bluuebunny/crossref_metadata_2025_split huggingface dataset:
MEASURING UNMET NEEDS FOR COMMUNITY-DWELLING CONSUMERS OF HOME- AND COMMUNITY-BASED SERVICES USING NCI-AD DATA
Authors: Shippee Tetyana , Bucy Taylor , Mulcahy John , Jutkowitz Eric 
Published: December 2023

Abstract
Rebalancing efforts have focused on helping more people age in the community rather than institutional settings. Yet, we know little of whether actual services being offered meet consumer needs. HCBS provides intermittent services and supports to consumers and variability can create increased reliance on informal caregivers, contributing to unmet need. This can be especially true for consumers living with Alzheimer’s disease and Alzheimer’s disease and related dementias (AD/ADRD), whose needs may fluctuate and intensify as functional and/or cognitive impairments advance. This presentation examines unmet need among a national sample of older adult (65+) consumers of publicly funded HCBS, using data from the National Core Indicators - Aging and Disability (NCI-AD) survey from 2016-2019. We restrict our sample to community-dwelling older adults, where community-dwelling includes: own or family house/apartment, senior living apartment/complex, group home, adult family home, foster, or host home. Our results showed that services that were most commonly used were home-based services (57%), with at least half of the consumers using two different services to support their needs. Factors associated with wanting more services included being a woman, living alone, having a physical disability, and a diagnosis of AD/ADRD. Older adults with AD/ADRD desired more services than those without AD/ADRD, with additional desired services for caregiver supports and transportation. Our findings speak to the need to measure and improve person-centered quality of publicly-funded HCBS for older adults, with particular attention to the needs of those living with AD/ADRD.
EARLY WARNING SIGNS AND CRISES IN ADRD/AD: VIEWS FROM LATINO/AFRICAN AMERICAN CAREGIVERS AND PROVIDERS
Authors: Kavanaugh Melinda 
Published: December 2023

Abstract
Incidence of Alzheimer’s disease and related dementias (ADRD) in Latino and African American populations is significantly greater than for non-Hispanic Whites. Latino and African American caregiver families rely on family for care, including children and youth, and access formal care systems less frequently and at later stages compared to non-Latino White families. Yet we know little about what precipitates the eventual move to formal care. This study sought to understand whether African American and Latino families living with ADRD were able to identify Early Warning Signs (EWS) and potential crises in persons living with ADRD and explore differences in how families and health care professionals perceive EWS and crises. Semi-structured interviews were conducted with health care professionals (n = 26), Latino and African American adult (n = 36), and youth caregivers aged 10 – 19 (n = 31). Participants listed eight EWS (cooking, getting lost, forgetfulness, emotional/anger, repeating, bringing up the past) and defined Crisis as an event or series of events that led to seeking formal care, included getting lost, bad falls, and death of a loved one. Adults felt frustration, even at the beginning of EWS while youth found humor in the care. There were differences in stories shared within the same caregiver family; youth recognized EWS but reported that adults would not talk about it. Health care professionals identified EWS but believed families would be unable to identify EWS. This potential misperception needs further attention to reduce communication barriers around the care planning for this population.
HOME CARE DYADIC COMMUNICATION PATTERNS OF FAMILY CAREGIVERS AND PERSONS LIVING WITH DEMENTIA: SEQUENTIAL ANALYSIS
Authors: Kim Sohyun , Liu Wen , Williams Kristine 
Published: December 2023

Abstract
Examining temporal relationships of communication patterns between family caregivers and persons living with dementia (care recipients) is useful to determine which caregiver communication patterns are more effective in engaging care recipients and prioritize the use of such communication patterns. This study examined temporal relationships between antecedent family caregiver communication and subsequent care recipient communication during 75 in-home care video observations. A 5-second timed-window analysis was conducted to examine the likelihood of the relationships between dyadic communication patterns. Joint frequency and conditional probability statistics demonstrated that care recipients used the same communication patterns at differing frequencies during and within a 5-second window following each communication pattern by family caregivers. Dyadic communication patterns yielded likelihood probabilities with an effect size greater than chance (Yule’s Q = 0.31-1.00). Care recipient’s engaging body language most likely occurred after the caregiver’s facilitative body language preceded (Yule’s Q = 0.31-.1.00). Care recipient’s relevant communication and verbal response most likely occurred after the caregiver’s simplified message preceded (Yule’s Q = 0.55-1.00). Specific caregiver facilitative communication exhibited subsequent care recipient engaging communication. Future research can expand on how characteristics, types, and frequencies of caregiver communication would impact care recipient engaging communication.
NEIGHBORHOOD SOCIOECONOMIC POSITION, LIVING ARRANGEMENTS, AND CARDIOMETABOLIC DISEASE AMONG OLDER PUERTO RICANS
Authors: Quashie Nekehia Tamara , Garcia Catherine , Meltzer Gabriella , Andrade Flavia , Matos-Moreno Amilcar 
Published: December 2023

Abstract
Cardiometabolic diseases are among the leading causes of mortality worldwide and are increasingly prevalent in rapidly aging populations such as Puerto Rico. Neighborhood socioeconomic position (SEP) and living arrangements are increasingly recognized as important determinants of cardiometabolic health but have not been examined within Puerto Rico. Using longitudinal data from the Puerto Rican Elderly Health Conditions Project (Waves I 2002/03, and II 2006/07), linked with 2000 Census data for neighborhood-level conditions, this study examined the association between neighborhood SEP, living arrangements, and risk of cardiometabolic conditions among island-dwelling Puerto Ricans aged 60 and older, who lived in the same residence across both waves (N=2,769). Findings show that residence in a socioeconomically advantaged neighborhood was positively associated with reporting having one cardiometabolic condition at baseline, but neighborhood SEP was unrelated to developing cardiometabolic conditions at follow-up. Living without a partner - alone, with children, or with others - was negatively associated with reporting having and developing cardiometabolic conditions relative to living with a partner. Living arrangements significantly modified the relationship between neighborhood SEP and cardiometabolic conditions. Compared to living with a partner, living alone was associated with lower risk of reporting having one condition, and living with children was associated with lower risk of developing one cardiometabolic condition when living within a socioeconomically advantaged neighborhood. Living arrangements are more salient to cardiometabolic health than neighborhood SEP. Social services focused on household composition and familial support are needed to identify older Puerto Ricans potentially at risk of underdiagnosed chronic conditions.
LARGE-SCALE POPULATION-LEVEL DATA FOR STUDYING GRANDPARENTING IN THE UNITED STATES
Authors: Flood Sarah 
Published: December 2023

Abstract
The questions we can answer about grandparenting in the United States are shaped by the availability of data. This presentation will review previous research on trends and sociodemographic variation in grandparenting in the United States based on large-scale population-level data from IPUMS (www.ipums.org). It will highlight the various ways that researchers have measured families that include grandparents (e.g., three-generation families, grandfamilies). It will also discuss the limitations of these data, specifically the focus on coresidence, for studying grandparents. The presentation will then review research on grandparents using the American Time Use Survey, the only data in IPUMS that enables analyses of grandparents time spent with both their resident and non-resident grandchildren. These analyses will focus on the leisure activities that grandparents share with their grandchildren and how this varies by living arrangements and sociodemographic characteristics.
RACIAL DISPARITIES IN OCCUPATIONAL EXPOSURES AND LATER-LIFE HEALTH
Authors: Sonnega Amanda , Andrasfay Theresa 
Published: December 2023

Abstract
Racial and ethnic health disparities remain a persistent and urgent social problem. Researchers are beginning to explore the role of work experiences, both good and bad, in attenuating or exacerbating health disparities. The recent availability of the entire life course experience of work in the Health and Retirement Study (HRS) Life History Mail Survey (LHMS) has spurred innovative research on the role of occupational exposures on health disparities in later life. Linking these data to the information available in the Occupation Information Network (O*NET) provides a rich characterization of lifetime occupational exposures. Sheftel et al. use work histories from the LHMS to study the role of racial segregation in occupations on later life dementia. They show that complex work with data during working ages may be protective against dementia at older ages, potentially contributing to the differentials in dementia prevalence by race/ethnicity. Park et al. similarly use data on lifetime work histories, to investigate the role of accumulated years of physically demanding work (PDW) in young and middle adulthood on the number of functional limitations at age 60. They show that cumulative PDW is strongly associated with functional limitations at age 60 and accounts for a part of the racial/ethnic gap in functional limitations at age 60. Both papers will discuss policy implications of findings. Andrasfay will provide critical commentary and discussion.
STEM CELLS HOMEOSTASIS AND AGING
Authors: Jones Leanne , Passegue Emmanuelle 
Published: December 2023

Abstract
Adult (tissue) stem cells support tissue homeostasis and repair throughout the life of an individual. Numerous changes occur with age that result in altered stem cell behavior and reduced tissue maintenance and regeneration. Changes can be cell autonomous including changes in cell cycle progression, decreased bioenergetic efficiency, increased DNA damage, and epigenetic alterations. In addition, poorly understood changes to the local and systemic environments occur that result in decreased stem cell activity or alterations in commitment or differentiation potential. This symposium will cover the impact of aging on multiple adult stem cell systems, including hematopoietic stem cells (HSCs), intestinal stem cells (ISCs), and neural stem cells.
AGE STEREOTYPE INTERNALIZATION ACROSS AGE AND CULTURES
Authors: Ki Fung Nicole Long , Fung Helene 
Published: December 2023

Abstract
The stereotype embodiment theory suggests that people internalize age stereotypes when they become self-relevant. This study explored the relationship between age and age stereotype internalization across cultures. We recruited adults aged 30 to 99 years from Hong Kong (N=524, Mage= 62.49), the United States (N=492, Mage= 57.90), Germany (N=790, Mage=63.38), Czechia (N=617, Mage=62.05), and Taiwan (N=660, Mage=60.78). Participants rated their self-perception of aging and attitude towards older adults. Across all the items, we calculated an intra-personal correlation score between self-perception of aging and attitude towards older adults. This index serves as a proxy of age stereotype internalization. Among all cultures, Hong Kong (r=0.57) and Taiwan (r=0.58) have the highest levels of internalization, followed by Czechia (r=0.47) and Germany (r=0.45). The United States (r=0.40) has the lowest level of internalization. The relationship between internalization and age varied across cultures. In Germany, there was a cubic relationship between internalization and age (p &lt;.001). Internalization decreased with age till 52 years old, then it went up with age till 79 years old and dropped again. In Taiwan, we observed a quadratic relationship between internalization and age (p &lt;.001). Internalization increased with age till the age of 64, then started decreasing. In Czechia, internalization increased with age linearly (p &lt;.001). In Hong Kong and the United States, internalization was not associated with age. Our findings suggest that the internalization of age stereotypes into the self depends on cultures and age. More cross-cultural and longitudinal studies should be conducted to understand the age stereotype internalization process.
NEGATIVE AGE STEREOTYPES TEMPORARILY MAKE YOU FEEL YOUNGER BUT MAKE YOU FEEL OLDER OVER TIME
Authors: Kornadt Anna E , Weiss David , de Paula Couto M Clara P , Rothermund Klaus 
Published: December 2023

Abstract
Negative age stereotypes have negative, assimilative effects on the subjective aging experience due to internalization processes, but positive contrast effects are reported as well, reflecting dissociation and downward comparisons. Our aim was thus to compare short-term and long-term consequences of age stereotypes on the subjective aging experience, to test the hypothesis that contrast effects are visible cross-sectionally, whereas internalization processes are observed when considering more long-term effects. We assessed age stereotypes and subjective age in a sample of N=459 participants (initial age range 30 – 80 years) from the aging-as-future project (Lang et al., 2022) across three consecutive measurement occasions spanning a longitudinal interval of 10 years. Short-term and long-term effects were estimated with latent change-score models by assessing effects of age stereotypes on the intercepts (cross-sectional) and on the slopes (longitudinal) of subjective age, respectively, while also taking current self-views into account. Age stereotypes had opposite effects on subjective age depending on the time frame. A cross-sectional contrast effect was found (B = -.17, SE = .05, p &lt; .001), whereas longitudinal effects were assimilative in nature (B = .36, SE = .18, p = .04). Our findings support the time-dependent nature of effects of age stereotypes on the subjective aging experience. Negative age stereotypes can temporarily lead to a significant younger subjective age, indicating dissociation from one’s age group and downward comparison. In the long run, however, negative (positive) age stereotypes become internalized into the self-views of older people and are linked to an older (younger) subjective age.
JOSEPH T. FREEMAN AWARD AND EXCELLENCE IN REHABILITATION OF AGING PERSONS AWARD PRESENTATIONS AND LECTURES
Authors: Corazzini Kirsten 
Published: December 2023

Abstract
The Joseph T. Freeman Award lecture will feature an address by the 2023 Freeman Award recipient Joe Verghese, MD, FGSA of the Albert Einstein College of Medicine. The Joseph T. Freeman Award is a lectureship in geriatrics awarded to a prominent clinician in the field of aging, both in research and practice. The award was established in 1977 through a bequest from a patient’s estate as a tribute to Dr. Joseph T. Freeman. The Excellence in Rehabilitation of Aging Persons Award lecture will feature an address by the 2023 Excellence in Rehabilitation Award recipient Brad Manor, PhD of Hinda and Arthur Marcus Institute for Aging Research. The Excellence in Rehabilitation of Aging Persons Award is designed to acknowledge outstanding contributions in the field of the rehabilitation of aging individuals.
TRANSCRANIAL ELECTRICAL STIMULATION AS A TOOL TO UNDERSTAND AND ENHANCE MOBILITY IN OLDER ADULTS
Authors: Manor Brad 
Published: December 2023

Abstract
Standing and walking are complex cognitive-motor tasks that rely on the function of numerous brain networks. This reliance upon supraspinal elements of the motor control system increases with age and many age-related diseases, especially when an individual must navigate unfamiliar environments and/or simultaneously perform cognitive tasks like talking, reading signs, or making decisions. Noninvasive transcranial electrical stimulation (tES) can safely and selectively induce both acute and longer-term changes in brain network function. It thus enables cause-and-effect study of the motor control system and moreover, holds promise as a therapeutic strategy to counteract age- and disease-related alterations in standing, walking, and mobility. The purpose of this talk is to introduce the fundamentals of tES, describe the effects of tES on the neural control of mobility in older adults, and finally, discuss current limitations and related avenues for future research and development within this rapidly-growing field of study.
RECIPROCITY AMONG CARE PARTNER DYADS AND ITS INFLUENCE ON OUTCOMES IN DEMENTIA FAMILY CAREGIVERS
Authors: Falzarano Francesca , Czaja Sara 
Published: December 2023

Abstract
Dementia family caregiving is a heterogenous experience influenced by multidimensional inter- and intra-personal factors. The interdependence between the well-being of caregivers and care-recipients, and that feelings of mutuality and shared involvement in care responsibilities by both the caregiver (CG) and care-recipient (CR) influence family caregiver outcomes. This presentation will present findings from an analysis that examined the influence of caregiver/care-recipient demographic characteristics, care intensity (functional status, medical/nursing tasks), degree of cognitive impairment, and CR depression and quality of life on CG outcomes including burden, self-efficacy, depression, and positive aspects of caregiving. Baseline data were drawn from 99 family caregiver-care-recipient dyads who participated in the Care Partners intervention, a non-pharmacological intervention for individuals with Alzheimer’s disease and their caregivers. Results showed that CG difficulty in performing medical/nursing tasks, greater distress related to the CR’s functional impairment, CR’s degree of cognitive impairment, lower levels of mutuality, and lower CR ratings of quality of life and depression were significantly related to higher CG burden, depression, and lower CG self-efficacy. Alternatively, being a male CG and greater CG distress related to performing medical/nursing tasks and assistance with activities of daily living was associated with lower positive aspects of caregiving. Having a female CR and reporting higher levels of mutuality and preparedness was subsequently associated with more positive appraisals of caregiving. These findings underscore the importance of reciprocal interactions and the need to target both members of the dyad in interventions aiming to improve quality of life and well-being in dementia care partners.
WHY DO I CARE? MOTIVATIONS OF SURVIVORS OF PARENTAL CHILDHOOD HARM WHO ARE CARING FOR THEIR PARENTAL PERPETRATOR
Authors: Goldberg Jaime , Kong Jooyoung 
Published: December 2023

Abstract
Adult child survivors of parental childhood maltreatment may remain in relationship with their parental perpetrator across the life course and even take on the caregiving role when their parent becomes older and/or ill. Yet, becoming a caregiver for a parent who was harmful is associated with increased depressive symptoms, heightened stress responses, and maladaptive coping for the caregiver. Given that survivors of parental childhood maltreatment may find caregiving to be detrimental to their mental health and well-being, it is crucial to better understand why an adult child would choose to engage in caregiving for their parental perpetrator. This qualitative research, grounded in Intergenerational Solidarity Theory, examines the motivations to participate in parental caregiving through serious illness or the end of life for survivors of childhood parental harm. Based on the phenomenological perspective, in-depth semi-structured interviews were conducted with 22 adults ages 24-70. Participants were recruited through word-of-mouth and social media. Content analysis revealed five themes: 1) obligation and ambivalence; 2) differentiating from the abuser; 3) “a second chance;” 4) belief systems that influence caregiving; and 5) financial incentives. This information heightens awareness of the experiences of this often-overlooked population of caregivers and invites gerontological researchers and practitioners to consider the complexity in their decision to participate in their perpetrator’s care. Gaining a better understanding of the lived experiences of adult children who are caregivers for their parental perpetrator and their motivations for participating in such care can inform the development of trauma-informed assessment and intervention strategies tailored to this population.
EXTREME HEAT VULNERABILITY AMONG OLDER ADULTS: A MULTILEVEL RISK INDEX FOR PORTLAND, OREGON
Authors: Kohon Jacklyn , Tanaka Katsuya , Himes Dani , Toda Eiji , Carder Paula , Carlson Bryant 
Published: December 2023

Abstract
Extreme heat is an environmental health equity concern disproportionately impacting low- income older adults and people of color. Exposure factors, such as living in rental housing and lack of air conditioning, and sensitivity factors, such as chronic disease and social isolation, increase mortality risk among older adults. Older persons face multiple barriers to adaptive heat mitigation, particularly for those living in historically temperate climates. This study measures two heat vulnerability indices to identify areas and individuals most vulnerable to extreme heat and discusses opportunities to mitigate vulnerability among older adults. We constructed two heat vulnerability indices for the Portland, Oregon metropolitan area: one using area scale proxy measures extracted from existing regional data and another at the individual scale using survey data collected following the 2021 Pacific Northwest Heat Dome event. These indices were analyzed using principal component analysis (PCA) and Geographic Information Systems (GIS). Results indicate that the spatial distribution of areas and individuals vulnerable to extreme heat are quite different. The only area found among the most vulnerable on both indices has the largest agglomeration of age- and income-restricted rental housing in the metropolitan area. Due to spatial variations in heat-related risk at the individual and area scales, measures addressing heat risk should not be spatially uniform. By focusing resources on older adult individuals and areas in particular need of assistance, heat risk management policies can be both highly efficient and cost-effective.