bluuebunny/crossref_metadata_2025_split huggingface dataset:
Doing Everything: Intersections of Gender and Sexual Orientation in Caregiving for a Spouse With Dementia
Authors: Calasanti Toni , de Vries Brian 
Published: December 2021

Abstract
Gender inequalities are rooted in and drive the division of labor over the life course, which result in heterosexual men and women acquiring different resources, skills, and identities. Gendered differences in caregiving reflect these varying gender repertoires. Whether and how these repertoires vary by sexual orientation is lesser understood. Our qualitative study seeks to explore the ways that sexual orientation and gender, and the related division of both paid and unpaid labor, shapes caregiving for a spouse or partner with Alzheimer’s disease and related disorders (AD). Our data, obtained from in-depth interviews conducted among lesbian (n=9), gay (n=6), and heterosexual spousal and partner (23 women and 14 men) caregivers of those with AD, reveal that, although all the caregivers spoke about “having to do everything,” with a particular focus on decision-making, they interpret this experience differently based on the intersections of gender and sexuality. The heterosexual women reported they were used to managing daily household life, yet they described having to make decisions as quite stressful: “I don’t like to be the boss.” Heterosexual husbands also lamented that they “had to do everything,” but commenting that they hadn’t realized what it took to “manage a household.” The concerns reported by lesbian and gay spouses and partners were similarly situated but more varied, as each group tended to report their previous divisions of labor as “less well-defined.” Our findings reflect both the influence of gender inequalities on how respondents experience “doing everything,” and their potential modification in same-sex relationships.
Perceived Control and ICD Concerns in Older ICD Recipients: Sex as a Moderator
Authors: Latimer Abigail , Miller Jennifer , Chung Misook Lee , Hammash Muna , Moser Debra 
Published: December 2021

Abstract
Implantable cardioverter defibrillators (ICDs) reduce the risk of sudden cardiac death for those with a history of or high risk for lethal arrhythmias. In 2016, 105,000 ICDs were implanted in older adults (age ≥ 60) in the US. Approximately 25% of ICD recipients report significant ICD concerns with women reporting higher levels than men. Little is known about the experience of older adults living with life-saving/extending medical technologies, particularly related to sex differences in ICD concerns. Perceived control may decrease ICD concerns, but sex differences have not been explored. The aim of this cross-sectional study was to determine the moderation effect of sex on the association between perceived control and ICD concerns in older adults (age≥ 60). Participants completed a questionnaire on ICD Concerns (ICDC-8) and the Control Attitudes Scale-Revised, a measure of perceived control. We conducted a moderation analysis using Hayes’ PROCESS for SPSS with 5,000 bootstrap samples. Of the 99 participants (73.7% male; age 70 + 7 years; education 13 + 3 years), most participants were white (79.8%) and married (69.7%). There were no differences in participant characteristics, perceived control, or ICD concerns, by sex. We found an interaction between sex and perceived control (b= -.5715, p= 02), indicating that for women (-.5801, p =.007), as perceived control increased, ICD concerns decreased. For men (-.0089, p =.9439), ICD concerns remained the same despite level of perceived control. Future clinical and research interventions to decrease ICD concerns should include ways to increase perceived control particularly for older women living with ICDs.
NC CAN COVID-19 Action Network: Project ECHO in North Carolina
Authors: Blomberg Ben , Henage Cristine , Hubbard Jennifer , McBride J Marvin 
Published: December 2021

Abstract
Experts in geriatrics, infection control and nursing home administration joined the ECHO Hub team led by The Carolina Geriatrics Workforce Enhancement Program (CGWEP) at the University of North Carolina at Chapel Hill (UNC). Ninety-two of North Carolina’s 423 nursing homes enrolled in a 16-week videoconference series designed to address clinical, logistical, and leadership issues related to COVID-19. The CGWEP coordinated recruitment with two other Training Centers at UNC Family Medicine and the Mountain Area Health Education Center, reaching 58% of all NC nursing homes (N=245). Faculty used curriculum and pre-recorded videos provided by the Institute for Healthcare Improvement (IHI). Discussions demonstrated real-world problem solving as participants applied what they learned to local conditions. Quality Improvement (QI) experts from IHI mentored participants in gathering data and completing Plan, Do, Study, Act cycles to better respond to the challenges of COVID-19 among a critically vulnerable population.
Virginia’s Response to the Nursing Home COVID Action Network
Authors: Waters Leland , Rhodes Anne , Arnette Shannon , Bluestein Dan , Ihara Emily , Inoue Megumi , Tompkins Catherine 
Published: December 2021

Abstract
The Virginia Geriatric Education Center’s GWEP recruited 195 of Virginia's 273 eligible nursing homes, using two Project ECHO Nursing Home Training Centers located at George Mason University and Virginia Commonwealth University. These sessions promoted collaboration, allowed for sharing of successes and challenges, and nurtured quality improvement projects. Our next steps are to survey Virginia’s nursing homes to see if they are interested in future ECHO sessions with other topics. We plan to share these results with the Institute for Healthcare Improvement so that we may be able to continue to enhance this national network of Training Centers with faculty and staffing dedicated to quality assurance and performance improvement. The program has initiated new collaborations with nursing homes across many healthcare disciplines, strengthened connections between nursing homes and research institutions, and will help foster innovative ways to collaborate in this post-pandemic virtually connected world.
Living Arrangements and Gendered Work Prospects Among Chinese Grandparents
Authors: Ye Jing , Chen Feinian 
Published: December 2021

Abstract
Recent literature on grandparenthood in China overwhelmingly focuses on the role of grandparents as caregivers for grandchildren. However, many become grandparents at an age when they are still active in the labor force. Using data from the China Health and Retirement Longitudinal Study (2011-2015), this study examines the extent to which coresidence with grandchildren affects grandparents’ labor force participation and work hours. Results from our fixed-effect models show that, living with grandchildren has a positive effect on men’s work participation and hours worked, especially for those with flexible jobs. For women with inflexible jobs, coresidence with grandchildren has a negative impact on their work prospect. Furthermore, grandparents in skipped generational households are less likely to scale back in work than those in multigenerational households, indicating a high level of double burden from both work and caregiving responsibilities. Our study extends prior work by emphasizing grandparents’ role as active workers and highlights the importance to understand work and caregiving demands in a gendered and dynamic household context.
GWEP Successes and Lessons Learned From Making Communities Age Friendly
Authors: Thompson Katherine , Catic Angela 
Published: December 2021

Abstract
Geriatrics Workforce Enhancement Programs (GWEPs), funded by the Health Resources and Services Administration have a strong focus on age friendly care and community engagement. With a wide range of populations, locales, and health systems served, GWEPs have significant experience working with a wide variety of communities to implement age friendly care. In this symposium, we present successes and lessons learned from GWEP projects representing diverse populations and approaches to achieving age friendly communities. For instance, one GWEP is utilizing Patient Priorities Care to lay the framework for What Matters in clinical decision-making. Another GWEP is focusing on What Matters by uniquely embedding Area Agencies on Aging care coordinators within primary care settings to invite the participation of aging patients in advance care planning, among other health interventions. A third GWEP is using the 4Ms to educate patients and caregivers in geriatric psychiatry clinics in a population of veterans. Another GWEP is pairing Age Friendly Health System efforts within a health system with community-based efforts to become an age friendly and dementia friendly city. A final GWEP is using multiple educational modalities to create Age-Friendly Communities and assure that health systems, community-based organizations, and older adults and families are educated about the 4Ms. By exploring successes and lessons learned in making communities age friendly, we can improve existing and future programs centered on age friendly care for older adults.
Distinguishing Features of AAA-Healthcare Partnerships: Business Acumen Is Necessary but Not Sufficient
Authors: Curry Leslie , Cherlin Emily , Ayedun Adeola , Rubeo Chris , Wilson Traci , Brewster Amanda , Straker Jane 
Published: December 2021

Abstract
Stronger relationships among service providers in the health care and social service sectors may contribute to positive outcomes such as lower health care use and spending. Such partnerships have grown in recent years, including Area Agencies on Aging (AAAs) contracting with health care organizations, and their impact on health care utilization has been demonstrated. Nevertheless, knowledge about how AAAs establish and manage successful collaborations is limited. This study was designed to understand how AAAs in regions with low levels of avoidable health care utilization develop and sustain partnerships with health care organizations. We conducted an explanatory sequential mixed-methods, positive deviance study. In the quantitative phase, we identified 8 AAAs with multiple health care partners serving areas with little utilization of nursing homes by residents with low-care needs, and 3 with few partners and high utilization for comparison. In the qualitative phase, we identified key informants within AAAs and their partners for in-depth interviews (total n = 123). We used the constant comparative method of analysis to identify 5 factors that characterized partnerships in the highly-partnered, low-utilization sites: 1) Regional context (e.g., breadth of health care provider market, cross-sectoral coalitions), 2) AAA human resource assets (e.g., community expertise, business acumen), 3) AAA organizational culture (e.g., visionary leadership, risk taking), 4) Interdependence among organizations (e.g., mutual benefit, alignment), and 5) Interpersonal dynamics (e.g., trust, relationships). The importance of these regional, organizational, and relational factors suggests that AAA business acumen is necessary but not sufficient to build and sustain robust cross-sectoral partnerships.
An Innovative Mental Health Model for Treating Culturally Diverse Older Adults
Authors: Abramson Tobi , Berman Jacquelin , Gates Madison 
Published: December 2021

Abstract
The mental health needs of older adults are largely unmet, a finding even more prevalent within culturally diverse older adult populations. Added to this is the high rate of social isolation. Research has indicated increased connection to mental health services when services are embedded within physical health care settings. For those attending community centers, 85% indicate that they are socially isolated, 68% indicate they are lonely, and 53% have a mental health need (compared to 20% nationally). The need for innovative programming is evident. When examining the needs of diverse older adults, it is increasingly important that new and innovative approaches address social isolation, loneliness, and mental health problems experienced by this cohort. Utilizing this knowledge an innovative model of embedding and integrating mental health services, provided by bilingual and bicultural clinicians, into congregate sites (older adult centers) was implemented. Those that participated were mainly female (72.1%), 68.5% English-speaking, 14.5% Spanish-speaking, 13.6% Chinese-speaking and 3.4% other. Spanish-speakers had more depression than English-speakers and both had more depression than Chinese-speakers. English and Spanish-speakers reported more social isolation and Chinese-speakers compared were more likely to participate in engagement. Chinese-speakers were less likely to be in clinical services with a positive screen compared to English-speakers. Overall, 75% engaged in treatment; 37.3% and 41% showed a 3-month improvement of depression and anxiety, respectively. This presentation focuses on the innovative components of this model, how to engage diverse older adults to utilize treatment, steps needed for replication, and policy implications around integrated mental health treatment.
The Long Arm of Child Maltreatment and Mental Health in Later Life: The Effects of Maltreatment and Family Context?
Authors: Han Chengming , Bhatta Tirth , Kahana Eva , Gran Brian 
Published: December 2021

Abstract
Purpose. This article examines the role of family context in shaping the influence of childhood maltreatment on later life psychological well-being in the cultural context of Chinese society. Method. Data were drawn from the China Health and Retirement Longitudinal Study (CHARLS) baseline. Maltreatment was measured by corporal punishment by either mother or father in childhood. We used family violence, parents’ family socioeconomic status (SES) and mental health to represent family context. Result. Our ordinary least square regression analysis shows that corporal punishment administered by a mother was associated with higher depressive symptoms (b=0.308, p&lt;0.05) in later life while being hit by father did not result in higher depressive symptoms. Family contexts had residual (“long arm”) influence on respondents’ mental health: violence in the family, including being hit by siblings (b=0.657, p&lt;0.001) and witnessing violence between parents (b=0.658, p&lt;0.001) contributed significantly to higher depressive symptoms. Conclusion. Corporal punishment by parents had long term effects on mental health of their children in later life. Cultural values, such as filial piety did not eliminate the negative impacts of being hit in childhood on mental health in later life. Family contexts including violence between parents also played important roles in shaping the relationship between child maltreatment and mental health in later life. Implication. Our study offers important insights about the complex matrix of cultural traditions, social circumstances and diversity in dealing with child rearing stress and their consequences for later life mental health.
Psychology of Aging Podcast: Public Education Tool for Sharing Evidence-Based Mental Health and Aging Information
Authors: Koepp Regina 
Published: December 2021

Abstract
Psychology of Aging Podcast, created and hosted by Dr. Regina Koepp, Clinical Geropsychologist, is the first podcast of its kind devoted solely to mental health and aging. The goal of the Psychology of Aging podcast is to facilitate access to information and education about mental health and brain health among older adults with the hope of de-stigmatizing mental health care for older adults, reducing ageism, highlighting diversity, and promoting access to mental health and dementia care. The format includes a combination of expert interviews and “solo-casts”. Topics range from depression and suicide prevention to Alzheimer’s Disease and related dementias to the unique needs of LGTBQ older adults and caregivers to health disparities experienced by African American and Latin-X communities related to dementia and the COVID-19 pandemic. During this session, Dr. Koepp will discuss the role podcasts play in public education and share tips for starting an evidence-based podcast.
Cumulative Dis/Advantege, Structure, and Change: Three New Directions for CDA Research
Authors: Dannefer William , Han Chengming Hengming 
Published: December 2021

Abstract
Over the past several decades, evidence for cumulative dis/advantage as a regular feature of cohort aging has continued to cumulate, while new questions concerning the underlying dynamics continue to emerge. This paper reviews the accumulated knowledge base, and focused on three recently emerging lines of inquiry that hold great promise for expanding more fully our understanding of CDA processes: 1) the intersection of class stratification and race in the operation of CDA processes, 2) factors accounting for cross-national variations, and 3) the intersection of robust intracohort processed that generate cda with intercohort processes and the impact of historical and social change. These three new directions are briefly discussed.
Comparing Cannabis Use Across Diagnosed Conditions: Apples and Oranges?
Authors: Kaskie Brian 
Published: December 2021

Abstract
Although researchers have identified medications that relieve symptoms of Multiple Sclerosis (MS), none are entirely effective and some persons with multiple sclerosis (PwMS) use alternatives. Our study compared cannabis use among PwMS (N=135) and persons diagnosed with arthritis (N=582) or cancer (N=622) who participated in the Illinois medical cannabis program. We tested for significant differences across psychological well-being, quality of life and three behavioral outcomes, and also considered effects of co-occurring prescription opioid use. A majority of all individuals used cannabis to address pain and improve quality of sleep. PwMS reported lower levels of productivity, exercise and social activity, and cannabis was less helpful with improving these particular outcomes. Most persons used cannabis for sleep or digestive problems and we found no differences across groups in terms of well-being and quality of life. This comparative evaluation suggests cannabis mechanisms are not specific as much as they impact common processes.
Long-Term Variability in Body Weight in Relation to the Risk of Dementia: A Prospective Cohort Study
Authors: Chen Hui , Zhou Tianjing , Ma Yuan , Yuan Changzheng 
Published: December 2021

Abstract
The prospective association of body weight variability with dementia remains unclear. We aimed to investigate whether long-term variability in body weight is associated with the risk of late-life dementia and to explore their potential temporal relationship using data from a nationwide prospective cohort study of the United States. A total of 5,556 participants free of dementia in 2008 (55.66% women; mean [SD] age, 71.1 [3.1] years) were followed up to 8 years for doctor-diagnosed dementia reported biennially. Body weight variability was assessed as the coefficient of variation utilizing the body weight information collected over 16 years before 2008. Cox proportion hazard model was applied to estimate hazard ratio (HR) of dementia associated with body weight variability. Higher body weight variability was associated with an increased incidence of dementia after controlling for sociodemographic factors, lifestyle, mean body weight, and body weight change. The multi-variable adjusted HR of dementia of the highest quartile of body weight variability was 2.01 (95% CI 1.01-1.87) compared with the lowest. Every 1% increment in variability was associated with a 6.2% higher risk of dementia (HR=1.06, 95%CI 1.04,1.09, p-trend&lt;0.001). Such association was observed for both Alzheimer’s disease and other types of dementia, with stronger association observed when body weight variability was assessed closer to dementia assessment.
Selective Autophagy: A Link Across the Hallmarks of Aging
Authors: Cuervo Ana Maria 
Published: December 2021

Abstract
Autophagy function has been closely linked with the loss of proteostasis that characterizes most old organisms and tissues. However, the cellular functions of selective types of autophagy such as chaperone-mediated autophagy (CMA) go beyond cellular quality control. CMA can degrade fully functional proteins to terminate their function and thus contribute to regulation of multiple cellular processes. To fully understand the consequences of loss of CMA function with age, we have developed genetic and pharmacological ways to modulate this pathway in old mice. Our data supports involvement of CMA in other hallmarks of aging such as metabolism, senescence, cellular response to stress, epigenetics and cellular stemness. This interconnection among the cellular processes that drive aging highlights the potential of acting on only some of them with geroprotective effects.
Improving Care for Individuals Living With Intellectual Developmental Disabilities and Dementia
Authors: Barrett Donna 
Published: December 2021

Abstract
Ultimately, transformation of communities can only occur through educational efforts delivered to specific community sectors. Although the portion of people with Intellectual Developmental Disabilities who develop dementia as they age is equal to that of the general population, individuals with Down syndrome are at a much higher risk. This symposium will describe how a county health department partnered with the local County Board of Developmental Disabilities to systematically incorporate Dementia Friends for Intellectual Developmental Disabilities with Alzheimer’s disease training to their staff and provider network. We will describe who to get on board with the idea, how to organize, and how to deliver specific trainings. Outcomes related to increase in participant knowledge, increases in service provision and outcomes related to staff mentoring will be discussed.
Dyadic Relationships Between Self-Rated Health and Cognition Among Older Adults and Their Spousal Caregivers
Authors: Liu Ruotong , Chi Iris , Wu Shinyi 
Published: December 2021

Abstract
This study examines spouses who are in a caregiving situation to discern how they influence each other’s health. Previous studies reported health concordance and cross-domain effects among caregiver and care-recipient dyads. However, it is less understood of the health dyadic relationships among spouses who are in a caregiving situation. No studies have specifically looked into the relationship between self-rated health (SRH) and cognitive functioning among spousal caregiving dyads over time. In this study we analyzed the longitudinal reciprocal relationships between SRH and cognitive functioning measured by the Telephone Interview for Cognitive Status among older adults and their spousal caregivers, and whether the relationship differed by whether husband or wife was the caregiver. Longitudinal data from the Health and Retirement Study (2010-2016) on 540 dyads were pooled and analyzed using structural equation modeling under an actor-partner interdependence model. Results revealed cognitive concordance among older spouses in which caregivers’ cognition is associated with care-recipients’ cognition subsequently (β=0.05, p&lt;.05). SRH concordance was not significant. Cross-domain results showed only one significant direction, that is, care-recipients’ cognition in the subsequent time was significantly correlated with caregivers’ SRH, regardless of whether husband (β=0.09, p&lt;.05) or wife (β=0.08, p&lt;.05) was the caregiver. Our study found that married couples in a spousal caregiving situation displayed cognitive but not overall health concordance, and cross-domain effects of caregiver’s SRH on spousal care recipient’s cognition subsequently. The reciprocal associations suggest that addressing and improving either partner’s physical health and cognition may benefit both dyad members.