bluuebunny/crossref_metadata_2025_split huggingface dataset:
EXPECTATIONS FOR CHANGE IN SEXUAL POSSIBLE SELVES: IMPLICATIONS FOR SEXUAL WELL-BEING WITH AGE
Authors: Graf Allyson , Ellis Sydney 
Published: January 2025

Abstract
The concept of sexual possible selves is well-established in the emerging adulthood literature with connections to sexual behavior and wellbeing. Research on sexual possible selves beyond this age period is limited. In an online sample of adults (N = 612; Mage = 47.31, SD = 13.51, 30-85 years), the current study aimed to identify expectations for long-term change in sexual possible selves and understand related factors. Participants reported on expectations for change (no change, change a little, change a lot) and were asked to elaborate. Additional data were collected on demographics, self-rated health, and sexual interest as possible related variables. Although 40.4% of the sample indicated that they expected no change, 78.9% of participants described a long-term expectation for their sexual possible selves. Thirteen themes emerged; the most common were aging (23.4%), relationship with a current partner (22.6%), and partner-related issues including no partner (19.5%). A series of logistic regressions were run to identify factors related to each theme. Demographics including age and partner status largely predicted themes. A multinomial regression was run to explore factors associated with expectations of staying the same (40.4%), changing a little (47.0%), and changing a lot (12.6%). Although demographics again were significant, additional variables contributed and the pattern of variables differentiating no change from change a little and change a lot differed. The results are important for extending sexual possible selves research across adulthood and understanding the diversity of expectations that may influence sexual interactions and wellbeing with age.
FACTORS ASSOCIATED WITH SEXUAL SATISFACTION AMONG OLDER GAY MEN
Authors: Prieto Lucas , Shires Deirdre , Xiong Yuan 
Published: January 2025

Abstract
Internalization of ageist stereotypes or messages that consider the context of aging gay men is known as internalized gay ageism. Sexual satisfaction may be influenced by internalized gay ageism among aging gay men. This study aimed to explore internalized gay ageism and the potential relationship with sexual satisfaction and determine if body image was a mediator. A cross-sectional online survey collected data on sexual satisfaction and other variables related to sexual health and well-being among older gay men between December 2021 and May 2022. Participants were included in the study if they were 50 years or older, identified as gay, identified as male, assigned male at birth, and resided in the Midwestern United States. Analyses included descriptive, bivariate, and mediation. A total of 181 participants were recruited in the study, with a mean age of 65.29 years (SD=9.32). Overall, participants reported experiencing a low level of internalized gay ageism, positive body image, and a high level of sexual satisfaction. A complete mediation effect was found between internalized gay ageism and sexual satisfaction when mediated by body image [total effect b=-4.47, p=.001; direct effect b=.34, p=.80; indirect effect b=-4.82, 95% CI BootLL =-6.93, BootUL= -3.03]. Older gay men who were in open relationships were more sexually satisfied than older gay men who were single/widowed. Future research should continue to explore internalized gay ageism, relationship status, body image, and sexual satisfaction among older gay men.
ASSOCIATION OF SOCIOECONOMIC STATUS, SOCIAL ACTIVITIES, AND LONELINESS WITH DEPRESSION AMONG OLDER ADULTS
Authors: Wang Yaping , Liu Jue 
Published: January 2025

Abstract
To estimate whether social activities and loneliness mediate the association between SES and depression, and the extent of interactive or joint relations of SES, social activities, and loneliness with depression, we did a multi-cohort study utilizing five aging surveys across 24 countries. SES was defined as high- and low-level by latent class analysis based on family income, education, and work status. Depression was assessed by 8-item or 10-item Center for Epidemiological Studies Depression Scale (CES-D) and EURO-D. Cox proportional hazard models were applied to estimate the association of SES with depression. Random effects models were used to pool results. A total of 79638 participants were included in our study. With a median follow-up of 5-year, compared with participants in high-level SES, those in low-level SES had a pooled 29.1% (pooled Hazard Ratio [pHR] =1.291, 95%CI: 1.188-1.393) higher risk of depression after adjusting all covariates, and the pooled proportions mediated by social activities and loneliness were 8.1% (95%CI: 3.2-12.9%) and 5.8% (95%CI: 3.6-7.9%), respectively. No significant additive interactions were observed between SES and social activities or loneliness. Compared with participants in high-level SES, socially-active, and not lonely group, those in low-level SES, socially-inactive, and lonely group had a 133.5% increased risk of depression (pHR=2.335, 95%CI: 2.058-2.612). Social activities and loneliness mediated a small proportion of socioeconomic inequality in depression, which indicated that other pathways addressing socioeconomic inequality were required. Additionally, the joint effects of SES, social activities, and loneliness highlighted the benefits of simultaneous and integrated interventions to reduce depression burden.
EVIDENCE THAT TOMORROW’S OLDER POPULATION WILL BE LESS FIT THAN TODAY: A NATIONAL STUDY, 2003–2022
Authors: Rehkopf David , Furstenberg Frank , Jackson Christian , Rowe John 
Published: January 2025

Abstract
Entering retirement age with a high level of health, well-being, and functioning is critical for remaining healthy and engaged after retirement and into later life. While recent stagnating trends for mortality have been well documented in pre-retirement age groups, there has been less attention to trends in morbidity, and in particular, what they are like across different levels of income. We use data from the Centers for Disease Control and Prevention Behavioral Risk Factor Surveillance System that includes self-reported data on wellbeing and functioning on more than seven million individuals from 2003 to 2022, to examine how physical health, mental health and functional health have changed over time by age group and income level. We find there are dramatic differences (up to 10 more days of morbidity in the last 30 days) by level of income, and that over this period of time there are increases in the number of days with bad health and functioning for the poorest and lower-middle income groups. These declines are most notable in ages that are pre-retirement years, age 50 to 59. None of these trends or levels were explained by race, BMI, or smoking, although we show substantial differences in these trends across U.S. States. If current national trends persist, the current age 50 to 59 year old population will be entering retirement ages with substantially worse health than previous generations, which has major implications for labor force participation, Medicare expenses and Social Security.
RELATIONSHIP SATISFACTION AND COGNITIVE WELL-BEING: FINDINGS FROM A DAILY DIARY STUDY
Authors: Karakose Selin , Luchetti Martina , Ledermann Thomas , Stephan Yannick , Terracciano Antonio , Sutin Angelina R 
Published: January 2025

Abstract
Romantic relationships play a crucial role in many aspects of an individual’s life. Longitudinal research further supports the benefits of a satisfying relationship for multiple aspects of well-being. However, less work has examined these associations in daily life, particularly the association between relationship satisfaction and cognitive well-being. An analysis of relationship satisfaction in daily life is important to understand whether fluctuations in it may be associated with fluctuations in these aspects of well-being. This study examined the daily associations between relationship satisfaction and physical, psychological, and cognitive well-being. Every night for eight days, middle-aged participants in a committed relationship (N=303; 54% female; Mage=51.71, SD=7.32) reported on their relationship satisfaction and multiple aspects of well-being, including subjective cognition, as well as overall health, subjective age, purpose in life, and life satisfaction. Multilevel linear models examined within-person associations accounting for personal (sex, age, race, education), relational (relationship satisfaction), and contextual factors (day in the study, weekend day). On days when participants felt more satisfied in their relationships than their average, they also reported a sharper mind, better memory, and clearer thinking; relationship satisfaction was unrelated to whether participants were bothered and disrupted by forgetting. Relationship satisfaction was further related to feeling healthier, younger, more purposeful, and more satisfied with their life. These findings can inform relationship-based interventions to support better physical, psychological, and cognitive aging.
EXPLORING USE OF IMMERSIVE VIRTUAL REALITY IN OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Authors: Preston A’mie , Padala Kalpana , Mooney Scott , Parkes Christopher , Gauss C Heath , Padala Prasad 
Published: January 2025

Abstract

Background
The innovative use of immersive virtual reality (iVR) has the potential to offer individualized, low-cost, accessible care to the older adult population. Virtual reality has gained tremendous interest for its potential uses with older adults who have cognitive impairment, though significant gaps still remain in the literature for this population. This research study aims to explore the feasibility, acceptability, and perception of technology for using iVR in an older adult, racially underrepresented, Veteran population with cognitive impairment.

Methods
Assessments for participants and their caregivers explored mood, quality of life, cognitive functioning, neuropsychiatric symptoms (NPS) related to cognitive impairment, and perception of the iVR device. Veterans used a head-mounted iVR device during the study visit.

Results
Participant demographics included race: Black (36.7%), White (63.3%). Participants reported enjoyment of iVR device [mean=111.7(± 14.05)]. Perception of iVR significantly changed after use (p=0.0001), with apparent improvement. Participants tolerated the experience well with an average score of 1.1 (± 1.34) depicted on the Simulation Sickness Questionnaire. No significant effect of the presence of NPS on the participants’ ability to immerse themselves in the iVR experience was found.

Conclusion
Older adults can experience minimal symptoms during iVR use and may report high enjoyability. Reported NPS may not have a significant impact on the immersive experience of iVR. Perception of iVR can be positively improved following use of the device. Future research is needed in this area to identify use of iVR as a potential intervention for those with NPS associated with cognitive impairment.
TECHNOLOGY-RELATED COVID-19 EXPERIENCES OF OLDER VETERANS
Authors: Lamba Saanvi , Tyagi Pranjal , Ruiz Diana , Dang Stuti 
Published: January 2025

Abstract
We fielded the HERO CARE survey to 20,000 community-dwelling Veterans from five Veterans Affairs’ (VA) Medical sites. Veterans were asked an open-ended question to “share anything else that you would like us to know about your experience with the COVID-19”. We received responses from 1,992 (95.8%) males and 88 (4.2%) female veterans; 23 responses were technology-related. Technology-related comments were made by 18 male respondents [79.2 + 10.2y on average, 66.6% non-Hispanic White (NHW)], and 5 female respondents [75.8±14.0y on average, 42.9% NHW, 42.9% non-Hispanic Black]. Three coders classified these through inductive coding into emergent themes. The most common themes were trouble with technology access, technology-related usability challenges, using technology for communication during isolation, using technology for healthcare/appointments, and an inability/preference to see providers in person. A positive impact was the technology use for staying connected during isolation, endorsed by the statements, “It has reduced my ability to attend church in person I now attend via Facebook Live.”, and “Have made more frequent use of the Internet and have communicated with family and friends worldwide.” Older Veterans used technology to connect to VA care and with friends and family, despite challenges with technology access and usability, and sometimes a preference for in-person visits. The COVID-19 pandemic accelerated the adoption and innovative uses of technology by older veterans to enhance communication, combat social isolation, and for healthcare visits. Assisting older adults with tools and training to address access and usability challenges may allow more equitable use of technology use for enhancing access and communication.
THE IMPACT OF COMPANION ROBOTIC PETS ON WELL-BEING AMONG COMMUNITY-DWELLING WOMEN AGED 65 AND OLDER
Authors: Kang Suk-Young , Kim Jeungkun , Kuhl Melanie 
Published: January 2025

Abstract
This study investigates the impact of companion robotic pets on depression, anxiety, loneliness, and self-rated physical health in community-dwelling women aged 65 and older. Employing a time series design for baseline stability and treatment effects (Knapp, 2018, p.237), 120 respondents from the local Office for Aging were screened, and 45 with depressive symptoms (GDS-15) were selected. Selected participants received a dog or cat robotic pet during a home visit, with follow-up visits scheduled one month later, constituting three data collection points. Analyzing depression data, baseline mean was 9.16 (SD = 2.70). Pre-test mean increased slightly to 9.40 (SD = 2.75), but significantly decreased to 5.29 (SD = 3.18) post-test. For anxiety, baseline mean was 13.18 (SD = 5.27). Pre-test mean decreased to 12.24 (SD = 4.99), and significantly decreased to 7.33 (SD = 4.35) post-test. Loneliness revealed a baseline mean of 4.31 (SD = 1.58), a pre-test mean of 4.62 (SD = 1.43), and a significant decrease to 3.13 (SD = 2.04) post-test. All reductions were statistically significant. Conversely, self-rated physical health exhibited a baseline mean of 1.44 (SD =.81), a pre-test mean of 1.42 (SD =.84), and a significant increase to 1.73 (SD =.84) post-test. These results affirm that companion robotic pets may enhance mental well-being in older women dealing with depression and anxiety. Furthermore, companion robotic pets may alleviate feelings of loneliness and contribute to improved self-rated physical health, substantiating their overall beneficial impact.
ADAPTING EDUCATION ON ELDERSPEAK COMMUNICATION FOR FORMAL CAREGIVERS IN THE HOSPITAL SETTING
Authors: Shaw Clarissa , Buchheit Katie 
Published: January 2025

Abstract
Elderspeak is communication to older adults that sounds like babytalk and perpetuates rejection of care. The Changing Talk (CHAT) intervention educates nursing home staff on elderspeak communication and effectively reduces both elderspeak by nursing home staff and rejection of care by residents with dementia. The purpose of this study was to adapt CHAT to CHAT-Acute and pilot-test the new educational program in the hospital setting. To create CHAT-Acute, we piloted CHAT with hospital nursing staff. Qualitative feedback was largely positive indicating that elderspeak was a new and important concept, virtual discussions were helpful, and elderspeak identification activities were valuable. Suggested changes included more challenging content, greater focus on the impact of elderspeak on behavior, and condensed modules with less repetition. Within the modules nearly all participants skipped activities with only one participant completing all in-module activities. We adapted CHAT to CHAT-Acute by adding hospital specific content, adjusting the language to reflect acute care, filming new exemplar videos of care encounters, updating the overall format and activities, and shortening the content for increased acceptability. CHAT-Acute was then piloted with N=57 hospital nursing staff. Confidence in dementia care measured by the CODE scale increased significantly from before to after the modules (p=.002). Greater than 90% of participants agreed that they would use the training in their job and were satisfied overall. Comments from nursing staff included: “eye opening discussion on how we speak to patients” and “it was beneficial because if gave examples and scenarios that can be applied to my work.”
CULTURAL DIFFERENCES IN MEDICATION BURDEN OF OLDER HOSPITALIZED PATIENTS IN MEDICAL UNITS
Authors: Smichenko Juliana , Shulyaev Ksenya , Shadmi Efrat , Rayan-Gharra Nosaiba , Gur-Yaish Nurit , Zisberg Anna 
Published: January 2025

Abstract
Cultural differences are significantly related to the management of illness and symptoms, particularly in hospitalized older adults where medications are often employed for health stabilization. This study aimed to examine cultural variations in medication burden, specifically focusing on sedative and anticholinergic medications, among older patients admitted to medical units. A secondary analysis was conducted on data from 672 cognitively intact older adults (age 65 and above) who were functionally independent. The cohort comprised 104 Israeli Arabs, 165 former-USSR immigrants, and 403 veteran Israeli Jews. Upon admission, socio-demographic, functional, and cognitive assessments were performed, alongside daily evaluations of symptom severity. Medical records provided data on comorbidities, illness severity, and medication prescriptions, allowing for the calculation of the Drug Burden Index (DBI) to assess medication burden. Multiple regression analysis was employed to predict medication burden, considering cultural group, sex, age, functional and cognitive status, symptom severity, illness severity, comorbidities, and length of hospital stay. The model demonstrated significance (F(10, 662)=11.647, p&lt;.001, R2=.151), revealing that being Israeli Arab (t=-3.174, p=.002) or former-USSR immigrant (t=-2.157, p=.031) acted as protective factors against medication burden. Symptom severity, illness severity (t=-5.613, p&lt;.001; t=4.102, p&lt;.001), and comorbidities (t=3.775, p&lt;.001) emerged as significant predictors of higher medication burden. These findings underscore the presence of cultural disparities in medication prescribing during hospitalization. Despite similar presentations of symptoms and medical statuses across cultural groups, certain cultural backgrounds are associated with lower medication burdens. Understanding and exploring patient-physician dynamics within cultural contexts are essential for optimizing treatment approaches in diverse patient populations.
EXPLORING THE FREQUENT VISITS AND ASSOCIATED FACTORS OF OLDER ADULTS VISITING EMERGENCY ROOM
Authors: Li Ying-Chun , Chang Po-Yen , Juang Wang-Chuan , Cheng Yu-Qi 
Published: January 2025

Abstract
Older adults may frequently visit the emergency department (ED) due to numerous comorbidities. Studies pointed out that frequent ED visits are one of the main reasons for emergency overcrowding which will affect the service capability of medical institutions. Therefore, this study mainly explored the risk factors of frequent ED visits by older adults. A retrospective study with an ED database from a medical center in southern Taiwan collected older than 65 years of adults who visited the ED at least once in 2019 and 2020. They were classified into frequent users with more than four ED visits per year. The propensity-score-matching was used in a 1:1 ratio to compare frequent ED users to the control group. Research results indicated that male, veterans, triage 3 status, summer, and day shifts visited the ED more frequently (p&lt; 0.01). Multivariate logistic regression results showed that those who entered the ED on their own and were admitted for digestive, genitourinary systems, and factors influencing health status had a higher odds ratio of visiting the ED frequently. Negative binomial regression results presented that frequent ED users will have longer hospital stays than those non-ED frequent users. In conclusion, frequent ED users consume more medical resources thus may lead to ED overcrowding. We suggest that hospitals and physicians should pay more attention to this group. Through efficient policy advocacy and disease prevention to improve the quality of care for older adults.
RISK FACTORS FOR NINE-YEAR MORTALITY OF OLDER PATIENTS WITH COGNITIVE IMPAIRMENT AT ADMISSION
Authors: Yamamoto Hiroshi , Ogawa Kenichi , Hisamatstu Yasushi , Ishitake Tatsuya 
Published: January 2025

Abstract

Background
Dementia can be a major cause of mortality and morbidity in geriatric patients. So, it would be essential to assess their mental state in the early. Aims: We aim to appraise the impact on mortality and hospital outcomes by revised simplified short-term memory recall test (STMT-R) and collecting clinical data simultaneous.

Methods
The subjects were 612 acute inpatients ≥65 from December 2014 to September 2015. Following the collection of clinical data, survival was subsequently measured for 8-9years until December 2023. An STMT-R score of ≤4 were considered to indicate cognitive dysfunction. To explore the association between the risk factors and mortality in cognitive impairment subjects, Kaplan-Meier method and Cox’s proportional hazards regression models were used to examine mortality and survival rates.

Results
The mean age of the subjects was 82.1 (±7.94), and 55.9% were female. Cognitive function was classified into three categories according to severity respectively; Incomplete Testing Group (Incomplete), Cognitive dysfunction (Abnormal) and Non-Cognitive dysfunction Group (Normal). 349 patients (57.0%) died during follow-up. Kaplan-Meier and the log-rank tests showed the negative prognostic effect of cognitive impairment, malnutrition, pneumonia and cancer-bearing state (p&lt; 0.01). After adjustment for potential covariates the Cox regression showed that mortality hazard is increased with “Incomplete” (HR 3.526 CI 95% 2.388-5.206 p&lt; 0.0001) and “Abnormal” (HR 1.676 1.210-2.321 p=0.0019).

Conclusion
Malnutrition, pneumonia and cancer-bearing state can significantly decrease the survival rate in patients with cognitive impairment at admission. Cognitive impairment also has independently an impact on survival rate in acutely ill geriatric patients.