bluuebunny/crossref_metadata_2025_split huggingface dataset:
Susceptibility to COVID-19 Scams: Does Age Matter?
Authors: Nolte Julia , Hanoch Yaniv , Wood Stacey , Hengerer David 
Published: December 2021

Abstract
The COVID-19 pandemic has lead to a worldwide surge in COVID-19 related mass marketing scams. While COVID-19 poses higher health risks for older adults, it is unknown whether older adults are also facing higher financial risks as a result of such scams. Thus, the present study examined age differences in vulnerability to COVID-19 scams and factors that might help explain them. In June 2020, 68 younger (18 – 40 years, M = 25.67, SD = 5.93), 79 middle-aged (41 – 64 years, M = 49.86, SD = 7.20), and 63 older adults (65 – 84 years, M = 69.87, SD = 4.50) were recruited through Prolific. Participants responded to five COVID-19 solicitations, psychological measures, and demographic questions. Across solicitations, older adults perceived COVID-19 solicitations to offer significantly fewer benefits than both younger and middle-aged adults did. However, age groups neither differed in their perception of the solicitations’ risks and genuineness nor in their willingness to act in response to COVID-19 solicitations. Overall, intentions to respond to COVID-19 solicitations were positively predicted by higher levels of educational attainment, a previous history of fraud victimization, and higher levels of positive urgency. As expected, stronger genuineness and benefit perceptions positively predicted action intentions, whereas stronger risk perceptions negatively predicted action intentions. Older adults did not exhibit greater vulnerability to COVID-19 solicitations: If anything, they were more skeptical of the benefits associated with these solicitations. Irrespective of age, risk, benefit, and genuineness perceptions were the key factors associated with intention to respond to solicitations.
Immoral Intentions vs. Accidental Actions: Age Differences in Endorsements of Anger and Disgust
Authors: Minton Alyssa , Snyder Jason , Young Nathaniel , Graupmann Verena , Mikels Joseph 
Published: December 2021

Abstract
Given that older adults value social harmony and selectively avoid negativity (Carstensen & Mikels, 2005), we investigated whether older and younger adults differentially react to scenarios in which someone intends to harm others compared to someone who accidentally harms others. Younger (n = 112, M = 26.23) and older (n = 113, M = 66.42) adults read 8 scenarios in which a perpetrator intentionally acts to harm someone else but is unsuccessful (Desire condition) or a perpetrator accidentally harms someone else (Consequence condition; Giner-Sorolla & Chapman, 2017). Endorsements of anger and disgust toward the perpetrators were measured on 7-point scales (1 = Not at all, 7 = Extremely). Emotion endorsements were submitted to 2 (age) x 2 (condition) ANOVAs. Anger (M = 4.81, SD = 1.58) and disgust (M = 4.82, SD = 1.54) endorsements were higher in the Desire relative to Consequence condition (M = 2.64, SD = 1.33; M = 2.49, SD = 1.29, respectively), F(2, 221) = 124.03, p &lt; .001; F(2, 221) = 156.31, p &lt; .001, respectively. Moreover, older (M = 5.17, SD = 1.61) relative to younger (M = 4.45, SD = 1.37) adults were disproportionately disgusted in the Desire condition, t(102) = 2.45, p = .016, but no age differences emerged in the Consequence condition. Results indicate that older (relative to younger) adults are disproportionately disgusted when judging a person who intends to harm others. Older adults may respond more strongly than younger adults to malicious perpetrators, as they intentionally upset social harmony.
Marital Conflict, Anger Expression, and Marital Instability: Associations by Age and Culture
Authors: Witzel Dakota , Nichols Madeline , Stawski Robert 
Published: December 2021

Abstract
Positive social relationships, such as high-quality marriages, are associated with better health, especially among older adults. Moreover, negative components in marriages (i.e., disagreements and associated emotional responses) are linked to negative outcomes such as marital disruption (McGonagle et al., 1993) and divorce (Markman et al., 2010). Factors such as marital conflicts and emotion expression threaten marital stability and health and have been shown to decrease with age and in collectivist cultures (i.e., Japan compared to U.S.; Kitayama et al., 2015; Matsunaga & Imahori, 2009). While anger has featured as a specific emotion associated with compromised health and marital quality (Carrère et al., 2005), less is known about how marital conflict and the expression of anger may contribute to marital instability in later life, or differences in these links across age and culture. Using data from married respondents participating in the second wave of the Midlife in the United States (MIDUS, n=750, Mage=55.18, SD=11.5, %Female=50.13%) study or first wave of the Midlife in Japan (MIDJA; n=706, Mage=55.26, SD=13.68, %Female=47.73%) studies, we examined associations between disagreements, anger expression, and marital risk. Preliminary analyses revealed that marital disagreements and anger expression were each associated with increased marital instability in both the MIDUS and MIDJA samples (ps&lt;.05). Additionally, the effects of marital disagreements and anger expression did not differ between the two samples or as a function of age. Discussion will focus on the relevance of expression and regulation of emotions for understanding marital (in)stability in midlife and aging and across cultures.
The Effect of Everyday Stressors and the Perceived Stress Reactivity Scale on Variability in Sympathetic Arousal
Authors: Hughes MacKenzie , Hertzog Christopher , Neupert Shevaun , Moffat Scott 
Published: December 2021

Abstract
This ecological momentary assessment study examined the effect of naturally occurring stressors and perceived stress reactivity on alpha-amylase, a proxy of sympathetic nervous system arousal. There are age-related changes in physiological systems sensitive to stress, so the sample included 174 adults ages 20-78 (M=48.65, SD=19.28). At the beginning of the study, participants completed the Perceived Stress Reactivity Scale (PSRS; Schulz et al., 2005). For 10 consecutive days, participants were prompted five times per day to report exposure to stressors. During the same 10-day period, participants provided seven saliva samples per day, assayed for alpha-amylase. Multilevel modeling was used to examine daily and momentary associations between stressors, the PSRS, and alpha-amylase activity. On a daily basis, stressors did not predict changes in the diurnal alpha-amylase pattern, but higher perceived stress reactivity predicted steeper diurnal slopes and lower total daily output. A significant cross-level interaction emerged showing people higher in perceived stress reactivity had steeper awakening responses on days they experienced more stressors than usual. On a momentary basis, alpha-amylase levels were higher on occasions when participants reported stressors. In addition, higher levels of perceived stress reactivity predicted lower overall alpha-amylase levels. Findings suggest that 1) stressors are associated with elevations in momentary but not daily aggregate levels of alpha-amylase, and 2) the PSRS has prospective validity as a predictor of stress-related fluctuations in diurnal alpha-amylase patterns. Age was not a significant moderator of the relationship between stressors and alpha-amylase, potentially suggesting the effect of stressors on alpha-amylase activity is age invariant.
A Case Study On Anticipated End-of-Life Caregiving Among The Millennial American Born Chinese
Authors: Li Tongtong , Zhang Aileen , Liu Ruotong , Chi Iris 
Published: December 2021

Abstract
Millennial American Born Chinese (ABCs) are in a double jeopardy position with end-of-life (EOL) care for their immigrant parents, because of both cultural and generational clashes. There is no existing empirical study about the millennial ABCs’ attitudes or behaviors towards EOL caregiving. Our study is the first one to explore the millennial ABCs’ anticipated EOL caregiving behaviors, support and resources needed, attitudes towards terminal illness disclosure and advance care planning (ACP) discussion with their parents, and how acculturation influences. A qualitative in-depth phone interview using a case study approach, with a scenario of caring for parents with Parkinson’s disease and stage IV lung cancer, was adopted. Participants were recruited via convenience sampling, and a total of 27 (18 females and 9 males with an average age of 25) passed the screening and completed the interviews. Using the directed content analysis, researchers identified two themes: EOL caregiving and EOL decision making, which included five sub-themes: caregiving behaviors, needed supports and resources, care arrangement decision, terminal illness disclosure, and ACP. Both traditional Chinese culture of familism and filial piety, and western culture of autonomy and patients’ rights to know were exhibited in every theme. Most participants did not fully understand ACP concept, but they were willing to initiate ACP conversation after comprehending ACP concept. This study constitutes an essential step towards understanding the millennial ABC EOL caregivers’ financial, physical, and emotional needs from family, community and government, better establishing corresponding policies, and promoting public education in ACP to benefit this minority group.
Hospice Care for Veterans: A Community Education Program
Authors: Kresevic Denise , Heath Barbara , Pallaki muralidhar 
Published: December 2021

Abstract
The impact of trauma on care at end of life and the social isolation of the COVID-19 pandemic highlighted a critical gap in care of terminally ill veterans. It is estimated that 30% of Vietnam Veterans suffer from PTSD, suicide rates are 49% higher in older veterans than nonveterans, and 41% of veterans surveyed report post traumatic guilt. A survey of non-VA hospice agencies revealed many do not screen for PTSD, but desired training in this area. The VA responded to these challenges implementing an initiative to educate community caregivers on PTSD, suicide, and moral injury with expanded tele mental health services. Several VA sites were supported to participate in training focusing on PTSD, suicide, and moral injury and Telemental health. In Northeast Ohio, from 2019-20, 11 community hospice agencies participated in training, including 283 providers,120 (42%) nurses, 100 (35%) social workers, 29 (10%) volunteers, and 34 (12%) other. A majority of participants post-training (n=160) (84%-94%) reported enhanced knowledge, skills, or attitudes related to resources, education, and communication. Participants rated changes for assessment skills lowest for moral injury (34%), PTSD (41%), and suicide (56%). An analysis of telemental health visits (N=50) revealed that, 56% addressed spiritual support, (22%) family support, (10%) resources/referrals, and (8%) confusion. The majority of telehealth visits were VA initiated (84%), and 10% were hospice initiated Continued education regarding PTSD, suicide, and moral injury assessment skills is still needed for hospice care providers of veterans. These findings support the use of telemental health for care and consultation.
Intention to Communicate End-of-Life Wishes among Rural African Americans: Is Awareness of Hospice Care Important?
Authors: Luo Yan , Noh Hyunjin , Lee Lewis , Lee Hee 
Published: December 2021

Abstract
The intention to communicate end-of-life wishes and its related factors among adults in the southern rural region of the US has not been studied. This study aims to: (1) assess the intention to communicate end-of-life wishes among rural residents living in the Black Belt Region; (2) controlling for demographics and social determinants of health (SDH), examine the relationship between awareness of hospice care and the intention to communicate end-of-life wishes. A convenient sample living in rural Alabama was collected to complete a cross-sectional survey (N=182, age=18-91). Univariate analyses were conducted to assess participants’ intention to communicate end-of-life wishes, demographic characteristics, and SDH. Binary logistic regressions were used to examine the relationship between awareness of hospice care and the intention to communicate end-of-life wishes while controlling for demographics and SDH. The majority of participants were willing to communicate end-of-life wishes to their family (77.5%) or doctors (72.5%). Participants who were aware of hospice care were more likely to be willing to communicate end-of-life wishes to both their families (OR=10.08, p&lt;0.01) and doctors (OR=7.20, p&lt;0.05). Moreover, participants who were older were less likely to communicate end-of-life wishes to their doctors while participants with higher social isolation scores had lower intention to communicate end-of-life wishes to their families (OR=0.53, p&lt;0.05). This is the first study assessing the intention of communicating end-of-life wishes among residents living in the Black Belt Region. This study demonstrated that awareness of hospice care is positively associated with the intention to communicate end-of-life wishes to both families and doctors.
Post-Recession Housing Insecurity and Physical and Mental Health of Midlife and Aging Adults
Authors: Bhat Aarti , Almeida David , Santos Alexis 
Published: December 2021

Abstract
Housing insecurity, or limited/unreliable access to quality housing, is a powerful chronic stressor that can negatively affect individual health and well-being. This study extends prior research by examining the effect of multiple forms of housing insecurity on both the mental and physical health of aging adults using the Midlife in the United States study (MIDUS; N = 2532; M age = 63.42; 57% women; 16% black). Participants reported on experiences of anxiety/depression in the past year, number of chronic health conditions experienced in the last year, and experiences of housing insecurity since the 2008 recession (e.g., homelessness, threatened with foreclosure or eviction, missed rent or mortgage payment). 14% of participants reported experiencing one or more housing insecurity events in the aftermath of the recession. Higher levels of housing insecurity were experienced by midlife participants (ages 46-65) and black participants. Regression results showed that, even when controlling for prior health, housing insecurity was significantly associated with higher odds of experiencing anxiety/depression and additional chronic health conditions. These results suggest that housing insecurity experiences are fairly prevalent among midlife and aging adults, and that housing insecurity experiences leave these adults susceptible to compromised mental and physical health. This work has various implications for policy around addressing housing access and affordability issues for aging adults as a public health concern. Subsequent analyses will examine age, gender, and race/ethnic differences in these associations between housing insecurity and health outcomes.
Stress, Cognition, and Minority Health
Authors: Antonucci Toni , Zahodne Laura , Gerald Melissa 
Published: December 2021

Abstract
This symposium examines the many factors influencing cognition and health among ethnically and racially diverse groups. Kindratt et al. use representative, national data to examine cognitive limitations and diabetes among foreign born Non-Hispanic Whites, Blacks, Hispanics, Asians and Arab Americans. Results indicate that prevalence of cognitive limitations was highest among non-Hispanic Whites and Arab-Americans, lowest among Blacks and Asians. Diminich et al. investigate the association of stressors and metabolic risk factors with cognitive/emotional functioning in a population of Hispanic/Latina(o) immigrants. They find a link between components of metabolic syndrome that are associated with domain specific deficits in cognition. These impairments are linked to posttraumatic stress, immigration related trauma and emotional health and wellbeing. Arevalo et al. examine cross-sectional and prospective associations of sleep duration and insomnia symptoms with measures of cognitive functioning among older Latinos from Puerto Rican ancestry with a longitudinal sample of older adults from the Boston Puerto Rican Health Study. Findings indicate that hours of sleep and insomnia symptoms are significantly associated with a number of global and specific cognitive factors. Finally, Munoz and colleagues, using a regional racially and ethnically diverse sample of people living in a large northeastern city, identified four stress profiles. These profiles (which focus on different types of stress) were differentially associated with working memory performance. In sum, these four papers document the experiences of stress and their association with cognitive functioning in diverse minority groups each of whom are disproportionately at risk for ADRD/RD. Gerald, from NIA, will serve as discussant.
Is a Low Intensity Walking Intervention Successful in Reducing Depression Symptoms in Middle to Older Age Women?
Authors: wu jingchuan 
Published: December 2021

Abstract
Depression is a common syndrome that has a strong negative impact on people’s quality of life. Women, especially in middle age, are facing a greater risk for depressive disorders. Increasing one’s physical activity level has shown great effects on reducing depression symptoms. The study evaluated the effect of a 12-week goal-directed walking intervention on walking engagement and depression symptoms among middle-aged women. A total of 55 middle to older age female participants (age range: 50–74) were included in the analysis. The 12-week intervention instructed participants to increase 15% of baseline steps every other week. Depression levels were measured pre-and post-intervention by the Center for Epidemiologic Studies Depression Revised Scale (CESD-R). A baseline measure-time structure- was considered as a possible mediator of association between walking and depression. Although no intervention effects were found in steps promotion and depression reduction in this walking program, we found that more depressed or younger participants had lower walking consistency It suggested that people with higher depression level or younger age require more instruction over time when engaging in physical activity interventions. Additionally, adherence of participants showed a over-time decreasing trend in this self-paced walking program. This inspired us to give timelier adjusts goals and exercise performance feedback to bolster participants' adherence in the future.
Piloting the Effectiveness of a Text Messaging and Fitness Tracking Intervention within Older Black Women
Authors: Clay Olivio , Mixon Veronica , Opoku-Agyeman William , Nicholson Meneka Johnson , Bowen Pamela 
Published: December 2021

Abstract
Physical activity (PA) can help lower risk of obesity and type 2 diabetes, reduce anxiety, and reduce risk of Alzheimer’s and other related dementias. Despite these benefits, older, obese Black women are not meeting CDC recommended PA guidelines at disproportionate rates. This study aims to identify whether a targeted intervention, Texting Older Sisters to Step (T.O.S.S.), can improve health-related outcomes within older Black women. A sample of 24 Black women (12 per group) age 60 and older who had a BMI &gt; 30 were recruited. The treatment group received text messages previously validated to promote physical activity every day for 12-weeks and were placed in Fitbit communities. The control group received a general health or nutrition-related text message every Sunday. Participants ranged from 60 to 70 years of age with a mean of 64 and 90% had at least some college education. Overall, there was a significant reduction of 1.53 inches in waist circumference, p &lt; .01. When the groups were compared, the treatment group showed a 2.16 inch reduction compared to a 0.91 inch reduction in the control group (Cohen’s d=0.54, a medium effect size). Similarly, the treatment group lost 2.50 pounds on average compared to 1.33 in the control group (d=0.23). When the groups were compared on HgA1c, the treatment group was stable with a reduction of 0.01 unit whereas the control group reduction was 0.15 unit (d=0.23). Findings provide initial support for the T.O.S.S. intervention and suggest a modification of including nutrition information among the intervention messages.
Silver Sneakers in Central PA: Assessment of a Community based Exercise Program in a Mixed Rural/Urban Catchment Area
Authors: Flores Eileen , Nakagawa Sage , Moyer Robinn , Bluethmann Shirley 
Published: December 2021

Abstract
Older cancer survivors present with unique challenges that may impact quality of life and increase physical dysfunction if not properly managed. Regular physical activity (PA) can help mitigate these effects. Silver Sneakers (SS), a free exercise program available to Medicare beneficiaries, has more than 16,000 US locations. To understand capacity of SS to serve older adults in our mixed rural/urban catchment area of Central Pennsylvania, we 1) identified all registered SS program locations in our 28-county catchment area and; 2) conducted phone questionnaires with SS program staff. Approximately 18 gyms closed during the pandemic, leaving a sample of 121 participating gyms. We talked to 80 gyms (66% response rate) to understand member and programming characteristics, training of staff and program marketing. Geographic locations of SS were mixed – 39% in rural and 61% in urban counties; the majority (43%) were located in private gyms or YMCAs. The majority of gyms reported membership was equally mixed by gender and described ages of members as 65-80 years (94%). Program staff said that many members exercised several times per week with friends/family. Program staff also reported that social opportunities (35%) were a primary reason participants remained active in SS. Most (89%) of the facilities were still able to offer SS during the pandemic, with the majority (60%) adapting format to Zoom and other video platforms to conduct classes. Overall, SS programs offer a sustainable option to facilitate access to exercise programs and reduce barriers to PA among older adults in our catchment area.