bluuebunny/crossref_metadata_2025_split huggingface dataset:
Making the Case and Laying the Groundwork for Integrating Age-Friendly Practices Into a University Strategic Plan
Authors: Cannon Melissa 
Published: December 2020

Abstract
A crucial first step in preparing to become an Age-Friendly University (AFU) is seeking endorsement from the campus community and leadership. This presentation describes the mapping of the AFU principles to the strategic plan and initiatives of Western Oregon University, leading to endorsement by its faculty senate, and highlights a study of the older community members’ use of the university, laying the groundwork for advancing age-friendliness on campus. Data were collected through surveys (N=46), interviews (N=9), and photovoice method (N=7) with older adults, and data were analyzed using SPSS, team coding, and intensive group discussion to develop categories and themes. Themes emerged related to how the college campus is used by older adults, the need to promote lifelong learning to the community, and the need to address accessibility issues in order to be more age-friendly, providing helpful insight to other institutions of higher education seeking to join the AFU network.
Considering Gender Within the Four Theoretical Domains of Subjective Age
Authors: Turner Shelbie , Settersten Richard , Hooker Karen 
Published: December 2020

Abstract
The broad construct of subjective age is informed by four theoretical domains – self-perceptions of aging, old age stereotypes, age identity, and awareness of age related change (Kotter-Gruhn, Kornadt, & Stephan, 2016). Each of the theoretical domains is distinct yet interconnected, and analyzing how gender operates within each yields a more nuanced understanding of gender’s influence on subjective age. In our presentation, we will offer a review of researchers’ consideration of gender in studies of each subjective age theoretical domain, describing (1) how gender has and has not been included, (2) key findings when gender has been included, and (3) insights into how researchers might better include – or even center – gender when studying each domain. In so doing, we highlight the contributions of past scholarship on gender and subjective age and offer insights for future studies on the topic.
Personal Aging Is Political: A Feminist Perspective on Subjective Aging
Authors: Barrett Anne , Michael Cherish , Noblitt Jessica 
Published: December 2020

Abstract
An extensive literature examines subjective aging – a construct encompassing many aspects of individuals’ views of aging, such as age identity, aging anxiety, awareness of aging, and views of life stages. A factor receiving attention within this research is gender, with studies revealing much about gender differences not only in subjective aging but also its health and behavioral consequences. However, we argue that the literature is limited by its focus on gender as an individual-level characteristic – rather than a profoundly social element emerging within interactions, pervading institutions, and constituting a system of inequality that intersects with others, including age. Addressing this limitation, our chapter applies a feminist perspective to the study of subjective aging. This perspective draws into focus the implications for subjective aging of gender’s social embeddedness and provides an illustration of the interconnection between the personal and political spheres.
Building Trust in Ethnically Diverse Older Adults Using Technology-Based Physio-Feedback
Authors: Thiamwong Ladda 
Published: December 2020

Abstract
There is no research exploring how to build trust in the context of falls risk assessment and prevention. This study describes strategies to build trust in ethnically diverse older adults using technology-based physio-feedback from two studies. The technology includes a portable BTrackS balance plate and BTrackS Balance Software running on a computer device. Participants were provided instant playback showing their static balance performance with a scale from 0 to 100. Sixty-seven community-dwelling older adults participated in the first study, and 41 of them (61.2%) participated again in the second study using the same procedures. 70% were women, 43% were immigrants, 34% Hispanics, 15% African Americans, and 9% Asians. Three reasons for participation were reported: 1) specific objective feedback on the test results that supported by technology, 2) ability to record changes over time; and 3) ability to access the fall risk technology-based test at a place of their convenience. Part of a symposium sponsored by the International Aging and Migration Interest Group.
Links Between Rumination and Sleep Quality Among Older Adults: An Examination of the Role of Social Support
Authors: Marini Christina , Wilson Stephanie , Nah Suyoung , Martire Lynn , Sliwinski Martin 
Published: December 2020

Abstract
Rumination is a maladaptive coping strategy that gives rise to and sustains stress. Individuals who ruminate more, therefore, tend to sleep more poorly. Studies of rumination and sleep often neglect the role of social context. Social support may buffer the degree to which rumination predicts poorer sleep quality. Further, individuals with more support may ruminate less, resulting in better sleep quality. Finally, rumination may also erode social support, resulting in poorer sleep quality. The current study tested these three hypotheses within a sample of 131 partnered older adults. We examined support from spouses and friends/family separately. Findings indicated that spousal (not family/friend) support buffered the negative association between rumination and sleep quality. Neither type of support predicted rumination; however, rumination predicted lower levels of family/friend (not spousal) support. Thus, spousal support protects older adults’ sleep quality from rumination, and support from their peripheral ties may be more vulnerable to rumination.
Do Depressive Symptoms Shape Blacks’ Perceptions of Stress Over Time?
Authors: Byrd DeAnnah , Thorpe Roland , Whitfield Keith 
Published: December 2020

Abstract
The established association between stress and depression is typically examined only in one direction and cross-sectionally. Data from the Baltimore Study of Black Aging-Patterns of Cognitive Aging was used to longitudinally examine the bi-directional relationships between (1) stress-depression and (2) depression-stress, and age as a modifier. The sample consisted of 602 community-dwelling Blacks, aged 48-92 years at baseline and 450 at follow-up 33 months later. While the stress-depression relationship was non-significant; the depression-stress was (b= 0.236, p&lt; 0.000) and this association varied by age with the impact of baseline depression on changes in stress greatest among Blacks in their 60’s versus those in their 50’s (b= 0.257, p= 0.002), controlling for model covariates. Findings highlight the importance of depression in shaping Blacks’ perception of stress over time. Future work should continue to identify stress and mental health risk factors that contribute to poor health and health disparities in older Blacks.
Cognitive Aging in the United States and Mexico
Authors: Rote Sunshine , Angel Jacqueline , Torres-Gil Fernando 
Published: December 2020

Abstract
The Latino population is rapidly aging, with the number of adults 65 and older expected to increase by more than six times to 17.5 million by 2050. Mexico’s population is also aging and will increase by 227 percent over the next 25 years. We focus on the consequences of rising longevity and increasing numbers of older Latinos living with dementia both in the U.S. and in Mexico. Providing cost-effective and appropriate services to aging Latinos with dementia will require a clear understanding of the intra-diversity among this group in different social and national circumstances. The purpose of this symposium is the understand how migration between and within countries and other social and health factors (e.g., diabetes) impact risk for cognitive impairment and dementia using three national datasets: the HRS, MHAS, and HEPESE. Four paper presentations and one discussant will examine several thematic issues as they relate to cognitive aging for Latinos, including: (1) cross-national estimates of dementia prevalence in Mexico and the U.S.; (2) the healthy immigrant effect and health convergence hypothesis for cognitive impairment for Latinos in the U.S. and Mexico; and (3) implications of these trends for long-term care service needs for Latinos living with dementia in the U.S. and Mexico. The resulting discussion will provide new empirical and theoretical insights on the determinants of cognitive aging for this population. It will also inform debates and aid in implementing innovative strategies and solutions to mitigate risk for impairment and improve dementia care for older Latinos.
Rural and Urban Dwelling Across the Life-Course and Late-Life Cognitive Ability in Mexico
Authors: Saenz Joseph 
Published: December 2020

Abstract
BACKGROUND: Research has consistently suggested urban dwelling in late adulthood is associated with better cognitive ability. Whether early life rural/urban dwelling and its interaction with late-life rural/urban dwelling relate with late-life cognitive ability in the context of Mexico is not well understood. METHOD: Data comes from the 2003 Mexican Health and Aging Study. Early life rural/urban was assessed as respondents’ reports of growing up in an urban/rural area. Current rural/urban was assessed by locality size (greater/fewer than 100,000 residents). RESULTS: Both early life and current rural residence were associated with poorer cognitive ability independent of education, literacy, early life SES and health, income/wealth, healthcare access, health, and health behaviors. Compared to individuals who always lived in rural areas, rural to urban migration was associated with better cognitive ability. DISCUSSION: In addition to current rural/urban dwelling, researchers should consider where individuals lived in early life and migration across the life-course.
Likely Dementia and Its Implication for Support Among the Oldest-Old in Mexico and the United States
Authors: Lopez-Ortega Mariana , Mejia Silvia , Aguila Emma , Gutiérrez-Robledo Luis , Vega William , Andrade Flavia , Grasso Stephanie , Angel Jacqueline 
Published: December 2020

Abstract
This study examines sources of vulnerabilities to dementia in low resource populations in two specific contexts—Mexico and the United States. Data are drawn from comparable waves of the Mexican Health and Aging Study (MHAS) and the Hispanic Established Populations for the Epidemiologic Study of the Elderly (H-EPESE) in 2012, which include representative samples of the oldest-old (82 and over), the fastest growing segment of the populations worldwide. Likely dementia prevalence is 30.9% (±0.46SD) for Mexicans in Mexico and 36.3% (±0.48SD) for Mexicans in the U.S. Odds of likely dementia in both populations were increased by age, living in extended households, depressive symptoms, and Seguro Popular and Medicaid receipt. Being female and having comorbid cardiovascular conditions were also associated with likely dementia but only for older Mexicans. There is a need to strengthen the caregiving capacity of memory care services in low resource communities in Mexico and the U.S.
Use of Cannabis for Sleep: Patterns of Use Among a Sample of Patients in a Geriatrics Clinic
Authors: Kaufmann Christopher , Yang Kevin , Malhotra Atul , Nguyen Khai , Nafsu Reva , Moore Alison 
Published: December 2020

Abstract
Cannabis may be useful for treatment of sleep problems in older adults. Little is known about use patterns of cannabis for sleep. We conducted a clinic-based anonymous survey in a geriatrics clinic in La Jolla, CA. Among n=568 surveys, 10% reported recent use (within past 6 months). Among recent users, 30% reported using cannabis for sleep, most finding it helpful. Compared to cannabis users for other conditions, cannabis users for sleep were more likely to use THC containing products (62.5% vs. 32.1%), use cannabis on a daily or weekly basis (76.2% vs. 43.2%), use vape pens (29.2% vs. 6.9%), and to obtain cannabis via a delivery service (33.3% vs. 14.0%) (all p’s&lt;0.05). Only 40% reported their doctor knew about their cannabis use. Our findings suggest sleep is a common reason for using cannabis. Future research should assess how use patterns can result in effective treatment for sleep in older adults. Part of a symposium sponsored by the Sleep, Circadian Rhythms and Aging Interest Group.
Discrimination, Stress, and Health Across the Life Course
Authors: Thorpe Roland , Hill Carl 
Published: December 2020

Abstract
There is a paucity of research that seeks to understand why race disparities in health across the life course remain elusive. Two such explanations that have been garnering attention is stress and discrimination. This symposium contains papers seeking to address the impact of discrimination or stress on African American health or health disparities across the life course. First, Nguyen and colleagues examine 1) the associations between discrimination and objective and subjective social isolation and 2) how these associations vary by age in using data from the National Survey of American Life. Discrimination was positively associated with being subjectively isolated from friends only and family only. This relationship varied by age. Discrimination did not predict objective isolation. Second, Brown examines evidence of the black-white paradox in anxiety and depressive symptoms among older adults using data from 6,019 adults ages 52+ from the 2006 HRS. After adjusting for socioeconomic factors, everyday discrimination, chronic conditions, and chronic stress, there are no black-white differences in anxiety and depressive symptoms. Third, Cobb and colleagues investigate the joint consequences of multiple dimensions of perceived discrimination on mortality risk using mortality data from the 2006-2016 HRS. The authors report the number of attributed reasons for everyday discrimination is a particularly salient risk factor for mortality in later life. This collection of papers provides insights into how discrimination or stress impacts African American health or health disparities in middle to late life.
Gender Differences in the Life Course Effects of Unemployment on Mid- and Later-Life Health
Authors: Harrati Amal , Heburn Peter 
Published: December 2020

Abstract
There is substantial evidence that unemployment is associated with adverse health. Given different lifetime employment patterns, these effects may differ between men and women. However, current studies often only characterize unemployment as a one-time shock, and measure the effects on health shortly thereafter. Using unique data available from The National Longitudinal Study of Youth 1979, we characterize employment trajectories for a nationally-representative sample of American men and women for every week of their lives between the ages of 18 and 50 years old. We then explore associations between unemployment and a number of health conditions including cancer, hypertension, diabetes, and depression at age 50--when the onset of chronic health conditions often begins—to examine the cumulative effects of unemployment over the life course on later-life health. We find that men and women have different patterns of lifetime unemployment and that these patterns have strong associations with poorer health at age 50.
Informal Caregiving and Health in Middle and Late Adulthood
Authors: Jang Joy Bohyun , Tang Sandra 
Published: December 2020

Abstract
With average life expectancy increasing, informal caregiving has become increasingly common among aging families. Much of the research in this area suggests that informal caregiving is associated with negative psychological and physical health outcomes for the caregiver. However, there is an emerging body of work indicating that these negative associations may be overstated, and that the associations may vary by gender and race. Using NLSY79 who completed Age 50 Health Module (n=7,844), we will examine how informal caregiving is associated with health in mid/late adulthood and how the association varies by race and gender of the caregiver. Preliminary results showed that caregivers (10.6% of the sample) were less likely to report good health than non-caregivers (OR=0.43, p&lt;0.001) but African-American caregivers were more likely to report good health than other racial groups (OR=1.43, p&lt;0.05). Our findings will contribute to better understanding of the role of informal caregiving in older adults’ health.
Trauma and Adversity: Factors Impacting Vulnerability and Resilience Among Older Disaster Survivors
Authors: Davis Molly , Bellamy Nikki 
Published: December 2020

Abstract
Most would agree that older adults represent a highly vulnerable group prior to, during and post disaster. Age-related vulnerabilities often lead into an increased risk for traumatic experiences and post-traumatic stress symptoms after a disaster. Trauma informed principles offer a possible way to reduce the vulnerability of older adults after a disaster. For example, utilizing the trauma informed question “what has happened to you” shifts the focus from a deficit approach and allows for a deeper understanding of the impact of traumatic life experiences on current functioning and reaction to the disaster. It is this understanding of trauma’s impact that may have a role in how older adult disaster survivors view, respond, and recover after a natural disaster (Seery et.al. 2010; Iacoviello & Charney, 2014). In addition, understanding the role of lifetime adversity provides critical insights for disaster planning, reducing vulnerability and promoting resilience among older disaster survivors.
Contexts That Exclude: Loneliness in North America, Europe, and Africa
Authors: Keating Norah , Roos Vera 
Published: December 2020

Abstract
Loneliness is a key indicator of exclusion from social relations. Its prevalence among older people is of increasing global concern given the powerful impact of loneliness on health and wellbeing. To date, empirical and theoretical advancements in understanding loneliness have been focused on the micro contexts of networks of social relationships surrounding older people. Yet these relationships occur within broader socio-cultural, political and geographical settings that may help us better understand the experiences and manifestations of loneliness. In this presentation we draw on our research on loneliness on three continents. Findings from Canada show how ageing in a foreign land can truncate social connections. Research across Europe reveals differences in values and expectations about social connections. South African findings illustrate the long-term impact of dislocation resulting from political ideologies. We draw together these findings to create an ecological model of contexts that may lead to cumulative disadvantage in social relations.
Heterogeneity in Self-Reported Cognitive Impairment Life Expectancies Among Older Latino Subgroups in the United States
Authors: Garcia Marc , Ortiz Kasim , Chui Chi-Tsun , Downer Brian , Warner David 
Published: December 2020

Abstract
Research suggests the prevalence of cognitive impairment among older U.S. Latinos is increasing relative to the older U.S. population which has experienced and overall decline. This has been attributed in part to extended longevity, lower educational attainment, and a higher prevalence of diabetes and cardiovascular disease among older Latinos. However, less is known regarding the number of years and proportion of late life spent with self-reported cognitive impairment among this rapidly aging group and whether cognitive impairment life expectancy outcomes vary across U.S. Latino subgroups by country of origin. To fill this gap, our investigation uses data from the National Health Interview Survey (1997-2015) to estimate Sullivan-based life tables of cognitively normal and cognitively impaired life expectancies for adults 50 years and older. Results indicate significant heterogeneity among Latinos, with island-born Puerto Rican women spending the most years, and foreign-born Cuban men the fewest years lived with self-reported cognitive impairment.
Emotional Flexibility, Biomarkers, and Cognitive Resilience in Latino Adults at Midlife
Authors: Diminich Erica 
Published: December 2020

Abstract
A growing body of evidence underscores the important role of emotional responding and emotional flexibility in healthy adaptation. Considerable research further demonstrates that being flexible in how one copes and regulates emotions when faced with stressful events is paramount for healthy aging. However, the adaptive benefits of emotional flexibility have not been studied in Latina/o’s, despite converging evidence indicating that Latina/o’s report greater symptoms of depression and anxiety in the context of exposure to potentially traumatic events and stress. We demonstrate across two studies, how the ability to regulate emotional responses is associated with cognitive health in a community-based population of Latinos and a cohort of Latino responders from the World Trade Center attacks on 9/11. Furthermore, given that individual differences in emotional flexibility predict cognitive decline, we present data examining the utility of plasma biomarkers of pre-clinical Alzheimer’s disease and neuropathy as diagnostic screeners of cognitive functioning and health.
Translating Behavioral Interventions: It Is More Than Just Language
Authors: Marx Katherine , Gitlin Laura 
Published: December 2020

Abstract
In the United States, over 5 million people are living with Alzheimer’s disease or a related dementia. Providing care are an estimated 16 million unpaid caregivers and millions of paid caregivers. Neuro-psychologic symptoms (NPS) such as agitation, aggression, depression, rejection of care, and apathy are almost universal in persons living with dementia (PLwD). Caring for NPS often leads to poor physical, mental and financial outcomes. There have been hundreds of non-pharmacologic interventions tested and found efficacious to help caregivers with NPS and daily care challenges. However, very few of these interventions have been widely adopted in different languages and settings. One promising intervention used in various countries is the Tailored Activity Program (TAP). TAP, delivered by occupational therapists, customizes activities to PLwD’s current capabilities and prior roles and interests and instructs caregivers in their use. This session will examine TAP’s reach and how it has been translated and adapted. First, Ms. Sokha Koeuth will present modifications needed to the program to facilitate widespread dissemination including placing training in the program online and virtual. The next two presentations will discuss adaptations to TAP in different countries and cultures; Dr. Marcia Novielli will present TAP-Brazil, and Dr. Jean Gajardo Jauregui will present TAP-Chile. Finally, Dr. Katherine Marx will examine the adaptations needed to place TAP into a long-term care setting with both family and paid caregivers. These papers highlight the cross-cultural adaptations that need to be considered in taking a program from research to different real world clinical and community-based settings. Behavioral Interventions for Older Adults Interest Group Sponsored Symposium.