bluuebunny/crossref_metadata_2025_split huggingface dataset:
Different Strokes for Different Folks? Examining a New Measure for Age-Relative Sexual Attitudes
Authors: Graf Allyson , Bryant-Lees Kinsey , Cohn Tracy , Syme Maggie 
Published: December 2021

Abstract
Recent research suggests increasingly permissive attitudes towards sexual activity in later life. Harboring more conservative beliefs especially as one reaches older age, however, may translate into how one views and navigates sexual health changes. A sample of participants (N = 706; Mage = 52.72 years, SD = 9.57, range = 36-79; 60.8% male) was recruited through Amazon’s Mechanical Turk to complete a survey on sexual beliefs about age and aging. Participants completed two versions of the Relative Sexual Attitudes Scale (RASA), wherein they were prompted to consider either “someone their own age” or “an older person” in response to items assessing sexual attitudes. Multi-group confirmatory factor analysis was used to confirm the original five-factor structure, reduce the total items from 31 to 25, and establish measurement equivalence for the 36-54 year-old and 55+ year-old samples. Through a series of profile analyses investigating each subscale, scores did not significantly differ between the two prompts, although significant age-group differences were found with the 36-54 year-old age group reporting more open attitudes than the 55+ year-old age group across all subscales, except the traditional mores subscale. Sexual attitude subscale scores also differed by gender, engagement in partnered sexual activity, and whether one had spoken to a health professional about their sexual health in the past year. The findings support use of the RASA for adults 36 and older and highlight applications to understanding differences in sexual health into later life.
Lacking Warmth and Competence: How Younger Adults Utilize “OK Boomer” According to the Stereotype Content Model
Authors: Frey Katelyn , Vale Michael , Bisconti Toni 
Published: December 2021

Abstract
Younger adults have coined the popular retort “OK Boomer,” referring to the 76 million Baby Boomers born between 1946-1964. The Stereotype Content Model (SCM) is a framework used to assess stereotypical perceptions of various groups, and older adults generally fall in the paternalistic “high warmth/low competence” quadrant. The stereotypes behind “OK Boomer” could correspond to any of the four quadrants of the SCM. The present study's goals were to determine the parameters for using the phrase, how hostile and benevolent ageism may underlie its use, and whether or not the eponymous “Boomer” fits into the same cluster in the SCM as older adults in general. In a sample of 316 participants (18-33; M = 23; SD = 5.25), we found that age was related to using “OK Boomer” such that being younger is associated with feeling more comfortable using the phrase in front of anyone (r = -.208, p &lt; .01), using the phrase more frequently (r = -.218, p &lt; .01), and sharing “OK Boomer” memes, pictures, and jokes online (r = -.203, p &lt; .01). Hostile ageism, but not benevolent, was associated with an increased likelihood of saying “OK Boomer” in front of anyone (r = .256, p &lt; .01), to use it more frequently (r = .242, p &lt; .01), and to share “OK Boomer” jokes online (r = .301, p &lt; .01). Content analysis results indicate that “OK Boomer” does not correspond to the paternalistic quadrant of the SCM due to Boomers’ perceived low warmth.
What is the Relationship between Functional Limitations, Pain, and Self-Perceptions of Aging?
Authors: Zucchetto Jillian Minahan , Blasi Ashley 
Published: December 2021

Abstract
Self-perceptions of aging (SPA) influences health and mortality during older adulthood (e.g., Kotter-Grühn et al., 2009; Sargent-Cox et al., 2012). Westerhof and Wurm (2015) found that increasing functional limitations (FL) worsened older adults’ SPA. Additional research is needed to identify other factors that influence SPA. Although pain is common among older adults and is a frequent cause of disability (e.g., Brooks et al., 2019), it has not been examined as a factor influencing SPA. Pain is often misperceived as an inevitable part of aging because of widely held negative stereotypes about aging (Thielke et al., 2012). The experience of pain may activate internalized negative stereotypes about aging, which may worsen SPA. Thus, this study investigated: 1) the relationship between chronic and recent pain, FL, and SPA, and 2) the interactive effect of FL and pain on SPA within a sample of community-dwelling adults aged 65 years and older. This study included 5,126 participants from the 2014 wave of the Health and Retirement Study. Controlling for covariates, chronic pain (β = .09, p &lt; .001) and recent pain (β = .12, p &lt; .001) were associated with negative SPA and were stronger than FL (β = .04, p &lt; .01). There was also a small interaction between FL and recent pain on SPA (β = -.03, p &lt; .01) such that the negative impact of FL on SPA was stronger among individuals who reported low pain. These findings highlight the importance of pain in older adults’ evaluation of their own aging.
Older adult maintaining and improving health self-management through peer supported SMART goal setting
Authors: Hynes Mary , Anderson Nicole , Kastner Monika , Astell Arlene 
Published: December 2021

Abstract
Non-medical interventions to address risk factors (such as reducing smoking, increasing physical activity, and tackling limited social interaction) are needed to help tackle escalating social and financial health costs. Peer supported interventions have been used successfully to support persons’ health self-management; however, there is limited evidence for group interventions facilitated by older adults. A proof-of-concept study by the first author demonstrated the potential of older adults meeting in groups to each create and follow through with a single SMART goal for any area of health over one-month. This study extends SMART goal setting to enhancing health management over six months. Older adult participants from across Ontario will attend virtual SMART goal setting group sessions followed by six monthly support group meetings where they are free to choose any goal, whether a mitigation or a new behavior. Each month the facilitator will assist participants to continue, modify, or set a new goal. At the end participants will complete surveys about their satisfaction with the method, their results and their desire to continue with SMART goals. They will also be asked if they would like to facilitate new groups to continue the spread of peer-supported SMART goal groups. This study is designed to empower older adults to maintain or improve management of their physical, psychological, and/or social health. It will reveal the impact of an older adult created and guided group health intervention on feelings of self-efficacy and well-being.
Joint Trajectories of Multimorbidity, Function, Cognition, and Depression in the HRS (1998-2016)
Authors: Nagel Corey , Allore Heather , Newsom Jason , Botoseneanu Anda , Dorr David , Thielke Stephen , Kaye Jeffrey , Quiñones Ana 
Published: December 2021

Abstract
There is substantial heterogeneity in the impact of multimorbidity on functional, cognitive, and emotional health. Few studies, however, have examined this simultaneously across these multiple domains. We used finite mixture modeling to identify latent clusters of individuals following similar joint trajectories of multimorbidity, functional ability, cognitive performance, and depressive symptoms among 11,841 HRS respondents aged 65+ from 1998 to 2014. We identified four distinct clusters of joint trajectories: (1) 32.5% of the sample were characterized by low multimorbidity (mean = 0.60 conditions at age 65; 2.2 conditions at age 90), minimal deterioration in functional or cognitive ability, and low depressive symptoms; (2) 33.5%, had increased multimorbidity compared with the first group (mean = 2.3 at age 65; 4.0 at age 90) but minimal functional or cognitive impairment and low depressive symptoms; (3) 19.9%, had relatively low multimorbidity (mean = 1.3 at age 65 increasing to 2.8 at age 90), but exhibited worsening cognitive performance, increasing functional limitations, and moderate depressive symptoms ; and (4) 14.1%, had higher multimorbidity (mean = 3.3 at age 65 increasing to 4.6 at age 90), worsening cognitive performance, substantial functional limitation, and high depressive symptoms. Black and Hispanic race/ethnicity, lower levels of income and education, male gender, and smoking history were significantly associated with membership in classes characterized by higher multimorbidity, cognitive and functional impairment, and greater depressive symptoms. This study provides insight into the heterogenous trajectories of aging and helps identify older individuals at higher risk for poor aging outcomes across multiple health domains.
Housing, Neighborhood Factors, and Cognitive Status of Older Adults Living in Houses Versus Apartments
Authors: Cheung Ethan Siu Leung , Mui Ada 
Published: December 2021

Abstract
This study examines associations between housing, neighborhood factors and cognitive status among community-dwelling older adults, and how the associations differ between older adults who live in houses and in apartment buildings. Specifically, using the neighborhood stressor theory, three research questions are examined: 1) What individual-level factors predict late-life cognitive status? 2) After controlling for individual-level factors, what housing and neighborhood factors are significant in predicting older adults’ cognitive status? 3) How do individual, housing, neighborhood predictors of cognitive status differ between house and apartment residents? Using data from the Wave 3 NSHAP, multilevel linear regression analyses are conducted with the total sample. Results suggest that individual-level factors including young-age, female, white, and having a bachelor’s degree are associated with better cognitive status. After controlling for individual-level factors, housing and neighborhood factors including quality maintenance and high level of community safety are associated with higher cognitive scores. In addition to the additive model, we also test the interactive effect between housing type and three level of factors –individual level, housing, and neighborhood factors. Findings suggest that the joint effect of depression and housing type on cognitive status is significant. To explore the last research question, we conduct parallel regression analyses by housing type. Findings suggest that quality maintenance and high level of community safety are associated with higher cognitive scores among house residents only. Findings highlight the predictors of cognitive health vary between older adults living in different residential environments.
Motivations To Join And Stay A Member Of A Village For Older Adults
Authors: Cho Joonyoung , Dunkle Ruth , Pace Garrett 
Published: December 2021

Abstract
People join a customer-driven organization with motivations that may not be static over time, an important issue for long-term organizational viability. In this study, we examined motivations among members of ShareCare, the first Village for older adults in the U.S. Using qualitative data from a random sample of 91 members, we compared motivations for becoming a member and for continuing membership. Motivations to join and continue membership are not necessarily the same. Motivations were categorized as: instrumental, social, and altruistic motivation. We categorized length of membership as short-term: 8-years or less (51.63%) and long-term: 9-years and more (49.37%). While 36% of members joined only for instrumental motivation, 59% continued membership only for instrumental motivation. While about 52% joined with multiple motivations, only 35% of members mentioned multiple motivations when continuing their membership. Finally, 18% of short-term members mentioned altruistic motivation when continuing their membership, while 28% of long-term members mentioned altruistic motivation when continuing their membership. While people’s motivation might change over time, altruistic motivation may be the greatest motivating factor for long-term memberships. Long-term members may identify themselves as supporters rather than users of the organization and cultivate stronger connections with other members over time. Our findings inform how to recruit and retain members in Villages, and customer-driven organizations for older adults more broadly.
Diabetes Prevalence Among Underserved Older Adults in the US: The Case of Native Hawaiians and Pacific Islanders
Authors: Panapasa Sela , Herman William , McNally James 
Published: December 2021

Abstract
The effects of chronic diabetes among older adults in the United States represent ongoing challenges in diagnosis, treatment, comorbidities, amputations, and the increased risk of death. These challenges are made more complicated among underserved populations due to limited access to healthcare, medication costs, and later diagnosis of the condition. These issues are particularly true for the NHPI population, which has high rates of lifetime diabetes, greater levels of poverty, and inadequate health insurance. Useful statistics about diabetes among the NHPI have been difficult to obtain due to their small population size and lack of inclusion in federal health surveys. While early work by Panapasa examined prevalence among NHPI males in California, no reliable measures of diabetes among older NHPI’s existed at the national level. Released in 2017, the 2014 Native Hawaiian Pacific Islander National Health Interview Survey represents the first representative survey of the health and socio-economic correlates for this population, allowing the examination of health conditions such as diabetes at the national level. This presentation will examine the prevalence of diabetes among NHPI’s aged 60 and older and the impacts of this disease on overall health and quality of life. The paper will use the NHPI-NHIS to examine the use and access to diabetic medications and overall access to affordable health care. The paper will examine differences by age group, gender, immigration status, and ethnicity. While we know the overall prevalence of diabetes is high, this paper will offer new information on differentials within the older NHPI population.
Is Resilience Protective of Movement-Evoked Pain in Older Black Women Who Experience Discrimination?
Authors: Astencio Mayra , Bartley Emily , Booker Staja , Sibille Kimberly , Cardoso Josue , Addison Adriana , Fillingim Roger , Terry Ellen 
Published: December 2021

Abstract
Older non-Hispanic black (NHB) individuals experience greater pain and more frequent experiences of perceived discrimination compared to non-Hispanic white individuals with knee osteoarthritis. The current study explored whether being resilient buffers against movement-evoked pain (MEP) in NHB women who report everyday experiences of discrimination. In a secondary analysis of the Understanding Pain and Limitations in Osteoarthritic Disease (UPLOAD-2) study, data were collected at the University of Florida and the University of Alabama at Birmingham. Participants were 58 community-dwelling older women who self-identified as NHB and reported knee osteoarthritis. Participants completed the Brief Resilience Scale, a self-report measure of trait resilience. MEP was assessed following the Short Physical Performance Battery. Moderation analyses were conducted to investigate whether resilience moderates the association between experiences of discrimination and MEP. Study site, age, body mass index, and income were included as covariates. Overall, neither everyday experiences of discrimination (b=.292, 95% confidence interval [CI]=-.415 to 1.000) nor trait resilience was associated with MEP (b=-11.540, 95% CI=-23.583 to .503). However, there was a significant interaction (b=1.037, 95% CI=.150 to 1.925) between experiences of discrimination and trait resilience in predicting MEP. Simple slopes analysis revealed that lower discrimination was associated with lower MEP, but only in women who reported high levels of resilience (b=1.100, p=.014), but this protective effect of resilience was absent in women reporting high discrimination. Our findings suggest that as discrimination increases, the protective effects of resilience on movement evoked-pain decreases. Therefore, high trait resilience may be protective when experiences of discrimination are low.
Not out-of-reach: Engaging the older old isolated African Americans with and without MCI
Authors: Struble Laura , Potempa Kathleen , Hampstead Benjamin , Ellis Alexis , Pedroza Jesica , Lichtenberg Peter , Dodge Hiroko 
Published: December 2021

Abstract
The Internet-Based Conversational Engagement Clinical Trial (I-CONECT, ClinicalTrials.gov: NCT02871921) is a multi-center randomized, 12-month efficacy study. There is converging evidence that social isolation is a risk factor of cognitive decline and dementia. We hypothesized that increasing social interaction in older adults with normal cognition or mild cognitive impairment (MCI) could improve or sustain cognitive function through internet-based conversational engagement. African Americans (AA) are at higher risk for developing dementia but their participation in clinical trials is low. Objectives: (1) discuss the effective outreach process to recruit urban AA older old adults (mean targeted age of 80+); (2) describe how we retained participants in a yearlong study using technology-based interventions. The most successful outreach and recruitment sources were the voter registration mass mailings and the Healthier Black Elders Research Center. Successful recruitment methods included: hiring diverse staff, compensating participants’ time, and adjusting research protocols for opting out of MRIs and genetic saliva samples. Technology intervention strategies included: providing user-friendly Chromebooks and free internet connections, simple instructions with pictures, vision and hearing correction, and in-home training with technology support backup. During the pandemic, we could assists participants in learning to use the laptop remotely. Over 12,000 subjects were contacted, which led to 39 randomized participants. Our retention rate thus far is over 75%. This demonstrates that AA older adults are reachable, willing to participate in research and able to use communication technology with appropriate supports for long-term sustainable interaction that may improve cognition and health equity.
Standardized Self-Report Tools in Geriatric Medicine Practice: A Quality Improvement Study
Authors: Northwood Melissa , Heckman George , Didyk Nicole , Hogeveen Sophie , Nova Amanda 
Published: December 2021

Abstract
Comprehensive geriatric assessment (CGA)—a multidimensional diagnostic process to determine medical, cognitive, and functional capacity—has historically included a narrative history supplemented by use of tools to assess domains such as mood or cognition based on assessor preference. This approach to CGA likely works to assess individuals but with increasing clinical complexity and frailty among older adults, a non-standardized approach may mean that key issues are not assessed, and program quality cannot be determined. The COVID-19 pandemic added to these challenges as social distancing practices meant limited face-to-face appointments and use of phone and video assessments. This quality improvement study implemented the interRAI Check-Up Self-Report instrument through a software platform in a specialized geriatric services practice. The instrument can be used over the phone and summarizes specific health problems and needs as well as information about caregiver status and financial trade-offs. Focus groups were also conducted with specialized geriatric services interprofessional team to explore their experiences with implementation. The descriptive analysis of the self-report data revealed expected geriatric issues, such as cognitive and functional impairment, falls and pain. Clients were also commonly experiencing medical instability, cardiorespiratory symptoms, communication impairments, and elevated risk for emergency department visit. Staff found the self-report tool feasible, easy to use, efficient, and the program-level metrics helpful for program planning. In conclusion, introduction of a standardized self-report enhanced CGA by creating a systematic method to flag, track, and prioritize all areas of need for immediate and future care planning at both the client and program level.
PDE4D And HCN1 Ultrastructure In Rhesus Macaque Entorhinal Cortex: Relevance For Aging And Alzheimer's Disease
Authors: Datta Dibyadeep , Mentone SueAnn , Arnsten Amy 
Published: December 2021

Abstract
Tau pathology emerges in a distinct spatial and temporal pattern in Alzheimer’s Disease (AD). Anatomical studies in AD subjects and rhesus macaques show earliest signs of tau pathology in the stellate cell islands in entorhinal cortex (ERC) layer II. However, the molecular mechanisms that confer vulnerability to ERC layer II cells early in AD is unknown. cAMP-PKA magnification of calcium release has been seen in prefrontal cortex, associated with HCN channel opening to dynamically regulate synaptic strength. This process is regulated by phosphodiesterases (PDE), regulation that is lost with age. The current study examined whether this “signature of flexibility” could also be seen in layer II ERC, underlying vulnerability to tau pathology with aging. We used high-spatial resolution immunoEM to localize PDE4D and HCN1 in young rhesus macaque (7-10y) ERC layer II. Our results suggest that PDE4D was concentrated on the SER-spine apparatus and in postsynaptic density, and HCN1 expressed in the membrane near excitatory synapses in dendritic spines. Within dendritic shafts, PDE4D labeling was observed along microtubules and near mitochondria, whereas HCN1 was organized in discrete clusters along the plasma membrane. These data suggest that PDE4D is optimally positioned to modulate cAMP microdomains and control calcium extrusion from the SER. HCN1 channels are localized in subcompartments to facilitate dynamic physiological representation of sensory experience and visual space governed by cAMP-PKA signaling. The anatomical patterns in ERC layer II corroborate our findings in vulnerable glutamatergic circuits in prefrontal cortex, suggesting conserved molecular features in association cortices most susceptible in AD.
Dementia Care Management: Social Capital for Persons with Dementia that Live Alone
Authors: Navarro Adria , Avila Vickie , Conger Lynne 
Published: December 2021

Abstract
Social connections are critical for healthy aging (Ahn et al., 2020). Consistent findings in research for persons with dementia that live alone show that a natural support network is the gold-standard for success, as social capital enhances well-being. Therefore a community-based intervention was piloted as part of a national 'special populations grant' in partnership with the local Meals-on-Wheels program. Dementia care management provided by graduate social work interns sought to provide weekly supportive contacts. Quantitative data was collected at baseline and following the program through administration of standardized measurement tools for "thriving" and for "dementia quality of life." The sample to date (N=33) consists of a majority being white females (82.4%), with additional participants expected as the remaining enrolled complete the program. These early "completers" do not show significant changes in their specific "surviving to thriving" domains, yet they do report greater perceptions of quality in their life as a whole following the dementia care management intervention when comparing post data to their baseline (Chi Square 18.95, p=0.004). To date this intervention continues to be studied and suggests a positive impact is likely for older adults with dementia that live alone, as well as for the communities where they reside.