bluuebunny/crossref_metadata_2025_split huggingface dataset:
MARITAL STATUS AND CHANGES IN FINANCIAL SATISFACTION DURING THE RETIREMENT TRANSITION: SOUTH KOREA AND THE US
Authors: Jang Jeein , Stokes Jeffrey , Burr Jeffrey 
Published: January 2025

Abstract
This study examines the impact of the transition to full retirement on the long-term financial satisfaction trajectories in two countries with different socioeconomic and health settings, and whether this relationship differs by marital status. Two harmonized, nationally representative cohorts of adults aged 51 and over are used: the Korean Longitudinal Study of Aging for South Korea and the Health and Retirement Study for the United States, with sample sizes of 31,900 and 33,356 individuals, respectively, followed up for a period of 11 years. The outcome is financial satisfaction measured as a composite score, and the predictor is the transition from full-time work to becoming fully retired (relative to remaining in full-time work). Linear Mixed-effect models show that retirement is associated with lower financial satisfaction at baseline and over time in both countries. Men have higher financial satisfaction than women in both studies. The magnitude of the effect of retirement on financial satisfaction is greater in South Korea than in the United States. This relationship is buffered by marital status in the United States, but no interaction term reaches statistical significance in South Korea. These findings suggest that cultural, social, or economic factors may influence the financial well-being of individuals during the transition to full retirement, given cross-national differences.
KOREAN VERSION OF PUBLIC STIGMA OF ALZHEIMER’S DISEASE SCALE: DEVELOPMENT AND EVALUATION AMONG KOREAN AMERICANS
Authors: Hong Michin , Lee Sang 
Published: January 2025

Abstract
This study aims to evaluate the psychometric properties of the Korean version of the public stigma of Alzheimer’s diseases scale (KPS-ADS). Stigma toward Alzheimer’s disease (AD) prevents the early diagnosis of AD, causing the delayed treatments. To our knowledge, there is no proper measure to assess AD public stigma among the Korean-speaking population. We used a community survey dataset with 268 Korean Americans. We translated the 19 items of the layperson’s stigma, a dimension of the Family Stigma in AD scale, using Brislin’s method. After randomly dividing the sample into two sub-groups, we conducted exploratory factor analysis (EFA) with one group to explore the factor structure of the KPS-ADS, and then performed confirmatory factor analysis (CFA) with the other group to validate its identified factor structure. Additionally, we performed reliability tests. EFA identified three factors: negative emotions, empathetic response, and social behaviors. Using this three-factor model, we performed CFA with the highest loading items loaded on each factor, but it showed a poor model fit. After removing three items, the revised model showed an excellent model fit (χ2 = 185.788, df = 97, p = 0.000, CFI = 0.955, TLI = 0.944, RMSEA = 0.081[90% CI: 0.063–0.099, p ≤ 0.05 = 0.003]). All loadings were significant. The KPS-ADS demonstrated excellent internal consistency reliability (α=.87), with each domain demonstrating excellent internal consistency. Our study presents a psychometrically sound, multifaceted KPS-ADS that contribute to better understanding the nature and magnitude of AD public stigma and reducing it in this population.
CIVIC ENGAGEMENT IN LATER LIFE: USING THE GERONTOLOGICAL IMAGINATION TO DEVELOP RESEARCH ON MIGRANTS
Authors: Torres Sandra , Agard Pernilla 
Published: January 2025

Abstract
Social gerontologists that have brought attention to the knowledge gaps that exist in research on late-life-civic engagement have already proposed that this research has not yet exploited the theorizing potential embedded in migratory life-courses. In a similar fashion research on migrants’ civic engagement has not yet envisioned that aging and old age offer interesting vantage points from which that research can be expanded. This presentation taps into both of these states of affairs by bringing attention to what characterizes the scholarly imagination on migrants’ civic engagement, the taken-for-granted assumptions about this engagement that this literature makes, and the areas of research that have yet to receive attention. Through the systematic coding of the peer-reviewed literature that focuses on migrants’ civic engagement this presentation aims to offer insights into, among others, the kinds of research questions that this literature is preoccupied with, the angles of investigation and methodological approaches that it relies on as well as the types of civic engagement, and the taken-for-granted assumptions about them, that the literature never problematizes. In doing so, we will argue that the gerontological imagination (especially if combined with migrancy-astuteness) could expand the ways in which migrants’ civic engagement have been conceived and measured thus far.
FINDINGS FROM ASSESSING AGE-FRIENDLY BARRIERS, STRENGTHS, AND AREAS OF OPPORTUNITY AT WESTERN OREGON UNIVERSITY
Authors: Cannon Melissa 
Published: January 2025

Abstract
This presentation showcases the work that has been done at Western Oregon University (WOU) as an Age-Friendly University (AFU) member related to assessment and identifying action items for increasing age-friendliness and lifelong learning opportunities. First, attendees will learn about a multi-method case study that explored barriers, facilitators, and opportunities for WOU to engage older community members and advance age-friendliness in preparation for joining the AFU network in 2019. This case study involved survey data collection and participatory action research with older adults, revealing opportunities for the university to implement the AFU principles through efforts such as strengthening the senior center partnership, developing a lifelong learning center, and removing accessibility barriers. Next, this presentation will delve into findings from WOU’s “Age-Friendly University Campus Report” (Silverstein et al., 2021), which helped WOU identify strengths, weaknesses and areas of opportunity related to lifelong learning. For example, the report found a lack of resources and information for campus community members who identify as informal or unpaid family caregivers at WOU, which can particularly impact non-traditional students with family caregiving responsibilities. Findings will also be shared from the latest AFU-related study at WOU which explored caregiving issues for campus community members (e.g., physical demands, time demands, financial stress, social and emotional health) using a campus-wide online survey and mixed-method analysis by a research team. After providing this overview, next steps will be explored as to how WOU and similar universities may take action to implement changes that enhance opportunities for lifelong learning on campus.
SHARING THE CARE: PAID AND FAMILY CAREGIVERS WORKING TOGETHER TO SUPPORT OLDER ADULTS AT HOME
Authors: Reckrey Jennifer , Shih Regina 
Published: January 2025

Abstract
Collaboration between paid caregivers (e.g., home care workers) and family caregivers (e.g., spouses, adult children) is essential to ensure that functionally impaired older adults can thrive at home. However, there are few evidence-based practices and policies to support collaboration and paid and family caregivers are frequently left to navigate shared care on their own. In this symposium, we describe ongoing efforts to identify, understand, and promote collaboration within the paid and family caregiving team. First, Scales et al. describe the development and evaluation of a caregiving policy agenda that brings together diverse partners to support both paid and family caregivers. Miller et al identify trajectories of paid and family care among older adults in the last years of life and describe increased reliance on family caregivers among those living in rural areas. Fabius et al characterize notable role-sharing between paid and family caregivers, particularly among individuals with dementia or enrolled in Medicaid. Reckrey et al share national data that describes the growing prevalence of family members who are themselves paid to provide care, frequently to older adults with high care needs. Finally, Ornstein et al. outline the conceptualization and development of a large caregiving study that draws from the principles of relational coordination to simultaneously examine paid and family care among a multisite cohort of 4,000 older adults. Taken together, these abstracts underscore how research inclusive of both paid and family caregivers lays the foundation for stronger, more collaborative care for older adults at home. Paid Caregiving Interest Group Sponsored Symposium
TRAJECTORIES OF PAID AND FAMILY CARE TO SUPPORT ADULTS WITH DISABILITIES BY RURALITY
Authors: Miller Katherine , Yang Yang , Reckrey Jennifer , Ornstein Katherine , Wolff Jennifer 
Published: January 2025

Abstract
Family and friends are the dominant source of home-based care for older adults with disabilities (i.e., family caregivers). However, a growing share of older adults are receiving paid care (i.e., from a direct care worker such as a personal care aide). Differences in how paid and family care intersect by rurality are not well understood in the years immediately prior to death. We describe trajectories of paid and family care use in the five years prior to death using group-based multiple trajectory models stratified by rurality. We use a sample of community-dwelling National Health and Aging Trends Study respondents living with functional or cognitive limitations (n=2,549, rural n=481, urban n=2068). We examine the share of total hours of care provided by family versus paid caregivers. In both rural and urban cohorts, we find a 2-group model best fit our data: (a) “consistently high family care” (75% of the sample) and (b) “primarily paid care”. In both groups, the share of family caregiving decreases in concert with growth in paid care, but this shift was more pronounced among urban than rural residents (-5.2% vs. -3.6%). In the five years prior to death, rural residents have greater reliance on family caregivers relative to their urban peers. Notably, our findings that both rural and urban decedents rely primarily on family for care highlight the critical need to support family caregivers throughout the end-of-life trajectory.
SHARING ROLES IN HOME CARE BETWEEN FAMILY CAREGIVERS AND PAID CAREGIVERS: A NATIONALLY REPRESENTATIVE STUDY
Authors: Fabius Chanee , Gallo Joseph , Wolff Jennifer 
Published: January 2025

Abstract
Little is known about whether paid caregivers “role-share” with family caregivers in home care, which reflects situations in which members from both groups assist with the same tasks. Home care is often Medicaid-financed, and many care recipients live with dementia. We conducted a cross-sectional analysis of the 2015 National Health and Aging Trends Study. Our sample included 440 community-living older adults receiving paid help with self-care (eating, dressing, bathing, toileting), mobility (getting around inside/outside of the home, getting in/out of bed), or medical care tasks (medication administration, doctors visits). Analyses included Pearson’s chi-square tests and logistic regression models to examine associations between dementia and Medicaid status and experiencing role-sharing or receiving paid care only across individual tasks. Nearly 1.7 million older adults received paid help, of whom half (53%) experienced role-sharing. Older adults whose caregivers shared roles more often lived with dementia but were less often Medicaid-enrolled. In logistic regression models, those living with dementia more often experienced role-sharing in eating (aOR 3.9, p&lt;0.001), bathing (aOR 2.7, p&lt;0.001), dressing (aOR 2.1, p=0.02), toileting (aOR 2.7 p=0.02), and getting around inside the house (aOR 2.8, p&lt;0.01). Those enrolled in Medicaid had greater odds of receiving paid help only in dressing (aOR 2.1, p=0.03), getting around outside (aOR 2.4, p&lt;0.01), and inside (aOR 4.4, p&lt;0.001), as well as doctor visits (aOR 2.8, p&lt;0.01). Findings lay the foundation for interventions that align with national recommendations to increase understanding of and strengthen relationships between family caregivers and paid caregivers.
THE OBESITY BILL OF RIGHTS: A FRAMEWORK FOR HEALTH EQUITY AND SELF-ADVOCACY
Authors: Tanbonliong Gretchen 
Published: January 2025

Abstract
When combined with common aging-related challenges, obesity, which is now recognized as a chronic condition, can create complex clinical situations. A particularly challenging factor is the issue of stigma from weight bias and ageism, both of which are significant barriers to meeting the individual needs of the person with obesity/overweight. The Obesity Bill of Rights (OBOR) was created in response to the urgent need to pave the way for a more equitable landscape where every person is respected and guaranteed unbiased, comprehensive management and treatment of obesity. This symposium will present multiple stakeholder viewpoints that led to the research and development of the OBOR; how it is operationalized in health care delivery settings; and how providers and patients may work collaboratively to achieve the research-informed principles articulated in the OBOR.
OLDER ADULT ANIMAL FARMERS’ EVACUATION EFFORTS DURING THE 2021 PACIFIC NORTHWEST FLOODS IN CANADA
Authors: Wu Haorui 
Published: January 2025

Abstract
The animal farming communities in the Fraser Valley were devastated by the 2021 Pacific Northwest floods. The community residents, community-based service and professional agencies, and government emergency responders were engaged in the evacuation. Through qualitative interviews of animal farm owners, community-based service agencies, and governmental emergency responders, this project discovers that during the decision-making stage of the disaster evacuation, the older adult animal farmers’ their long-term engagement with their natural, built, and social environments enabled them to develop the initiatives for evacuation strategies help the governmental officials better allocate resources and support community-based service and professional organizations to coordinate different community-based services and resources to improve the evacuation process. This collaboration shed light on an innovative approach for leverage older adult animal farmers’ expertise to facilitate effective emergency decision-making.
SOCIAL SUPPORT, HEALTH BEHAVIORS, SELF-ESTEEM, AND SUCCESSFUL AGING IN A SUB-SAHARAN AFRICAN SAMPLE OF OLDER ADULTS
Authors: Chukwuorji JohnBosco , Igbokwe Chima , Ome Blessing , Chidebe Runcie , Igbokwe Beatrice , Nwoke Mary , Obioha Chidiebere , Okechi Benard 
Published: January 2025

Abstract
Previous research demonstrates that social support facilitates successful aging across all cultures. However, the factors that potentially mediate the link between social support and successful aging remain unclear. This study examined whether a healthy lifestyle and self-esteem mediate the association between social support and successful aging. It was hypothesized that the relationship between social support and successful aging would be serially mediated by both healthy lifestyle and self-esteem. Participants were 479 Nigerian retirees (53.4% female; Mean age = 64.81, SD = 6.86). They provided information on relevant demographic variables and completed the following measures: Fantastic Lifestyle Checklist (Fitness Appraisal), Rosenberg Self-esteem Scale, Multi-dimensional Scale of Perceived Social Support Scale, and Successful Ageing Inventory. Three separate regression models (family; friends; and significant other dimensions of social support) were conducted using the Hayes PROCESS macro for SPSS with 5,000 bootstrap estimates. Controlling for age and sex, family support, significant other support, friends support, healthy lifestyle and self-esteem were directly associated with successful aging. The association between family support and successful aging was mediated by healthy lifestyle; and this was also seen for friends’ support and significant other support. The sequential path from social support to successful aging through healthy lifestyle, and then via improved self-esteem, was significant for family support and significant other support, but not friends support. Middle-aged to older adults who have strong support from their families and significant others may be more likely to engage in healthy behaviors and, in turn, experience higher levels of self-esteem, thereby aging well.
A SOFT DEATH: PERCEPTION AND ATTITUDES TOWARD PALLIATIVE CARE IN SENEGAL
Authors: Silverstein Hannah , Sahawneh Fursan , Carpenter Brian 
Published: January 2025

Abstract
Palliative care (PC) is a specialty medical service that addresses the bio-psycho-social-spiritual needs of patients with serious illnesses and their care partners. Despite the value of PC, its expansion has been underdeveloped in sub-Saharan Africa due to variability in access to training resources and funding. This study sought to understand the current landscape of PC services in Senegal and the barriers and opportunities in its growth. Semi-structured interviews were conducted with six PC clinicians, four caregivers, one driver for a PC service, and one public health professor, all native to Senegal. Questions addressed their experiences delivering or receiving PC and future recommendations. Interviews were translated and transcribed from French into English. Transcripts were qualitatively coded for themes using open and focused coding. Five themes were identified: 1) the current landscape of PC, 2) barriers to implementing PC, 3) strategies and philosophies in care, 4) unique features of Senegalese culture affecting PC, and 5) the future of PC. Our findings demonstrate that PC in Senegal remains an under-resourced and underutilized specialty medical service, but PC is being implemented by personally committed clinicians. Results also highlight the importance of cultural factors influencing care in Senegal and the need to expand training opportunities for clinicians, increase education of other medical providers and the public, integrate PC into the healthcare system, and expand research to evaluate the impact of these resources. PC has the potential to be an important force for improving the quality of life for Senegalese patients and their care partners.
EXPERIENCES OF MUSIC LISTENING AMONG OLDER ADULTS WITH MILD COGNITIVE IMPAIRMENT
Authors: Wang Claire , Li Mengchi , Li Junxin 
Published: January 2025

Abstract
Emerging research highlights the cognitive benefits of music listening for older adults. The nuances of these effects, particularly concerning musical features like tempo, memorability, lyrics, and genre, remain underexplored especially among those with mild cognitive impairment (MCI). This mixed-methods study, nested within a randomized controlled crossover trial, explored these features through assessments of participants’ musical experience (Assessment of Personal Abductive Preference and Goldsmiths Musical Sophistication Index) at baseline and semi-structured interviews following a 4-week personalized music intervention (~30 self-selected songs, 1 hour/day, ≥5 days/week). Participants (n=25) were on average aged 68.0 ± 7.1 years (min: 55.0, max: 81.0), predominantly female (68%) and Black (68%). Almost half of the participants had some college or above education (44%), and about 36% of participants lived in extreme poverty. The findings highlight the significant value of music with 56.5% of participants reported routinely listening to music attentively for at least an hour each day; 42.9% described music’s role in their lives as ‘very important,’ while 47.6% rated it as ‘moderately important’; and 43.5% considered music as an indispensable part of their existence. The most popular genres reported were religious music (27.0%), followed by country/western/jazz/rock (14.8%), blues (11.1%), classical (7.4%), and folk/cultural music (3.7%). Interviews identified music essentialism, affective engagement, and feasibility as central themes, with participants preferring music that resonates with their moods or early life memories. Our findings underscore the deep-seated value of music, offering a foundation for tailoring music interventions to enhance the well-being of those with MCI.
BRAIN CLEARANCE SYSTEM ALTERATION AND COGNITIVE DECLINE IN AFRICAN AMERICANS WITH POOR SLEEP QUALITY
Authors: Lincoln Karen , Gaines Bryan , Golithadka Kaushik 
Published: January 2025

Abstract
African Americans have 2-3 times the prevalence of Alzheimer’s disease (AD) than Whites, making this a significant health disparity in the US. Healthy sleep plays a critical role in providing protection from cognitive decline and AD. Unfortunately, African Americans have significantly poorer indicators of sleep quality than Whites. Moreover, the mechanism whereby sleep drives AD and related cognitive decline is not well understood, in part because causal links are yet to be established by human studies. One possible mechanism linking sleep to AD is the glymphatic system, a network of perivascular spaces (PVS) that support waste clearance. This study used ultra-high field magnetic resonance imaging technology, novel PVS mapping technology, wrist actigraphy and sleep assessments, cognitive assessments and regression analysis to investigate how alteration of the glia-lymphatic system associated with sleep contributes to cognitive decline in 61 community-dwelling African Americans (age 45+). African American who slept more and spent more time in bed had a higher risk for cognitive impairment as indicated by lower MMSE scores. We also found that African Americans with larger PVS volume (more metabolic waste in the brain) had lower cognitive scores. The effect of sleep quality on cognitive status was mediated by PVS, such that African Americans who spent more time in bed had larger PVS (more waste and fluid) and lower cognitive scores. Findings from this study advance our understanding of the role of sleep and brain clearance in cognitive decline in African Americans, and identify PVS as a novel marker for cognitive decline.
RESILIENCE THROUGH ELDERSHIP
Authors: Thompson Lena , Kim Steffi , Lewis Jordan 
Published: January 2025

Abstract
Alaska Native (AN) Elders face significant challenges aging in place, yet Elders find joy and connection from living in their villages and often choose to remain in their villages as they age. As keepers of wisdom and knowledge bearers, AN Elders serve as guides and collaborators in overcoming challenges on individual, community, and at policy-levels. This study collects stories and strategies of AN Elder resiliency fostered through leadership, community engagement, and cultural practices in Southeast and Interior Alaska. This study comes from a parent study exploring meanings of and strategies for “aging in a good way” among Alaska Native Elders. In-person semi-structured interviews were conducted with 72 Elders from 11 communities in Southeast and Interior Alaska. Recordings were transcribed, de-identified, and coded thematically. Elders described navigating life-long challenges, related to experiences of racism, generational trauma, and generational changes. Elders described ways that they address these life challenges, including practices and beliefs rooted in traditional teachings, gathering, hunting, and living their “native way of life.” Notably, Elders felt that it was their duty to pass knowledge on to younger generations to address their own life challenges, incorporate and continue traditional practices, and save them hardships experienced by Elders. The concept of Eldership is vital to individual, family, and community wellbeing promoting bidirectional and mutually beneficial relations within youth, communities, tribes, and organizations. Through Eldership, AN Elders provide important guidance in managing challenges which can support Tribal governments and other service systems as they determine effective strategies to support AN communities.