bluuebunny/crossref_metadata_2025_split huggingface dataset:
NACSD RECOMMENDATIONS FOR OLDER ADULT DISASTER PREPAREDNESS, RESPONSE, AND RECOVERY
Authors: Brown Lisa , Fisher Anna , Dosa David , Bell Sue Anne 
Published: December 2023

Abstract
This presentation shares the recommendations drafted by the National Advisory Committee on Seniors and Disasters (NACSD). This federal advisory committee provides advice and guidance to the Assistant Secretary for Preparedness and Response within the U.S. Department of Health and Human Services (HHS) and the HHS Secretary. The NACSD is comprised of seven non-federal members with expertise in geriatric disaster planning, preparedness, response, or recovery and ten federal (non-voting) members who are ex officio representatives from agencies within HHS and other Executive Branch departments. The voting members drafted recommendations intended to address the immediate and persistent challenges in public health emergency preparedness, response, and recovery affecting older adults in the United States. Numerous meetings with federal and non-federal subject matter experts from various disciplines were held to develop the recommendations. The NACSD was also tasked with evaluating issues and programs and providing findings, advice, and recommendations to the Secretary of Health and Human Services to support and enhance all-hazards public health and medical preparedness, response, and recovery activities related to meeting the unique needs of older adults and their families across the entire spectrum of their wellbeing. The NACSD evaluated and provided input concerning the medical and public health needs of older adults related to preparation for, response to, and recovery from all-hazards emergencies; and may provide advice and consultation with respect to State emergency preparedness and response activities relating to older adults.
TREATMENT OF PAIN DURING THE ACUTE CARE STAY FOR PATIENTS LIVING WITH DEMENTIA
Authors: Boltz Marie 
Published: December 2023

Abstract
The purpose of this study was to describe pain among hospitalized patients living with dementia, the use of pharmacologic and nonpharmacologic treatment, and to compare treatments among those with and without pain. Data from the first 365 participants in the FFC-AC-EIT study was used. The mean age of participants was 83 (SD=5), the majority was female (65%) and White (67%). Controlling for treatment, between admission to discharge there was a significant decrease in pain from 36% having pain on admission to 31% at discharge (F=5.30, p=.02). At discharge 125 (30%) had pain and 8 (6%) of individuals with pain received no nonpharmacological or pharmacological treatments during the hospital stay. The most frequently used pharmacological intervention was acetaminophen (52%), then tramadol (8%). Comfort measures (49%), physical activity (46%), and communication (38%) were the most common nonpharmacologic approaches. Between those with and without pain there was no difference in use of pharmacologic interventions (F = .38, p =.54) and there was less use of nonpharmacological treatments for those with pain (F=10.24, p=.002). The majority of patients living with dementia were treated for pain, but an ongoing focus is needed to assure optimal pain management for all patients. More attention to use of and evaluation of effectiveness of pharmacologic and nonpharmacologic treatments alone or together are needed for hospitalized patients living with dementia.
FACTORS ASSOCIATED WITH PARTICIPATION IN FUNCTION-FOCUSED CARE AMONG HOSPITALIZED PATIENTS LIVING WITH DEMENTIA
Authors: Kuzmik Ashley 
Published: December 2023

Abstract
Function focused care is an approach used to increase physical activity in hospitalized older adults living with dementia. This study tested the factors associated with participating in function focused care among patients living with dementia. This was a cross-sectional descriptive study using baseline data from the first 365 participants from the first 10 hospitals in the study entitled, Testing the Effectiveness of Function Focused Care for Acute Care Using the Evidence Integration Triangle. Structural equation modeling was used for model testing. The mean age of the participants was 83.2 (SD=8.0) and the majority were women (64%) and white (69%). Fifteen of the 27 hypothesized paths were significant and explained 25% of the variance in performance of function focused care. Cognition, quality of care interactions, behavioral and psychological symptoms associated with dementia, physical resilience, and pain were all indirectly associated with performance of function focused care through function and/or pain. Tethers, function, and quality of care interactions were all directly associated with function focused care. The x2 / df was 5.37, the normed fit index was .87 and the Root Mean Error Square of Approximation was .12. For hospitalized patients living with dementia the focus of care should be on treating pain and behavioral symptoms, decreasing tethers, and improving quality of care interactions so as to optimize resilience, function and participation in function focused care.
VIOLENCE, IDENTITY, BEHAVIORS, AND ACCESS: MECHANISMS ACCOUNTING FOR CHANGES IN HEALTH OVER TIME OF LGBTQ OLDER ADULTS
Authors: Fredriksen-Goldsen Karen , Jung Hailey , Hoy-Ellis Charles , Oswald Austin , Nelson Christi , Kim Hyun-Jun 
Published: December 2023

Abstract
As the population of older adults is growing in complexity and diversity, research has established health disparities by sexual and gender identity among older adults. While most research to date has been cross-sectional, this paper utilizes four-wave longitudinal data from Aging with Pride: National Health, Aging and Sexuality/Gender Study (NHAS) to understand the health and quality of life (QOL) of LGBTQ and sexual and gender diverse older adults over time. Mixed models were run to examine: (1) linear changes over time in health and QOL, controlling for background characteristics, (2) effects of key risk and protective factors on these changes, and (3) gender and age group interactions. Increases in violence, discrimination, identity stigma, adverse health behaviors and experiences (e.g., low physical activity, insufficient nutrition, and suicidal ideation), and decreased access to health and care services were related to poorer health, more cognitive and functional impairment, and lower QOL. Men (vs. women) and the Pride (vs. Silenced and Invisible) Generation were impacted to a greater degree by violence and discrimination, and the impacts of insufficient nutrition and suicidal ideation were also greater in the Pride Generation. Cognitive health of men and gender diverse individuals benefited more strongly from healthcare access. This longitudinal study provides important new findings regarding the mechanisms accounting for the accelerated decline in health and QOL over time in these diverse populations. This information is needed to develop tailored interventions that address these mechanisms as well as are responsive to variations among diverse ages, genders, and sexualities.
DEVELOPMENT OF MITOPHAGY-INDUCING SMALL MOLECULES AS THERAPEUTICS FOR AGING AND ALZHEIMER’S DISEASE
Authors: Andersen Julie 
Published: December 2023

Abstract
Alzheimer’s disease (AD) is the leading cause of dementia in those over the age of 65. The underlying molecular basis for the disease remains elusive. Rather than simply viewing individual diseases in isolated silos, researchers have recently turned to study of the contribution of common age-related processes to age-related diseases. One such shared process is loss in mitochondrial function, normally maintained by clearance of defective mitochondria via mitophagy. Mitophagy slows with age and its pre-clinical and clinical elevation has been shown to slow various age-related conditions. An agent which has received considerable attention in this regard is the compound urolithin A (UA). Several labs, including our own, have recently reported neuroprotection in association with its administration in a variety of mouse AD models. As part of an independent small molecule screen carried out by the lab, we identified a second structurally-related compound we named ‘mitophagy inducing compound’ (MIC). Using C. elegans as an initial validation tool, we showed that both compounds significantly improve mitochondrial function, protect against neuronal cell loss in disease models, and extend lifespan of wildtype animals. These protective effects were found to be translatable to both in vitro and in vivo mammalian models. To identify potential drug targets, we next turned to Cellular Thermal Shift Assay (CETSA). Preliminary data from knockdown of identified targets suggest involvement of a mito-hormetic mechanism which acts to restore overall mitochondrial health. These studies may have important implications for understanding signaling events elicited by these compounds driving their disease-modulating effects.
NEURAL STATES ASSOCIATED WITH MOTIVATION AND REWARD MODULATE AGING IN DROSOPHILA
Authors: Pletcher Scott 
Published: December 2023

Abstract
Humans, scientists especially, like to believe that we are in control of our behaviors and that logical, rational thought is the driving force behind them. Even for the most conscious of actions, however, there are serious questions about whether this is true. Economists, for example, are well-versed in the notion that consumer behavior is irrational. Why? Psychologists attribute it to the complex evaluation of internal and external cues, which is often need-based but can be strongly influenced by perceived costs and benefits. Molecular neuroscience has gone a step further in recent years, often using simple model organisms, to provide a well-defined framework for dissecting the causes and consequences of motivated behaviors. Homeostatic needs are as influential in this process as are rewarding experiences, and I will discuss evidence that the neurons, neural circuits, and conserved signaling molecules that influence neural states associated with feeding, mating, danger in flies are also important modulators of healthy aging.
INNOVATIVE APPROACHES TO ADDRESSING LONELINESS AND PROMOTING AGING IN COMMUNITY
Authors: Hou Su-I , Liu Li-Fan , Ma Carol 
Published: December 2023

Abstract
Research has shown that older adults who are lonely and socially isolated are at increased risk for various negative health outcomes. This symposium brings together leading experts across the globe in the fields of gerontology, public health, and social work to share innovative approaches to addressing loneliness and fostering connections. The symposium will begin with Dr. Ma from the National Singapore University of Social Sciences (SUSS) to share the voice of seniors on digital inclusion for a healthy community in Singapore. Dr. Shapira from Ben-Gurion University of the Negev, Israel, and her research team will discuss a 7-session digital intervention to promote effective coping and alleviate depression and loneliness among older adults in Israel. The symposium will then examine community-based efforts, with Dr. Hou from The University of Central Florida (UCF) in the United States discussing the role of healthcare providers in screening and identifying loneliness and examining communication and comfortability in conducting loneliness screening among older patients. Lastly, Dr. Kuo from Chung-Shan Medical University (CSMU) will introduce the five domains of living a good life and how older adults responded to these topics to prepare themselves for better aging in the community. The presenters will discuss strategies for fostering community-based support networks to address community-dwelling older adults’ physical, social, and emotional needs. This global symposium will also examine the role of technology in supporting community-based efforts, including using virtual communication platforms, online resources, and digital tools to promote community engagement and connection. This is an International Comparisons of Healthy Aging Interest Group Sponsored Symposium. This is a collaborative symposium between the Aging Among Asians and International Comparisons of Healthy Aging Interest Groups.
KUAKINI COBRE CONTRIBUTIONS FROM LONG-LIVED OKINAWA PREFECTURE: THE FIRST BLUE ZONE
Authors: Willcox D Craig , Allsopp Richard , Suzuki Makoto , Shimabukuro Michio , Higa Moritake , Davy Philip , Willcox Bradley , Torigoe Trevor 
Published: December 2023

Abstract
The Okinawa-Hawaii connection has a long history. The first group of immigrants to Hawaii from Okinawa arrived in 1899, and descendants of these immigrants make up approximately 20% of the Kuakini Honolulu Heart Program (HHP) cohort. Research in Okinawa, and among the Okinawan community in Hawaii, has provided many insights into the subtle differences in lifestyle and genetics among these populations. In order to gain further insight into the lifestyle and genetic factors associated with healthy aging and longevity, the Kuakini COBRE has built a strong collaborative team of researchers from Okinawa and initiated a number of research projects, as well as cross-Pacific training opportunities for COBRE junior investigators (Research Project Leaders). This presentation will outline new insights into healthy aging and longevity that have been discovered through this collaborative relationship. Our findings highlight the intricate relationship between FOXO3 and telomere length change with age, and include the first validated longevity gene variant that shows an association with negligible loss of telomere length with age in humans. This finding reveals that reduced telomere attrition with age may be a key mechanism for the longevity-promoting effect of the FOXO3 genotype. This presentation will also discuss sex differences that play a role in how, and under what conditions, FOXO3 exerts its role in healthy aging. Finally, future collaborative projects involving mitochondrial health and aging will be introduced.
ENGAGING IN ARTISTIC AND CREATIVE OPPORTUNITIES TO HELP UNDERSTAND THE AGING EXPERIENCE
Authors: Bishop Alexander , Heinz Melinda , Fung Victor 
Published: December 2023

Abstract
This symposium provides an overview of artistic and creative engagement methodologies to understand aging experiences. The first presentation examines a collaborative effort involving a researcher and filmmaker to film, edit, and produce a documentary about Irish Men’s Sheds to increase awareness of diversity within the dissemination of narrative stories. The second presentation focuses on drawing, investigating how young children socially and cognitively represent perceptions of human longevity and of the concept of what constitutes “old.” Children were asked questions regarding what it means to be “old” and what they might look like at 100 years, and to draw a self-portrait image. Findings demonstrating internal working models consistent with socially-learned attitudes, beliefs, and stereotypes of aging. The third presentation explains digital narrative gerontology and a life story project of the older adult’s life created by younger and older adults. Thematic analysis revealed improved well-being, reduced generational stereotypes, and feelings of loneliness and isolation. The fourth presentation details an intergenerational project involving university students and older adults with cognitive impairment. Participants engaged in a six-week, telephone-based reminiscence experience and then co-created a storyboard/script to create a digital story. Thematic analysis demonstrated six themes: Family, religion and purpose in life, loves and hates, career/work, stress/coping, and major life turning points. The final presentation details music as a therapeutic intervention to improve older adults’ quality of life and foster social connections, self-understanding and expression. Observations from working with older adults in a variety of environments and preferred music styles will also be discussed.
DIFFERENCES IN CAREGIVING BURDEN ACROSS THE INTERSECTIONALITY OF RACE AND GENDER
Authors: Liu Ruotong Mona , Chi Iris , Wu Shinyi 
Published: December 2023

Abstract
Caregivers may be at different risks of various types of burdens by virtue of their gender and racial/ethnic status. This study explored the differences in caregiving burdens among caregivers to people with dementia across the intersectionality of race and gender. Using Round 5 (conducted in 2015) and Round 7 (conducted in 2017) of the National Study of Caregiving and National Health and Aging Trends Study data, the study examined differences in caregiver burdens across and within different gender and racial/ethnic groups, within the realms of financial, emotional, and physical burdens. The sample consisted of 1,206 caregivers who provided services to Medicare beneficiaries. Logistic regressions were performed to assess the three types of burdens each subgroup was experiencing. Results indicated that within the intersectionality framework, compared to White female caregivers, Black male caregivers were 3.3 times (95% confidence interval [CI] 1.77-6.22) more likely to experience financial burden, and Black female caregivers were 54% (95% CI 0.28-0.76) less likely to experience physical burden. Surprisingly, compared to White female caregivers, all the other groups were 37% (95% CI 0.41-0.95) to 71% (95% CI 0.15-0.56) less likely to have emotional burden. The findings highlighted that Black male caregivers are experiencing financial burden and White female caregivers are experiencing emotional burden disproportionately. To develop effective interventions and programs for dementia caregivers, a special focus should be put on monitoring the differences in the types of burdens that the above-mentioned population subgroups experience.
THE AGING NETWORK AS A CATALYST FOR COMMUNITY GERONTOLOGY AND APPLIED RESEARCH
Authors: Wilson Traci , Greenfield Emily 
Published: December 2023

Abstract
The Older Americans Act (OAA) established Area Agencies on Aging (AAAs) fifty years ago as local community-based organizations responsible for planning, coordinating, funding, and delivering nutrition and other supportive services which allow older adults to remain living in their homes and communities. Local control and decision-making, mandated by the OAA, has allowed AAAs to adapt to the evolving needs and demands of their communities The centrality of their role was never more apparent than during the COVID-19 pandemic. As national and societal circumstances have resulted in increased social isolation, housing insecurity, and public health concerns for older adults, AAAs have adapted and expanded beyond traditional OAA services to address the social and health needs of an increasingly diverse older adult population. The Community Gerontology framework provides a useful structure to understand the evolution and impact of AAAs and the broader Aging Network on the health of older adults. Using data from the 2022 National Survey of AAAs and a new qualitative study on Community Care Hubs, academic and Aging Network-based researchers will illustrate the many partnerships and pathways of mutual influence between AAAs and the micro and macro levels to describe how Aging Network services are expanding provision of services for health care partners, public health initiatives, and new housing and homelessness services and partnerships to address emerging needs. The symposium will conclude with an illustration of how applied researchers and Aging Network organizations partnered on research-informed practice to innovate and strengthen services for at-risk older adults.
THE ROLE OF AREA AGENCIES ON AGING IN PUBLIC HEALTH VACCINATION CAMPAIGNS: FINDINGS FROM A NATIONAL SURVEY
Authors: Wilson Traci 
Published: December 2023

Abstract
When COVID-19 vaccinations became available, AAAs played a critical role in ensuring that older adults could receive the lifesaving vaccine. AAAs built on their existing service expertise and vast partnership networks to quickly implement vaccine outreach and education, scheduling support, transportation and other supportive services to attend the appointment, and age-friendly and culturally appropriate vaccination clinics. The CDC recognized AAAs’ early contributions and awarded $50 million to support continuation of these activities. In early 2023, the Aging and Disability Networks received an additional $75 million from ACL, awarded to USAging’s Aging and Disability Vaccination Collaborative, to fund local efforts across the United States to increase vaccine uptake among older adults and people with disabilities, targeting individuals from rural, minority, and disadvantaged backgrounds. This paper describes how AAAs were uniquely positioned to assume this expanded public health role and specific characteristics that contributed to their readiness. Data from the 2022 National Survey of Area Agencies on Aging (n=457 AAAs, 74% response rate) describe new and expanded AAA activities and partnerships that support public health efforts. We will discuss implications for community partnerships to improve public health and look ahead to measuring the impact of these vaccine promotion activities.
HURRICANE STRESSORS AND BUFFERS IN RELATION TO DEPRESSIVE SYMPTOMS AMONG OLDER ADULTS IN PUERTO RICO
Authors: Guinn Victoria , Thompson Sheila , Ballard Erin , Crowe Michael , Brown Lisa 
Published: December 2023

Abstract
The present study examines the role of religiosity and social support on depressive symptoms and the moderating role of hurricane stress related to friends and family following Hurricane Maria in a sample of Puerto Rican older adults. Data was collected from the Puerto Rican Elder: Health Conditions (PREHCO) study. The present study consists of 613 participants in Wave 3 of the longitudinal study. Depressive symptoms were measured using the Geriatric Depression Scale (GDS). Social support was measured using the Lubben Social Support Network scale. Religiosity and hurricane stress related to friends and family were measured using survey items developed by PRECHO investigators. Religion items include church attendance and the helpfulness of religion for health conditions. A linear regression was conducted. Controlling for education and days since the hurricane, church attendance (b=0.642, p&lt;.001), and social support (b=-0.098, p&lt;.001) predicted depressive symptoms. When hurricane stressors related to family and friends were added to the model, church attendance (b=629, p&lt;.001) and social support (b=-0.098, p&lt;.001) remained significant predictors, and hurricane stressors predicted depressive symptoms (b=-0.378, p=.018). Helpfulness of religion was not a significant predictor of hurricane stress. Church attendance and social support are important coping strategies for Puerto Rican older adults. Increased social support and frequent church attendance buffer the development of depressive symptoms even when hurricane-specific stress is present. Future research may examine if church attendance and social support buffer the development of depressive symptoms when other non-social hurricane stressors are present.