bluuebunny/crossref_metadata_2025_split huggingface dataset:
COMPARING OLDER ADULTS’ EXPOSURE TO AND SHARING OF HEALTH-RELATED MESSAGES ON FACEBOOK BY CHRONIC CONDITION STATUS
Authors: Schroeder Matthew , Miller Carrie , Pagoto Sherry 
Published: December 2022

Abstract
We compared older adult Facebook users with and without a chronic health condition on their frequency of exposure to and posting health-related messages. Demographics, social media use, and chronic condition status were collected via survey. Regular Facebook users aged 50+ years were recruited via Qualtrics. Participants reported if they had seen, posted, or shared: health-related information; about others’/their own health behaviors (e.g., exercise); and about others’/their own chronic condition. Responses were dichotomized as “Rarely” or “At least once a month”. Six logistic regression models, controlling for demographics and Facebook login frequency, assessed whether viewing and/or posting health-related messages differed by chronic condition status. Respondents (N=697; 77.9% female; 87.9% non-Hispanic White) were on average 61.2 years old (SD=7.9). One-half reported a chronic condition (n=351; 50.4%). In adjusted models, those with a chronic condition had a higher likelihood of seeing posts from others with health information (OR=1.37; 95% CI: 1.01, 1.86) and about others’ health conditions (OR=1.64; 95% CI: 1.20, 2.23) ≥ monthly (vs no chronic conditions). Similarly, those with a chronic condition had a higher likelihood of posting or sharing health information (OR=1.52; 95% CI: 1.03, 2.24) and about their chronic condition (OR=1.93; 95% CI: 1.16, 3.21) ≥ monthly. People with and without chronic conditions did not differ in how often they saw or posted about health behaviors. Older adults with chronic conditions were more likely than those without chronic conditions to regularly see and share health information on Facebook. The content and accuracy of this health information should be explored.
THE ROLE OF EDUCATION AND LITERACY SKILLS ON MIDDLE-AGED AND OLDER VOLUNTEERS BY RACE AND ETHNICITY IN THE US
Authors: Narine Donnette , Yamashita Takashi , Punksungka Wonmai , Helsinger Abigail , Kramer Jenna , Karam Rita , Cummins Phyllis 
Published: December 2022

Abstract
Volunteer participation is a form of civic engagement that benefits both the individual and society over the life course. Although education, basic skills (e.g., literacy), and race/ethnicity are individually associated with volunteering, detailed interrelations are yet to be explored. Guided by the integrated theory of volunteer work and the notion of productive aging, the goal of this study was to examine the roles of education and adult literacy in the context of volunteering in later life across racial and ethnic groups (Whites, Blacks, Hispanics) in the U.S. Using the nationally representative sample of middle-aged and older adults (age 45+; n = 3,770) from the 2012/2014/2017 Program for International Assessment of Adult Competencies (PIAAC), structural equation modeling was constructed to evaluate mediation relationships among education, literacy, and volunteering by racial and ethnic groups. Results show no statistically significant mediation (a.k.a., indirect) effect of education on volunteering through literacy, nor was there statistically significant difference in the mediation effect across racial and ethnic groups. However, there were statistically significant differences in the direct effect of education on volunteering between Black adults and White adults [b(Black) = 0.44 versus b(White = 0.24), p &lt; 0.05], as well as Black adults and Hispanic adults [b(Black) = 0.44 versus b(Hispanic) = 0.08, p &lt; 0.05]. These findings indicate that higher education was more strongly associated with volunteering among older Black adults, compared to White and Hispanic counterparts. Suggested policy implications include support for the promotion of volunteer participation through culturally and socioeconomically sensitive approaches.
COGNITIVE DECLINE PUBLIC HEALTH SURVEILLANCE: EXPERT-GUIDED COLLABORATION FOR BRFSS MODULE REVISION
Authors: Shean John , Olivari Benjamin 
Published: December 2022

Abstract
The Behavioral Risk Factor Surveillance System (BRFSS) Cognitive Decline Module collects population level data on subjective cognitive decline (SCD) — self-reported difficulties in thinking or memory — which can be one of the earliest warning signs of dementia. Originally devised in 2009, the module undergoes periodic revision to ensure it remains current, the data collected are actionable, and to encourage uptake of the module by state health agencies. In 2021, the Alzheimer’s Association and the Centers for Disease Control and Prevention’s Alzheimer’s Disease Program formed an expert workgroup to examine the ongoing value and relevance of the module and propose any improvements. Workgroup members included researchers, chronic disease directors, epidemiologists, survey methodologists, policy analysts, and BRFSS coordinators. Using a consensus-building process, the workgroup utilized pre-meeting worksheets to identify areas of agreement and disagreement which informed key debates during subsequent meetings. Among many factors, the workgroup assessed the existing module for accuracy and utility. Discussion centered on aligning language and concepts contained within the module’s questions with current scientific research on SCD and how to accurately and adequately assess the associated burden SCD imposes. People living with cognitive impairment were consulted during the revision process to ensure phrasing reflected their lived experience. The result was a consensus set of suggested revisions to the Cognitive Decline Module, submitted to CDC for review and approval. The robust process, involving a variety of stakeholders and perspectives, can serve as an efficient and effective model for ensuring the longevity and usefulness of population health surveillance.
FOLLOWING PHYSICIAN’S ADVICE IN LATE LIFE: THE ROLES OF LOCUS OF CONTROL AND HEALTH STATUS
Authors: Dahal Poshan , Kahana Eva 
Published: December 2022

Abstract
Adherence to physicians’ recommendations plays an important role in health maintenance in old age (Kravitz, Hays, Sherbourne & DiMatteo,1993). However insufficient attention has been paid to the influence of patients’ mental and physical health and locus of control on adherence to physician’s recommendations. This paper studied subjective health appraisals, chronic illnesses, functional limitations, and cognitive impairment along with internal or external locus of control as influences on adherence to physicians’ recommendations. We explored these associations among 684 older adults (mean age = 80.71 years) living in a retirement community in Florida. Respondents participated in the Elderly Care Research Center successful aging study (Kahana, Kelley-Moore & Kahana 2012). Older patients and those with more functional limitations reported greater adherence to physicians’ recommendations (b=.15, p&lt; 0.05). Those respondents with greater cognitive impairment were less adherent (b=-.1, p&lt; 0.05). Internal locus of control, reflected in beliefs that patients play a major role in health outcomes was associated with less adherence (b=-0.1, p&lt; 0.05). The belief that health professionals influence health outcomes was associated with greater adherence (b=.1, &lt; 0.05). Lower adherence was also associated with the stronger belief that health is a matter of good fortune (b=-.06, p&lt; 0.05). Our findings offer useful insights about the role of internal vs. external influences on health outcome expectations in late life and health behaviors of compliance with medical regimens.
WHAT MOTIVATES PHYSICIANS TO ADDRESS CAREGIVER NEEDS? THE ROLE OF EXPERIENTIAL SIMILARITY
Authors: Park Taeyoung , Pillemer Karl , Löckenhoff Corinna , Riffin Catherine 
Published: December 2022

Abstract
Despite the negative emotional and physical consequences of caregiving, caregivers’ needs and risks are often overlooked in health care settings. This study used survey data from a national random sample of primary care physicians (N=106) to examine the factors associated with physicians’ perceived responsibility to identify caregiver needs and risks, focusing on three theoretically implicated variables: 1) experiential similarity (i.e., physicians having personal experience with caregiving), 2) structural similarity (i.e., physicians being older and female), and 3) secondary exposure to caregivers (i.e., more time seeing older patients and a higher percentage of older adults in their patient panel). Physicians in our sample consisted of 42.5% women; most of whom were white (73.6%). The majority (76.5%) agreed or strongly agreed that they were responsible for identifying caregivers’ needs and risks. Multivariable models controlling for physicians’ age and gender revealed that physicians who had personal experience with caregiving were four times more likely than those without caregiving experience to feel responsible to identify caregivers’ needs and risks (adjusted odds ratio [aOR] 3.90; 95% confidence interval [CI] 1.34-11.41) and to assess caregivers’ mental health concerns (aOR 3.58; 95% CI 1.29-9.94). Structural similarity and secondary exposure did not play significant roles in motivating physicians. Findings highlight the role of experiential similarity in physicians’ motivation to assess caregivers’ needs and risks. Future work may benefit from designing intervention programs for physicians that incorporate experiential learning activities (e.g., conversations in which caregivers share their experiences) and evaluating whether such programs enhance physicians’ sensitivity toward family caregivers.
ORGANIZATIONAL PRACTICES FOR THE AGING WORKFORCE: A CROSS-CULTURAL VALIDATION OF THE LATER-LIFE WORKPLACE INDEX
Authors: Deller Juergen , Finsel Julia , Wöhrmann Anne , Wilckens Max , Gu Xiuzhu , Oliveira Eduardo 
Published: December 2022

Abstract
Successful employment of experienced employees becomes more important for both, individuals and organizations. To identify organizational practices that foster the motivation, health, and performance of experienced employees in particular, a holistic assessment of relevant organizational factors is needed. The Later Life Workplace Index (LLWI) provides such a measure for organizational practices for older employees by differentiating nine domains, namely organizational climate, leadership, work design, health management, individual development, knowledge management, transition to retirement, continued employment after retirement, and health and retirement coverage. So far, a German-language and an English-language version of the LLWI have been validated in Germany and the U.S in a multi-study procedure. The psychometric properties and measurement invariance of the English-language version of the LLWI will be presented. Preliminary findings from Japan and Portugal show promising results regarding reliability and validity of the LLWI in the respective country. The findings suggest that the multidimensional measurement model developed in Germany and the U.S. could be applicable to other regulatory and cultural contexts as well. A focus group consisting of the original authors of the LLWI and international scholars, whose research expertise lies in the field of employment and older employees, is currently developing a short version of the LLWI. We aim to provide researchers and practitioners from different countries with a validated measurement to holistically assess organizational practices. Researchers can utilize the LLWI to gain a comprehensive understanding of organizational influences on later life work, while practitioners are able to assess their organizational readiness for an aging workforce.
PREPARING OLDER ADULTS FOR REMOTE EMPLOYMENT: OPPORTUNITIES AND CHALLENGES
Authors: Massihzadegan Setarreh , Gleason Shayna , Mutchler Jan , Coyle Caitlin 
Published: December 2022

Abstract
As Americans live longer, many are finding they need or want to remain longer in the workforce. When the COVID-19 pandemic transitioned much of the U.S. workforce into temporary or permanent remote employment, many older job seekers were left behind, wanting to compete in the ever-more technology-based job market but often without the requisite skills to do so. The present study evaluated a workforce training program (funded by a Department of Labor demonstration grant) that trained low-income workers over the age of 55 for remote employment. Approximately 60 older adults were trained across three 20-week cohorts. Our data sources included biweekly participant surveys, typing speed and Microsoft Office skill assessments, exit interviews with program “drop-outs,” focus groups, training observations, data from participant applications, and instructor assessments of each participant’s level of “job readiness” at the end of the program. Results revealed that participants had acute financial need for employment, a keen interest in working remotely, and a wide range of employment experiences and past job stability. Many of their career trajectories and workplace needs were affected by COVID-19. Results also showed promising improvements in participants’ technology skills and confidence in their ability to conduct a job search over the course of the program. The need for greater connectivity between participants and employers was identified as an area for improvement for the program. The results of this study contribute to the literature on workforce development by exploring how training programs might better prepare older adults for an increasingly remote job market.
INTERNATIONALLY EDUCATED NURSES CARING FOR OLDER ADULTS: A SCOPING REVIEW
Authors: Olanrewaju Sherif , Loeb Susan , Rosaldo Manuel 
Published: December 2022

Abstract
Internationally Educated Nurses (IENs) are nurses who are born and obtained their licenses in their home country and relocate to work in a different country. IENs are increasing being recruited to work in Western countries to address nursing shortages. Estimates indicate that IENs account for 5-8 percent of registered nurses in the United States (US). The purpose of this scoping review was to identify and synthesize research evidence on IENs' experiences caring for older adults. A 5-step process for Scoping Reviews was applied, which includes: identifying the research question; identifying relevant studies; study selection; charting the data; and collating, summarizing, and reporting the results. A search was conducted in Web of Science, PubMed, CINAHL, PsycINFO, and Google Scholar. Keywords included but were not limited to IENs, older adults, and long-term care setting. Inclusion criteria were (1) empirical studies examining IENs providing direct care for older adults in any healthcare settings and (2) original research published in English. A total of 13 articles were selected for inclusion (nine quantitative and four qualitative studies). The studies were conducted in the US (n=10), the Netherlands (n=1), Australia (n=1), and New Zealand (n=1). Results revealed three primary themes: transitional challenges, IENs' experiences working with older adults, and factors affecting IEN capacity to deliver services. Study findings are relevant to nursing leaders and policymakers in developing culturally relevant programs to help IENs transition successfully into the nursing workforce. Additional qualitative research is required to explore lived experiences of IENs caring for older adults.
THE EFFECT OF EMPLOYMENT SUPPORT PROGRAM PARTICIPATION ON MID-LIFE AND OLDER ADULTS IN A STATE
Authors: Yeo Hyesu , Wilson Steven 
Published: December 2022

Abstract
BackgroundQuestions have been raised about the effectiveness of these government’s efforts as older people aged 50 or older are affected by restrictions to participate in the labor market. This study examined the impact of the total programs under the Workforce Innovation and Opportunity Act in a state on older participants. MethodsThe study used the Technical College System of Georgia data between 2016 and 2020, with 11,390 participants aged 50 or over. The outcome of the program participation was employment status. The participants’ characteristics consist of gender, race, age, earnings, and types of training they received. Bivariate analyses were performed to examine the relationship between the program’s outcome and individuals’ characteristics. ResultsIn 2016-2020, most older participants were female (60%), and they were African American (64%) and White (24%). Among the total participants (N=11,390), about 60% of older people received job training, and about 70 % of them completed their training. Many older participants received training in 1) health professions and related clinical sciences and 2) business, management, marketing, and related support services. A total of 3,143 older people succeeded in finding their jobs. As age increases, the probability of getting a job and wage increase in re-employed jobs decreases. Conclusion The study found that most older people participated in service profession-related training. Also, racial minorities were the majority of the participants, while the state’s racial majority was White. This suggests considering program development to enhance racial minorities’ job skills for increasing wages through the state’s job training programs.
PRIMARY OCCUPATION AND PAIN AMONG ADULTS AGED 50 AND OLDER IN MEXICO
Authors: Milani Sadaf , Wong Rebeca 
Published: December 2022

Abstract
Working in physically demanding jobs may be associated with pain in middle and old age. This has not been widely studied in Mexico, which has a rapidly aging population. We evaluated the association between primary occupation and pain over 17 years of follow-up among Mexicans aged 50 and older using data from the Mexican Health and Aging Study (2001-2018). Primary occupation was categorized as professional, agriculture, domestic/service, production/industrial, or no main job. We examined frequent pain (yes vs. no) and pain interference (none/non-interfering vs. interfering), defined as pain that limits daily activities. Mixed effects logistic regression was used to model the association between primary occupation and pain. In 2001, participants (n=11,339) were 62.1 years old on average (standard deviation: 9.3) and 55.7% female. About 25.1% of participants worked as professionals, 17.2% worked in agriculture, 16.9% in domestic/service, 22.4% in production/industry and 18.4% had no main job. Almost all of those reporting no main job were women (98.7%). Compared to professionals, those in production/industry had higher odds of frequent pain at baseline [odds ratio (OR): 2.42; 95% confidence interval (CI): 1.25, 4.67]. Those in agriculture had higher odds of frequent (OR: 2.09, 95% CI: 1.03, 4.25) and interfering pain (OR: 2.50, 95% CI: 1.10, 5.70) at baseline. Pain did not change over time by lifetime occupation. The final analysis will include an estimation of gender differences. Health care providers should consider lifetime occupational risks, which may help address pain and minimize pain interference in old age.
CORRELATES OF JOB SATISFACTION AMONG FULL-TIME EMPLOYED OLDER ADULTS WITH CHRONIC CONDITIONS
Authors: Smith Matthew , Kew Chung Lin , Bergeron Caroline , Parker Martha , Oloruntoba Oluyomi , Aguilar Kaysey , Benden Mark , Merianos Ashley 
Published: December 2022

Abstract
With a rapidly aging workforce and the rising prevalence of chronic conditions, efforts are needed to better understand the needs of older adult workers and how to create supportive working environments for them. This study examines factors associated with job satisfaction among full-time employed adults ages 60+ years with 1+ chronic conditions. Data were collected with an internet-delivered survey in January 2022. Analyses included 337 older adult workers with chronic conditions. An ordinal regression model was fitted to assess factors associated with higher levels of job satisfaction. The model adjusted for sociodemographics, disease characteristics, social engagement, work logistics, and perceptions about the workplace. On average, participants were age 65.14(±4.56) years and self-reported 3.05(±2.09) chronic conditions. Twenty-eight percent reported being very satisfied with their current job and 48.4% worked remotely 1+ days per work week. Higher job satisfaction levels were positively associated with being Hispanic (β=0.68, P=0.030), exhibiting stronger organizational citizenship behavior (β=0.16, P&lt; 0.001), and working more days remotely (β=0.12, P=0.026). Higher job satisfaction levels were negatively associated with job-related stress (β=-0.26, P&lt; 0.001), feelings of social disconnectedness (β=-0.12, P=0.010), and greater intentions of leaving current jobs within the next three months (β=-0.70, P&lt; 0.001). Findings suggest that job satisfaction among older adult workers is rooted in their compatibility with their organizations’ work environment, management of job-related stressors, and opportunity to engage in meaningful and fulfilling interactions with others. Strategies such as remote working are encouraged to give older adults flexibility to promote work-life balance and self-manage their chronic conditions.
MEMBER CHECKING GERONTOLOGY: THE CASE OF RETIREMENT
Authors: Ekerdt David 
Published: December 2022

Abstract
Gerontology has long been a public-facing field with an applied focus. As such, the credibility of gerontology’s conclusions and guidance about aging are crucial, our advice having relevance and impact in proportion to its popular resonance. In 2021 I authored an article for a large-circulation newspaper that generated over 500 reader replies, creating an opportunity for member checking of a kind. The article reported my personal experience of having retired—what I expected and what was a surprise. All of my observations about emotions and lifestyle, while my own, were nonetheless grounded in the research literature. Public comments on the article came from a readership that skews male and highly educated, i.e., people like myself. Many comments affirmed my observations (e.g., about time use, awareness of finitude) as experiences we had in common. Some comments disputed my authority, as an academic, to say anything valid about the “real world.” Opinion split on the value of continued work: it gives life meaning, it invites corrosive stress. Likewise, some retirees endorsed surrender to leisure while others urged engagement. One research takeaway: with no standard way to be retired or regard it, the quality of retired life remains a measurement challenge. Another takeaway: Retirees with partners commonly describe experience in the first-personal plural (we, us), suggesting that dyads are often apt units of analysis for retirement studies. This is but one case study, but it indicates that we must continually assess whether gerontology’s knowledge is valid and whether the public is grateful for it.