bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Illness Experience of Veterans With Dementia: Perceived Measures Related to Depressive Symptoms
Authors: MacNeil Amanda , Judge Katherine , McCarthy Kate , Bass David 
Published: December 2021

Abstract
Recent work has examined how individuals with dementia (IWDs) experience their illness, although few studies have looked at IWDs who report heightened depressive symptoms, a key well-being outcome. Stressing the ability of IWDs to self-report and guided by the Stress Process Model for Individuals with Dementia, this study examined the relationships between depressive symptoms and various aspects of the illness experience including objective cognition, perceived memory difficulty, perceived functional difficulty, and dyadic relationship strain. The sample includes IWDs with mild to severe dementia who are veterans (N=69). Significant positive correlations emerged between depressive symptoms and several measures of the illness experience: perceived cognition (r=.48, p&lt;.001), perceived function (r =.43, p&lt;.001), and dyadic relationship strain (r=.32, p=.01). In contrast, objective cognition, measured by a modified version of the Blessed Orientation Memory Concentration test, was not significant (r =-.06, p=.63). A multiple regression found the total variance explained by all independent variables was 32% (R2=.32, F(4,68)=7.58, p&lt;.001), with perceived memory difficulty (B=.26, p&lt;.01) and dyadic relationship strain (B=.25, p=.04) accounting for unique and significant variance in depressive symptoms. A mediation analysis indicated perceived memory difficulty fully mediated the relationship between perceived functional difficulty and depressive symptoms. Findings highlight the importance of IWDs perceptions of their illness experience for psychosocial well-being outcomes, such as depressive symptoms. Findings add to the literature by showing the importance of IWDs perceptions of their illness and their impact on well-being outcomes. Results also demonstrate the utility and feasibility of including self-reported data from IWDs in research studies.
Minimally Adequate Mental Health Treatment and Mortality in Primary Care Older Adults With Depression and Anxiety
Authors: Vasiliadis Helen-Maria , Lamoureux-Lamarche Catherine , Grenier Sébastien , Roberge Pasquale 
Published: December 2021

Abstract
Receipt of quality mental health (MH) care can influence mortality. Given the scarce literature on the topic, the aim was to assess the 3-year risk of mortality in older adults (OA) associated with receiving adequate MH treatment for depression/anxiety in an epidemiologic context. The study sample included 358 OA with depression/anxiety recruited in primary care practices and followed prospectively for 3 years. Mortality was assessed from vital statistics data. Adequate care was based on receipt of pharmacotherapy, follow-up care and psychotherapy. Propensity score analysis was carried out where the inverse probability (IPW) of receiving adequate treatment was calculated. Time to event analyses with IPW was used to assess the effect of receipt of adequate MH treatment on the risk of mortality controlling for individual and health system factors. The results showed that receipt of adequate MH treatment reduced the risk of mortality (HR0.44; 95% CI: 0.22 – 0.99). Individual factors that increased mortality were male sex, being single, reduced functional status and cognitive functioning, # physical disorders, current smoking; while exercise reduced risk. Health system factors such as past # of hospitalizations increased the risk; while # of emergency department visits and continuity of care reduced mortality. Finally, treating depression/anxiety with minimal follow-up care and pharmacotherapy or psychotherapy has a significant impact on reducing mortality in OA. Primary care physicians should recognize the important potential impact of years of lives saved when providing quality MH care to OA.
Cumulative COVID-19 Disparities in Nursing Home: Focusing on Geographical Factors and Racial Components
Authors: Hong Sungjae , Meija Shannon 
Published: December 2021

Abstract
The impact of COVID-19 has been greatest in vulnerable US populations. This study examines the cumulative geographical and racial disparities of COVID-19 cases in nursing homes. Analysis of COVID-19 Nursing Home Data from Centers for Medicare & Medicaid Services was limited to weekly reports from the nursing homes that reported the ratio of black residents, from 2020-05-31 to 2021-01-17 (N=268,222 from 8,026 nursing homes). The outcomes were weekly COVID-19 cases and death per 1,000 occupied beds. Nursing homes were categorized by a geographic (rural vs. urban) and racial composition (&gt;50% of residents are black vs. else). Elapsed time and county-level weekly COVID-19 cases and deaths/1,000 people were the key covariates. Multilevel zero-inflated negative binomial regression revealed evidence of cumulative COVID-19 disparity between rural and urban nursing homes. At the earliest time, COVID-19 incidence was lower in rural nursing homes than in urban nursing homes (IRR=0.406 for cases, 0.034 for death). The significant interaction with time implied that, over and above evolving disease prevalence, rural nursing homes became more likely than urban nursing homes to experience COVID-19 over time (IRR=1.057 for cases, 1.193 for death). Nursing homes, with &gt;50% black residents, were more likely to experience COVID-19 than their counterparts at the earliest time (IRR=1.339 for cases, 5.630 for death), but independent of local disease prevalence, this disparity decreased over time (IRR=0.973 for cases, 0.972 for death). Our findings suggest that racial and geographic factors contribute to the cumulation of disadvantage during the COVID-19 crisis at the second half of 2020.
Health Literacy and Health Conditions at the Intersections of Gender and Race in Later Life
Authors: Yamashita Takashi , Liu Darren , Burston Betty , Keene Jennifer 
Published: December 2021

Abstract
The benefits of health literacy are well-documented. Health literacy is a set of skills to locate, understand, and use health-related information to make optimal health decisions. However, relatively less is known about the long-term relationship between health literacy and overall health conditions among older adults. Additionally, health literacy and health at the intersection of gender and race/ethnicity, rather than gender and race separately, are yet to be investigated. This study analyzed sub-samples (n = 1,260 adults age 50+) of the 2010 Health and Retirement Study (HRS) health literacy module data, and the 2012, 2014, and 2016 HRS data to examine the trajectories of health based on eight physical and mental conditions (0-8 points: better-worse) among older adults. Latent growth curve mixture models were used to investigate the changes in health and six groups defined by gender (women and men) and race/ethnicity (White, Black, and Hispanic). Results showed that overall health deteriorated over time (latent-slope = 0.19, p &lt; 0.001) but the trajectories were diverse (latent-slope variance = 0.06, p &lt; 0.001). Greater health literacy (0-5 points: worse-best scaling), which was measured with a validated scale, was associated with better overall health only among White women and men. Notably, White women received the baseline health benefits (b = -0.20, p &lt; 0.05) from health literacy whereas Black women (b = 0.09, p &gt; 0.05) did not [Δb = 0.09 -(-0.20) = 0.29, p &lt; 0.05]. Other detailed comparisons, theoretical explanations, and public health policy implications for diverse older populations were evaluated.
Intersections of Gender and Race among Older Workers during the COVID-19 Pandemic
Authors: Yamashita Takashi , Punksungka Wonmai , Van Vleet Samuel , Helsinger Abigail , Cummins Phyllis 
Published: December 2021

Abstract
The novel coronavirus/COVID-19 pandemic in 2020 has impacted the aging workforce. In addition to local data and case studies that are rapidly increasing, baseline national-level inquiries are needed for investigating relevant social inequalities. Also, the intersections of gender and race/ethnicity among older adults are critical yet understudied areas. For example, older minority women’s experience in the pandemic, compared to older men, are yet to be investigated. We analyzed the nationally representative 2020 Health and Retirement Study (HRS) COVID-19 module data. Based on the sample of 2,086 adults aged 50 years and older, employment during the pandemic as well as psychosocial measures, including social support and attitudes toward work, are examined. We used survey-weighted binary logistic regression models. Results showed that older Black women (Odds-ratio = 0.52, p = 0.02 &lt; 0.05) were less likely to work for pay compared to White women during the pandemic. Also, older Hispanic men (Odds-ratio = 2.82, p = 0.03 &lt; 0.05) were more likely to work for pay than older White men. Older Hispanic women (Odds-ratio = 2.41, p = 0.03 &lt; 0.05) were more likely to worry about getting social support during the pandemic than White women. However, there was no significant differences in the changes in attitudes toward work across gender and racial/ethnic groups during the pandemic. Based on the baseline national data analysis, we discussed possible policy changes and interventions that consider the intersections of gender and race/ethnicity to help older adults re-adjust to post-pandemic work environments and labor markets.
Manifestations of Racial Trauma in Bereaved Middle to Older Aged Black Adults
Authors: McDuffie Danielle 
Published: December 2021

Abstract
Black adults have a higher likelihood of experiencing bereavement and increased negative implications of systemic racism compared to other groups. The effects of racism have also been suggested to have an impact on how bereaved Black individuals conceptualize their loss and the deceased. However, there is limited literature on how direct and indirect childhood experiences with racial violence and viewing racially violent deaths impact bereaved Black adults later in the lifespan. The current study seeks to explore the impacts childhood engagement with racial violence might have on bereaved middle to older Black adults. 103 middle to older aged Black adults (M=44.72, SD=5.48, 67% male) from a larger online grief study were probed about factors including somatization, depression, affect, grief, and the prevalence and intensity of exposure to race-based violence during their childhoods. Linear regressions and bivariate correlations were used for data analysis. Childhood racial violence significantly predicted grief (F=6.348, p=.013). Additionally, experiencing childhood racial violence was significantly associated with somatization (r=.197, p=.047), depression (r=.198, p=.045), and negative affect (r=.256, p=.010). Endorsed intensity of racial violence was significantly associated with depression and negative affect (r=.464, p=.000; r=.440, p=.000, respectively). Bereaved Black middle to older adults seem greatly impacted by childhood experiences of racial violence. It is important to consider the role outside cultural influences such as racial trauma might have on other deleterious mental health experiences such as bereavement. Furthermore, in the assessment of ACEs among Black and other people of color, it could be important to include childhood racial violence.
Daily Emotional Dynamics of Custodial Grandfamilies: Cross-Dyad Correlations of Affect Means and Variability
Authors: Castro Saul , Infurna Frank , Webster Britney , Smith Gregory , Crowley Max , Dolbin-MacNab Megan , Musil Carol 
Published: December 2021

Abstract
Evidence indicates that daily emotional dynamics are associated with mental and physical health. However, these processes have not been examined among custodial grandmothers taking care of adolescent grandchildren. This daily diary study examined correlations between grandmothers and adolescents’ mean levels and variability in negative (NA) and positive affect (PA). Custodial dyads (M = 214) across the nation completed two weeks of daily surveys. For both grandmothers and adolescents, their own PA means were negatively correlated with NA means, PA variability, and NA variability; NA means were positively correlated with variability in PA and NA (ps &lt;.01). Across dyads, grandmothers’ PA means were positively correlated with adolescents’ PA means and negatively correlated with adolescents’ NA means, PA variability and NA variability. Grandmothers’ NA means were positively correlated with adolescents’ variability in PA and NA (ps &lt;.01). Our findings demonstrate how daily emotional dynamics are correlated within and between family members.
Differential Influence of COVID-19 pandemic on Life-Space Mobility of older adults
Authors: Zisberg Anna , Shulyaev Ksenya , Gur-Yaish Nurit , Shadmi Efrat 
Published: December 2021

Abstract
Life-space mobility (LSM) is critical to aging successfully since it is essential to maintain independence, affecting the health and quality of life of older adults. During the COVID-19 pandemic older adults, who are at high-risk of serious illness and complications, are restricted by stay-at-home orders, limiting their outdoor activities. This study evaluated differences in LSM before and during the pandemic and factors related to limited pre-hospitalization mobility. We used a natural experiment design comparing LSM one month prior to hospitalization and its related factors on two subsamples of hospitalized older adults: recruited before and after February 2020 (pandemic outbreak). No significant differences were observed in LSM between pre-pandemic (N=141, M(SD)=54.9(33,5)) and during-pandemic (N=186, M(SD)=55.3(32.9)) samples, even after adjustment for cognitive, functional, and demographic characteristics (F=2.281, p=0.13). Of those who participated during the pandemic, a total of 94 (50.5%) declared that their mobility was strongly affected by the pandemic and had significantly lower LSM (F=4.626, p&lt;0.01) comparing both to those who declared not being affected (N=92) and to the pre-pandemic group, controlling for potential cofounders. In the "during-pandemic" group older adults with higher basic physical functioning, higher economic status, and those with lower levels of education were more likely to indicate that their pre-hospital mobility was affected by the pandemic. These results show that the pandemic period has a differential effect on life-space mobility of older adults. Functional, socio-economic, and educational factors need to be considered in planning how to maintain older adults’ mobility during the ongoing pandemic.
Eye and Visual Health in New England: Findings from the Healthy Aging Data Reports
Authors: Xu Shu , Jansen Taylor , Lee Chae Man , Karakida Maki , Porell Frank , Dugan Elizabeth , Silverstein Nina 
Published: December 2021

Abstract
Eye and visual health issues in older adults are prevalent, often undetected and untreated, but can contribute to poor physical and mental health issues, and higher mortality rates. The study describes state and local community rates of eye and visual health indicators (cataract, glaucoma, self-reported vision difficulty, and clinical diagnosis of blindness or visual impairment) of older adults 65+ in MA, NH, RI, and CT. Data sources used to calculate rates were: the American Community Survey (2014-2018 RI, 2012-2016 MA and NH, 2014-2018 CT) and the Medicare Current Beneficiary Summary File (2016-2017 RI, 2015 MA and NH, 2016-2017 CT). Small area estimation techniques were used to calculate age-sex adjusted community rates for more than 150 health indicators (https://healthyagingdatareports.org/). Disparities in rates were examined for 4 eye and visual health indicators: cataract, glaucoma, self-reported vision difficulty, and clinical diagnosis of blindness or visual impairment. Results showed variability in rates across states. MA had the highest rates of self-reported vision difficulty (5.8%) and blindness or visual impairment (1.5%), and the greatest differences in rates of self-reported vision difficulty (0.00-40.91%). CT had the highest rates of glaucoma (28.3%), and the greatest differences in rates of glaucoma (19.51-41.91%) and blindness or visual impairment (0.44-4.39%). RI had the highest rates of cataract (67.5%). Understanding the distribution of community rates makes disparities evident, and may help practitioners and policymakers to allocate resources to areas of highest need.
Mobilizing Elders: An Interprofessional Effort
Authors: Lynch David , de la Paz Andrew , Lau Carissa , Mournighan Kimberly , Young Kimberly , Dale Maureen , Hanson Laura , Batsis John 
Published: December 2021

Abstract
Older adults often experience functional decline during hospitalization as a result of immobility. Such decline has associated adverse outcomes, including gait instability, falls, pressure injuries, delirium, and new nursing home admissions. Our objective was to create an effective and sustainable in-hospital mobility program through enhanced interdisciplinary cooperation in an Acute Care of the Elderly (ACE) unit. An interdisciplinary team at UNC’s 25-bed ACE unit planned and delivered enhanced patient mobility beginning in July 2020. We used an input-process-output model to design and analyze an intervention based on enhanced collaboration. Inputs included a mobility taskforce which was comprised of physicians, nurses, physical and occupational therapists, and quality improvement specialists. Through regular meetings, each taskforce member contributed to the study design and were empowered to identify barriers to implementation. Outputs included stakeholder engagement and mobility rates. Early results show a doubling in mobility rates over a 6-month period with consistent and enthusiastic stakeholder engagement. Observations of such benefits include: a) stakeholder inclusion from each discipline ensured implementation that was pragmatic and easily incorporated into the daily workflow; b) mobility champions regularly disseminated information to their respective disciplines, leading to changes using a quality improvement process; and c) barriers to implementation were rapidly identified, and mobility champions were motivated to find solutions, allowing cohesive incorporation of a broad spectrum of priorities. An interprofessional team model is effective to mobilize hospitalized older adults, potentially reducing adverse hospital outcomes. Successful implementation of such programs is dependent on interprofessional collaboration.
Persistent Disability Six Months after Initial Disability Less Likely in Older Women
Authors: Shah Raj , Webb Katherine , Ryan Joanne , Wolfe Rory , Ernst Michael , Espinoza Sara , Woods Robyn 
Published: December 2021

Abstract
Many community-dwelling older adults develop activity of daily living (ADL) disability and subsequently regain function. Using data from the ASPirin in Reducing Events in the Elderly (ASPREE) clinical trial, we examined the relationship of gender, incident disability, and persistent disability 6 months after the incident disability. Walking, bathing, dressing, transferring, toileting, and eating were assessed as ADLs, at bi-annual interviews. ADL disability was defined as requiring help with or inability to do or severe difficulty with ≥1 ADL; persistent disability was an ADL loss at 6 months after a first (incident) ADL disability. Discrete time, multivariable Cox proportional hazards regression was utilized to estimate associations with developing incident ADL disability described as cause-specific hazard ratios, with death as a competing outcome. For persons with incident ADL disability, odds of developing persistent disability at 6 months as compared to recovery was determined using multivariable logistic regression. These analyses included 18,414 (51.6% women) ASPREE participants in the United States and Australia aged 70+ years (65+ years if U.S. ethnic minority) without ADL disability at trial entry. During a median follow-up of 4.7 years, 1,485 participants (63.2% women) developed an incident ADL disability, and, of those, 272 (57.0% women) met criteria for persistent disability at 6 months. Women had an increased risk (HR=1.17, 95% CI=1.05 to 1.32) of developing incident ADL disability; however, women were less likely to have persistent disability versus recovery 6 months later (OR=0.66, 95% CI=0.49 to 0.89). Why persistent disability development is lower in older women needs further exploration.
Nursing Home Factors and Their Impact on COVID-19 Cases: A Study of Wisconsin State
Authors: Abahussain Mohammed , Nambisan Priya , Galambos Colleen , Zhang Bo , Bukowy Elizabeth 
Published: December 2021

Abstract
COVID-19 has been devastating for Nursing Homes (NHs). The concentration of older adults with underlying chronic conditions inevitably made the setting highly vulnerable leading to high rates of mortality for residents. However, some nursing homes fared better than others. This study examines several quality measures and organizational factors to understand whether these factors are associated with COVID-19 cases in Wisconsin. We combined three datasets from Centers for Medicare & Medicaid Services (CMS) – the Star Rating dataset, Provider Information dataset and COVID-19 Nursing Home dataset. Data used is from the period of Jan 1 – Oct 25, 2020 for the state of Wisconsin. The analysis includes 331 free-standing NHs with no missing values from the data sets. The variables used were self-reported information on nursing home ratings, staff shortage, staff reported hours, occupancy rate, number of beds and ownership. Of the 331 NHs examined, shortages were reported of 25.4%, 31.1%, 3.2% and 15.6% of licensed nurse staff (25.4%), nurse aides (31.1%), clinical staff, (3.2%) and other staff (15.6%) Additionally, there was a significant (p&lt;.05) positive correlation between number of beds and COVID-19 cases, and there was no statistically significant association between occupancy rate and COVID-19 cases. NHs with better star ratings were also found to have less COVID-19 cases. Interestingly, private NHs had significantly higher COVID-19 cases than for-profit and government owned NHs, a finding that is congruent with other studies in this area. Recommendations for practice will be discussed.
"It is the scourge of God" Misconceptions of COVID 19 Pandemic Among Older Market Traders In Ibadan, Nigeria
Authors: Omobowale Olubukola , Fowotade Adeola 
Published: December 2021

Abstract
Abstract Background: Community perception on COVID-19 can influence the development of the right attitude towards mitigating the spread of the Sars CoV 2 virus. Older adults are at risk of severe infections and mortality is high among them. Objectives: This study was conducted to document the knowledge, perceptions and misconceptions of COVID-19 among older market traders in Ibadan, Oyo State, Nigeria. Methods: A cross-sectional study conducted in two densely populated markets in Ibadan. An interviewer-administered semi-structured questionnaire was used to collect data on the knowledge and perception of COVID-19. Data were analyzed using SPSS version 23. Level of significance was set at p&lt;0.05. Results: A total of 321 respondents were sampled. All participants were aware, source was mainly through radio (93.5%), and 65.8% believed COVID-19 was as a scourge from God for punishments of sins. Only 41.1% had good knowledge of spread with personal contact (95.3%) mostly reported. On knowledge of symptoms and preventive measures, dry cough (84.7%) and frequent hand washing (95.6%) were mostly reported. Knowledge of cause was significantly associated with age (p=0.04) and marital status (p=0.001), while level of education (p=0.012) was significantly associated with knowledge of spread. Conclusion: Misconceptions about the knowledge of the cause and spread of COVID-19 were prevalent among the study population. The implication of this finding among older adults and the significant effect of some sociodemographic factors on the knowledge of the cause and spread of COVID-19 calls for urgent health-promoting interventions that would dispel the misconceptions.