 
Published: November 2019

Abstract
Quantitative and qualitative evidence supported the self-regulation strategies of Selection, Optimization and Compensation (SR-SOC), used by people aging with single and multiple chronic conditions (MCCs) to adapt to chronic disabling symptoms and live well. This study investigated the SR-SOC Strategies in the self-management of community-dwelling people aging with arthritis and MCCs. 140 individuals aged &gt; 50 completed the demographic questionnaire, Functional Comorbidity Index (FCI), Brief Health Literacy Screening, Lubben Social Network Scale, Patient-Healthcare Provider Communication Scale, Health Insurance Check-list, PROMIS Adult Self-Reported Health Measures, SOC Questionnaire, Arthritis Self-Efficacy Scale, Healthcare Service Utilization Questionnaire, and a visual analogue QOL scale. With the theoretical framework, multivariate hierarchical stepwise regression was used to predict SR-SOC Strategies, arthritis self-efficacy, healthcare utilizations and QOL. Majority of the sample were female (70%), with &lt; Bachelor’s degree (56%), White (34%) or African American (33%), with personal annual income &lt; $25,000 (52%). Thirty-seven percent reported fairly and 26% poorly adequate income. Number of FCI count ranged from 2 to 14 (Mean =3.8). The top four comorbidities were obesity, diabetes, visual impairment and degenerative disc disease. QOL ranged from 0.5 to 10.0 (Mean=7.2, SD=2.2). Age, physical symptom cluster (pain, fatigue and cognitive abilities) and healthcare provider communication quality significantly predicted SR-SOC strategies. Income adequacy, physical symptom cluster and SR-SOC strategies significantly predicted arthritis self-efficacy. FCI significantly predicted healthcare utilization total, inpatient healthcare utilization, clinician visit and hospitalization. With income adequacy, FCI significantly predicted home health visit and emergency room visit. Being African American and FCI significantly predicted prescriptions filled.
RACIAL-ETHNIC DIFFERENCES IN MULTIMORBIDITY PROGRESSION ACCORDING TO BODY-WEIGHT STATUS AMONG OLDER U.S. ADULTS
Authors: Botoseneanu Anda , Markwardt Sheila , Allore Heather , Nagel Corey , Newsom Jason T , Dorr David A , Quiñones Ana R 
Published: November 2019

Abstract
Obesity and multimorbidity are more prevalent among underrepresented U.S. racial/ethnic minority groups. Evaluating whether racial/ethnic disparities in multimorbidity accumulation vary according to body-mass index (BMI) may guide interventions aimed at reducing multimorbidity burden in vulnerable racial/ethnic groups. We used 1998-2014 data from the Health & Retirement Study (N=8,635 participants, age 51-55 years old at baseline) and negative binomial models stratified by BMI category to evaluate differences in rates of accumulation of seven chronic conditions (arthritis, cancer, diabetes, heart disease, hypertension, lung disease, and stroke), focusing on differences between racial/ethnic groups [White (reference; 64.7%), Black (21.5%), Hispanic (13.8%)]. Overweight and obesity were more prevalent in Black (80.9%) and Hispanic (78.6%) than White (69.9%) participants at baseline; in all BMI categories, Black participants had higher rates of multimorbidity compared with White participants (normal BMI:β=0.304, p&lt;0.001; overweight:β=0.243,p&lt;0.001; and obese:β=0.135,p=0.013); initial burden of disease was similar between Whites and Hispanics in the normal and overweight categories, but significantly lower among Hispanics (vs. Whites) in the obese category (β= -0.180,p=0.017). We found no significant differences in rates of disease accumulation between the racial/ethnic groups in any of the BMI categories. There are substantial differences in initial disease burden between Black and White middle-aged/older adults, but not in the rate of accumulation of disease between the race/ethnic groups in the 3 main BMI categories. These findings suggest an opportunity to reduce racial disparities in multimorbidity by intervening early in the lifecourse to reduce the burden of chronic disease among vulnerable racial minorities prior to entering middle-age.
TRANSITION IN FAMILY RELATIONS IN IMMIGRANT FAMILIES: THE CASE OF CHINESE OLDER IMMIGRANTS IN THE UNITED STATES
Authors: Guo Man , stensland Meredith , Li Mengting , Dong XinQi 
Published: November 2019

Abstract
Using panel data of 2,604 Chinese older immigrants in Chicago over a two-year period, this study examined continuity and changes in intergenerational relationship patterns and their mental health implications. Latent transition analysis revealed five types of family relations: traditional, modified traditional, coresiding-unobligated, independent, and detached. Over the two years, about 43% of the respondents shifted to a different relationship type, with the most common changes being shifting into modified traditional or independent relations, or from detached relations. Controlling for baseline socio-demographic, acculturation, mental health variables, and variables representing life transitions over time, having detached relations was related to greater depressive symptoms in two years and having modified traditional relations was associated with better quality of life at the follow up. The findings revealed heterogeneity and fluidity of intergenerational relations among older immigrant populations and point to the important role of family relations in their well-being.
GENDER INFLUENCES ON LIFE SPACE TRAVEL AMONG THE OLD-OLD
Authors: Han Chengming , Kahana Eva , Kahana Boaz , Bhatta Tirth 
Published: November 2019

Abstract
This paper focuses on gender influences on life space mobility based on distance from home traveled by elderly retirees. Consideration of life space travel offers a window into environmental autonomy and complexity in late life. The gendered nature of time use and social networks have been primarily studied in younger age groups. Our sample included 437 older adults (mean age 83 for both men and women) living in a large Florida retirement community that offered no services. Mean age was 83 for both men and women. Fewer (37.6%) women than men (69.7%) were married and more men drove a car (83% vs 63%).Women reported poorer subjective health and had more IADL limitations. Compared to women, men were significantly more likely to travel long distances. Women’s weekly and monthly travel tended to be local, limited to their neighborhood. On average, respondents of both genders visited their families and friends out of town every month. Better health, current driving and volunteering were related to longer driving distances for both genders, but these advantages were no longer significant after controlling for demographic characteristics. Our findings underscore the complex relationships between gender and life space travel in late life. Even among elderly men and women of the same age better health and driving resources contribute to larger life space for elderly men.
ASSOCIATIONS OF GENETICS AND LIFE COURSE CIRCUMSTANCES WITH A NOVEL AGING MEASURE THAT CAPTURES MORTALITY RISK
Authors: Liu Zuyun , Chen xi , Gill Thomas M , Ma Chao , Crimmins Eileen , Levine Morgan E 
Published: November 2019

Abstract
We aimed to evaluate associations between a comprehensive set of factors, including genetics and childhood and adulthood circumstances, and a novel aging measure, Phenotypic Age (PhenoAge), which has been shown to capture mortality and morbidity risk in the U.S. population. Using data from 2339 adults (aged 51+) from the U.S. Health and Retirement Study, we found that together all 11 study domains (4 childhood and adulthood circumstances domains, 5 polygenic scores [PGSs] domains, and 1 demographics, and 1 behaviors domains) accounted for about 30% of variance in PhenoAge after accounting for chronological age. Among the 4 circumstances domains, adulthood adversity was the largest contributor (9%), while adulthood socioeconomic status (SES), childhood adversity, and childhood SES accounted for 2.8%, 2.1%, 0.7%, respectively. All PGSs contributed 3.8% of variance in PhenoAge (after accounting for chronological age). Further, using Hierarchical Clustering, we identified 6 distinct subpopulations/clusters based on the 4 circumstances domains, and 3 subpopulations/clusters of them that appear to represent disadvantaged circumstances were associated with higher PhenoAge. Finally, there was a significant gene-by-environment interaction between a previously validated PGS for coronary artery disease and the most apparently disadvantaged subpopulation/cluster, suggesting a multiplicative effect of adverse life course circumstances coupled with genetic risk on phenotypic aging. We concluded that socioenvironmental circumstances during childhood and adulthood account for a sizable proportion of differences in phenotypic aging among U.S. older adults. The disadvantaged subpopulations exhibited accelerated aging and the detrimental effects may be further exacerbated among persons with genetic predisposition to coronary artery disease.
CORESIDENCE OF OLDER PARENTS AND ADULT CHILDREN BENEFITS OLDER ADULTS’ PSYCHOLOGICAL WELL-BEING: PATH ANALYSIS
Authors: Lee Soohyoung r 
Published: November 2019

Abstract
Even though the coresidence of older parents and their adult children is no longer a rare phenomenon in current society, a little is known about the benefit of living with adult children from older adults’ perspectives compared to the risk of this living situation. Previous research suggests that older adults’ psychological well-being is low when they live with their adult children, and this become more salient among single parents, such as widowed or divorced. The current paper utilizes the National Health Measurement Study with a sample of age 55 and over, and their SF-36 Mental Health Component score, and psychological well-being self-acceptance score was measured. Path analysis reveals while mental health and psychological well-being scores are lower among single older adults at the time of the survey (e.g., divorced, widowed) than non-single, coresidence of older adults and adult children completely mediates the negative relationship between being single and both mental health psychological well-being. A complete mediation effect of living with an adult child on older adults’ mental health and psychological well-being is consistent with both white and non-white minority older adults. This suggests that living with adult child benefits older adults’ mental health and psychological well-being. The current study seeks to stimulate ideas that might generate the next answer to community-based care in our current aging society.
WHY DON’T ELDERS ADOPT TWO-FACTOR AUTHENTICATION? BECAUSE THEY ARE EXCLUDED BY DESIGN
Authors: Das Sanchari , Streiff Joshua , Huber Lesa L , Camp L Jean 
Published: November 2019

Abstract
Two-Factor Authentication (2FA) provides effective protection for online accounts by providing efficient and highly robust access control. Adoption and usability, however, remain challenges for such technologies. Most research on 2FA focuses on students or employees in the tech sector. For example, our research with student populations found that lack of adoption was primarily due to a lack user risk concern matched with confidence in their ‘strong’ password strategies. The situation for older adults (&gt; 60 years) was quite different, as we discovered through detailed interviews and think-aloud protocols targeted at understanding the registration, after installation, and their (un)willingness to use 2FA. We focused our research on USB security hardware tokens; additionally, we asked about other 2FA strategies which the participants adopted (if any). Their lack of adoption of the devices stemmed from its shortfall of inclusive design. Most available security tokens which were compliant with tablets have very small form factors; nearly invisible in a purse, and easy to slip through a pocket. The larger security keys are device and browser (Google Chrome) dependent. The organizations which would be most invested in protecting older people -- retirement management funds, the Social Security Administration, Medicare, and banking institutions - reasonably do not adopt 2FA because of its lack of acceptability. Our negative result is that older adults are caught in a negative feedback loop where lack of adoption prevents availability, and vice versa. The positive result is that these concerns are straight-forward to overcome.
DOES CHANGE IN INTERNET USE PREDICT PSYCHOLOGICAL WELL-BEING AMONG OLDER ADULTS?
Authors: Berkowsky Ronald W 
Published: November 2019

Abstract
Previous work focusing on the relationship between Internet use and quality of life among older adults (aged 65+) has found evidence of various positive impacts. This project expands upon this work by examining the relationship between Internet use and measures of psychological well-being (PWB) including autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. The analytic sample is derived from two waves of data (Time 1 = 2004, Time 2 = 2011) taken from the Wisconsin Longitudinal Study and includes a sample of older adults aged~65 at Time 1 (N = 4943). Participants were separated into four categories: those who did not use the Internet at Time 1 or 2, those who used the Internet at Time 1 only, those who used the Internet at Time 2 only, and those who used the Internet at both Time 1 and 2. Regression analyses were performed with the Time 2 PWB measures as the outcomes and the Internet use categories as the primary predictors. Results indicate that while continuous Internet users typically reported higher PWB scores compared to non-users, those who stopped use between Time 1 and 2 also reported higher scores and those who started use between Time 1 and 2 reported lower scores. These results generally held when introducing Time 1 PWB measures as controls, suggesting changes in Internet use may affect PWB but not necessarily in the predicted directions. Additional control variables, potential explanations, and implications for future research are discussed.
LOOK WHO’S TALKING: TRADITIONAL AND ELECTRONIC MEDIUMS OF CONTACT LINKED WITH LATER-LIFE SIBLING RELATIONSHIPS
Authors: Hill Melanie S , Yorgason Jeremy B , Coyne Sarah , Jensen Alexander C 
Published: November 2019

Abstract
The sibling role is often the longest lasting relationship between individuals. As such, older adults may turn to siblings in later life as it is a relationship that is already familiar. Having a close and less conflictual relationship with a sibling may be especially important as older adults value siblings for emotional and practical support exhibited through contact. Minimal research has examined mediums of contact used between sibling dyads despite the increase use in technology among older adults. Using a sample of 491 Americans (Mage = 58.96) recruited via Amazon Mechanical Turk (Mturk), the current study examined five mediums of contact (i.e., in person, telephone, e-mail, texting, and social media) and how each type independently is related to sibling closeness and conflict. Further, using regression analyses in STATA, two and three-way interactions were examined to assess the role of sibling dyad composition affecting this relationship. Results indicated that contact through telephone was associated with higher sibling closeness for all sibling dyads, and that association was stronger for females with a sister compared to males with a brother. Further, in person and texting contact was especially beneficial for females with a brother. Main effects revealed contact in person, via social media, over the telephone, or through email, reported more sibling closeness, while those who engaged in more email contact reported less conflict. Thus, even in later life, siblings are keeping in contact with one another through both traditional and electronic mediums of communication, and this contact appears especially beneficial for sisters.
AGE-SPECIFIC VIEWS ON INVASIVE AND NON-INVASIVE HUMAN ENHANCEMENTS FOR COGNITIVE DECLINE
Authors: Rainville G , Skufca Laura , Eller Madeline 
Published: November 2019

Abstract
This research examines the degree to which younger and older Americans approve of addressing cognitive decline using either a pill-based or an implant-based intervention to restore prior functioning. Half of a probability-based online sample expressed concerns over side effects and levels of approval for a pill-based intervention whereas the remainder of the sample did so for a relatively invasive implant-based enhancement (data were interviews of 2,025 American adults gathered by NORC’s AmeriSpeak panel as part of the AARP Human Enhancements study). We predicted and found that relative disapproval of the implant-based intervention was only significant among those with high concerns over side effects. However, when looking at two age groups for which cognitive decline differed in salience, relative disapproval of the implant-based enhancements were relatively stronger for those 50 and older even among those with few concerns over side effects. This age-based aversion to invasive forms of enhancements may have public health implications in that the subgroup who may most-immediately benefit from the enhancement and may be in the market for only non-invasive enhancements. It is not clear if such enhancements, however, could be delivered via a pill or other non-invasive forms.
SOCIAL MEDIA AND SOCIAL WELL-BEING IN LATER LIFE
Authors: Quinn Kelly 
Published: November 2019

Abstract
Social well-being is important to health, but maintaining social relations often becomes difficult in later life due to retirement, chronic disease, and the death of spouses and friends. Social media platforms, such as Facebook and Twitter, present accessible and low cost communication technologies that are associated with enhanced feelings of social connection and reduced loneliness in younger age groups. This paper examines whether similar benefits might arise for adults at older ages. Using a four-week social media training workshop as a randomized, controlled wait-list intervention, this study examines whether social benefits are realized among a group of novice social media users, aged 65+. Measures of social well-being, including social capital, loneliness, social connectedness, and social provisions, were assessed at pre- and multiple post-test intervals for differences related to social media learning. Findings revealed only small differences between groups in one dimension of social connectedness, that of social integration. As these findings seemingly contradict studies conducted with younger persons, the contexts of social media use in older adulthood are discussed. These include the relevance of lower social media adoption rates, as well as influences that intersect with an older person’s life stage, such as gaps in network coverage on technological platforms, perceptions of the value of weak connections, and a reduced digital skills base. These additional factors are relevant to understanding disparity in the benefits that can be obtained through the use of social media and highlight the differing needs that social media fulfill at varying life stages.