bluuebunny/crossref_metadata_2025_split huggingface dataset:
EXPLORING THE RELATIONSHIP AMONG PLACE ATTACHMENT, SELF-PERCEPTION OF AGING, AND SOCIAL PARTICIPATION
Authors: Chen Wei-An , Liu Li-Fan 
Published: December 2023

Abstract
In the context of aging in place, the purpose of the study was to explore the relationship between place attachment, self-perception of aging and social participation of middle-aged and older adults living in the community. The study sample consisted of 226 people aged 50 and over that lived in an urban community in Tainan city, Taiwan. The instrument used were questionnaires that included socio-demographics, health status, and scales for the three main variables. The data was analyzed using correlation, linear regression and mediation testing. The result showed a significant positive correlation between place attachment and both positive and negative self-perception of aging. Furthermore, it was found that negative self-perception of aging and place attachment had significant effects on social participation. Specifically, individuals with lower levels of negative self-perception of aging and higher levels of place attachment showed higher levels of social participation. Finally, the mediation analysis indicated that place attachment played a partial mediating role in the relationship between negative self-perception of aging and social participation. This means that under the positive effect of place attachment, social participation of middle-aged and older adults with negative self-perception of aging can still be increased. In conclusion, based on the interaction between aging and the environment, in addition to the importance of reducing negative views on aging, this study sheds light on the power of emotional bonds with living place in promoting active and healthy aging in familiar neighborhoods.
FACTORS INFLUENCING OLDER KOREAN AMERICAN IMMIGRANTS’ FRAILTY: A QUALITATIVE STUDY
Authors: Sagong Hae , Chon Myoung-Gi , Tsai Pao-Feng 
Published: December 2023

Abstract
The older immigrant population, characterized by unique attributes such as diverse cultural backgrounds, health beliefs, health behaviors, language barriers, and low health literacy, requires a specific focus on identifying factors that influence frailty. This study aims to explore the influencing factors of frailty among older Korean American immigrants (OKAIs) residing in suburban areas with limited Korean healthcare infrastructure. Semi-structured interviews were conducted with 9 OKAIs residing in Lee County, Alabama, focusing on four factors associated with frailty: health literacy, physical activity, diet, and mental health. Qualitative content analysis was employed to analyze the data. Validated assessment tools for frailty, health literacy, physical activity, nutrition, depression, and cognitive impairment were also used to gather participant characteristics and complement the qualitative findings. Participants exhibited significant differences in health literacy scores between the Korean and English versions. Content analysis yielded seven categories and twenty-two sub-categories were derived from the eighty identified codes. In addition to typical age-related changes observed among older adults in general, their social activities, health behaviors, and healthcare visits were constrained by different environments/healthcare systems compared to Korea, as well as limited English proficiency and healthcare resources. Participants expressed a need for Korean healthcare providers or interpreters during their healthcare visits and emphasized their preference for Korean food and sought ways to maintain vitality. To prevent and manage frailty among OKAIs, interventions need to consider their unique characteristics, facilitators, and barriers. This approach may also benefit other ethnic minority populations facing similar challenges, thus enhancing healthcare for these communities.
FEAR OF CANCER RECURRENCE IN OLDER WOMEN IN REMISSION FROM GYNAECOLOGICAL CANCER IN REGIONAL AUSTRALIA
Authors: Kulatunga Senara , Rich Stacey , Steer Christopher , Rasekaba Tshepo , Webb Nicole , Blackberry Irene Darmadi 
Published: December 2023

Abstract
Fear of cancer recurrence (FCR) can be a constant feature of cancer survivorship and can negatively impact quality of life. Whilst the symptom burden from FCR is higher in younger patients, the impact of FCR in older adults is poorly understood. This project explores FCR, survivorship and the coping strategies associated with FCR in older women in remission after treatment of gynaecological cancer, a cancer type with high recurrence rates. Qualitative interviews were conducted with ten older women (age range 68-87 years) in remission from gynaecological cancer (Ovarian = 5, Uterine = 5). Interviews were designed to explore the experience of FCR in older women who had been treated at a regional cancer centre in Australia. Thematic analysis was undertaken to uncover themes related to the experience of FCR and coping strategies employed. Emergent themes included fear of burdening others, the emotional impact of the death of close others, and positive or negative experience of prior treatment. Emergent themes in coping with FCR in survivorship included helping others, comparison to others, keeping occupied, and support from others. Patients discussed preferring not to dwell on thoughts of recurrence. These findings are novel in FCR literature as they point to an experience of FCR in older women that may not fit the profile of the general population. Whilst further work is needed, these findings support the need for a tailored approach to supporting older women through survivorship to ensure optimal quality of life.
FEMALE BREAST CANCER SURVIVAL IN BLACKS VERSUS WHITES ACCORDING TO TUMOR STAGE, AGE, AND MARITAL STATUS AT DIAGNOSIS
Authors: Merrill Ray , Gibbons Ian 
Published: December 2023

Abstract
Female breast cancer survival is significantly influenced by tumor stage, age, and marital status at diagnosis. While Blacks have historically had lower breast cancer survival than Whites, it is not clear whether this lower survival differs across the levels of tumor stage, age, or marital status at diagnosis. This paper will assess this using five-year relative survival (5-YRS) estimates from the Surveillance, Epidemiology, and End Results (SEER) Program. Cases reflect 2000-2015 and follow-up extends through 2020. 5-YRS was 90.9% in Whites and 81.1% in Blacks, consistently lower by the levels of tumor stage, age, and marital status at diagnosis. In a regression model adjusting for these variables, the difference in 5-YRS was 8.0% for Whites versus Blacks, -15% for regional stage and -67% for distant stage (versus local stage), lower in older ages at diagnosis, and 5.2% for married (or cohabitating) versus otherwise. The lower 5-YRS in Blacks significantly varied by tumor stage at diagnosis (4.2% for local stage, 9.9% for regional stage, and 11.6% for distant stage; p=0.0098) but did not significantly vary by age or marital status at diagnosis. The variation across tumor stage at diagnosis in the lower 5-YRS for Blacks depended on age (p&lt; 0.0001), with greater variability in the younger age groups and less variability in the older age groups. Thus, poorer 5-YRS for Blacks versus Whites persists across tumor stage, age, and marital status at diagnosis and becomes increasingly more pronounced in later stages at diagnosis, especially in younger versus older age at diagnosis.
FINANCIAL AND HEALTH INSURANCE STATUSES OF ALZHEIMER’S DISEASE AND RELATED DEMENTIA CAREGIVERS
Authors: Walker Jenny , Patel Roshni , McGuire Lisa 
Published: December 2023

Abstract
The number of individuals with Alzheimer’s disease and related dementias (ADRD) is rising as the U.S. population ages. Important sources of care for these individuals are the approximately 11 million caregivers who donate upwards of 18 billion hours of unpaid time while incurring many of the daily expenses and out-of-pocket healthcare costs associated with their role (Alzheimer’s Association, 2023). Therefore, the financial statuses of these individuals are important to understand as we continue to develop and fortify ADRD programs and health services. Participants from 40 U.S. states and territories who completed the 2021 Behavioral Risk Factor Surveillance System caregiving module were divided into three categories: non-caregivers (n = 184,709), non-ADRD caregivers (n = 36,459), and ADRD caregivers (n = 10,583). Results from a series of Rao-Scott chi-squared tests indicate that household income levels were similar across these three categories, but a significantly higher percentage of caregivers had other people—likely the care recipient— living in their household (87.3% non-ADRD, 86.8% ADRD, 81.1% non-caregivers). Moreover, while significantly fewer caregivers reported that they lacked health coverage (7.3% non-ADRD, 6.4% ADRD) than non-caregivers (8.4%), a larger percentage reported missing a healthcare appointment in the previous year because they could not afford it (12.6% non-ADRD, 12.8% ADRD, 8.8% non-caregivers). These results further highlight the need for focused federal, state, and local interventions for community-dwelling caregiver populations to support the financial toll of caregiving.
FINANCIAL CAPABILITY AMONG OLDER ADULT IMMIGRANTS, A SYSTEMATIC REVIEW
Authors: Lopez Bruna , Campos Barbara Mendez , Sabbath Erika 
Published: December 2023

Abstract
The Financial Capability approach assesses individuals’ financial knowledge and behaviors within the context of opportunities in the environment. Scholars and practitioners have documented how immigration status can influence individuals’ access to and eligibility for financial products and services, due to federal, state, and community rules and norms. Those who lack immigration status (i.e., undocumented immigrants) often face additional financial hurdles. A separate line of research has shown how financial capability can influence retirement savings, yet this did not focus on immigration status. As such, this systematic review seeks to understand how variations in legal immigration status impact the financial capability and long-term financial wellbeing of older adult immigrants in the United States. The current review utilized standardized procedures and protocols to identify articles related to financial capability, immigration status, and retirement savings, resulting in an initial list of 3,599 articles. Three studies published before May 2023 were included in the final narrative synthesis due to their inclusion of immigrants over 55. Results demonstrate that financial capability studies of older adult immigrants that met eligibility criteria have centralized Asian individuals, particularly Chinese, Taiwanese, and Korean populations. Furthermore, studies indicate that increasing financial capability among older immigrants can strengthen their financial security, yet these studies focus less on the impact of immigration status. Programs, services, or products operating on the financial capability paradigm warrant continued research as older immigrants have unique attributes (e.g., language, culture) and require careful design, implementation, and evaluation of efforts seeking to target long-term financial wellbeing.
FURTHER EVALUATION OF A MODIFIED VERSION OF THE HOSPICE PHILOSOPHY SCALE: A DIFFERENTIAL ITEM FUNCTIONING ANALYSIS
Authors: Becker Todd , Clem Sarah , Sacco Paul , Cagle John , Davitt Joan , Kusmaul Nancy , Cain Cindy 
Published: December 2023

Abstract
The hospice philosophy of care (HPOC) is a set of values applicable to all interdisciplinary group members that drives organizational and individual approaches to hospice care. As the only established measure of HPOC attitudes, we aimed to extend previous exploratory psychometric evaluation of the eight-item Hospice Philosophy Scale (HPS-8). An interdisciplinary convenience sample of 481 hospice clinicians participated in this cross-sectional study. Participants were recruited through hospice and palliative care membership associations representing the core members of the Medicare Hospice Benefit-designated hospice interdisciplinary group (physicians, nurses, social workers, chaplains). After examining uniformity through confirmatory factor analysis, we tested HPS-8 items for differential item functioning (DIF) by professional discipline using multiple indicators, multiple causes models. We compared models via nested chi-square difference tests. Our final model assessed uniform DIF for the HPS-8 factor, controlling for DIF-indicated items. We also assessed internal consistency reliability. After correlating errors for two similarly worded items, global fit indices met prevailing thresholds, χ²(19)=55.18, p&lt;.001 (RMSEA=.06, SRMR=.03, CFI=.98, TLI=.97). The uniform DIF model indicated two items with DIF. Chaplains endorsed the need for mental and spiritual preparation for death more than physicians (β=0.21, p&lt;.001). Nurses endorsed involving patients and families in deciding treatments and services more than physicians (β=0.21, p=.006). Despite statistically significant DIF on these items, statistically significant differences among professions were not observed at the factor level (p&gt;.50 for all). Composite reliability estimates satisfied internal consistency thresholds (CR=.76). Results support the HPS-8’s use as a valid and reliable measure for assessing HPOC in hospice clinicians.
GENETIC PLEIOTROPY OF KIDNEY FUNCTION AND SOLUBLE RECEPTOR FOR AGE: THE LONG LIFE FAMILY STUDY
Authors: Feitosa Mary , Jin Shiow , Acharya Sandeep , Wojczynski Mary , Christensen Kaare , Zmuda Joseph , Brent Michael , Province Michael 
Published: December 2023

Abstract
Chronic kidney disease (CKD) patients have increased inflammation and oxidative stress that may escalate the production of advanced glycation end-products (AGEs), a biomarker implicated in aging. Circulate soluble receptor for AGE (sRAGE) is associated with CKD and inversely associated with the estimated glomerular filtration rate (eGFR). In the Long Life Family Study, eGFR measured by creatinine (eGFRcr) and cystatin-C (eGFRcys) correlated with sRAGE (r~ -0.27, p&lt; 1x10-30). We investigated genetic pleiotropy conducting GWAS for eGFRcr, eGFRcys, and sRAGE and correlated meta-analysis (CMA) on GWAS p-values from whole-genome sequence variants in 4,182 subjects (age range: 24–110). Of the 59 loci identified (p&lt; 5x10-8), 42 were novel eGFR discoveries. We performed TWAS and CMA-TWAS for eGFRcr, eGFRcys, and sRAGE on blood RNA-seq in 1,209 subjects and identified 17 genes with pleiotropic expressions for eGFRs and sRAGE (Bonferroni-p&lt; 2.73x10-6). Several CMA-GWAS gene variants (e.g., SH3GLB1/SELENOF, CENPP) were eQTLs in glomeruli and tubule kidney (Human Kidney eQTL Atlas, HK-Atlas) and other tissues (GTEx-v8). The bioinformatics analyses identified (i)genes harboring eQTLs in glomeruli and tubule kidney (HK-Atlas), (ii)enhancer-promoter gene variants associated with kidney function-related phenotypes at genome-wide significance (GeneHancer/GeneCards/GWAS-catalog), and (iii)enhancer regions predicting gene expressions in kidney related-function (EPRI, enhancer-promoter-RNA maps). Some functional genes were found among bioinformatics (e.g., MTX1, TOPORS, SNTB1, LSP1, SNTB1, ATG2A, TP53INP2) and others were unique (e.g., TEC, CCN1, and ERGIC1, GeneHancer/GeneCards/GWAS-catalog). Genomic, transcriptomic, and bioinformatics results demonstrated evidence that some novel variants and genes have functional regulatory features in the kidney and are likely involved in biological and clinical aging.
HEALTH PROFESSIONAL STUDENT-LED SOCIAL PHONE CALLS TO ADDRESS LONELINESS IN AGING-IN-PLACE ADULTS AFTER STROKE
Authors: Burnett Jason , Savitz Sean , Broussard Jordan , Beauchamp Jennifer 
Published: December 2023

Abstract
Social isolation and loneliness (SIL) increases the risk of stroke and recurrence by 32% and 40%, respectively. The functional and cognitive deficits that often accompany stroke can impair social engagement behaviors and increase SIL. Intergenerational programs have proven effective for addressing SIL through social engagement behavior change in older adults, but the feasibility of these programs is unspecified for aging-in-place adults after stroke. We paired 14 community-living adults after stroke with 14 health professional students (HPS) for 6-weekly unstructured social phone calls. Baseline and follow-up data measuring SIL and other psychosocial metrics were conducted. HPSs journaled following each call. The 13 (93%) participants completing all calls were an average of 57 years old and white non-Hispanic (77%). The calls lasted approximately 49 minutes. Average baseline scores for loneliness and social isolation were 48 and 22, respectively. The average score for loneliness decreased 4 points at week six. The average score for social isolation was unchanged. Average baseline scores for symptoms of depression and anxiety were 20 and 8, respectively, and scores decreased by 1 point at week six. Participants disclosed physical and emotional challenges, previous valued employment, and enjoyment from the social engagement. HPSs learned about the struggles of aging-in-place after stroke and valuing compassionate care and social engagement. An intergenerational social phone call program provided a feasible, acceptable, and encouraging approach for addressing loneliness in community-living adults after stroke and has encouraging effects on mental health. A randomized controlled trial is needed to provide definitive data on intervention effects.
HEALTHCARE WORKERS’ PERSPECTIVES ON AI-ENABLED ROBOTS USE IN LONG-TERM CARE: A SCOPING REVIEW
Authors: Hung Lillian , Wong Karen Lok Yi , Wong Joey , Park JuYoung , Alfares Hadil , Zhao Yong , Mousavi Hossein , Zhao Hui 
Published: December 2023

Abstract
Artificial intelligence (AI) enabled robots are increasingly implemented in long-term care homes (LTC). However, the views of LTC staff on these robots remain largely unexplored. Our scoping review delves into the staff’s perceptions, outlining the advantages and challenges of using AI robots in LTC settings. Using the Joanna Briggs Institute’s methodology, we screened 86 articles from 2013 to 2023, with 35 fitting our criteria. Our analysis was informed by McCormack’s Person-centred Care Practice (PCP) Framework and the Consolidated Framework for Implementation Research (CFIR). We identified five key barriers: 1) the complexity of the robot, 2) potential job losses and increased workload, 3) concerns about safety and efficacy, 4) risk of depersonalized care, and 5) a lack of supportive regulations and resources in LTC facilities. To address these challenges, we recommend strategies: a) staff training, b) clarifying robot benefits to staff, c) demonstrating how robots can fulfill resident needs, d) implementing ethical guidelines, and e) aligning robot use with LTC policies while ensuring resource availability. In conclusion, partnership is required among healthcare workers, organizational leaders, robot developers, and researchers; they should not work in silos. More research is needed to explore how to facilitate effective partnerships.
HEMOPEXIN’S RELATIONSHIP WITH MUSCLE QUALITY AND COGNITIVE FUNCTION IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Authors: Zeng Derong , Qi Xiang , Wu Bei , Kawasaki Teruaki , Akiguchi Ichiro , Kinoshita Ayae 
Published: December 2023

Abstract
The imminent increase in Alzheimer’s disease (AD) and dementia increases the need for effective prevention strategies. Increasig attention has been paid to exercise as a prevention strateg to promote cognitive health. Recently, the link between hemopexin which is secreted by atrophied skeletal muscle and cognitive function maintenance has been studied, but evidence remains inconclusive.This study examined the relationship between hemopexin, muscle mass, muscle quality (Phase Angle, PhA), and cognitive function (measured by Mini-Mental State Examination) among 377 cognitively impaired older adults (mean age = 83.5 years).TANITA (MC-780A-N) was used to measure body composition. The concentration of hemopexin in human plasma samples was measured using the HPX (Human) ELISA Kit (KA0481). In Pearson correlation analysis, hemopexin showed no significant correlation with muscle mass, quality, or cognitive function. Multivariate regression analysis revealed that lower PhA is significantly associated with poorer cognitive function (t-value=2.012, p&lt; 0.05), but hemopexin and muscle mass were not significant. An interaction analysis indicated that the relationship between hemopexin and muscle quality was modified by sex (t-value=2.052, p&lt; 0.05). In the multivariate analysis for females, hemopexin correlated negatively with muscle quality (t-value=-2.128, p&lt; 0.05). This study shows that hemopexin, though not affecting cognitive function or muscle mass directly, may impact muscle quality, especially considering the link between AD in older women and atrophied muscle with hemopexin secretion. Hence, interventions focused on muscle quality might improve cognitive function in older individuals with cognitive impairment, possibly preventing dementia onset. Further studies are warranted to solidify these connections.
HOW SPOUSAL BEREAVEMENT SHAPES LIFE SATISFACTION: STABILITY AND CHANGE ACROSS HISTORICAL TIME
Authors: Ghose Urmimala , Krämer Michael , Richter David , Wagner Gert , Infurna Frank , Ram Nilam , Gerstorf Denis 
Published: December 2023

Abstract
Lifespan psychological and life course sociological research have long shown that spousal bereavement constitutes one of the most stressful life events in older adulthood that is often associated with marked declines in well-being. It is an open question though whether and how the well-being implications of spousal loss have changed over the past decades. To do so, we used multi-year within-person longitudinal change data from 2,042 participants (Mage at event =65.73 years, 71% women) of the German Socio-Economic Panel obtained annually since 1984. We combine latent basis growth models with methods that analyze the Area under the Curve so as to consider the time window from five years prior to five years after spousal loss. Results revealed that having lost one’s spouse in the 2000s and 2010s is associated with overall less well-being declines than having lost one’s spouse in the 1980s and 1990s. Building on earlier approaches that have distinguished anticipation, reaction, and adaptation phases of bereavement revealed that such improvements are primarily driven by fewer declines in the anticipation phase and faster recovery in the adaptation phases (both by about 0.1 SD per 10 years of historical time), whereas we found partial evidence for steeper declines in the immediate reaction phase. We discuss and in part examine possible explanatory factors at the individual, spousal, social, and societal level for the observed historical improvements in life satisfaction trajectories surrounding spousal loss in Germany over the last three decades.