bluuebunny/crossref_metadata_2025_split huggingface dataset:
RELIGIOUS ATTENDANCE AND SLEEP DISTURBANCE IN OLDER MEXICAN AMERICANS
Authors: Hill Terrence D , Ellison Christopher , Hale Lauren 
Published: November 2019

Abstract
Although numerous studies have shown that religious involvement is associated with better health across the life course, researchers have virtually ignored possible links between religious involvement and sleep-related outcomes. Building on previous work, we tested whether religious attendance was inversely associated with sleep disturbance among older Mexican Americans. We also assessed whether depressive symptoms could mediate or explain any of the inverse association between religious attendance and sleep disturbance. Relevant hypotheses were tested using ordinary least squares regression and conditional process mediation analysis of cross-sectional data collected from the original cohort of the Hispanic Established Population for the Epidemiologic Study of the Elderly (H-EPESE). The baseline H-EPESE (1993-1994) included a probability sample of 3,050 Mexican Americans ages 65 and older. Due to missing data on our focal variables, our final analytic sample included 2,323 respondents. Regression models show that religious attendance is inversely associated with depressive symptoms and sleep disturbance, even with adjustments for smoking, drinking, body mass, chronic disease, mobility, marital status, living arrangements, family engagement, secular group participation, social support, age, gender, immigrant status, language proficiency, education, household income, and religious affiliation. Mediation analyses also indicate that depressive symptoms fully mediate the association between religious attendance and sleep disturbance. These findings contribute to previous work by showing that regular religious attendance may protect against sleep disturbance by promoting mental health in an understudied population of older Mexican Americans. The importance of religious involvement is supported by the fact that secular group participation was unrelated to sleep disturbance.
PARTNERING WITH NURSING HOME PROVIDERS FOR PERSON-CENTERED QUALITY IMPROVEMENT
Authors: Hermesch Abigail , Chang Da Jung , Goldstein Chelsea , Van Haitsma Kimberly , Abbott Katherine 
Published: November 2019

Abstract
The purpose of this study was to assist Ohio NH providers in implementing PAL Cards. Providers were recruited to utilize the recreation and leisure items from the PELI to assess resident important preferences and create PAL cards for 15-20 residents. A total of n=43 providers registered and n=26 (60%) providers completed the project, which involved monthly coaching calls and an end of project telephone interview. Participating providers were not for profit 46% (n=12), for-profit 46% (n=12), and government-owned 8% (n=2). Their average bed size was 87 and 50% (n=13) of providers had five-star ratings with a range from 1-5. Participants attempted n=439 PAL card interviews with residents and completed n=414 (94.31%) PAL Cards. Providers received over 1,428 minutes of coaching support from the Project Manager over the phone. The majority of providers were successful in implementing PAL Cards for residents with substantial support from the project manager.
COHORT DIFFERENCES IN SLEEP ENVIRONMENT, BEHAVIORS, AND CONCERNS: DESCRIPTIVE ANALYSES USING MY SLEEP SCRIPT APP
Authors: Parker Christina Pierpaoli , Salas Rachel , Gamaldo Charlene , Gamaldo Alyssa , Dziedzic Peter 
Published: November 2019

Abstract
Behavioral and environmental factors influence sleep outcomes. However, we understand little about how enviro-behavioral sleep hygiene practices and related sleep concerns vary across age cohorts. Using data from My Sleep Script, an app-based diagnostic checklist for identifying at risk patients, we described cohort differences in sleep hygiene and new sleep disturbances. 323 adults (46.6% female, 63.9% Caucasian) reported basic demographic, health, sleep, as well as enviro-behavioral data using the Epworth Sleepiness Scale (ESS), Pittsburg Sleep Quality Index (PSQI), and the Johns Hopkins Sleep Environment Instrument. We partitioned participants into four cohorts corresponding to birth year: The Silent Generation (N = 48, 14.9%), Baby Boomers (N = 124, 38.4%), Generation Xers (n = 109, 33.7%), and Millennials (N = 42, 13.0%). Spearman correlations described linkages among environment, behaviors, and sleep outcomes; a chi-square analysis, cohort differences in new sleep concerns. Having weapons, music players, lights, pets, and a disruptive sleep surface in the environment correlated with worse sleep quality. Eating, exercising, working, and sexual activity one hour before bed also correlated with worse sleep quality. Sleeping with pets, electronics, and on a disruptive surface correlated with lower sleep duration. Regarding cohort, we observed significant generational differences in new snoring and sleepiness complaints. Results confirm associations of suboptimal sleep hygiene with poor sleep outcomes and provide insights into their generational differences, warranting additional investigation.
LONELINESS PREDICTS REDUCTIONS IN SLEEP QUALITY IN OLDER AMERICANS
Authors: Griffin Sarah , Williams Baylor , Ravyts Scott , Dzierzewski Joseph , Rybarczyk Bruce 
Published: November 2019

Abstract
Research documenting loneliness as a factor predicting health decline accumulates, yet the mechanisms underlying this relationship remain obscure. A potential mechanism is sleep disturbance, which is associated with loneliness. However, it remains unclear whether loneliness is a risk factor for subsequent sleep disturbance. The present study aimed to examine loneliness (measured via the Hughes Loneliness Scale) as a risk factor for sleep disturbance in a nationally representative sample of older (&gt;65) Americans. Weighted linear regressions (accounting for complex sampling) were conducted on data from the Health and Retirement Study (n=3,042; 2006 & 2012 waves). Higher levels of loneliness in 2006 predicted sleep disturbance in 2014 when controlling for baseline sleep (B=.08, 95% confidence interval [CI]=[.04, .13]). This association remained after controlling for age, gender, race, ethnicity, education, net worth, and depressive symptoms (B=.07, 95% CI=[.04, .11]). These results identify loneliness as a risk factor for sleep disturbance over an eight-year span in older Americans. Further research is necessary to tease apart this relationship: specifically, to assess reciprocal effects over multiple timepoints, investigate the role of depression in loneliness and sleep disturbance, and employ experimental methods to address causality.
THE FEASIBILITY, ACCEPTABILITY, AND APPROPRIATENESS OF A PERSON-CENTERED COMMUNICATION TOOL
Authors: Shakya Shamatree , Yu Heshuo , Mueller Emily , Van Haitsma Kimberly , Abbott Katherine 
Published: November 2019

Abstract
The purpose of this study was to assess the acceptability, feasibility, and appropriateness of the PAL Card intervention. The data for this study came from monthly logs and final calls completed by n=26 NH providers. Staff from multiple departments contributed to the PAL card implementation. Common places for placing PAL cards were wheelchairs, walkers, doors, and in closets. Over 90 % of residents approved of the accuracy of information presented in PAL cards. From the providers’ perspective, PAL cards’ acceptability ranged from 96 to 100%, appropriateness ranged from 93.10 to 100 % and feasibility ranged from 90 to 100%. The total staff time estimated costs for PAL card implementation ranged from $180 to $3,236 depending on the individuals involved. The PAL card intervention was deemed acceptable, feasible, and appropriate by providers and accurate by residents. A discussion of the opportunity costs associated with implementing this intervention will be discussed.
LONELINESS SHAPES THE RELATIONSHIP BETWEEN ICT USE AND PSYCHOLOGICAL ADJUSTMENT AMONG OLDER ADULTS
Authors: Fang Yang , Chau Anson , Fung Helene H , Woo Jean 
Published: November 2019

Abstract
Background: Given findings that generally support the benefits of information and communication technology (ICT) for older adults’ psychosocial adjustment, one might surmise that lonely older adults, who have a stronger need for psychological support, would reap more psychosocial benefits from ICT use. However, scant research has examined this view, much less the likelihood that ICT use might worsen the psychological well-being of lonely older adults, as has been shown to be the case in younger adults. Objective: To examine whether the association between ICT use and psychological adjustment (i.e., psychological distress and sense of community [SOC]) among older adults depends on their loneliness levels. Methods: A representative sample of 738 Hong Kong SAR Chinese older adults aged 60 years or older (56% female) was interviewed in 2017 on loneliness, frequency of ICT use (i.e., Internet and smart devices), psychological distress (6-item Kessler scale; K6), and SOC. Results: Regression analyses showed that loneliness significantly moderated the relationship between ICT use frequency and psychological adjustment (psychological distress and SOC); more frequent ICT use was associated with more psychological distress and less SOC, with higher levels of loneliness. Conclusion: These findings suggest that ICT use may be a mixed blessing for older adults, i.e., using more ICT might predict worse psychological adjustment among lonelier older adults. Efforts that promote ICT use among older adults should take their loneliness levels into account.
AN ECOLOGICAL MOMENTARY OUTLOOK ON SUBJECTIVE AGING
Authors: Segel-Karpas Dikla , Shrira Amit , Lachman Margie E 
Published: November 2019

Abstract
Cross-sectional and longitudinal studies showed that subjective age – individuals’ perceptions of their own age as older or younger in relation to their actual age, is an important predictor of physical, cognitive, and mental health. Despite some initial findings suggesting that subjective aging responses to variations in the daily experiences, less is known about how daily and momentary experiences shape how old people feel, and how their perceived age affects their daily experiences. In this symposium, five studies using daily diaries and experience sampling methods will be presented and discussed to explore how subjective aging affects, and is affected by, daily changes. In the first presentation, Neupert will discuss her findings regarding the covariation of anticipatory next-day health-related stressors and coping with felt-age, suggesting that forecasting and coping with future stressors play a role in subjective aging. Presenting findings from his experience-moment-sampling study, Hughes will discuss the momentary association between subjective age and mind wandering. Zhang and Segel-Karpas will present findings from studies focusing on attitudes towards aging. Zhang will focus on state vs. trait subjective aging, exploring their association with daily variability in control and competence, while Segel-Karpas will focus on the moderating role of attitudes in the daily associations between subjective age and mental health. Finally, Shrira will present a study of rehabilitation patients, finding that subjective aging is related to physical and mental health, especially for patients with high age-awareness. Professor Lachman will lead a discussion.
IMPACT OF MULTIPLE CHRONIC CONDITIONS ON CHANGE IN PHYSICAL FUNCTION FROM MID- TO EARLY LATE LIFE
Authors: Maia Brittney S Lange , Karavolos Kelly , Strotmeyer Elsa , Karvonen-Gutierrez Carrie , Avery Elizabeth , Janssen Imke , Dugan Sheila , Kravitz Howard 
Published: November 2019

Abstract
Chronic conditions emerging in midlife may be modifiable to prevent progression ultimately preserve physical function (PF) in late life. We quantified change in perceived PF in relation to several common chronic conditions known to impact PF in late life (osteoarthritis, diabetes, stroke, hypertension, heart disease, cancer, osteoporosis, and depression). Physical function (PF) was assessed using the Physical Functioning Scale of the SF-36 among 2,283 women in SWAN from an average age of 50.0±2.7 to 64.0±3.7 years. In covariate-adjusted Poisson models, each additional condition was associated with 3% worse PF (p&lt;0.001), and an additional 0.4% annual worsening (p&lt;0.001). Thus, holding demographic, lifestyle, socioeconomic, and other health factors constant, a woman a decade later entering old age with no chronic conditions would have 8.1%, 15.5%, and 17.0% better PF vs. having one, two, or three conditions, respectively. Preventing or delaying chronic disease progression in midlife may improve PF trajectories into late life.
DEVELOPMENT AND REVISION OF THE FAMILY EMERGENCY PREPARATION PLAN AMONG OLDER ADULTS
Authors: Cong Zhen , Cong Zhen , Keaton James Craig , Liang Daan 
Published: November 2019

Abstract
This study examines factors related to holding, revising, and developing an individual emergency preparation plan among older adults who experienced violent tornadoes. A telephone survey was conducted with 543 respondents approximately one year after two violent tornadoes in 2013 with 276 respondents aged 65 or above. Logistic and multinomial logistic regression showed that education was positively associated with a higher likelihood of having a plan among younger but not older adults. Among those who had a plan before the tornado, older, but not younger, adults who experienced more stress were more likely to report the plan as helpful. More stress and having someone in the household with disability increased the likelihood of revising plans afterward among older adults but not among younger adults. Older adults were less likely to develop a new plan and older, but not younger, adults who reported more stress were more likely to develop a plan.
EXPLORING SEX DIFFERENCES IN COGNITION IN OLDER BLACKS
Authors: Byrd DeAnnah R , Thorpe Roland J , Whitfield Keith E 
Published: November 2019

Abstract
Previous literature suggest that women experience more dementia than men. However, it is unclear what accounts for these differences and whether sex differences exist among Blacks over time. We hypothesize that Black women will have worse cognitive outcomes than men and smoking may potentially explain these differences. Longitudinal data from the Baltimore Study of Black Aging-Patterns of Cognitive Aging was used to assess cognitive change over 33 months in five domains. The sample consisted of 602 community-dwelling Blacks, aged 48-92 years at baseline and 450 at follow-up. Findings indicated that Black women reported better vocabulary, working and verbal memory than Black men, controlling for age, education, smoking, and health status. These findings suggest that Black women may have some cognitive advantages in mid to later life compared to Black men. Future research should continue exploring longitudinal sex differences in cognitive domains among Blacks and the underlying drivers of these differences.
HEARING IMPAIRMENT, COGNITIVE PERFORMANCE, AND BETA-AMYLOID DEPOSITION IN THE ARIC-PET AMYLOID IMAGING STUDY
Authors: Deal Jennifer A , Rawlings Andreea , Sharrett A Richey , Reed Nicholas , Betz Joshua , Mosley Thomas , Lin Frank , Gottesman Rebecca 
Published: November 2019

Abstract
Hearing impairment is a risk factor for dementia but the mechanism underlying this association is unknown. We investigated the relationship between hearing and cognitive performance and brain β-amyloid deposition in 252 adults aged 67-88 years (37% black race) without dementia from three U.S. communities. Global cortical standardized uptake value ratios (SUVRs) were calculated from florbetapir-positron emission tomography scans, with elevated SUVR defined as &gt;1.2 (the median value). Air conduction hearing threshold levels for the frequencies of 0.5, 1, 2 and 4 kHz were obtained by pure tone audiometry and averaged for the better-hearing ear to yield a pure tone average (PTA) in decibels hearing level (dB). A composite cognitive score was created from ten neuropsychological tests summarized using latent variable methods. Multivariable-adjusted linear and Poisson regression with robust standard errors were used to estimate the average difference in cognitive scores and prevalence of elevated SUVR, respectively, by hearing impairment status. In analyses adjusted for age, sex, education and APOE ε4 status, hearing was not associated with elevated SUVR [prevalence ratio per 10 db increase (worse hearing) = 0.94 (95% CI: 0.84, 1.04)]. Results did not differ by race. In contrast, each 10 db increase in hearing impairment was associated with 0.08 standard deviation (95% CI: 0.02, 0.15) lower cognitive score, after adjustment for demographic and cardiovascular factors. Poorer hearing is associated with poorer cognitive performance but not with amyloid deposition, suggesting that the mechanism underlying the relationship between hearing and cognition may be independent of Alzheimer’s-related pathologic brain changes.
SUBCLINICAL AGE-RELATED HEARING LOSS IS INVERSELY ASSOCIATED WITH DEPRESSIVE SYMPTOMS
Authors: Golub Justin S , Brewster Katharine K , Brickman Adam , Ciarleglio Adam , Luchsinger José , Rutherford Bret 
Published: November 2019

Abstract
Age-related hearing loss (HL), defined by a pure-tone average (PTA) &gt;25 decibels (dB) has been associated with depressive symptoms. We aimed to assess whether this association is present when hearing is better than the arbitrary, but widely-used, 25 dB threshold. The sampled population was the multicentered Hispanic Community Health Study (n=5,165). Cross-sectional data from 2008-2011 were available. Hearing was measured with pure tone audiometry. Clinically-significant depressive symptoms (CSDS) were defined by a score ≥10 on the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10). Participants’ mean age was 58.3 years (SD=6.2, range=50-76). Among those with classically-defined normal hearing (PTA ≤25 dB), a 10 dB increase in HL was associated with 1.26 times the odds (95% CI=1.11, 1.42) of CSDS, adjusting for age, gender, education, vascular disease, and hearing aid use (p25 dB; p&lt;0.001). Results held even for a stricter HL cutpoint of 15 dB. Among subjects with strictly normal hearing (PTA ≤15 dB), a 10 dB increase in HL was associated with 1.47 (1.14, 1.90) times the odds of CSDS, adjusting for confounders (p&lt;0.01). Results also held when defining CSDS by an alternative CESD-10 score ≥16. In conclusion, increasing hearing thresholds were independently associated with CSDS among adults with subclinical HL (PTA ≤25 dB). Studies investigating whether treating HL can prevent late life depression should consider a lower threshold for defining HL.
CASES OF OPTIMALLY LOCAL SOLUTIONS TO UNMET NEEDS OF RURAL-DWELLING OLDER ADULTS: ROLES OF NESTED NETWORKS
Authors: Holley Lyn , Kohel Kara l , Hatton-Bowers Holly , Harris-Broomfield Susan 
Published: November 2019

Abstract
Solutions developed top-down frequently make suboptimal use of resources. Programs (e.g., caregiver respite) are studied extensively; study focused on the roles of nested networks (family/locality/state/nation) that intersect in care is lacking. To identify and assess potential for improving solutions, this study examines cases acknowledged to provide optimal support. It identifies and describes network roles and intersections critical to success, with particular attention to timing and intentionality of family and community interfaces. Findings may suggest improved design and operation of programs through targeted empowerment of networks Cases were identified in cooperation with the Nebraska Extension service, and analyzed by a multidisciplinary team that included Family Science and Gerontology. Rural-dwelling older adults who benefited from the solution, expert practitioners, officials and local champions were interviewed. Analysis included private and public actors, and explains outcomes within a cultural (e.g., individualist, independent) and opportunity (e.g. information, financial and human resources) framework (Gelfand, 2003).
THE USE OF QUALITATIVE METHODS IN UNDERSTANDING FEARS FOR THE FUTURE AMONG AGING CAREGIVERS OF ADULTS WITH ASD
Authors: Marsack-Topolewski Christina N , Topolewski Christina , Graves Jillian 
Published: November 2019

Abstract
Understanding the realities of enduring caregivers as they age is essential to providing adequate supports and services to support the both caregiver and care recipient. An analysis of 51 one-on-one interviews was used to examine the lived experiences of aging caregivers, specifically regarding future care plans and barriers for their adult children diagnosed with autism spectrum disorders (ASD). Using a phenomenological research design, our qualitative analysis included line-by-line analysis, followed by PI and co-investigator collaboration to discuss findings. As a collaborative process, the codes and themes were refined by collapsing and consolidating codes. Intensive interviewing, coupled with systematic qualitative analysis, yielded substantive responses around aging caregivers’ experiences. Results highlighted four main themes that emerged from the interview responses, including (1) difficulty identifying caregiving support for the future, (2) barriers to making plans/decisions, (3) fear of the unknown, and (4) feeling the need to make plans and decisions now.
THE SYNERGY OF QUALITATIVE AND MIXED METHODS TO EXPLORE THE RELATIONSHIP BETWEEN OLDER ADULTS AND THEIR SENSE OF PLACE
Authors: Weil Joyce 
Published: November 2019

Abstract
Understanding person-environment fit, or how well older adults’ environment suits their needs, is complex. While all methodological approaches to gain deeper knowledge about fit have great value, the combination of methodologies provides a layered account of the experience of aging in a place, including the people older adults find important. This research found a clear benefit of combining results of 2 focus groups, 85 in-depth qualitative interviews, and 100 web-based surveys to assess how older adults discuss who and what is meaningful to them. Results show the combined benefit of using a qualitative and mixed-method process during the psychometric testing of the Person-Place Fit Measure for Older Adults. Qualitative focus groups and interviews offered additional domains and exact language older adults used to discuss place. Early qualitative phases improved later stages of this research, namely, online testing, reduction of survey items, and psychometric testing of the final quantitative instrument.
BIOMARKERS OF SENESCENT CELL BURDEN
Authors: LeBrasseur Nathan 
Published: November 2019

Abstract
Senescent cells drive aging. Preclinical studies suggest that targeted elimination of senescent cells offers a unique therapeutic approach to counter numerous chronic diseases and geriatric syndromes. To foster the translation of basic science discoveries to clinical application, we have sought to identify circulating biomarkers that reflect systemic senescent cell burden. We first analyzed the secretome of multiple senescent human cell-types and developed a candidate panel of proteins that could be reliably measured in human blood. Multiple proteins demonstrated significant associations with chronological age in a community-based cohort of adults aged 20-to-90 years. Impressively, in two distinct surgical cohorts (severe aortic stenosis and ovarian cancer), candidate protein concentrations were associated with biological age indices, including frailty and adverse outcomes. Our data suggest senescence biomarkers may have utility for clinical practice as indicators of risk, and for clinical research as surrogate endpoints in trials of interventions targeting senescent cells.