bluuebunny/crossref_metadata_2025_split huggingface dataset:
ADAPTING A DISASTER PREPAREDNESS PROGRAM USING AN INDIGENOUS IMPLEMENTATION FRAMEWORK
Authors: Thompson Lena , Lewis Jordan , Ashida Sato 
Published: January 2025

Abstract
Implementation frameworks can help increase the relevance and sustainability of intervention research with Indigenous populations. The He Pikinga Waiora (HPW) framework centers around Māori self-determination and has four elements: community engagement, cultural centeredness, integrated knowledge translation, and systems thinking. This study applied the HPW framework to inform adaptation of a disaster preparedness program for older adults with a Midwestern tribe in the United States. Tribal organization leaders, including a member from the Tribal Government, Senior Center, Emergency Preparedness Department, Police Department, and one older adult from the community, read through the program with the researcher while considering the four elements of HPW throughout the process. Five experts in Indigenous aging research and practice listened to the recordings of these sessions and evaluated the researcher’s fidelity to the framework and the extent to which the HPW framework fit the community context and project. Additionally, research assistants conducted qualitative interviews with Tribal organizational leaders about the fit and relevancy of the framework. Data from expert evaluators and interviews with tribal organizational leaders and the community member suggest that the HPW framework was a good fit for the community and program. Both groups made recommendations to improve the framework, including integrating sustainability into the model and making language simpler. The HPW framework appears to facilitate healthy partnerships and provide guidance to adapt, implement, and eventually disseminate a tailored intervention to a Midwestern Tribal community. This study demonstrated beginning processes of conducting cultural adaptations using an implementation model created and tested with Indigenous populations.
EAST MEETS WEST: PERSPECTIVES ON CAREGIVING, FRAILTY, AND BASIC RESEARCH ON AGING IN CHINA AND THE UNITED STATES
Authors: Nelson James , Wang Jianye 
Published: January 2025

Abstract
This interdisciplinary symposium brings together scholars from China and the United States to share recent discoveries from the health and biological sciences, as well as public policy initiatives designed to increase accessibility to established means of promoting health and well being of older individuals. Included will be discussions of novel therapeutics that may alleviate the pathophysiological burdens of senescence. An overarching premise of this cross-cultural symposium is that the unique cultural and experiential perspectives of scientists and practitioners from these two countries can enrich the approaches to research, education, and practice of geroscience and gerontology in both countries. Another goal is to build new bridges of communication between the two countries to promote collaboration, thereby synergizing research and practice everywhere. To this end, presentations on frailty and novel approaches to increase access to known behavioral interventions bring together different methodological perspectives, as will presentations on basic biology of vascular aging and pre-clinical pharmacologic interventions informing clinical trials aimed at restoring physiological functions in older individuals.
BASIC AND CLINICAL ASPECTS OF VASCULAR AGING
Authors: Zhang Cuntai 
Published: January 2025

Abstract
Vascular aging (VA) is an important pathophysiological contributor to the aging process. In response to China’s aging population, a hierarchical “Standardized Vascular Aging Management Center (VMC)” network, with Tongji Hospital in Wuhan as the central hub, was established in 2023 to offer comprehensive vascular aging (VA) management nationwide. This initiative encompasses assessment, stratification, and intervention strategies for VA, a key factor in the aging of human organs and systems and a common denominator in the chronic diseases of aging. Our research delves into the cellular and molecular dynamics of VA, examining the effectiveness of pharmaceutical interventions against vascular stiffness and investigating cellular aging mechanisms such as metabolic changes, ferroptosis, mitochondrial dysfunction, and senescence-associated secretory phenotype (SASP), alongside key factors like SOX9, Nrf2, and FGF21. Furthermore, we are launching a national cohort study and conducting randomized trials on novel drugs to bridge clinical and basic research findings. This integrated approach aims to detect early VA signs, enabling timely interventions to mitigate chronic elderly diseases, foster healthy aging, and effectively tackle the implications of an aging demographic. By developing an integrated VA research and application platform that facilitates seamless translation between basic and clinical settings, we aim to identify early signs of VA and implement appropriate interventions to delay and manage this process. Ultimately, our efforts aim to reduce chronic disease in the elderly, promote healthy aging and more effectively address the challenges of an aging society.
FRAILTY AND INTRINSIC CAPACITY IN OLDER ADULTS IN CHINA: FROM RESEARCH TO PRACTICE
Authors: Ma Lina 
Published: January 2025

Abstract
Older adults with frailty have a reduced ability to cope with stresses, such as that associated with acute diseases, and these adults also have an increased risk of falls, disability, and death. The prevention and treatment of frailty in this group of people are very important. In China, as the general population has aged, the demand for medical care services for older adults has increased. China has given high priority to healthy aging and established a national strategy “Healthy China 2030” blueprint and is progressing rapidly in geriatric medicine. Although frailty research in China started late, it has developed very rapidly, especially on assessment tools, epidemiology, and management. Furthermore, several guidelines have been established to help physicians make clinical decisions while treating frail older persons. In recent years, clinicians and researchers have shown increasing interest in intrinsic capacity, a new positive approach to health aging. However, much effort should be made to integrate frailty into clinical practice. This talk focuses on the research advances on frailty from biological mechanisms to therapeutic opportunities as well as individual-centered integrated care for optimizing intrinsic capacity to prevent frailty and disability in older adults in clinical practice in China.
A CLOSER LOOK AT EMOTIONAL ACCEPTANCE IN LATE LIFE
Authors: Haase Claudia , Li Yu , Yu Chen-Wei , Fu Lillian , Rompilla David 
Published: January 2025

Abstract
When older adults regulate emotions, they tend to prefer emotional acceptance (i.e., embracing emotions without judging them) over other strategies, such as reappraisal (i.e., reframing an emotional situation to view it in a more positive light) or detachment (i.e., mental distancing from an emotional situation). While regulation strategies, such as reappraisal, have been widely studied, interest in emotional acceptance is just starting to take off. Here, we present findings from two studies on emotional acceptance with older adults. In a laboratory-based study, we examined habitual emotional regulation (using questionnaires) and instructed emotion regulation (instructing participants to use different emotion regulation strategies when watching loss-themed film clips vs. “just watch” them while monitoring their autonomic physiology) in a sample of 129 older adults (age 64-83). We examined emotional acceptance and (to determine specificity) detachment and reappraisal. Findings showed that habitual emotional acceptance (but not detachment or reappraisal) was associated with (1) greater vagal reactivity during instructed emotion regulation and (2) lower levels of anxiety and depressive symptoms. In an online study, we probed a novel measure of emotional acceptance in a sample of 241 older adults (age 65-88). A confirmatory factor analysis supported a 2-factor solution with acceptance of negative emotions and acceptance of positive emotions as two distinct factors. Together, these findings highlight the physical and mental health benefits of emotional acceptance in late life, underscore differences between different cognitive change strategies, and suggest further probing of accepting not just negative but also positive emotions in future research.
AMPLIFYING THE POSITIVE: RECIPROCAL ASSOCIATIONS BETWEEN SAVORING AND POSITIVE AFFECT
Authors: Stephens Jacquelyn , Smith Jennifer 
Published: January 2025

Abstract
Savoring and positive affect are closely related, yet little work has disentangled the bi-directional relationship between them, as they have primarily been examined cross-sectionally. Further, more empirical work is needed to show that savoring is longitudinally associated with increased positive affect even when accounting for baseline positive affect. We examined year-to-year associations between savoring and positive affect using three annual waves of data from the Age Well study. Participants consisted of 2945 older adults (Mage = 82.08, SD = 6.38; 66% female) recruited from Life Plan Communities across the United States. Positive affect was modeled on savoring ability using random-intercept cross-lagged panel models. Our results revealed significant bi-directional relationships, such that savoring predicted later positive affect (B =.15, p &gt;.001) and positive affect predicted later savoring (B =.34, p &gt;.001). Our results show evidence that changes in savoring sequentially predict greater positive affect, as well as the reverse. In line with views of upward spirals of positive emotion, increasing positive emotion regulation indeed contributes to greater emotional well-being in older adults, independent of initial levels of positive emotion.
EXAMINING CUSTODIAL GRANDMOTHER’S PARENTING PRACTICES BY MEANS OF A THREE-STEP LATENT PROFILE ANALYSIS
Authors: Ye Minzhi , Smith Gregory 
Published: January 2025

Abstract
Although parenting is the central responsibility of custodial grandparents, research on the parenting practices of these family caregivers remains scarce. With various measures of parental nurturance and discipline as objective indicators, we used Three-Step Latent Profile Analysis (Mplus 8.1) to (1) identify distinct custodial grandmother (CGM) parenting profiles among a nationwide sample of 733 individuals and (2) examine how these profiles were related to grandchildren’s (GC) psychological difficulties, CGM mental health, CGM coping behaviors, and key contextual factors. Four parenting profiles emerged: Permissive (35%; n = 259), Authoritative (7%; n= 53), Optimal (49%; n = 357), and Inconsistent (9%, n=64). These profiles differed considerably in terms of how each was related to CGM depressive and anxiety symptoms as well as to GC internalizing and externalizing difficulties. For example, in Permissive CGM, both their anxiety and depression symptoms were positively related to GC internalizing and externalizing difficulties. On the other hand, among Authoritative CGM, their depressive symptoms were negatively related to GC internalizing, while their anxiety symptoms were positively related to CG internalizing. In addition, multinomial contrasts with Optimal CGM as the referent showed that “Permissive” CGM reported less problem-focused coping, more family conflict, and younger CGM with older GC. “Authoritative” CGM reported higher depressive symptoms, less support, and increased family conflict. Finally, Inconsistent CGM reported less problem-focused coping, heightened family conflict, and older GC. These findings shed light on the relationships between CGM parenting profiles, well-being, coping behaviors, and GC outcomes which informs future interventions. [Funded by NIH R01- MH-66851-02]
WHO IS “OLD” IN AN AFFLUENT RETIREMENT COMMUNITY: QUALIFYING STIGMA THROUGH OUTLIER DATA
Authors: Crampton Alexandra 
Published: January 2025

Abstract
The purpose of this study has been to compare and potentially reconcile professional constructs defining who is an older adult with lived experience of aging into 80+ decades. In this anthropological field research project, the study site is an affluent, Midwestern retirement community in which the average age is 85. Data were primarily collected through participant observation and semi-structured interviews during several data collection periods from 1 week to 2 months between July 2021 and December 2023. Despite optimal access to resources and identities of privilege, findings show how residents confronted “deep old age” as a highly stigmatized experience and social identity. Demographic and other quantitative data were collected from administrative data. These data helped qualify normative responses from research participants, such as a perceived “rash of deaths,” during the Covid-19 pandemic. In addition, qualitative data provided richness of detail and contextualization that numbers could not. In the objective concerns of a facility caring for older adults and the subjective experiences of residents confronting fears of aging, outlier data included examples of coping and social interactions that did not fit professional nor peer expectations of aging as stigmatizing or debilitating. Such examples inspired hope of alternative constructs that transformed ageist fears of age-related change. Residents who inspired included those who were unusually able to accept frailty, falls, and disability without resignation. In dialogue with research participants, “old” age was redefined as risk at any age of “giving up.”
HOUSING MODELS TO PREVENT AND INTERVENE IN HOMELESSNESS AMONG LGBTQIA+ OLDER ADULTS
Authors: Perone Angela , Zhou Leyi 
Published: January 2025

Abstract
LGBTQIA+ older adults have heightened risks for homelessness, given structural and systemic barriers and inequities across the life course. Little is known about housing prevention and intervention models for LGBTQ+ older adults at risk of homelessness. This study uses a novel multi-method approach to answer the following community-driven research questions: What housing models aim to prevent or intervene in homelessness among LGBTQIA+ older adults? How do these models respond to the diverse needs of LGBTQIA+ older adults? The research team first conducted a scoping review using Arksey and O’Malley’s five-step framework. In collaboration with a national community partner, the team next identified and reviewed grey literature. The team supplemented review findings with secondary qualitative data from community leaders. Data revealed five core housing models used as prevention and intervention homelessness tools among LGBTQIA+ older adults: affordable housing developments, homeshare spaces, tiny homes, community land trusts, and mobile communities. Affordable housing developments tended to be located in spaces that were more heavily populated by white residents. Transgender and LGBTQIA+ older adults of color led projects that invoked the other four nontraditional housing models. While affordable housing developments for LGBTQIA+ older adults are growing, they may not be meeting the diverse needs of this community. Intersecting experiences of trauma, discrimination, and exclusion (e.g., racism, ableism, sexism, heterosexism, transphobia) may be driving the need and desire among transgender older adults and LGBTQIA+ older adults of color to develop alternative housing models to prevent homelessness.
CHARACTERISTICS OF MIDLIFE WOMEN FAMILY CAREGIVERS ASSOCIATED WITH THEIR NEGATIVE ATTITUDES TO DEMENTIA AND CARE
Authors: Kim Dongmi , Im Eun-Ok , Chee Wonshik , Yang You Lee 
Published: January 2025

Abstract
Racial/ethnic minority family caregivers, especially midlife women who are family caregivers of persons living with Alzheimer’s Disease (MWPLAD), tend to suffer quietly without necessary support and care partially due to their cultural attitudes related to Alzheimer’s Disease (AD) and dementia care (e.g., filial piety, fatalism). Yet, little is still known about the women’s characteristics that are associated with their negative attitudes toward AD and dementia care. This information could provide important directions for future intervention development for this specific population of family caregivers. The purpose of this secondary analysis study was to determine the characteristics of MWPLAD that were significantly associated with their negative attitudes toward AD and family Caregiving. This analysis included the data from 172 MWPLAD who were recruited through online and offline communities/groups for midlife women. The instruments included: the Attitude toward AD and Related Dementias Scale (DAS), the Questions on Attitudes toward AD Caregiving, the Social Readjustment Rating Scale, the EQ-5D-5L and the Midlife Women’s Symptom Index. The data analysis was conducted with descriptive and inferential statistics including Independent t-tests, Mann Whitney U tests, one-way ANOVA, and multiple regression analyses. The total DAS scores were significantly associated with employment, race/ethnicity (being Hispanic), and instrumental activities for daily living (p &lt;.05). Those who were unemployed, Hispanic, and with low instrumental activities for daily living tended to have negative attitudes toward Alzheimer’s Disease and dementia care. More interventions need to be developed for racial/ethnic minority MWPLAD while considering these characteristics.
EXAMINING THE ROLE OF SOUTHERN CONTEXT FOR DEMENTIA, DISABILITY, AND MORTALITY AMONG OLDER US BLACKS AND WHITES
Authors: Kim Jaein , Cha Hyungmin , Farina Mateo , Hayward Mark D 
Published: January 2025

Abstract
Racial inequalities in older adult health are well-documented. Compared to Whites, Blacks have greater risks of disability, dementia, multimorbidity and mortality. These differences in age-related health are paralleled by race differences in context. In particular, approximately 80% of older Blacks were born in Jim Crow South no matter where they currently live compared to 30% percent of older Whites. In the United States, the U.S. South has historically structured the life course experiences of Black and White older adults differently through legalized racial segregation. As a result, the role of association of Southern context with later life health risks is expected to differ substantially across the groups. We focus on three critical dimensions of population health to better understand the role of context for race difference in health – cognitive and physical functioning as well as mortality. Drawing on the Health and Retirement study from 2000-2016, we estimate a series of hazard models for each of the health outcomes separately for each race group. This approach promises new insights into the role of context for within-group variation in the health outcomes as well as for potential between-group differences for each specific outcome. Whereas for Whites Southern birth regardless of residence was associated with increased risk across all three conditions, for Black older adults we found more heterogeneity. Those who were born and lived in the South had the highest risk of dementia. Southern residence was associated with an increased risk of mortality, but its effect was ambiguous for risk of disability.
MULTILEVEL FACTORS ASSOCIATED WITH RACIAL AND ETHNIC DISPARITIES IN TIMELY DIAGNOSIS OF DEMENTIA IN US OLDER ADULTS
Authors: Qian Yuting , Li Fan , Chen Xi 
Published: January 2025

Abstract
In the U.S., non-Hispanic Black and Hispanic older adults are disproportionately more likely to develop dementia but less likely to receive a timely diagnosis than White older adults. Quality care for people with dementia starts with an early diagnosis, a key goal of the national plan to address dementia. This study examines individual-level and neighborhood-level factors associated with racial and ethnic differences in timely dementia diagnosis. We used 1998-2020 Health and Retirement Study (HRS) data, which contains detailed information on cognitive assessments and provider diagnoses for a representative sample of U.S. older adults. This was then linked to the National Neighborhood Data Archive (NaNDA) for neighborhood contexts. We find that racial and ethnic disparities in timely dementia diagnosis were substantially attenuated after adjusting for individual-level and neighborhood-level factors. The adjusted odds ratio of having a timely dementia diagnosis increased from 0.60 (95% CI: 0.48-0.76) to 0.76 (95% CI: 0.58-1.00) for non-Hispanic Black older adults compared to their White counterparts. A mediation analysis revealed that household income and education explained the largest proportion of the disparity between non-Hispanic Black and White older adults (17.9% and 12.7%, respectively), followed by neighborhood affluence (10.9%), neighborhood disadvantage (9.9%), and health care access (measured by physician density and other health practitioner density). These patterns were similar for Hispanic compared to White older adults. Our findings may inform targeted interventions and policies that emphasize socioeconomic risk factors and health service availability to reduce racial and ethnic disparities in timely dementia diagnosis and promote health equity.
BRAIN FOG AND A SHRINKING WORLD: GRIEF AND LOSS IN THE CONTEXT OF DEMENTIA
Authors: Hirsch Jen , Gibson Allison 
Published: January 2025

Abstract
To date, little is known about people living with dementia’s experience of relating to and coping with their disease. Most studies about dementia have focused on their experience from the perspective of a care partner(s), professional care provider(s), or through observation of rather than engaging those living with dementia directly to reflect on their experiences. This qualitative study engaged 20 people living with dementia in focus groups to explore their lived experiences of grief and loss in the context of dementia, such as needing to constantly adapt to changes in disease symptoms, brain fog, and having their environment shrink as they disengage from life roles. Reflexive thematic analysis was used to describe and interpret the rich data. Participants discussed numerous strategies to cope with their diagnosis including engaging in new activities such as hobbies or advocacy efforts around dementia. Others discussed leaning on support systems and peer support groups using social engagement and technology as their most effective coping mechanisms. The themes from this study offer a richer understanding of the experience of dementia as a serious illness. Grief responds well to social support, and yet this population who are dealing with compounding loss also face isolation due to their treatment by others. Understanding this population’s experience and what strategies they use to cope could be used to improve quality of life and psychosocial support for people with dementia and their families.