bluuebunny/crossref_metadata_2025_split huggingface dataset:
SOCIAL INTEGRATION IN TEMPORARY HOUSING: PERSPECTIVES OF OLDER PERSONS EXPERIENCING HOMELESSNESS
Authors: Weldrick Rachel , Canham Sarah , Mahmood Atiya , Patille Rachelle , Gurung Shreemouna 
Published: January 2025

Abstract
The prevalence of homelessness among older persons in North America is rising. Accordingly, age-supportive housing and service models are needed to adequately support older persons experiencing homelessness to secure permanent housing. Within permanent supportive housing models, achieving and maintaining social integration (i.e., strong social connection and engagement) is recognized as a programmatic goal. Previous research has identified strategies to promote social integration in permanent supportive housing models, such as Housing First models. However, minimal research has considered strategies to promote social integration in temporary housing programs (THPs) and transitional housing models. This study addresses this knowledge gap by examining experiences of social integration, connection, and support in a THP program for older persons experiencing homelessness in Vancouver, Canada. We conducted semi-structured qualitative photovoice interviews with 11 current or former THP clients (Mean age = 65 years; 6 female, 5 male) across three sessions. Data were analyzed using a critical realist-informed thematic analysis method. We identified three themes: 1) technology access and programming can facilitate social connection; 2) consistent communication with program staff can enhance perceived social support; and 3) accessible built environments can promote social participation among clients. Findings offer insights for the development of age-supportive housing and support models for older persons experiencing homelessness. We conclude by offering strategies, such as digital literacy programming and the creation of ‘third spaces’, to support older persons to remain (or become) integrated while in temporary and transitional housing.
DEVELOPING A SUMMER RESEARCH INSTITUTE FOR EARLY CAREER RESEARCHERS
Authors: Kline Chelsea , Zimmerman Sheryl , Bynum Julie , Baumgart Matthew , Fazio Sam 
Published: January 2025

Abstract
Today, there are nearly 7 million Americans living with Alzheimer’s disease and more than 11 million unpaid caregivers. By 2060, the number of Americans living with Alzheimer’s could reach almost 14 million. These statistics highlight the need for early career investigators to join the dementia research workforce and accelerate breakthroughs in the field. To address this need, the Alzheimer’s Association Interdisciplinary Summer Research Institute (AA-ISRI) was created. AA-ISRI was developed as a five-day immersive experience in which 24 competitively-selected, early career investigators attend didactic lectures led by experts in the field, develop research proposals in small groups, and receive one-to-one mentoring. The overall goals of the program include increasing knowledge on the fundamental aspects of dementia and dementia research; increasing connections in the field; and aiding the development of fundable research proposals. This presentation will provide an overview of the AA-ISRI, including information on the goals of the program, how and why the program was developed and structured as it is, session topics, and the recruitment and selection process of AA-ISRI participants.
PSYCHOSOCIAL RESEARCHER PERSPECTIVES OF THE SUMMER RESEARCH INSTITUTE AND TRAINING NEEDS
Authors: Lanzi Alyssa 
Published: January 2025

Abstract
Over 30 public psychosocial early career researchers have participated in the Alzheimer’s Association Interdisciplinary Summer Research Institute (AA-ISRI) across the first three years of the program. During the week spent at AA-ISRI, psychosocial participants attend a variety of sessions, including both full group sessions and track-specific sessions; receive mentoring from peers and expert faculty; and refine their research proposals. Psychosocial track participants gain exposure to a wide range of potential intervention research populations and designs and enhance skills in methods for ADRD research including identifying and developing measures, utilizing mixed methods, and how to initiate and follow through with community-engaged research. The ultimate hope of the psychosocial track of the AA-ISRI is that participants will depart having formed long-term connections and the tools needed to advance their research careers. During this presentation, AA-ISRI psychosocial alum Dr. Alyssa Lanzi will describe the experience of AA-ISRI as a participant, including the highlights and helpfulness of the didactic sessions offered at the program, the mentoring and networking opportunities that were available, and the impact that AA-ISRI had on the short-term career trajectory and research. For example, since AA-ISRI, Dr. Lanzi has received an R01 funded by NIA/NIH to establish an open-access database of connected speech/language samples from older adults at-risk for dementia to study language as a potential biomarker. A key feature of this proposal is its community engagement plan to enroll those from minoritized backgrounds. This includes working with collaborators from across the country including two researchers Dr. Lanzi met at AA-ISRI.
OPTIMIZING A PRAGMATIC TRIAL OF EMERGENCY DEPARTMENT INITIATED CARE FOR PERSONS LIVING WITH DEMENTIA
Authors: Brody Abraham , Shah Manish , Goldfeld Keith , Grudzen Corita , Chodosh Joshua 
Published: January 2025

Abstract
Over 50% of persons living with dementia (PLWD) seek emergency department (ED) care annually. However, the ED is not optimized to care for PLWD; those discharged back to the community experience adverse events. Through a recently-funded NIA Cooperative Award, we will implement an 80-site embedded pragmatic factorial designed trial of three independent, yet potentially synergistic, interventions to improve care and reduce adverse events during care transitions among PLWD and their care partners who visit the ED: Emergency care redesign, nurse-led telephonic care, and community paramedic-led transitions. While each intervention has been previously implemented, they have not been implemented concurrently. Thus, to prepare for the full-scale trial where EDs will implement zero to all three interventions, we performed an optimization study with 40 PLWD who received care and were discharged from two EDs. The optimization program examined how to efficiently implement interventions in tandem while maintaining core functions. We developed and implemented: clinical decision support pathways to identify PLWD eligible for the clinical interventions and nudge clinicians towards effective intervention implementation, modifications for when multiple interventions were utilized, and intra-intervention communication pathways. We evaluated the optimization through implementation metrics and semi-structured interviews with engaged clinicians, PLWD and their care partners. Particular challenges requiring adaptations included time required to implement clinical decision support, creating effective communication pathways between intervention programs, developing staffing flexibility in the nurse telephonic program to allow for coverage at key times while balancing nursing staff needs, and engaging ED staff in performing team huddles at the bedside.
ADVANCED OLD AGE: NARRATIVES, NEEDS, AND NOTIONS
Authors: Eliopoulos Elaine , Gilleard Chris 
Published: January 2025

Abstract
Longevity trends worldwide have highlighted the need to advance theoretical development of advanced old age beyond a singularly focused decline narrative. This narrative contributes to a doomed sense of old age without consideration for the subjectivities which may contribute to a deeper understanding of the experience of advanced old age beyond its bodily capabilities. This paper reports findings from a qualitative study depicting personal narratives elicited from 23 individuals aged 80 to 102 living on the San Juan Islands in the state of Washington. Using a mix of photo-elicitation and semi-structured interviews, participants narratives reflected a specific focus on their needs and interests despite a range of corporeal challenges. Those needs and interests foregrounded a sense of community experienced in diverse ways on their island. The participants’ focus on community and belonging gives rise to the benefits of embracing new models of advanced old age which capture a sense of contented engagement with both nature and community that contrasts with the dominant discourse of decline and offers new notions of advanced old age. These new notions may enhance both quality of life and directly inform policy designed to address quality.
EXPRESSIONS OF INTERSECTIONALITY IN OLD AGE THROUGH NARRATIVE RESEARCH AND PHOTO EXHIBITION
Authors: Shulyaev Ksenya , Band-Winterstein Tova , Dekel Tal , Eisikovits Zvi , Nashef-Hamuda Reem 
Published: January 2025

Abstract
This presentation analyzes the complex experiences of old women navigating multiple marginalized identities, through an intersectional lens. There is relatively limited in-depth representation of older women at the crossroads of multiple social disadvantages. This project addresses this gap through a collaboration with 15 older women in Israel from diverse minority groups (lesbian/transgender, women with disabilities, Israeli Arabs, immigrants from Ethiopia, and former USSR). The project aims to visualize older women’s self from an intersectional perspective by creating a visual documentary – (a photo exposition) with added verbal narrative of their life stories. Utilizing visual narratives and in-depth interviews, the project explores the unique experiences of old women shaped by age and additional marginalized identities. Professional artists guided the photo sessions, ensuring the women’s vision and representation were prioritized. The resulting artwork was exhibited publicly at the University of Haifa library with accompanying small group sessions aimed at increasing awareness of students and the community about discrimination against older women. Visitors to the exhibition will be interviewed for further analysis and understanding of the impact of the exhibition in terms of visibility and attitudinal change. The exhibition will become a permanent online display on the Minerva Center of Intersectionality in Aging website. The presentation of on GSA conference includes photos and citations of the life stories of women who participated in the project. This unique project illuminates the lived reality of aging women intersectionality, offering insights to gerontological researchers and practitioners, challenges stereotypes and empowers women to express their experiences visually
WHO IDENTIFIES WITH AGE-BASED DISCRIMINATION?
Authors: Hanes Douglas 
Published: January 2025

Abstract

Background
Ageism remains a persistent problem that contributes to worse later-life outcomes. Since the COVID-19 pandemic, ageism has received greater attention from activists, researchers, and policymakers. Yet little is known about who identifies with ageism as the basis of their discriminatory experiences, and how people with intersecting marginalized identities endorse ageism as a basis for their discrimination.

Method
Health and Retirement Study (2008–2018, N = 16,250) participants were asked about their experiences of discrimination and the reasons for them, including age and other factors. We analyze which experiences and identities predict endorsement of age as the basis of participants’ discrimination. Multilevel logistic regressions with “discrimination due to age” as the outcome variable were conducted.

Results
Age predicted a small increased likelihood of ageism (OR = 1.08; p &lt; 0.001), but more frequent discrimination decreased it (OR = 0.877, p &lt; 0.001). People of color were less likely to report ageism than non-Hispanic whites (OR = 0.552, p &lt; 0.002), regardless of reporting racist discrimination; whites who reported race-based discrimination had greater odds of also reporting ageism (OR = 1.563, p &lt; 0.001). Women were more likely to report ageism (OR = 1.139; p = 0.002); reporting gender-based discrimination increased ageism probability for both women (OR = 2.318, p &lt; 0.001) and men (OR = 3.037, p &lt; 0.001).

Discussion
Members of certain identity groups and with certain experiences are more likely to understand themselves as subject to ageism than others, which may affect the effectiveness of anti-ageist messaging and interventions.
IT’S RAINING, IT’S POURING, THE OLD MAN IS SNORING: AGE STEREOTYPES IN NURSERY RHYMES
Authors: Ng Reuben , Indran Nicole 
Published: January 2025

Abstract
Ageist beliefs tend to take root in one’s formative years and persist into adulthood. As future older adults, children must be instilled with more positive attitudes towards aging. To gain insight into the ways in which children are being socialized to view old age, this study examines the depictions of old age in nursery rhymes. We built a comprehensive dataset of nursery rhymes by gathering material from four websites. In total, 735 unique rhymes were retrieved. To identify rhymes related to old age, we conducted a search using various age-related terms (e.g., old, elder, grandfather, grandma). This search yielded 85 nursery rhymes. After applying our exclusion criteria (e.g., instances where ‘old’ referred to buildings that have been around for a long time), we were left with 34 rhymes. Both inductive and deductive approaches guided our qualitative content analysis of the rhymes. Overall, old age was mentioned in 5% (N=34) of the 735 nursery rhymes. Of the 34 rhymes, half contained negative age stereotypes (50%; N=17). The remaining rhymes featured about an equal mix of positive (26%; N=9) and neutral age stereotypes (24%; N=9). In the context of an aging population, it is paramount that society is led by people with a realistic outlook of aging. Although nursery rhymes may seem like mere tales not to be taken seriously, they nonetheless remain powerful tools capable of molding thought processes. Our study sets the stage for telling children accurate and nuanced stories about older adults to inculcate healthy attitudes towards aging.
ASSOCIATION BETWEEN PRE-HIP FRACTURE DEPRESSION AND DAYS AT HOME AFTER FRACTURE AMONG MEDICARE BENEFICIARIES
Authors: Mehta Rhea , Orwig Denise , Chen Chixiang , Dong Yu , Shardell Michelle , Yamashita Takashi , Falvey Jason 
Published: January 2025

Abstract
Hip fracture and depression are important public health issues among older adults. Though historically more common in females, hip fracture cases are projected to increase among males, who often experience greater depression severity. Days at home (DAH), a patient-centered metric reflecting fracture recovery, can inform post-surgical treatments for older adults. The association between pre-fracture depression and DAH among hip fracture survivors and potential sex differences remains unexplored. Our cohort included 63,618 community-dwelling Medicare fee-for-service beneficiaries, aged 65+, who underwent hip fracture surgery between 2010 and 2017. Generalized Estimating Equations assessed longitudinal associations between pre-fracture depression at hospital admission and total DAH over 12 months post-discharge, adjusting for covariates. Sex-by-depression interactions were also included, and multiple models were built to identify factors that may explain the primary association. There was no difference in DAH between beneficiaries by depression status in the fully adjusted model. After adjusting for demographic factors (age and sex) and social determinants of health (race, Medicaid dual eligibility, and poverty), those with depression spent 11 fewer average DAH compared to counterparts without depression (incident rate ratio [IRR] = 0.92; 95% CI = 0.91, 0.93; p&lt;.0001). The association was attenuated and not significant after additional adjustment for medical complexities, specifically comorbidities, and facility and geographic factors. The sex-by-depression interaction term was not statistically significant (p=0.38). The association between pre-existing depression and DAH among Medicare beneficiaries with hip fracture underscores the need for early recognition and secondary prevention of depressive symptoms during acute care, which may inform hip fracture treatment.
ATTITUDES AND BELIEFS ON INTERGENERATIONAL FAMILIAL CARE: IMPLICATIONS FOR FUTURE CARE POLICY IN LEBANON
Authors: Bcherraoui Myriam Al , Ajrouch Kristine , Antonucci Toni 
Published: January 2025

Abstract
In a collectivistic society such as Lebanon, familism is a deeply rooted cultural value where family members learn to put the needs of the group over the self. Familial obligation is socially reinforced, and care is perceived as the principal responsibility of the family. In a rapidly aging society accompanied by economic hardships, older adults in Lebanon are living longer, often with health conditions, and family members assume the main responsibility of care. Solidarity in family relationships becomes increasingly important and may lead to many benefits in caregiving when they are positive, but they may also be equally harmful if conflictual. Understanding adults’ attitudes concerning differential care settings becomes an intricate state matter with ethical implications. Drawing on Bengtson’s Solidarity-Conflict Model of Generational Relationships, we assessed data from the Family Ties and Aging study (N=500) collected in Beirut, Lebanon from adults aged 18-91. The study examined 1) the extent to which age, gender, and education level influence beliefs held about elder care, and 2) whether parent-child relationship closeness predicts attitudes on state versus family care. Regression analyses indicated that greater relationship closeness to children predicts stronger beliefs favoring government-led care for personal and household matters. Older age and closeness to children also predicted parents’ disagreement in children’s obligational role in care, both personally and financially. This may relate to parents’ desire to decrease strain on family members and increase solidarity. Results will be discussed in light of the Solidarity-Conflict Model, emphasizing the importance of strengthening family ties through state interventions.
DEEP PROTEOMIC PROFILING OF ACCELERATED KIDNEY AGING AND SENESCENCE BURDEN IN MACACA MULATTA
Authors: King Christina , Burton Jordan , Schaaf George , Kritchevsky Stephen , Cline J , Justice Jamie , Quillen Ellen , Schilling Birgit 
Published: January 2025

Abstract
Whole-body ionizing radiation (IR) is a stressor that causes damage to DNA, lipids, and proteins, and in the latent-phase, may lead to oxidative stress, inflammation, and cellular senescence. Slowly-reproducing tissues, including kidney, are more likely to react to DNA damaging stressors, which may exacerbate aging processes. Quantitative proteomics was employed to gain molecular insights into how IR exposure may drive renal aging processes. For this analysis, kidney cortex tissues (N=38) were obtained from the Wake Forest Non-Human Primate Radiation Late Effects Cohort. Protein lysates (100 µg) were digested and peptides were desalted. Peptides were analyzed on a timsTOF HT mass spectrometer (Bruker), raw data was analyzed using protein-analysis software, and significantly-altered proteins were subjected to bioinformatic analysis. 5,472 protein groups with at least two unique peptides were identified in the kidney cortex. The influence of 1) kidney disease (KD) in irradiated individuals, 2) only kidney disease, and 3) only irradiation was studied. Interestingly, over 75% of significantly-altered proteins are significantly upregulated. This includes extracellular matrix proteins tenascin and periostin, which are potential aging biomarkers. Upon mapping this dataset to homologous human proteins, proteins associated with kidney disease among irradiated animals are related to EGF pathways, integrin signaling, and fibrosis. Significantly-altered proteins related with kidney disease, independent of irradiation, are related to EGF pathways, integrins, and fibrosis whereas significantly-altered proteins related to irradiation exposure are involved in fibrosis. Similarities in biological processes from significantly-altered proteins in either kidney disease or irradiation highlight a potential synergistic effect of irradiation on kidney disease.
FACTORS INFLUENCING PHYSICAL ACTIVITY AMONG COMMUNITY-DWELLING OLDER ADULTS IN BEIJING, CHINA: A PATH ANALYSIS
Authors: Kang Ning , Chen Gong , Wang Dongmin , Wang Yue , Liu Min 
Published: January 2025

Abstract

Background
Previous research underscores the significance of physical activity in enhancing the health of older adults. This study seeks to delineate the pivotal determinants and model the pathways that influence the physical activity levels of older adults residing in community settings.

Methods
Leveraging a cluster sampling strategy, this study surveyed older adults in Beijing, China, employing the International Physical Activity Questionnaire to assess physical activity. We gathered 770 valid responses (173 males and 594 females). The relationship between physical activity and various determinants was examined using ordered logistic regression, and a structural equation model was developed to elucidate the influencing pathways.

Results
Findings reveal that a substantial portion of community-dwelling older adults exhibit low physical activity levels (40.00%), with moderate (28.7%) and high levels (31.30%) less prevalent. Direct influences on physical activity levels were found for exercise support (β=0.168), motivation (β=0.164), and knowledge (β=0.089). Exercise self-efficacy (β=0.21), support (β=0.152), and knowledge (β=0.092) indirectly affected motivation, with self-efficacy further mediated by support (β=0.081) and knowledge (β=-0.128), suggesting the nuanced role of exercise risk awareness. Exercise motivation, particularly achievement motivation, health motivation, and internal pressure motivation, was identified as a key factor affecting their physical activity levels.

Conclusion
This research identifies exercise motivation and support as crucial to older adults’ physical activity. Contrary to expectations, increased self-efficacy does not directly correlate with higher activity levels, underscoring the complexity of factors influencing older adults’ engagement in physical activity.This study advise a community intervention enhancing exercise motivation through social support and health education.