bluuebunny/crossref_metadata_2025_split huggingface dataset:
Well-Being During the COVID-19 Pandemic: The Roles of Age, Race, and Gender
Authors: Newton Nicky , Lodi-Smith Jennifer 
Published: December 2021

Abstract
In the early months of COVID-19, behavioral modifications (i.e., social distancing) were the only means available to ameliorate contagion. These had widespread ramifications for well-being, although older adults showed relatively less disruption and high resilience than their younger counterparts (Carney et al., 2021). Early findings highlight the need for a life course perspective when examining reactions to COVID-19, based on social structure, personal agency, and individual differences such as age, gender, and personality (Settersten et al., 2020). The presentations in this symposium contribute to a developing body of research that delves deeper into individual lived experiences during COVID-19. Using data from the Health and Retirement Study, Ryan examines cohort and age differences in pandemic-related social contact, communication, loneliness, and well-being for women in the US, revealing that the impact of pandemic-attributed psychosocial experiences on well-being differed by age group. Newton et al. examine associations between perceptions of future time, COVID-19 disruption, and psychological well-being among older Canadian women, finding that COVID-19 disruption moderated the relationship between constrained time horizons and well-being. Birditt and colleagues assessed racial disparities in relationships between COVID-related stress, social isolation, and depression among adults aged 18-97 from the Survey of Consumers, and found ethnic/racial minorities reported greater pandemic-related stress and that stress and social isolation had detrimental effects on well-being. A discussion by Lodi-Smith will emphasize the necessity to include individual differences – age, race, gender, cohort, cultural context –when examining pandemic-related well-being in order to provide a more nuanced body of research.
The Pandemic and Older Women in the United States: Impacts on Social Networks and Well-Being
Authors: Ryan Lindsay 
Published: December 2021

Abstract
The current study examines the unique impacts of the ongoing COVID-19 Pandemic on the well-being of middle aged to older women from the 2020 Health and Retirement Study (n = 1252) and how their reports of social contact during the pandemic compare to age-matched women from 2018 (n = 2063). Although up to a third of women across age categories reported changes in social contact due to the pandemic, their rates of communication with friends and family were not significantly different from their counterparts in 2018. Results find expected age patterns in satisfaction with life during the pandemic), where the young-old report the highest levels. However, the association of life satisfaction with the extent to which women reported more loneliness during the pandemic was only significant among the young old and oldest old. Age differences in pandemic-specific experiences in relation to well-being are discussed within a life course developmental framework.
Comparison of Association Between Divorce and Access to Healthcare Services Among Married Immigrants
Authors: Bae Suyeong , Graham James , Nam Sanghun , Hong Ickpyo 
Published: December 2021

Abstract
The number of married immigrants is increasing in Korea, and family dissolution is also growing in this population. Although divorce could impact immigrants' health status, it is unclear whether they have difficulties accessing healthcare and medical services. Thus, we examined whether divorce in married immigrants is independently associated with access to healthcare services. A retrospective analysis of 11,778 adults who participated in the 2018 National Multicultural Family Survey. We used three different covariate adjustment methods (multivariate logistic regression, inverse probability of treatment weighting, 1:1 greedy propensity score matching) to examine the association between divorce and access to healthcare services after accounting for various demographic and clinical characteristics. Overall, 5.8% (n = 691) of married immigrants reported a history of divorce. The divorce group included 107 (15.5%) males and 584 (84.5%) females, with an average age of 45.17 years (SD = 10.9). The non-divorced group included 1992 males (18.0%) and 9095 (82.0%) females, with an average age of 39.1 years (SD = 10.5). After propensity score matching, all variables were balanced (all p&gt;0.05). Individuals who experienced divorce were more likely to have difficulties in healthcare service access than those who did not experience divorce (adjusted odds ratio 1.423, 95% CI [1.075, 1.882]). Our findings revealed that divorce increased the risk of limited healthcare services among immigrants in Korea. Healthcare policymakers should be aware of the healthcare access issues in this minority population. In addition, to improve the lifestyles of minority populations, it is necessary to study their overall lives.
Feasibility and Acceptability of an mHealth ACP Tool in Primary Care
Authors: Mohan Desh , Cherry Katelin , Fofanova Tatiana , Huffman Taylor , Davis Glenn , Comito Anthony , Kozlov Elissa 
Published: December 2021

Abstract
With only 7% of Medicare beneficiaries having completed Advance Care Planning with their physicians, engagement in Advance Care Planning in the clinical setting has been historically low. This study investigated the feasibility of introducing the Koda Health Advance Care Planning software platform in the primary care setting, and whether patients would engage in advance care planning through this medium. The Koda platform is a video-driven, web application that guides patients through advance care planning concepts, including values and quality of life exploration, surrogate decision maker selection, life-support treatments, and advance directive completion. The study was completed over a six-month period in two primary care clinics in the Houston, Texas area. Inclusion criteria were age 55 or older, English-speaking, and capacity for medical decision making. 339 patients met eligibility criteria and had a median age of 73 (range 59-89). All participants were offered the platform, and 262 (77%) created an account and began planning for their care. Of the patients that created an account, 87% completed all ACP steps on the platform and 72% identified a surrogate decision maker. The median time spent on the platform was 18 minutes. The Koda platform appears to be a useful tool for patients and providers to improve engagement in advance care planning and improve surrogate decision maker identification. Further research is needed to understand whether the Koda platform aids in providing goal-concordant care.
Pain Among African American Family Caregivers: Association With Health Outcomes
Authors: DeGroot Lyndsay , Taylor Janiece , Travison Thomas , Skolasky Richard , Szanton Sarah , Han Haera , Saylor Martha Abshire 
Published: December 2021

Abstract
African Americans experience high rates of undermanaged pain as they age. African Americans often become family or informal caregivers, and undermanaged pain may have implications for their overall health and ability to perform caregiving tasks. The purpose of this study was to examine if pain was related to overall health and number of caregiving activities among African American caregivers. We used data from round 7 of the National Study of Caregiving (N= 646 African American caregivers, mean age= 57 years [SD=15]). Pain over the prior month was participant-assessed. Of this sample, 451 (69.7%) were women, 324 (50.1%) had pain, and 309 (47.8%) had multiple comorbidities. The number of caregiving activities ranged from 8 to 14 with mean of 11.6 (SD= 1.4). In a logistic regression model, controlling for income, education, and comorbidities, we found having pain in the last month was associated with lower likelihood of very good or excellent health (Adjusted OR 0.48; 95% CI 0.33 to 0.69) and greater likelihood of having depressive symptoms (Adjusted OR 2.04; 95% CI 1.34 to 3.10). In a linear regression model, however, pain was not significantly related to the number of caregiving activities (R2 = 0.04). Findings suggest that while pain is related to poorer physical and mental health outcomes among African American caregivers, even pain does not deter them from providing care for care recipients. Management of pain among African American caregivers may be beneficial for improving their own overall health and mental health.
Worship Experiences of Black Families at Dementia-Friendly Churches: A Multiple-Case Study Design
Authors: Epps Fayron , Gore Janelle , Sainz Mayra , Brewster Glenna 
Published: December 2021

Abstract
Literature supports the significance of religiosity as a protective factor to promote well-being for Black families facing dementia; However, minimum reports exist on the worship experiences of these families. The purpose of this multiple-case study was to report the experiences of Black families facing dementia who attended worship services at dementia-friendly churches. Data were collected through participant observations of family caregivers (n = 4) and persons living with dementia ( n = 4) during worship services and semi-structured interviews with the family caregivers over six months. Data were analyzed case by case followed by a cross-case analysis. Four overarching themes emerged: welcoming church culture, the significance of support with differences in perceived and actual support, engagement during worship service, and connectedness between the caregiver and their family member living with dementia. Family caregivers reported that their family member with dementia was attentive and expressed moments of clarity during and immediately after worship services. Religious worship can play an essential role in the quality of life among Black families affected by dementia. Health practitioners are encouraged to acknowledge the influences of religion among dementia families and integrate religious practices within interdisciplinary care plans and programs.
The Association of Meal Timing With Body Composition and Cardiometabolic Health in Obese Older Adults
Authors: Farsijani Samaneh , Glynn Nancy W , Newman Anne 
Published: December 2021

Abstract
Objectives: To determine the association between eating window and time of last calorie intake with body composition and cardiometabolic health in obese older adults. Methods: We performed a cross-sectional analysis on 36 community-dwelling, overweight-to-obese (BMI 28.0-39.9 kg/m2) older adults, recruited to participate in a weight loss and exercise trial. Time of food intake were extracted from three 24-hour food recalls. Eating window was calculated as the time elapsed between the first and last food intake. We recorded the time of last calorie intake either from food or drink. Blood glucose, triglycerides, high-density (HDL) & low-density (LDL) lipoprotein cholesterols were measured as markers of cardiometabolic health. Total fat and lean mass were assessed by DXA. Partial correlation was used to determine the relationships between eating window and last calorie intake with body composition and cardiometabolic markers, while controlling for sex, age, and total calorie intake. Results: On average, participants’ eating window was 12.0±1.1 hours. Time of last calorie intake in 86% of participants was between 6:00-8:00 PM. After controlling for potential confounders, longer eating windows were associated with higher triglyceride levels (P=0.032) and lower HDL (P=0.035), while no association was observed with the other cardiometabolic markers. We observed negative trends, though not statistically significant, between longer eating windows and greater weight, BMI, and fat mass. No association was observed between time of last calorie intake, body composition and cardiometabolic markers. Conclusions: Our results suggest that timing of food intake may influence cardiometabolic risk and obesity in older adults.
Greater Adolescent Cognitive Ability Linked to Lower Risk of Earlier Mortality
Authors: Gruenewald Tara , Grossman Molli , Zavala Catalina , Arpawong Thalida , Fisher Gwen , Shultz Kenneth , Gatz Margaret , Prescott Carol 
Published: December 2021

Abstract
There have been few investigations of the role that adolescent cognitive ability might play in predicting physical resilience across the life course, including decreased risk of early mortality. Our limited knowledge of how multiple cognitive ability domains shape trajectories of longevity is due, in part, to a lack of aging cohorts with early life cognitive assessments, and family data that allow for examination of shared family and genetic characteristics that may play a role in cognitive ability-health links. We capitalized on data from the 1960 Project Talent high school cohort (n&gt;360,000, born 1942-1946) and mortality data (n=22,584; 5,497 deceased) collected as part of two recent follow-ups, the Project Talent Twin & Sibling Study and the Project Talent Aging Study, to examine these potential associations. In 1960, ability was assessed in multiple cognitive domains (e.g., general aptitude, quantitative, reasoning). Mortality status was ascertained through 2016. Binary logistic generalized estimating equations with race, age, sex, and adolescent family SES covariates, indicated that each 1 standard deviation higher ability in multiple cognitive domains in adolescence predicted lower odds of earlier mortality (ORs of 0.79 - 0.87). Co-sibling control models indicated a similar pattern, suggesting that benefits associated with higher cognitive performance do not simply reflect shared environmental and genetic background, but may represent a direct protective effect. These findings indicate that better performance in multiple cognitive domains in adolescence, above and beyond the influence of genetic and family environmental factors, may be or point to modifiable protective factors against risk of early mortality.
COVID-19 Nursing Home Deaths in Cook County: Predictors and Modifiable Risks
Authors: DeMott Andrew , Hughes Susan , Gelder Michael , Kim Sage 
Published: December 2021

Abstract
Investigators at the University of Illinois Chicago, the Illinois Department on Aging (IDOA), the Illinois Department of Public Health, and the Health and Medicine Policy Research Group are collaborating to examine comparative rates of Covid-19-related deaths among older adults who reside in nursing homes vs. the community in Illinois. As a first step, we have examined data from the Cook County Medical Examiner’s office to compare nursing home resident fatalities to those who died in the community. Deaths with Covid-19 listed as primary or secondary cause of death that occurred between January 1, 2020 to September 30, 2020 among older adults ages 60 and over were identified from the Cook County Medical Examiner’s Office case archive file. Location at death and race/ethnicity were obtained from the same source. Location at death was matched with data in the Center for Medicare and Medicaid Services (CMS) Covid-19 Nursing Home Data to identify persons who died in skilled nursing facilities (SNFs) as well as facility and staff characteristics. We found that the 3,937 deaths among persons over the age of 60 comprised 75% of total deaths in Cook County. Of the total older adult deaths, 2,090 (53%) died in the community and 1,837 (47%) died in SNFs. Regression analyses that controlled for CMS quality ratings found that larger, for-profit nursing homes, with high levels of staff infected with Covid-19 were associated with higher mortality. The policy implications of these findings will be discussed.
Integrating Psychological Services Into Community-Based Clinics
Authors: Jacobs Lindsey 
Published: December 2021

Abstract
In Alabama, where mental health stigma is a critical barrier to care, integrated behavioral health services are vital to address the mental health needs that underlie substance use disorder (SUD) and opioid use disorder (OUD). Since October 2019, our team has developed partnerships with one rural and two peri-urban primary care clinics to offer behavioral health services with an emphasis on SUD/OUD prevention, screening, and treatment. The patient populations receiving services at these three facilities are under-resourced with multiple disadvantages placing them at risk for morbidity, mortality, SUD/OUD, and poor behavioral and mental health outcomes. Behavioral health services have been delivered primarily via telehealth due to the COVID-19 pandemic. This presentation will describe the process, current status, and future goals for implementing integrated behavioral health care, with a focus on identifying the barriers and facilitators during the COVID-19 pandemic era.
Caregiving Appraisals and Emotional Valence: Buffering Effect of Activity Participation
Authors: Lee Jeongeun , Cone Nicholas 
Published: December 2021

Abstract
Caregiving activities often lead to positive and negative appraisal for caregivers. Caregivers may limit social participation due to caregiving activities. Changes in level of activity participation could have profound consequences for caregiver’s valence. However, little is known about how activity participation could moderate the association between these caregiving appraisals and emotional valence. Data came from the National Study of Caregiving (Round 1 and 2), a nationally representative study of caregivers. Referencing Lawton’s two-factor model (1990), we examined both the level and changes in activity restriction interacting with positive and negative caregiving appraisals to predict both valence across two waves. Consistent with two factor models, findings revealed level and changes in activity restriction moderated the relationship between caregiving appraisal and outcomes for both valences. These findings highlight the role of activity restriction as a target to reduce negative valence and improve positive valence for caregivers.
Environment Still Matters: Examining Person-Place-Relationships in the Old and the New Normal Across Settings
Authors: Oswald Frank , Chaudhury Habib , Grenier Amanda 
Published: December 2021

Abstract
In environmental gerontology, the home and the neighborhood have always been of particular interest for empirical research. Issues such as orientation and safety, place attachment and biographical bonding, have proven to be important for community dwellings older adults and for those living in care homes. However, with Covid-19, the seemingly stable person-place-relationships have been challenged. This symposium provides a set of applied research contributions that demonstrate the persistent salience of the environment by examining person-place-relationships in the old and the new normal in private homes and care homes. Contributions draw from ideas of “precarious ageing” (Grenier & Phillipson) and “pandemic precarity”, for instance to understand housing insecurity, while concepts from environmental gerontology are used to explain processes of environmental agency and belonging. The first contribution by Mahmood and colleagues introduces an environmental audit tool for people at risk of homelessness to assess built environmental features of housing and neighborhood that support housing stability in the face of insecurity. Second, Wanka provides data from people framed as ‘risk-groups’ through the Covid-19 pandemic and how they dealt with contact restrictions, showing the role of intergenerational neighborhood relations to mediate risks of pandemic precariousness. Third, Elkes examined mobility and wayfinding challenges for residents in a long-term care home and subsequent environmental interventions to improve orientation. Forth, Leontowitsch and colleagues present findings from long-term care home residents during the pandemic to gain understanding of their experiences of social isolation and a biographical sense of resilience. Finally, Amanda Grenier will serve as the session’s discussant.
The Role of Intergenerational Neighborhood Relations for Precarious Aging During the COVID-19 Pandemic in Germany
Authors: Wanka Anna 
Published: December 2021

Abstract
Throughout the Covid-19 pandemic, the immediate living environment has significantly gained importance - particularly for people framed as ‘risk-groups’, such as older adults. Effects of contact restrictions to contain the spread of the virus have affected inequalities, uncertainties and loneliness in later life differently depending on the intergenerational relations, informal infrastructures of provisioning and networks of solidarity given in a certain neighborhood. The paper presents findings from a recent mixed-methods study in Frankfurt, Germany, combining a quantitative survey (n=1.000) with a longitudinal qualitative study (n=60). Results show how intergenerational neighborhood relations can play a crucial role in mediating risks of pandemic precariousness in later life, but also how older adults themselves significantly contributing to neighborhood networks of provisioning. Strengthening such very local relations is key to protecting all age groups from the effects of crises beyond the pandemic, and, in conclusion, ways to do so are being discussed.
Factors of Caregiving Resilience by Race-Ethnicity in a National Sample of Caregivers
Authors: Cho Jinmyoung , Peterson Natasha 
Published: December 2021

Abstract
Despite heavy burdens and responsibilities, some caregivers are more likely to cope better with their care responsibilities than others, and this could vary by cultural beliefs and norms on caregiving. This study examined contributing factors of resilience with three racial-ethnic groups (White, Blacks, Hispanic). A total of 2,652 caregivers were included from Round 7 of the National Study of Caregiving. Caregiving resilience was defined by higher levels of care demands and higher levels of psychological well-being. Five domains of contributing factors were included: socio-demographic characteristics, context of care, caregivers’ psychological attributes, informal and formal support. Multiple logistic regressions showed that caregivers with higher psychological attribute levels were more likely to be resilient in all three groups. However, unique predictors have also been observed by race-ethnic groups (e.g., Blacks using formal support were more resilient). These findings suggest the need for culturally specific programs to facilitate resilience among caregivers.