bluuebunny/crossref_metadata_2025_split huggingface dataset:
CRIME-RELATED PHYSICAL INJURIES AMONG OLDER ADULTS IN THE UNITED STATES: FINDINGS FROM 2015 NIBRS DATA
Authors: Galdamez Gerson , Gassoumis Zach 
Published: November 2019

Abstract
Approaches to addressing crimes within the justice system typically do not differentiate between younger and older adults. However, approaches to addressing elder abuse cases—which involve older adult victims exclusively—often rely on the preconception that abuse can only occur if a visible physical injury exists. This preconception is driven in part by perceptions of frailty and ease-of-injury in older, vulnerable victims. We aimed to quantify the prevalence of physical injuries among older victims of violent crimes. We used data reported by the U.S. National Incidence-Based Reporting System (NIBRS) in 2015 to quantify the frequency of reported crimes which resulted in visible, physical injuries to victims aged 60+. Logistic regression was used to determine effects of age, race/ethnicity, type of crime, relationship to offender, and victim locality on physical injury from crime. Among 1,373,417 crime victims, 80.63% of older adults (60+) sustained an injury, as opposed to 65.17% of younger adults (&lt;60). The proportion of individuals who showed physical injuries consistently increased with age until age 90. Knowing the offender was associated with higher odds of sustaining a visible injury (OR 1.47, 95% CI 1.38-1.58). Although older adults show higher risk of visible physical injuries from violent crimes than younger adults, it is possible for a crime against an older adult to have occurred without a visible injury. Medical and criminal justice practitioners should utilize this evidence on elder crime victimization to aid in expert witness testimony and other activities related to justice in crimes against older adults.
LONGITUDINAL CHARACTERISTICS OF INFORMAL CAREGIVERS OF COMMUNITY-DWELLING PERSONS WITH DEMENTIA
Authors: Jutkowitz Eric , Gaugler Joseph E , Trivedi Amal , Mitchell Lauren L , Gozalo Pedro L 
Published: November 2019

Abstract
Alzheimer’s disease and related dementias (ADRD) affect &gt;5 million Americans. Persons with ADRD experience functional limitations and often require support from informal caregivers (e.g., help with feeding). Little is known about how caregiving evolves over the full course of the disease. We used data from the Health and Retirement Study to identify incident predicted community-dwelling persons with ADRD (n=565), their informal caregivers, and the total hours of care they received in a month from predicted incidence up to 8-years post incidence. We estimated linear mixed-effects models to determine the characteristics of the person with ADRD that are associated with trajectories of caregiving hours. At predicted incidence, persons with ADRD received 120 hours of care in a month of which spouses provided 30% of care hours, adult children provided 32% of care hours, other relatives provided 12% of care hours, and non-relatives (including paid support) provided 25% of care hours. By 8-years post incidence, persons with ADRD still in the community (n=23) received 303 hours of care in a month of which spouses provided 28% of care hours, adult children provided 41% of care hours, other relatives provided 3% of care hours, and non-relatives provided 28% of care hours. Having great grandchildren and more functional limitations were associated with receiving more hours of informal care. Attrition (mortality and residing in a nursing home) was influenced by hours of care received in the previous interview and resulted in those that remained in the community being persons that required less care.
THE ROLE OF DEMENTIA FRIENDS IN CREATING STRONGER NETWORKS WITHIN FAITH-BASED COMMUNITIES
Authors: Nishita Christy M , Chun Heather 
Published: November 2019

Abstract
Faith-based communities are uniquely positioned to support members of their congregation with dementia and their caregivers. Aligned with their ministry and service work, congregations can identify individuals who need help and provide needed instrumental and emotional support. This poster will present preliminary findings from a pilot study with a Chinese, Mandarin-speaking church and a Samoan church in Honolulu, Hawaii. Using the Dementia Friends USA curriculum, which was translated into Mandarin and Samoan, the pilot study examined the potential for the Dementia Friends approach to mobilize a congregation and support caregivers. Findings indicate that there was great interest and need for information and dementia within the church community. In addition, a strong ministry and high proportions of older congregation members were keys to the success of the pilot. Finally, misperceptions of dementia within the Chinese and Mandarin communities were common and needed to be addressed in order for church members to fully embrace Dementia Friends principles (i.e., it is possible to have a good quality of life with dementia.) Future work will further explore faith-based community characteristics and other program components that lead to improved support for persons with dementia and their caregivers, as well as stronger dementia-friendly, faith based communities.
IMPACT OF DUAL SENSORY IMPAIRMENT ON HEALTH CARE INTERACTION
Authors: Swenor Bonnielin , Swenor Bonnielin , Alshabasy Yasmeen , Pedersen Emily , Deal Jennifer , Willink Amber , Reed Nicholas 
Published: November 2019

Abstract
Using data from 46,029,364 Medicare beneficiaries included in the 2015 Current Beneficiary Survey (MCBS), we examined the relationship between dual sensory impairment (DSI) – concurrent vision impairment (VI) and hearing impairment (HI) – and accompaniment to physician visits. Analyses examined reasons for accompaniment and self-reported sensory impairment was categorized as: no sensory impairment (89%), hearing impairment (HI) only (5%), vision impairment only (4%), and DSI (1%). There was no difference in odds of accompaniment among HI compared to those without sensory impairment (odds ratio [OR] = 1.04; 95% Confidence Interval [CI]: 0.84,1.29); however, VI and DSI were associated with accompaniment: (OR=2.14; [CI]:1.6,2.8 and [OR]= 2.70; [CI]:1.55,4.72, respectively). Our study further demonstrates that older adults with sensory impairment are accompanied to physician visits more often than those without sensory impairment, and transportation is the most frequently reported reason for accompaniment among adults with VI and communication for those with HI.
STRENGTHENING DEMENTIA CAREGIVING NETWORKS WITH TECHNOLOGIES: INTERSECTIONS OF POLICY, RESEARCH, AND PRACTICE
Authors: Ruggiano Nicole , Bangerter Lauren R , Gruber Melinda , Luetke-Stahlman Hannah , Malley Kelly A O , Wolff Jennifer L 
Published: November 2019

Abstract
Both family caregivers and providers report numerous challenges to providing care for of adults with Alzheimer’s disease and related dementias (AD/RD). Many of these challenges stem from ineffective communication and coordination within the health and support service networks, including: (1) communication challenges posed by AD/RD patients; (2) communication barriers between caregivers and providers; and (3) communication barriers among providers across institutions. Caregivers increasingly rely on technology to fill gaps in their knowledge, identify social support, and learn how to execute more complex care demands. While technology has been suggested as an effective strategy for improving the quality of AD/RD care and support caregivers, the role that public policy and research can and should play in advancing the goal of such tech-based solutions is still emerging. This is especially true in respect to how technology can strengthen care networks for patients and caregivers who are racial/ethnic minorities and/or living in rural communities. This presentation will identify the role that past legislation (e.g. the Affordable Care Act, HITECH, Medicaid) has played, as well as the role that recent and proposed legislation (e.g. RAISE Caregiver Act, CARE Act, 21st Century Cures Act, BOLD Infrastructure for Alzheimer’s Act, Older American’s Act reauthorization) should play in strengthening the health, support networks that caregivers interact with to provide ongoing care. This presentation will also summarize the current state of research on caregiver technologies and discusses how future research and policy initiatives can promote the translation of tech-based interventions into everyday care settings.
DEFINING DEMENTIA-FRIENDLY COMMUNITIES FROM THE PERSPECTIVE OF THOSE AFFECTED: A QUALITATIVE APPROACH
Authors: Wernher Iris A 
Published: November 2019

Abstract
Cities and communities across the globe are pledging to become more “dementia friendly,” yet many communities lack direction as to what this pledge might entail. This poster describes findings from a qualitative study conducted in and around Portland, Oregon. The goal was to better understand how communities can become more dementia friendly – from the perspective of those directly affected by the disease. The study further aimed to clarify how a city or community’s age- and dementia-friendly efforts can be integrated. Fifty community-dwelling participants – 25 individuals living with dementia and their 25 informal care partners – were interviewed separately. The questions centered on the participants’ daily lives, barriers to and opportunities for realizing desired activities, and the participants’ thoughts on how communities can become better and more inclusive places for people living with dementia. The analysis of the interviews yielded common themes, such as social inclusion, public awareness, and transportation, which served to develop a framework of dementia friendliness. This framework was compared to the World Health Organization’s framework of age friendliness to identify areas of overlap and divergence, providing the foundation for a synergistic integration of dementia-friendly initiatives into the greater context of age friendliness. Finally, the answers of individuals living with dementia and those of their care partners were compared to identify similarities and differences in their perspectives. The study was funded, in part, by Oregon citizens through the Alzheimer’s Disease Research Fund of the Oregon Charitable Checkoff Program, administered by the Oregon Partnership for Alzheimer’s Research.
DISENTANGLING KNOWLEDGE AND BIAS: COMBATING AGEISM WITH THE REVISED FACTS ON AGING QUIZ
Authors: Davis Jensen , Breytspraak Linda , Marszalek Jacob , McDowd Joan 
Published: November 2019

Abstract
The Facts on Aging Quiz (FoAQ) was developed in 1977 as a 25-item True/False test of knowledge about older adults. Since that time, it has been utilized in hundreds of studies involving clarifying misconceptions, measuring factual knowledge across different groups, and assessing bias toward older adults. The current study examines the psychometric properties of a revision to the FoAQ created in 2015 that modified the original items and added 25 more to better reflect contemporary aging research. Participants were sampled using Qualtrics and MTurk platforms and targeted to equally represent the following four age groups: 18-34, 35-49, 50-64, and 65 and older. Exploratory factor analysis (n=956) did not support a multi-factor structure, contrary to previous theories of it having cognitive, physical, societal, and psychological health factors. A single factor model was forced which contained 28 items that only accounted for 26% of the variance in scores. The reliability reached satisfactory levels in the younger three age groups with the 28-item version but remained inadequate among those 65 and older. Small associations with the Expectations Regarding Aging-12 and Aging Semantic Differential scales were observed. In its present format, the FoAQ is not sufficient for research use but remains a useful tool in provoking discussion about age bias and areas in which people of all ages lack factual information. Researchers suggest an expansion in response options and further clarifying the use of this instrument as a measure of knowledge or bias.
VIEWS ON AGING ALTER THE IMPACT OF DEATH FEARS ON GENERALIZED ANXIETY
Authors: Rainville G , Mehegan Laura 
Published: November 2019

Abstract
This study looks at the relationship between fear of death, views on aging, and generalized anxiety. We theorize that positive views on aging (such as disagreeing that old age is a time of loss and decline) will buffer anxieties related to the unavoidable event of death. To test an implication of this theory, we ran a model looking at whether scores from a five-item views of aging scale altered the relationship between a fear of death measure (i.e., Collet-Lester’s “Your death” subscale) and generalized anxiety as measured on the GAD-7. Covariates related to religious beliefs, history with depression and anxiety, stress, social desirability reporting, and routine behaviors were included. An online probability sample of American adults age 18 and older (fielded January 2019) yielded results consistent with a “views-on-aging-as-an-anxiety-buffer” theory. Specifically, visualizations indicate that in a high fear of death condition, those with positive views of aging have significantly lower anxiety levels than those who do not. As such, this research suggests that positive views on aging may console those harboring fears about death.
PLANNING FOR FUTURE CARE NEEDS: THE IMPORTANCE OF PERCEIVED NEED
Authors: Gorenko Julie A , Speirs Calandra , Konnert Candace , McGuinness Claire , Mori Camille 
Published: November 2019

Abstract
Despite the demonstrated need to plan for future care needs, many individuals fail to engage in planning, often with negative consequences for their future health and well-being (Lee, Mason, & Cotlear, 2010). Theoretically, the propensity to utilize planning resources may be related to the perceived need for care in the future, a demonstrated predictor of the utilization of health and mental health services (Andersen, 1995; Karlin, Duffy, & Greaves, 2008). The purpose of this study was to examine perceptions of need for future care in combination with predisposing (age, financial security, attitudes towards planning) and enabling (anticipated support, satisfaction with family discussions about future care needs) variables in predicting planning behavior. The sample was comprised of 385 adults, aged 50 years and older (M=66.5, SD=9.3, range=50-92). Hierarchical regression analyses entered two well-established predictors, age and financial security in step 1, and attitudes towards planning, anticipated support, satisfaction with family discussions, and perception of need in step 2. Age and financial security explained 17% of the variance in planning; the addition of step 2 variables explained 33% of the variance and R-squared was significant (p&lt;.001). All predictors were significant at p&lt;.001, with the exception of anticipatory support (p&lt;.05). These results support both the individual (i.e. positive attitudes, perceived need) and contextual nature of planning, in particular the belief that support will be available when you need it and the benefits of family discussions in facilitating planning. Recommendations for enhancing successful planning among individuals and their families will be presented.
DIMINISHED COMPLEXITY OF RELIGIOUS BELIEF AMONG DROPOUTS FROM A LONGITUDINAL STUDY OF COPING
Authors: Anderson Jordan A , Harris Shaelyn M , Nelson Erica L , Teuber Ingrid , Futterman Andrew 
Published: November 2019

Abstract
Selective attrition is a common problem in longitudinal studies of older adults. Dropout is due to many factors, but frequently health concerns figure prominently as a reason for attrition. In light of previous work that suggests health problems reduce complexity of religious and other social involvements, the current study examines complexity of religiousness among dropouts and continuers in a longitudinal study of religion and health in later life. A random sample of 287 older adults living in Worcester, MA was assessed at two times of measurement 12 months apart using interview-based measures of religious orientation (Batson, Schoenrade, and Ventis, 1993) and health (OARS). Of the 287 who began the study, 72 dropped out and were not available to be assessed at 12 month assessment. Using Mplus, a three-factor model of Ends, Means, and Quest orientations demonstrated a good fit to the data in both dropout and continuer subsamples (e.g., CFI’s equaled .959 and .966, respectively). Diminished correlations between Ends, Means, and Quest orientations in the dropout vs. continuer subsample suggests diminished complexity of religious orientation among dropouts. Dropouts were more seriously ill, had higher levels of functional impairment, and demonstrated lower SES, suggesting increased vulnerability and fewer resources may have been the reason for dropping from the study as well as one possible cause of their diminished religious complexity.
AGING BODIES IN PARADISE? AN ETHNOGRAPHIC STUDY OF FANTASY FEST IN KEY WEST, FLORIDA
Authors: Douglas Rachel A , Barrett Anne 
Published: November 2019

Abstract
Dominant cultural constructions of aging bodies, particularly those of women, as unattractive and asexual may be challenged within politically and socially progressive leisure environments, like Key West, Florida, that promote out-group acceptance, collectivity, and cultural diversity. However, this possibility receives limited scholarly attention. Addressing this gap, our study employs observational and interview data (n=60) collected in 2017 and 2018 at Key West’s Fantasy Fest – an annual event marketed as a “10-day party in paradise for grown-ups.” The festival, drawing as many as 100,000 people, cultivates a relaxed atmosphere permissive of nudity and theatrical body adornment, including body paint and costume. This feature makes it an ideal site for examining the effect of inequalities, including age and gender, on body displays and social reactions to them. Data analysis revealed four themes centering on aging bodies – Judging Bodies, Limiting Body Displays, Displaying Bodily Difference, and Liberating Bodies. Age and gender inequality strongly influenced judgments of attractiveness and sexual appeal, contributing to older participants’ more limited body displays. Nevertheless, both young and old participants collectively contributed to creating a liberating environment that celebrates bodily difference and encourages cross-age interaction. While limited to one site with a unique political and social climate, our study suggests the potential of progressive leisure environments to broaden notions of aging bodies and encourage cross-age connections.
DYADIC PREDICTORS OF AGING SATISFACTION: RELATIONSHIP QUALITY MODULATES THE IMPACT OF HEALTH RESTRICTIONS
Authors: Jopp Daniela , Lampraki Charikleia , Meystre Claudia , Kim Kyungmin , Kim Yijung K , Boerner Kathrin 
Published: November 2019

Abstract
How individuals develop perceptions of their own aging process is receiving increasing attention. While own age-related experiences are important, the aging of close others, such as parents, has been also found to play a role. Of particular interest may be parental health, yet relationship quality aspects may influence the extent to which health restrictions affect the children’s aging perceptions. Dyadic data from the Swiss “Aging Together” study were analyzed (dyad N = 98, Parent Mage = 83.85; Child Mage = 56.43). For parents, actor-partner interdependence models indicated a negative relationship between health restrictions and aging satisfaction; the more health restrictions they experienced, the less happy they were with their aging process. Parental health restrictions also played a role for children’s aging satisfaction, but the effect was dependent on how the relationship with the parent was perceived by the child; parents’ health restrictions were negatively associated with aging satisfaction of children who reported better relationship quality (i.e., less conflictual), but not with aging satisfaction of children who reported worse relationship quality (i.e., more conflictual). In addition, when the parent was more restricted, children who perceived the parent as more supportive showed lower levels of aging satisfaction, compared to children who perceived the parent as less supportive. Lastly, children’s own health restrictions had no negative impact on their aging satisfaction when they perceived the parent as more supportive. In sum, health restrictions may influence both dyadic partners’ aging satisfaction, but relationship quality modulates their impact.
ATTITUDES OF OLDER ADULTS TOWARD PHARMACEUTICAL DIRECT-TO-CONSUMER ADVERTISING
Authors: O’Hanlon Ann M , McLin and Carlen L 
Published: November 2019

Abstract
According to national data, older adults view more television than any other age group. However, further research is needed about how older adults respond to programming. In particular, this study focused on the attitudes of older viewers toward pharmaceutical direct-to-consumer advertising (DTCA). Prior research has shown DTCA increases consumers’ demand for drugs, but less research has addressed how older consumers perceive such advertising. Researchers surveyed 293 older adults who attended Senior Centers throughout New Orleans about their television viewing and response to direct-to-consumer drug advertising. The sample was predominantly female (96%) and African American (87%) with a mean age of 76 years. The primary motivations selected for viewing television were to watch a favorite show, to be entertained, or learn information; older adults did not often endorse reasons of boredom, escapism, or relaxation. A majority of the sample (62%) perceived commercials as an interruption or annoying, and indicated they were uninfluenced by advertising (74%). When asked about direct-to-consumer advertising, 54 percent disapproved of such advertising, but 50% reported attending to such commercials when aired. Some older adults reported that advertisements on medicines could provide valuable information (46%), but also perceived the ads as confusing (57%) or alarming (61%). After viewing DTCA, older adults most often reported speaking to a doctor (46%) or seeking information (27%) about a drug, but some reported that they decreased (11%), increased (3%) or stopped (3%) taking medicine. The results provide additional information about how direct-to-consumer advertising is perceived by older adults and affects compliance behavior.