bluuebunny/crossref_metadata_2025_split huggingface dataset:
LIVED EXPERIENCES OF OLDER FEMALE SEX WORKERS AT SONAGACHI, KOLKATA: A CASE STUDY
Authors: Chakravarty Esha , Chakravarty Indrani 
Published: December 2023

Abstract
Older sex workers are marginalised because of their former professional engagement and old age. This study captured the experiences of older female sex workers (FSWs), aged sixty and above, who delivered sexual services at Sonagachi, Asia’s largest pleasure market. Exploratory research design was used to understand their lived experiences through a qualitative intervention. The study was content driven, not hypothesis driven. Six older FSWs were selected through purposive sampling, primary data was collected through case study method. Their experiences were recorded starting from childhood, entry into sex trade, daily professional challenges and experiences during old age. Data collected was thematically analysed. Older Sonagachi FSWs are a heterogeneous group in terms of socio-demographic variables, health condition, place and nature of work, average load of clients they entertained per day. This study found that economic adversities and poverty during growing years have been the foremost reasons for choosing sex trade. Many of them remained in the sex industry because of lack of alternative professional opportunities. They experienced various forms of community perpetrated exploitation and some had acquired sexually transmitted infections. Other reasons for them to be in this trade were childhood poverty, early marriage, early motherhood, lack of education, lack of employment, neglect and abuse. They were destitute, had no caregivers, struggled to be part of mainstream society. The study suggests the need to develop policies for vocationally training them to generate alternative income sources and to initiate welfare schemes including pension plans and developing separate old age homes for older FSWs.
POPULATION AGING IN INDIA: A MICROLEVEL ESTIMATE USING GRIDDED POPULATION DATA
Authors: Sarif Nawaj , Hemalatha Sruthi Anilkumar 
Published: December 2023

Abstract
Population aging is a significant demographic trend that is transforming societies worldwide. Aging populations pose significant challenges to governments and societies, particularly in developing countries such as India, where a large segment is still impoverished and lacks access to adequate health care and social security systems. A lack of accurate data on older populations has been a significant impediment to developing effective policies to address the needs of this vulnerable group. To address this gap, this study tried to examine the micro-level trends and patterns of population aging in India using gridded population data. The study also attempted to estimate the share of the older population in India for the years 2030 and 2040. The study found that India has undergone a dramatic shift in population aging trends, with large intra-state variability. The share of older populations is predicted to rise considerably over the next two decades, highlighting the urgent need for effective policies to address their needs. The study also revealed that population aging patterns differ across India, suggesting that national and state-level measures alone will not suffice to address the needs of older people. Instead, policies directed at smaller units, such as districts and neighborhoods, are critical to ensuring the well-being of older populations. Furthermore, the study highlights the need for accurate and timely data on older populations in India. Such data can enhance policy decisions and help identify areas of need, enabling governments to develop targeted policies that can improve the well-being of older people.
WHO ARE THE PORTUGUESE WHO REACH 100 YEARS OF AGE? A DEMOGRAPHIC ANALYSIS USING 2021 CENSUS DATA
Authors: Ribeiro Oscar , Araujo Lia , Teixeira Laetitia 
Published: December 2023

Abstract
Portugal is considered one of the oldest countries of Europe as a conjugation of low birth rates and high life expectancy. The age group of 100+ is one of the fastest growing, with 270 centenarians in 1990 to 1961 centenarians in 2020 (Teixeira et al., 2020). In this study we present the profile of centenarians based on real data of the last Portuguese Census 2021. There are 2801 centenarians, showing a significant increase in relation to the previous censuses (589 centenarians in 2001, and 1526 centenarians in 2011). Most centenarians are women (82.0%), widowed (84.6%), attended school (61.0%), have social pension as main income source (96.3%), are catholic (93.9%) and were born in Portugal (98.6%). The average number of reported difficulties in vision, hearing, mobility, self-care, memory/concentration, and communication is of 5.12, meaning that the current cohort of centenarians face high constrains in their daily living and most probably depend on any sort of care support. Overall, Portugal follows the longevity phenomenon of a growing number of centenarians as verified in USA, Japan, and other European countries (United Nations, 2022). Profiling centenarians’ main characteristics with reliable data is a starting point for outlining the specific social, medical, and financial needs of those reaching very advanced ages, and for defining government policies and age-sensitive interventions.
ANALYSIS OF REPORTING GUIDELINE AND TRIAL REGISTRATION POLICIES AMONG GERIATRIC JOURNALS: A CROSS-SECTIONAL STUDY
Authors: Ward Shaelyn , Corwin Logan , Duncan Jacob , Smith Caleb , Brewer Danya , Hughes Griffin , Vassar Matt 
Published: December 2023

Abstract
The use of reporting guidelines and clinical trial registration policies by academic journals reduces bias and improves transparency in clinical research. It is unknown whether geriatric and gerontology journals mention, recommend, or require their use for the studies they may potentially publish. The purpose of this study is to assess the submission guidelines of the top geriatric and gerontology journals for their editorial recommendation or requirement of predetermined reporting guidelines and clinical trial registration. We identified the top 100 journals in the “Geriatrics and Gerontology” subcategory using the 2021 Scopus CiteScore tool. We probed each journal’s “Instructions to Authors” for statements regarding reporting guidelines for popular study designs and extracted them as “Not Mentioned”, “Recommended”, “Does Not Require”, or “Required”. Further, we classified each journal’s reference to clinical trial registration in a similar manner. Of the 100 examined journals included in our analysis, the QUOROM statement was not mentioned by any journals, whereas the CONSORT statement (44/100, 44%) was mentioned and recommended/required the most often. PRISMA guidelines were not mentioned by 57 journals (57/100,57%). Furthermore, 45 journals (45/100,45%) did not mention study registration. Therefore, the recommendation or requirement of reporting guidelines and clinical trial registration in the top 100 geriatric and gerontology journals is inconsistent. Journal editors should strongly recommend that author’s follow validated reporting guidelines to reduce potential bias and improve transparency in the articles they publish.
CONSIDERING HOSPITAL CLOSURES IN ALABAMA: NATIONAL POLICY IMPLICATIONS
Authors: Shah Avani , Swain Joseph , Lewy Hailey 
Published: December 2023

Abstract
Hospital closures have increased over the past 10 years nationally, particularly in rural areas and states that did not receive Medicaid expansion funds (American Hospital Association). These closures can impact older adults health care, employment opportunities, and mortality rates. Recently, the Alabama Hospital Association reported that 12 hospitals are at risk of closing. For this study, we evaluated the locations of hospital closures since 2009 in Alabama to understand gaps geographically in healthcare. We obtained information about current hospitals through Alabama Department of Public Health (ADPH). We searched for news articles to obtain a list of hospitals, which closed between 2009 and 2020. Next, we obtained data from the ADPH on the mortality rates by county and year. We also obtained information about the finances of hospitals in Alabama and classified hospitals with 20% losses as potentially at risk. Using GIS, we mapped areas of hospital closures and at risk hospitals as well as the location of current hospitals as of 2020. We chose to average mortality rates from 2009 to 2019 (pre-COVID) and map these by county. Since 2009, Alabama has closed 13 hospitals: with two reopening at a later date. Based on GIS, we found potential health care gaps in several rural areas and in Southwest Alabama, or the Black Belt area, which has a high rate of poverty, and poor health outcomes. The mean mortality rate for rural counties was significantly higher than urban populations between 2009-2019 t(54)=4.8, p&lt;.0001. Policy implications will be discussed.
NURSING HOMES’ FIVE-STAR QUALITY RATING SYSTEM: FORECASTING THE FUTURE STABILITY AND VOLATILITY
Authors: Gupta Shivani , Kadam Ashay , Bhandari Neeraj 
Published: December 2023

Abstract
The utilization of publicly reported quality measures such as nursing homes’ five-star quality rating system to hold providers accountable for their quality of care has increased over the years. Therefore, nursing homes have invested significant resources into maintaining or improving the ratings awarded to them by CMS. This study utilizes statistical models to analyze the past rating histories to predict future evolution of ratings of nursing homes. Data on all U.S. nursing homes for the years 2017 - 2021 was derived from CMS Nursing Home Compare. Primary variable represents the overall five-star quality rating of nursing homes. A Markov chain model and a Mover Stayer model are used to predict changes in ratings of nursing homes. The one-year rating transition probabilities are estimated using maximum likelihood estimation. The key findings indicate the likelihoods of future upgrades and downgrades in nursing homes’ ratings. Nursing home administrators are under constant pressure to strategically allocate resources for maintaining or improving the five-star ratings awarded to them by CMS. The findings of this study could help nursing home administrators in forecasting future change in their rating and making better resource allocation decisions such as those related to preventing a rating downgrade. The study findings could also be used by policymakers to focus on nursing homes facing downgrades and assisting them in improving their quality of service based on the potential change in their rating. The same results could also be utilized to assess the stability of ratings given to nursing homes.
THE EFFECT OF RESILIENCE ON USING COMMUNITY ORGANIZATIONS AMONG KOREAN AMERICAN OLDER ADULTS DURING COVID-19
Authors: Kim Eunhye , Yeo Hyesu , Choi Y Joon 
Published: December 2023

Abstract

Objectives
This study aimed to examine how resilience and perceived racial discrimination are associated with receiving support from ethnic community organizations (ECO) among Korean American older adults during COVID-19.

Background
With the vulnerability of Korean American older adults and increasing racial discrimination, ethnic community organizations’ roles are important during COVID-19. Although previous studies have proven the association of resilience and racial discrimination with older adults’ well-being, there is little research on how those factors impact using ECO.

Methods
A cross-sectional survey was conducted with 132 first-generation Korean American adults aged 50 or older. A logistic regression analysis was conducted to determine which factors, including resilience, discrimination, age, gender, marriage, health, residence years, Language, and income, within the model made them more likely to receive support from ECO.

Results
Results showed that a high level of resilience was negatively associated with the use of ECO[OR 0.93, CI 0.87, 0.99]. Korean American older adults who were female [OR 5.60, CI 1.44, 21.50] and lower income [OR 4.42, CI 1.35, 14.48] were more likely to receive support. Those who were healthy [OR 2.15, CI 1.08, 4.26] and had lived longer in the U.S.[OR 1.07, CI 1.00, 1.14] were more likely to use ECO.

Conclusion
Findings from the study highlight the importance of improving and expanding support for vulnerable ethnic minority older adults in order for them to access services and develop effective coping strategies during the health crisis.
A GREEN ACTIVITY PRESCRIPTION PROGRAM FOR CHINESE AMERICANS LIVING WITH DEMENTIA
Authors: Belli Hayley , Lassell Rebecca , Luo Jun , Thorpe Lorna , Wong Jennifer , Yi Stella , Brody Abraham 
Published: December 2023

Abstract
Asian Americans account for approximately 161,000 cases of Alzheimer’s disease and related dementias (AD/ADRD) among adults ages 65 and older in the United States. Chinese Americans have among the highest incidences of AD/ADRD, and have experienced underdiagnosis, cultural stigmas, and less access to dementia care. In New York City specifically, 28.6% of Chinese American seniors live in poverty, leading to environmental racism, a lower likelihood of engagement in activities, decreased quality of life, and an increased risk of cognitive decline and developing dementia. Recommendations to support activity engagement among Chinese Americans include fostering social cohesion and linking individuals to local activity resources. Green activity prescriptions (GAPs) are one approach to achieving these objectives, and combine nature, social contexts, and meaningful activities to improve health and well-being. GAPs are co-designed with participants based on their interests, needs, and available community resources. Examples include: animal-assisted interventions, gardening, green exercise (walking), and conservation projects (composting). Past studies have provided evidence that these components have improved well-being for PLWD, supported function, and provided meaningful engagement. Yet, these early studies neglected Chinese Americans. GAPs have potential to support the health and well-being of Chinese American PLWD by addressing health inequalities and providing accessible, low-cost care, all while sustaining local green resources. Here we present the study design and implementation outcomes, including recruitment and engagement strategies, of a GAP intervention utilizing a community-based participatory approach aimed at supporting the health and well-being of Chinese American PLWD residing in lower-socioeconomic households within Brooklyn, NY.
CULTIVATING CULTURAL COMPETENCE WITH INTERDISCIPLINARY TEAMS IN SERIOUS ILLNESS CARE
Authors: Bullock Karen , Stansbury Kim 
Published: December 2023

Abstract
A workforce of gerontologists that is prepared to go beyond cultural humility to achieve baseline levels of awareness, skills, and transferrable knowledge to address racial disparities is necessary for creating equity in serious illness care with older adults. Cultural competence, the complex integration of awareness, knowledge, and skills enhances one’s capacity to engage effectively across cultural and racial groups to achieve equitable outcomes. Research Objectives The goal of this research was to design and assess outcomes of an innovative curriculum using simulation and role-play to train practitioners how to deliver patient-centered, goal concordant care with patients and families of racial groups that have been historically excluded from equitable healthcare in the U.S. Procedures: Interdisciplinary competency-based curriculum was developed and facilitated by an interdisciplinary team of educators and researchers. Advanced practice social workers were key members of serious illness care teams. With specialty training, they were prepared to be leaders in teaching learners how to conduct psychosocial assessments and interventions that beyond superficial levels of curiosity to applying competency-based practices with racially and culturally diverse populations. Implications: Addressing the impacts of the COVID19 pandemic in gerontology research and practice with racially diverse patients and families warrants a social justice framework for designing healthcare interventions that are inclusive of populations that have been most adversely impacted due inequities woven into the fabric of our society. Conclusion: This cultural competence training (CCT) program was effective in preparing learners to address racial inequities in healthcare for patients and families living with serious illness.
LIVING ARRANGEMENTS, HOUSING CHARACTERISTICS, AND PSYCHOLOGICAL WELL-BEING AMONG OLDER ADULTS IN CHINA
Authors: Fu Rong 
Published: December 2023

Abstract

Objectives
Living arrangements is an essential component of social environments for older adults. This study examines the impact of living arrangements and housing characteristics on the psychological well-being of older adults in China.

Methods
Data were derived from the 2011-2012 wave of the Chinese Longitudinal Healthy Longevity Survey. The final sample consisted of 4,746 Chinese older adults aged 80–105 years. Multivariate logistic regression models were used to estimate the odds of negative psychological outcomes, predicted by living arrangements, housing characteristics and other covariates.

Results
Overall, older adults who lived in a three-person household were less likely to feel lonely than their counterparts living in other household sizes. Participants who reported at least one housing problem (e.g., exposure to mold, minor home damage) were more likely to feel anxious and depressed than those who did not report any housing problems. Having a private bedroom was associated with better psychological well-being for both older men and women.

Discussion
This study demonstrates that both household sizes and housing conditions may influence health and well-being in advanced age. Living with family members and having adequate personal space at home have protective health benefits for older adults. This study has policy implications regarding household sizes and improvement in housing conditions.
NEIGHBORHOOD IMPACT ON OLDER ADULTS’ HEALTH OUTCOMES IN KOREA
Authors: Kim Seon 
Published: December 2023

Abstract

Background
The health of older adults is not only affected by biological factors but also strongly influenced by their social determinants. Neighborhood characteristics have been identified as structural contexts that significantly impact the health outcomes of older adults. As older adults tend to spend more time in their homes and neighborhoods than young adults, it is important to understand the neighborhood factors that affect their health outcomes.

Objectives
This study aims to explore the neighborhood characteristics that impact the health outcomes of older adults in Korea. Method: This study used the 2020 National Survey of Older Koreans data, which was collected from 10,097 Korean older adults aged 65 and older. Neighborhood characteristics considered in this study included satisfaction with neighborhood characteristics (e.g., safety, transportation, social cohesion) and proximity to infrastructure in the neighborhood (e.g., senior centers, hospitals, supermarkets). The health outcomes considered in this study were self-rated health, the number of chronic diseases, and mental health among older adults.

Results
The regression results showed that satisfaction with the neighborhood was related to older adults’ better self-rated health (B=.014, p&lt;.001), lower number of chronic diseases (B=-.007, p&lt;.001), and better mental health (B=.034, p&lt;.001). On the other hand, proximity to infrastructure in the neighborhood was only related to older adults’ better mental health (B=-.018, p&lt;.001) among older adults. Implications: These results suggest that policymakers should consider neighborhood characteristics when addressing older adults’ health outcomes. Especially, for the better mental health, policymakers should consider both proximities to infrastructures and satisfaction with the neighborhood.
SOCIAL DETERMINANTS AND HEALTH EQUITY AMONG NYC OLDER ADULTS
Authors: Nguyen Duy , De Fries Carson , Cheung Ethan Siu Leung 
Published: December 2023

Abstract
Of the vast opportunities in New York City, older adults from racial/ethnic minority groups face the challenges of social determinants on their health. This study applies the WHO’s Commission on Social Determinants of Health model to examine health inequities among older adults in New York City. A deeper understanding of interrelationship between structural and intermediary determinants is crucial to promoting successful aging in an urban environment. Data were extracted from the NYC Community Health Survey to focus on older adults, aged 65 and over (N=1,921). Weighted, limited information regression models were used to test the contributions of structural and intermediary determinants on self-reported daily activity difficulties and self-reported health. The sample comprised of 46% Non-Hispanic White older adults, 20% Black/African American, and another 20% Hispanic. One third of the sample endorsed being in poor health. One in 5 older adults reported having a daily activity difficulty. Multivariate analyses showed Black older adults reported more difficulties with daily activities compared to non-Hispanic Whites. Meanwhile, Hispanic older adults reported being in poor health less frequently than non-Hispanic Whites. Further limited information modeling shows the centrality of daily activity limitations on poor health such that the indicator partially mediates the relationship between race/ethnicity and poor health. Overall, the results reveal a fuller picture of the impact of social determinants on health equity among older adults in New York City. Future research needs to specify the sociocultural and economic dimensions of health equity to provide empirical results that can inform practice and policy.
IMPORTANT COMMUNITY FEATURES AND SERVICES IN DIVERSE OLDER ADULTS
Authors: Kim Kyeongmo , Hong Andy 
Published: December 2023

Abstract
Many cities and towns have tried to create neighborhood environments favorable to older adults. However, it raises the question of whether community aging initiatives reflect the diverse needs of older adults. This study examined how much different types of neighborhood physical and social environments were essential to the life of diverse older adults. This study used data from the 2018 AARP Home and Community Preferences Survey with 762 adults aged 50 and older in the USA (female: 50%; White: 70%, Black: 17%, Hispanic: 12%, other race: 5%). The outcome variables were participants’ rates on the relative importance of seven community features (i.e., outdoor space, housing, transportation, street, social participation, civic engagement, and job). We ran multiple regression analyses to examine the relationships between the importance rating of community features and diverse older populations. Women thought all community features were important in their daily life compared to men, except for transportation. Black and Hispanic older adults valued all seven community features more highly than White older adults. People with disabilities thought housing and civic engagement were essential daily; people who experienced loneliness thought housing, transportation, social participation, and civic engagement were important. This study adds to the growing literature on identifying the diverse needs of older adults in developing and creating age-friendly environments. Community features and services were essential to women and racial and ethnic minority adults. Depending on older adults’ demographic and health-related characteristics, policymakers and practitioners should develop a plan to reflect the diverse needs of older adults.