bluuebunny/crossref_metadata_2025_split huggingface dataset:
COMMUNITY PREVALENCE OF POSTTRAUMATIC STRESS DISORDER, VETERAN STATUS, AND FALLS IN MA, CT, AND RI
Authors: Boateng Josephine , Fleet Alexa , Siebecker Megan , Jansen Taylor , Dugan Elizabeth 
Published: January 2025

Abstract
Post-traumatic stress disorder (PTSD) is a debilitating condition that is not well-understood in older people and often undetected. PTSD may arise from military service, falls, or other traumatic events. Understanding the prevalence of PTSD is important to identify service gaps. This study uses data from the Healthy Aging Data Report (healthyagingdatareports.org). Indicator data sources included: Medicare Beneficiary Summary Files (2014-2015 MA, 2016-2017 CT and RI), the American Community Survey (2012-2016 MA, CT, RI) and BRFSS (2012 and 2014 MA, 2012-2018 CT, 2012-2017 RI). Small area estimation techniques were used to calculate rates using Stata and ArcGIS was used for mapping and geographic analyses. Results showed that community rates for PTSD were: CT 1.2% (0.41-3.10%), RI 1.7% (0.91-4.59%), MA 1.8% (0.58%-5.71%). Massachusetts had both the widest range in PTSD community rates and the highest state rate. Military service: MA 18.8% (3.24-42.58%), CT 17.4%, (6.70-33.7%), and RI 19.0% (9.51-31.70%). Falls: MA 10.6% (6.47-18.18%), CT 26.3% (19.31-32.39%), and RI 26.3% (21.51-31.17%). Disparities in access to care or clinicians who could diagnose PTSD may contribute to some of the differences observed. Understanding these regional disparities would inform collaborative efforts from researchers, policymakers and stakeholders. Further research is warranted on this unexplored topic.
HEARING LOSS AND SPOUSE’S MENTAL HEALTH WITH GENDER DIFFERENCES
Authors: Jeon Jaemin , Lee Kyuho 
Published: January 2025

Abstract
This research investigated the influence of individuals’ auditory acuity on the occurrence of depressive symptoms in their spouses, mediated by the provision of support within marital relationships among elderly couples. Data from a sample of 1,069 older adult couples participating in the Health and Retirement Study (HRS) were analyzed. Utilizing three-wave dyadic data collected in 2010, 2014, and 2018, we conducted path analyses employing Mplus 7.0 to estimate the mediating effects of spousal support while controlling for autoregressive effects. Our findings indicate that husbands’ superior auditory acuity at the initial assessment (T1) was associated with a reduction in depressive symptoms among their wives at the third assessment point (T3). Spousal support served as a mediator in this relationship. However, wives’ auditory acuity did not exhibit a longitudinal impact on their husbands’ depressive symptoms. This study provides empirical evidence supporting the significant role of older adults’ auditory abilities within the context of marital relationships and the mental well-being of spouses. Keywords: hearing, spousal support, depressive symptoms
MENTAL HEALTH AS A FORTITUDE FACTOR
Authors: Abramson Tobi , Berman Jackie , DeBell Karen , Hatten Christina 
Published: January 2025

Abstract
NYS’ Geriatric Mental Health Act has led to the establishment of a series of Geriatric Demonstration grants. To build fortitude, this round of grants focuses on the development of a Partnership to Support Aging in Place (PSAP) as a model to provide in-community services and supports to address unmet behavioral health, physical health, aging, and social support needs of older adults. The triple partnership of providers includes three core service areas: (1) OMH licensed mental health services (2) OASAS licensed SUD service providers (3) NYS Area Agency on Aging (AAA). The grant components also includes providing certified peer specialists, utilizing technology, and wrap around funding. These grants address disparities in access to services experienced by diverse, vulnerable, marginalized populations, those disproportionately affected by the COVID-19 pandemic. For the 6 grants, there have been over 280 admissions of older adults who need either mental health, aging services, or substance use disorder services. Of enrollees, 72% suffered from depression, 73% suffered from anxiety, 27% suffered from substance abuse, and 50% had an aging need. Innovative technologies includes the implementation of a created curriculum surrounding Fitbit use, and Elli-Q. Both substance use disorder and mental health peers have been central in these grants and many of these peers have been instrumental in conducting the peer-led program known as ‘Do More Feel Better’. Each component of this initiative and the outcome data will be discussed in this session. All of these factors strengthen older adults mental health fortitude.
ROLES OF GENDER AND SOCIAL MEDIA USE: MODERATING THE RELATIONSHIP BETWEEN FRUSTRATION AND DEPRESSIVE SYMPTOMS
Authors: Lou Vivian Weiqun , Cheng Clio Yuen Man 
Published: January 2025

Abstract
Depressive symptoms among older adults pose a significant public health challenge, requiring thorough investigation of contributing factors. This study aimed to examine the role of gender and social media use as moderators in the relationship between frustration of basic psychological needs and depressive symptoms among young-olds (N = 686; Mage = 61.9 years; SD = 5.82), with implications for the development of targeted and tailored interventions. The regression model yielded statistical significance (F(6, 679) = 46.74, p &lt; 0.001), accounting for 28.61% of the variance in depressive symptoms among young-olds. Notably, a significant interaction effect emerged between frustration and social media use (β = -0.042, p = 0.019). Young-olds who reported higher levels of frustration and increased social media use displayed elevated depressive symptoms, suggesting the potential detrimental impact of excessive social media consumption on mental well-being. Furthermore, the interaction effect between gender and social media use was also significant (β = 2.161, p &lt; 0.001), indicating distinct group differences. Among males, a significant negative interaction effect was observed between frustration and social media use on depressive symptoms (β = -.099, p =.006). Conversely, no significant interaction effect between frustration and social media use was found among females (β = -.017, p =.392). Overall, these findings highlight the complex interplay of frustration, social media use, gender, and depressive symptoms among young-olds. Tailored interventions addressing the unique needs and vulnerabilities of different gender groups and promoting healthy social media use is crucial in reducing depressive symptoms in this population.
SELF-ACCEPTANCE: FORTITUDE FOR MIDDLE-AGED AND OLDER ADULTS, ENHANCING MENTAL WELL-BEING AMID RECESSION
Authors: Kwon Ilan 
Published: January 2025

Abstract
Self-acceptance serves middle-aged and older adults to manage adversity and maintain mental well-being during Recession. Embracing both positive and negative aspects of oneself can cultivate a sense of self-worth, reduces vulnerability to external stressors, and bolster resilience. This positive attitude enables individuals to navigate adversity with greater adaptability and emotional stability and reinforce their coping mechanisms that enhance their capacity to manage adversity and maintain mental well-being despite economic hardship. Using the national data, Midlife in the United States (MIDUS 3, 2013-2014), this study aims to identify different patterns of socio-economic challenges experienced by middle-aged and older Americans (aged 50-64) during the 2008 recession and examine the interaction effect of the different types of challenging experiences and self-acceptance levels on later-life mental well-being. Latent class analysis of twenty-six socio-economic challenge items revealed five patterns of the Recession experiences: People encountering various difficulties, job transitions, financial hardships, homebuyers burdened with reduced debts, and those experiencing no significant challenges. Multiple regression results showed that people facing financial hardship and job mobility during the Recession reported heightened mental health issues compared to those with fewer challenges, even after controlling for other variables. Higher levels of self-acceptance correlated with better mental health outcomes. Notably, individuals with elevated self-acceptance demonstrated resilience in maintaining mental well-being despite economic adversity. By highlighting the protective role of self-acceptance, this study offers valuable insights into effective coping strategies and informs interventions aimed at bolstering the resilience and psychological well-being of middle-aged and older adults facing socio-economic challenges and adversity.
“I WON’T GO THROUGH THAT OR TAKE MY FAMILY THROUGH THAT”: FAMILY RELATIONSHIPS AND KIDNEY DISEASE DECISION-MAKING
Authors: Hamler Tyrone , Cutforth Asia , Miller Emily , O’Donnell Kari 
Published: January 2025

Abstract
Chronic kidney disease (CKD) uniquely impacts older Black Americans, who are nearly four times more likely to develop kidney failure than older White Americans and more likely to have family members also diagnosed with CKD. Utilizing a phenomenological approach, this study explored participants’ perceptions of how family members’ prior experiences with CKD influenced treatment-related decision-making. This study aimed to (1) describe how older Black adults viewed the experiences of family and friends previously diagnosed with CKD and (2) to understand how these social complexities informed their own choices for future CKD care. A reflective, thematic content analysis was conducted to identify patterns across participant responses (N=52). Participants were pre-dialysis, diagnosed with stage four or five chronic kidney disease, and were receiving outpatient nephrology care at a large, urban midwestern hospital. Three primary themes emerged: (1) Decision-Making Factors, (2) Health Inequities, and (3) Continuity of Care. These three interconnected themes centered on factors that influenced why and how decisions related to chronic kidney disease were made and how racial identity and prior family experiences with CKD influenced these choices. Over the next 40 years, the population of Black Americans aged ≥ 65 years will nearly triple, and CKD will continue to be a major public health concern. Addressing the complex support requirements and burdens of CKD care is critical for reshaping the negative and disorienting experiences of older Black Americans and reducing future decision-making conflicts.
MIDDLE AGED AND OLDER BLACK AMERICAN PERCEPTIONS OF DISCRIMINATION
Authors: Hunter Heather , Nagel Corey L , Harrison Tracie 
Published: January 2025

Abstract
The purpose of this study was to examine discrimination reported by middle aged and older non-Hispanic Black Americans by sex, region, type, and frequency throughout the United States. Understanding the contextual and regional influences on recent discriminatory outcomes perceived by older Black adults provides context for future intervention. Hence, we conducted an analysis of 3,761 Non-Hispanic Black adults aged 50+ who participated in the Health and Retirement Study between the years of 2008-2018, examining participants responses to the Perceived Everyday Discrimination Scale. This 6-item scale assesses the frequency of specific types of discrimination with follow up questions that query respondent attributions for experienced discrimination. A binary measure indicating discrimination several times per month or greater was created and used to calculate descriptive statistics stratified by sex and census region of residence. The majority (67%) of respondents reported an experience with one of the listed types of discrimination, with a slightly higher portion of the men (69%) reporting discrimination than the women. Of the sample 28% reported having experienced one of the types of discrimination a few times per month or greater. Highest ranked reasons for discrimination ranged from ancestry (N=200, 29%), gender (N=614, 25%), race (N=1.540, 63%), age (N=998. 41%), financial (N=725, 30%), and disability 465 (19%). Never experiencing discrimination of any type was reported by 34.1% (South), 32.5% (Northeast), 31.9% (Midwest), and 29.8% (West) of respondents by region. Middle aged and older Black Americans perceived discrimination resulting in feelings of less respect, greater fear, heightened threat, and/or poor healthcare.
NATIVITY DIFFERENCES IN OLDER MEXICAN AMERICAN HOSPITALIZATIONS: STRENGTH AND FUNCTION AS MARKERS
Authors: Ventura Juan , Snih Soham Al 
Published: January 2025

Abstract
Hospitalizations are a difficult occurrence for many older adults. Additionally, health differences have been noted in adults according to their country of origin. This study aims to compare nativity differences in hospitalizations using handgrip strength (HGS) and short physical performance battery (SPPB) among Mexican American older adults. This prospective cohort study included 1,324 Mexican Americans aged ≥75 years from the Hispanic Established Population for the Epidemiological Study of the Elderly. Measures included socio-demographics, body mass index, multi-morbidity (≥2 medical conditions), depressive symptoms, disability, cognitive function, and HGS–SPPB performance groups. Generalized estimating equation models were utilized to estimate the odds ratio (OR) and 95% Confidence Interval (CI) of hospitalization as a function of HGS and SPPB performance groups. Foreign-born participants in the high HGS–low SPPB (OR=0.62, 95% CI=0.40-0.97) and high HGS–high SPPB (OR=0.42, 95% CI=0.18-0.97) groups experienced significantly lower odds of hospitalizations compared to those in the lowest performing group (low HGS–low SPPB). No association was found between HGS-low SPPB (OR=0.71, 95% CI=0.50-1.00) and HGS-high SPPB (OR=0.63, 95% CI=0.36-1.11) with hospitalizations among US-born. Those with Multimorbidity and falls had greater odds of hospitalizations among both US and foreign-born. High levels of education were associated with lower odds of hospitalization among foreign-born and high depressive symptoms were associated with greater odds of hospitalizations among US-born. Overall, older Mexican Americans who performed high in HGS and high in both HHS and SPPB experienced relatively decreased odds of hospitalizations, with the effect being significant in those who were foreign-born.
EXPLORING CAREGIVING PATHS AMONG RACIALLY DIVERSE FAMILY CAREGIVERS OF OLDER ADULTS WITH DEMENTIA
Authors: Lee Jung-Ah , Kim Hyun Jung , Lee Young-Shin 
Published: January 2025

Abstract
Ethnic minority family caregivers who directly care for community-dwelling older adults experiencing dementia, navigate distinct paths in their caregiving journey. Our aim was to discern the unique aspects of caregiving experienced by ethnic minorities in comparison to White caregivers. The study employed a descriptive qualitative design utilizing thematic analysis. Participants were recruited from diverse California ethnic communities. Bilingual nursing students offered emotional support to home-bound caregivers through weekly calls for two months during the pandemic crisis. Twenty-three participants included 7 White, 8 Latino, 5 Korean, and 3 Vietnamese caregivers. The mean age was 60, ranging from 27 to 79 years old. Eighty-one percent of minority persons with dementia (PWD) were Medicaid beneficiaries, while none of the White PWD were low-income. Significant differences in caregiving experiences were identified across three key areas: problem-solving skills, social boundaries, and dynamics between PWD and their caregivers. White caregivers reported more active problem-solving skills, establishing social boundaries that extended beyond their immediate family members, and dedicating more time to engaging PWD in shared activities. Conversely, minority caregivers with limited English proficiency exhibited a tendency to endure problems, carefully constructed social boundaries with selective membership, and seemed to prefer solitary activities (e.g., watching TV) over actively engaging with PWD (e.g., gardening). The findings showed that low-income minority caregivers had lower problem-solving skills, limited social boundaries, and less PWD engagement at home compared to counterparts. We underscore the importance of culturally sensitive support and tailored interventions in addressing the diverse needs of caregivers across different ethnic backgrounds.
MONTH-LONG FITNESS CHALLENGES IMPROVE ENDURANCE AND STRENGTH FOR VETERANS PARTICIPATING IN GEROFIT
Authors: Rekant Julie , Giffuni Jamie , Addison Odessa 
Published: January 2025

Abstract
Older adults are vulnerable to loneliness and low physical activity engagement. Peer accountability can help encourage participation in exercise and foster a sense of community. Two, month-long fitness challenges were offered to older Veterans (65+ years) in Gerofit: (1) “The Long March” was a walking challenge with daily step goal targets increasing each week, (2) “Squatober” was a sit to stand challenge with daily bodyweight squat repetition goals increasing each week. Veterans were provided with cardio and strength workouts to complete in addition to the daily challenges. Thirty-one unique Veterans participated in these challenges (9 Veterans participated in both). Veterans in The Long March challenge (N=18, Age: 72.8±4.5 years, BMI: 30.2±5.9 kg/m2, 83% Male, 78% Black) participated in 88.3±28.0% of challenge days and met their step goals 50.2±36.1% of the days they participated. Veterans in The Long March challenge increased their Six Minute Walk Test distances by 28.0±48.7 meters after four weeks. Twenty-two Veterans participated in the Squatober challenge (Age: 74.3±6.3 years, BMI: 30.7±5.2 kg/m2, 81% Male, 86% Black). Sixty-three percent (N=14/22) completed every workout. Veterans participating in the Squatober challenge reported an overall rating of perceived exertion of 5.0±2.5 out of 10, decreased their Five Time Sit to Stand times by 1.3±2.3 seconds, and were able to complete an average of 2.6±4.1 more sit to stands during the 30 Second Chair Stand Test after four weeks. Older Veterans found fitness challenges engaging and showed functional improvements in just four weeks with daily movement goals.
PEER-LED DIET AND EXERCISE INTERVENTION FOR OLDER VETERANS WITH DYSMOBILITY
Authors: Friedman Ben , Serra Monica , Patel Rhianna , Dennis Elizabeth , Kilpela Lisa , Addison Odessa 
Published: January 2025

Abstract

Purpose
Older adults with mobility impairments have increased falls, higher hospitalization rates, and elevated healthcare costs. Veterans face higher obesity rates and poorer health outcomes. This study evaluated the adherence and preliminary efficacy of a peer-led diet and exercise intervention targeting older Veteran with dysmobility in two urban areas with a high proportion of racial and ethnic minorities.

Methods
Twelve older Veterans (78.9 ±6.4 years) from San Antonio, TX, and Baltimore, MD, participated in a 12-week peer-led intervention. The groups met twice a week for one hour and focused on behavioral modification, nutrition, and whole-body aerobic and band-resisted exercises. Baseline and post-intervention assessments included the 6 Minute Walk Test (6MWT), Timed Up and Go (TUG), grip strength,10-Meter Walk Test (10mWT), Four Square Step Test (4SST), and Short Physical Performance Battery (SPPB). Descriptive statistics were computed for each outcome and paired sample t-tests assessed within-subject changes. Adherence was measured by session attendance and completion rate.

Results
Significant improvements were observed in the 10mWT (p &lt; 0.05). While not statistically significant, most participants demonstrated improvements in the TUG (5/9), 6MWT (6/9), and 4SST (7/9). For those that improved on the SPPB (4/9), half were no longer below the cut-off score of ≤ 10. Session attendance was 60.96% (TX) and 76.47% (MD). Study completion rate was 83.33% (1 drop out per site). Implications: This pilot study supports the need for further investigation to explore the long-term effects of a peer-led diet and exercise intervention addressing multiple health domains among older Veterans.
PSYCHOLOGICAL RESILIENCE AMONG OLDER ADULTS WITH TRAUMATIC BRAIN INJURY: A CONCEPT ANALYSIS
Authors: Kuntajak Premgamon 
Published: January 2025

Abstract

Aim
To examine the concept of psychological resilience among older adults with Traumatic Brain Injury (TBI).

Background
Psychological resilience fosters adaptation after TBI, serving as a crucial indicator of recovery and success in rehabilitation. Despite being recognised for over decades, resilience remains a poorly defined concept within the realm of TBI. Thus, there is an urgent need for further exploration of psychological resilience within TBI to enhance the understanding and clarify the meaning of psychological resilience and its significance to older adults with TBI.

Method
Walker and Avant’s modified method of concept analysis was used to guide this analysis. Literature from multiple scholarly databases was identified keywords: “Resilience,” “Psychological Adaptation,” “Hardiness,” and “Psychological Well-Being,” which were imputed using established inclusion criteria: full text, peer-reviewed, and printed in English from 2013-2023. Eligible articles were examined to determine the context of resilience and to comprehend and analyse its attributes, antecedents, and consequences. Outcomes: Antecedents of psychological resilience include exposure to adverse events and a social support system. Two principal attributes consisted of personal traits and the adaptation process. Psychological resilience facilitates improved physiological and psychological health outcomes, enhances recovery, and decreases complications among older adults with TBI.

Conclusion
Research in TBI is transitioning from a deficit-oriented perspective to a strengths-based approach. A firm knowledge of psychological resilience from this analysis offers valuable insights that can guide nursing interventions, inform the application of theory, influence policymaking, and drive research possibilities aimed at improving health outcomes for older adults with TBI and their families.
GENDER DIFFERENCES IN YEARS OF GOOD LIFE AMONG OLDER ADULTS IN INDIAN SUBNATIONAL LEVEL POPULATION
Authors: Chakraborty Ruchira 
Published: January 2025

Abstract
The study investigates the heterogeneities in healthy life among older-adults in India, using a novel concept of counting ‘expected years of good life’. Grounded in Amartya Sen’s ‘capable longevity’ approach, the index of YoGL (Years of Good Life) is an amalgamation of objective and subjective dimensions of health. A year is counted as ‘good’ if a person is simultaneously out of poverty, free from severe activity limitations and cognitive impairments, and experiences positive life satisfaction. After attaining a certain age, remaining good life years within life expectancy are computed by employing Sullivan’s method using Longitudinal Ageing study in India,2017-18 (LASI wave-I) dataset. The results show, at age 50, YoGL for male is 13.9 years (55.6% of remaining life expectancy) and for females, 11.3 years (41.7% of remaining life expectancy). Supporting the ‘gender-health-mortality paradox’, results reveal that women’s advantage in life expectancy doesn’t translate into equal advantage in ‘good-years’ for all older age-groups. Inter-state variability is higher in terms of YoGL, than in life expectancy; from 64% years counts as ‘good life’ in Punjab to 34% of remaining years as ‘good life’ in Odisha. Regression decomposition indicates functional limitations contributes 32%, cognitive impairment 20% and birth-cohorts contributes around 18% in explaining the regional heterogeneity.