bluuebunny/crossref_metadata_2025_split huggingface dataset:
SEX DIFFERENCES IN THE ASSOCIATION BETWEEN COMORBIDITIES AND COGNITIVE STATUS IN OLDER BLACK AMERICANS
Authors: Nyarko Albert Junior , Esiaka Darlingtina 
Published: January 2025

Abstract
The decline in cognitive status among aging populations is a growing concern, particularly for Black Americans who experience a higher burden of chronic conditions that are known precursors of cognitive impairment. Despite the known disparities in brain health outcomes among aging Black Americans, limited research has explored how sex interacts with comorbid conditions to impact cognitive status in this population. We investigated sex differences in the association between comorbidities (stroke, diabetes, hypertension, sleep apnea, PTSD, active depression, cancer, asthma, and brain tumors) and cognitive status (presence of abnormal cognitive status) among older Black Americans. We analyzed data from participants (N= 448, 330 females; Mage = 75.79, SDage = 7.40; mean years of education = 15.89) who are a part of the University of Kentucky ADRC cohort. Our analysis showed significant sex differences in the association between comorbidities and cognitive status. Having a higher number of comorbidities was associated with greater presence of abnormal cognitive status in Black American males (b =.016, p =.131) than females (b =.002, p =.580). Further analysis showed that hypertension was significantly associated with a greater presence of abnormal cognitive status in Black American males (b =.295, p =.007). The presence of comorbidities, especially hypertension, may impact cognition more in older Black American males than females. Our findings highlight the complexity of comorbidities’ impact on cognition and underscore the importance of considering sex differences in research on aging and brain health in Black Americans.
SOCIAL SUPPORT USING SOCIAL NETWORKING SERVICES FOR OLDER ADULTS WITH MCI
Authors: Yoon Seolah , Choi Jeongeun , Park Min Kyung , Hong Dahye , Kang Bada 
Published: January 2025

Abstract
Older adults with mild cognitive impairment (MCI) are more likely to experience negative health-related outcomes. Social support is an important strategy for preventing adverse outcomes. While social support interventions using social networking services (SNSs) have potential benefits for social relationships and health, their impact on older adults with MCI, along with usability challenges and strategies, has not been comprehensively synthesized. The aim of this scoping review was to map the use of social support interventions using SNSs for health and social care of older adults with MCI and examine the usability challenges and strategies of SNS platforms. Following the Joanna Briggs Institute methodology, eight studies published between January 2005 and June 2024 were selected from such databases as PubMed, CINAHL, Web of Science, EMBASE, PsycINFO, SCOPUS, and Google Scholar. Social support interventions were categorized into five types: social networking, informational, esteem, emotional, and tangible support. Positive outcomes of the interventions included enhanced social interaction, increased physical activity, and improved memory and alertness. Usability challenges, such as technical skill deficits and privacy concerns, were identified, and strategies, such as weekly email checklists, training sessions, and simplified design features, have been proposed to address them. This review highlights the potential of social support interventions using SNSs to positively impact the physical, cognitive, and social outcomes of older adults with MCI. We discuss gaps in social support interventions attributed to SNSs and implications for future interventions aimed at improving the health and social well-being of older adults with MCI.
THE CONTRIBUTION OF COMMUNITY/NEIGHBORHOOD TO COMMON PREDICTORS OF NON-COMMUNICABLE AGING RELATED DISEASE
Authors: DeLouize Alicia , Kowal Paul , Naidoo Nirmala , Chhim Srean , Sopheab Heng , Snodgrass Josh , Chin Savuth 
Published: January 2025

Abstract
Non-communicable diseases (NCDs) are now the leading causes of death globally. Their increasing rates have been associated with market integration and they tend to cluster in certain neighborhoods and communities, yet research has mostly focused on individual level causes. The aim of this research was to identify neighborhood/community level associations with NCDs that are often attributed to individual lifestyle factors. The World Health Survey Plus (WHS+) was conducted in Cambodia in 2023 and is among the first studies to collect nationally representative point-of-care biomarker data along with anthropometric, performance test, and survey data (N = 5,275). Multi-level models were run, with 98 regions and 276 communities as random intercepts, predicting rates of diabetes, hypercholesterolemia, hyperlipidemia, hypertension, arthritis, angina, stroke, and frailty level. Between 22% to 77% of the variance usually attributed to fixed effect independent variables (education, log of household income, salt, alcohol, tobacco, waist-to-stature-ratio (WSR), anxiety, stress, and sedentary behavior) was attributed to group-level fixed effects. Alcohol, sedentary behavior, stress, anxiety, WSR, and education were group-level variables that were conflated at the individual level for at least one NCD. Prevention and treatment of non-communicable diseases have mostly centered around individual lifestyle changes, yet there are likely ecological causes that can be targeted.
THE IMPACT OF INDIVIDUAL AND NEIGHBORHOOD SES ON A SMOKING CESSATION INTERVENTION IN A LUNG CANCER SCREENING SETTING
Authors: Avila Jaqueline , Flores Efren , Su Yan-Jhu , Haas Jennifer , Park Elyse , Rigotti Nancy 
Published: January 2025

Abstract
Lung cancer screening (LCS) offers a teachable moment for smoking cessation, but socioeconomic status (SES) may affect treatment success. This study assesses whether educational level or neighborhood SES are associated with smoking abstinence and completion of a smoking cessation intervention offered in the LCS context. This is a secondary analysis of a clinical trial (NCT03611881) testing the effectiveness of smoking cessation treatment for older smokers scheduled for LCS (N=615). Outcomes were self-reported 7-day smoking abstinence and study follow-up completion at 6-months. Independent variables were educational level (high school graduation or less [low] vs. post-high school education [high]); neighborhood SES (Area Deprivation Index [ADI], ranging 1 [low SES] to 100 [high SES] categorized as: highest 15% vs. remaining 85% scores), and a combination of both measures. Logistic regression models tested the association between outcomes and SES measures, adjusted for covariates. 32.7% of the sample had low educational level, and the mean sample ADI was 19.9 (SD: 12.8). Smoking cessation was higher among those with higher vs. lower neighborhood SES (15.7% vs. 7.4%, p-value=0.03). Study completion was lower among those with lower vs. higher educational level (78.1% vs. 84.5%, p=0.05). In multivariable models, these associations were not significant but individuals with high educational level and low neighborhood SES were more likely to complete the study than those with both low educational level and low neighborhood SES (OR: 6.04, 95%CI: 1.47-24.7). Smoking cessation in the LCS context might be improved by targeting community factors that affect neighborhood SES and educational level.
THE PREDICTORS OF SEDENTARY BEHAVIOR AMONG OLDER ADULTS WITH POOR MOBILITY
Authors: Okrah Albert , Nelson-Twakor Elizabeth , Fulzele Sadanand , Landwehr Samantha , Zhao Karrie , Hsieh Katherine , Jehu Deborah 
Published: January 2025

Abstract
Older adults with poor mobility are typically more sedentary, which poses increased risk for disability. Identifying the predictors of objectively measured sedentary behavior may affect targeted treatment strategies. This study aimed to identify the predictors of sedentary behavior in older adults with poor mobility. We recruited 18 older adults with self-reported poor mobility (78.3±8.6 years, 44.4% female) from the community and residential care facilities. Participants reported demographic information (years of education, age, sex, fall history) and completed a battery of assessments, including cognition (Rey Auditory Verbal Learning Test), depression (Geriatric Depression Scale), and gait (gait speed). Participants wore an activity monitor on their non-dominant ankle for 7 days (ActiGraph, Pensacola, FL). We used a minimum wear time of ≥4 days, including 2 weekend days in the analysis. We conducted a linear regression with sedentary behavior percentage as the dependent variable, with moderate-to-vigorous physical activity (MVPA), fall history, depression, memory, and gait speed as variables of interest, and we controlled for age, sex, and education,. All variables were correlated at r≤±0.3. The overall model was significant (R2=0.93, p=0.004). The predictors of high sedentary behavior were: greater depression [β=0.59, CI=0.04,1.14], lower MVPA [β=-0.16, CI=-0.2,-0.13], male sex [β=2.71, CI=0.03,5.39], and better memory [β=1.02, 0.29,1.74]. Our results suggest that older adults with poor mobility who are male, more depressed, less physically active, and have better memory are more at risk for being sedentary. Targeted interventions to reduce sedentary behavior and increase exercise, especially those most at-risk for a sedentary lifestyle, may improve health outcomes.
THE VALUE OF IN-PERSON VA MEDICAL FOSTER HOME NATIONAL CONFERENCE FOR RURAL PROGRAM COORDINATORS
Authors: Manheim Chelsea , Fix Rachel , Haverhals Leah 
Published: January 2025

Abstract
The Department of Veterans Affairs (VA) Medical Foster Home (MFH) program provides long-term care for nursing home eligible Veterans who desire to reside in home-like environments. In MFHs, Veterans are matched with non-VA caregivers to live in caregivers’ homes as part of their family, with caregivers providing around-the-clock care for up to three patients. MFH coordinators are responsible for full program implementation including recruiting, screening, and monitoring caregivers; recruiting Veterans; and partnering with VA’s Home Based Primary Care teams who provide Veterans’ healthcare in MFHs. Balancing these many duties, the MFH coordinator position can prove isolating. In 2024, the VA Office of Geriatrics and Extended Care (GEC) sponsored two, two-day, conferences for MFH staff to encourage goal setting, cross-site collaboration, and foster support. The first conference hosted 83 attendees from east coast programs in Orlando, Florida in March, and the second hosted 98 attendees from Midwest and western programs in Chicago, Illinois in May. Conferences coincided with VA efforts to expand MFH programs to all VA Medical Centers (VAMCs) by 2026. Additionally, the VA Office of Rural Health (ORH) currently funds expansion of four rural MFH programs. To assess experiences of MFH coordinators from the four rural expansion programs, we conducted interviews with them in June 2024. Coordinators reported making strong connections with more seasoned coordinators in nearby areas, developed innovative marketing ideas and created action plans, and improved motivation to serve in rural areas. Interviews showed that in-person conferences provide needed boosts to coordinators working in solitary positions.
A LIFE COURSE PERSPECTIVE ON FACTORS UNDERLYING NURSING HOME STAFF RETENTION
Authors: Ahmad Waqar , Morgan Jennifer , Burgess Elisabeth , Wright Eric 
Published: January 2025

Abstract
Nursing homes continue to experience persistent challenges in retaining nursing home staff. Understanding the life course context of nursing home staff has the potential to shed needed light on this persistent issue. The life course perspective emphasizes understanding the dynamic interplay of personal, social, organizational, and historical factors and how this dynamism influence lives. Using cross-sectional survey data from 678 nursing home staff working in 23 nursing homes, we use ordinal logit regression to estimate a predictive model consisting of demographic, job quality and life course factors predicting employment intentions. Life course-relevant findings include: intergroup differences in employment intentions by life course markers and identities with career stage, benefits status, and breadwinner status demonstrating significant impact on intent to stay. Further, we find evidence that cumulative disadvantage, emotional burnout and other care roles have additional significant impacts on intent to stay. This study has practical implications for nursing home leadership and policy makers. Nursing home leaders need to amend their conventional strategies of retaining the LTC workforce by creating tailored supports for workers while simultaneously addressing job quality deficits. Access to mental health services, increased leave for caregiving and respite, improved access to high-quality health insurance and benefits that assist this workforce to deal with contingency factors and career mobility (e.g. small grants, tuition remission) have the potential to alleviate some of the instability in this often-vulnerable workforce.
A SPECTRUM OF AGING: INTRODUCTION OF A REFLECTED EXPERIENCE MODEL OF AGING WELL
Authors: Chilton Patricia Davis , Magrath Priscilla , Grilli Matthew , Pfeifer Valeria , Sullivan Daniel , Mehl Matthias 
Published: January 2025

Abstract
Current methods to study aging lack a personalized approach in investigating the question of what it means to age well - the narrated, lived experience of those doing the aging. The current study collected narratives from 92 individuals between the ages of 62 and 95. Participants were interviewed via Zoom Health and provided four minutes of spontaneous (i.e. unprepared) answers to the question, “In your own words, what does aging well mean to you?”. The responses were recorded, transcribed using speech-to-text, deidentified, and checked for accuracy by trained research assistants. The responses were analyzed qualitatively using an interpretivist approach, inductively identifying recurring ideas from the narratives, and extracting themes that represent a broad spectrum of aging well experiences and meaning. The main themes that emerged were: Lifestyles/Health/Wellness, Compensation/Adaptation, Social Connection, Social Contribution, Existential, and Time Awareness. A thematic map was created representing the main themes and their 24 subthemes. Using MAXQDA software, a descriptive analysis of the coded themes indicated that out of 1,618 coded segments, 28% represented Lifestyle/Health/Wellness themes (e.g. physical/cognitive health, travel, finances), 25% reflected Existential themes (e.g. purpose/meaning, emotional wellbeing, spirituality, openness/growth), 15% represented Social Connection, 10% were Compensation/Adaptation (e.g. interdependence, technology, adjusting environment/mindset), while 6% represented both social contribution (e.g. volunteerism) and time awareness. These analyses constitute a first step towards a reflected experience model of aging and can facilitate a richer understanding of the diversity and lived experience of aging well.
ADVERSE CHILDHOOD EXPERIENCES AND DEPRESSION: AGING PERCEPTIONS’ MEDIATING ROLE IN OLDER KOREAN IMMIGRANTS
Authors: Lee Hajin , Park Juyoung , Jang Yuri 
Published: January 2025

Abstract
In response to the sustained mental health impact of Adverse Childhood Experiences (ACEs) in later life and the heightened vulnerability of older adults in socially disadvantaged positions, we examined how early life adversities shape self-perceptions of aging and mental health among low-income older Korean immigrants. We conceptualized self-perceptions of aging as a mediator and hypothesized that the impact of ACEs on depressive symptoms would be mitigated by negatively internalized perceptions of aging. Using data from 315 older Korean residents in subsidized housing in the Los Angeles area (Mean age = 79.4), we found supportive evidence for our hypotheses. In addition to the direct effects of ACEs (B [SE] =.80 [.18], p &lt;.001) and self-perceptions of aging (B [SE] = −.68 [.16], p &lt;.001) on depressive symptoms, the indirect effect of ACEs on depressive symptoms through self-perceptions of aging was found to be significant (B [SE] =.12 [.05], bias-corrected 95% bootstrap confidence interval = 0.02, 0.22). Those with greater ACE exposures were more likely to hold negative perceptions of aging, which in turn led to greater symptoms of depression. Our findings elucidate a potential mechanism through which early life adversities manifest the impact on the current mental health state of low-income older Korean immigrants and highlight the importance of culturally sensitive community-based interventions to foster resilience and positive views on aging for the protection and promotion of community mental health.
AGE AND RACE PATTERNS IN TWO TYPES OF OBJECTIFICATION OF WOMEN
Authors: Sherman Aurora 
Published: January 2025

Abstract
Objectification of women can take several forms, including denial of autonomy, sexualization, and self-objectification. Objectification is a dehumanizing experience with significant negative psychological and physical health consequences which has largely been studied in majority White and younger samples of women. This study surveyed 349 women aged 50 and older, who are Latina (n= 107), African American (n= 125), or White (n= 117). Objectification was measured by the Self-Objectification Beliefs and Behaviors Scale (SOBBS, Lindner & Tanleff-Dunn, 2017) and by the Invisibility subscale from the Self-Objectification Scale (SOS-I, Talmon & Ginsburg, 2016). The web-based survey was administered by Qualtrics Panel Services. Results indicate that the scales are reliable for all three groups and across mid-life and older women. Further, ANCOVAs with self-rated health as a covariate revealed no significant differences in either objectification measure based on race or ethnic group, suggesting that objectification is a shared experience for women from these three backgrounds. Finally, the ANCOVA also showed a significant age-group difference in the SOBBS scores (F(1, 324) = 5.18, p &lt;.03) but not in Invisibility scores (F(1, 325) = 2.06, ns). Mid-life women reported higher self-objectification experiences (EMM = 42.62, SE = 1.33) compared to women older than 65 (EMM = 38.32, SE = 1.33). There were no significant interactions of race group with age group for either measure. Results are discussed in the context of Objectification and Life Course Theories.
AGE DIFFERENCES IN SOCIOCULTURAL DETERMINANTS OF INDIGENOUS HEALTH
Authors: Goldtooth Amanda , Livingston Raechel , Cerino Eric 
Published: January 2025

Abstract
Healthy aging frameworks often lack a culturally-informed theoretical approach to investigate how sociocultural resources advance health equity, particularly for Indigenous adults. Our work addressed this gap by empirically testing Yellow Bird and colleagues’ (2023) Cultural Determinants of Healthy Indigenous Aging model. Specifically, we examined age differences in associations between sociocultural resources and health. In a sample of 85 Native American or Alaska Native adults from the Midlife in the United States study (average age=54.25 years, SD=12.86, 52% female), respondents completed surveys on sociocultural resources (spirituality, neighborhood quality, purpose) and self-reported health outcomes (physical health, negative affect, positive affect). We regressed each health outcome on the sociocultural resources and adjusted for age, sex, and education. We also examined whether age moderated these associations. People with higher purpose reported better self-rated physical health (Est.=0.06, SE=0.01, p&lt;.001), lower negative affect (Est.=-0.05, SE=0.01, p&lt;.001), and higher positive affect (Est.=0.04, SE=0.01, p&lt;.001). Age moderated the relationship between spirituality and positive affect (Est.=0.01, SE=0.002, p&lt;.01) such that higher spirituality related to higher positive affect among comparatively older adults (Est.=0.14, SE=0.04, p&lt;.01). People with better neighborhood quality reported better self-rated physical health (Est.=0.61, SE=0.20, p&lt;.01). Age moderated the relationship between neighborhood quality and positive affect (Est.=0.02, SE=0.01, p&lt;.05) such that better neighborhood quality related to higher positive affect among comparatively older adults (Est.=0.48, SE=0.19, p&lt;.05). Consistent with Yellow Bird and colleague’s (2023) culturally-informed framework, results suggest that purpose, neighborhood quality, and spirituality may serve as sociocultural pathways to promote healthy Indigenous aging and advance health equity.
AGEISM AND PERSONALITY AS UNIQUE PREDICTORS OF OLDER ADULT WELLBEING
Authors: Wininger Claire , Wolk Megan , Beatty Jennifer , Kwak Judy , Hill Patrick 
Published: January 2025

Abstract
Ageism is a primary risk factor for poorer psychological wellbeing in older adulthood. However, the pernicious effects of ageism prove complicated to alleviate given they move beyond whether one experiences discrimination due to age, as older adults often internalize the negative stereotypes associated with these discriminatory acts. The current study evaluated whether certain personality traits may exacerbate or mitigate the wellbeing concerns associated with ageism. Participants (n = 250, ages: 60-80) completed measures of ageist discrimination, internalized ageism, the Big Five personality traits, and psychological wellbeing. Results indicated that older adults who reported greater ageist discrimination and internalized ageism reported worse psychological wellbeing, as did adults who scored lower on extraversion but higher on neuroticism. Multiple regression tests of moderation though found that the Big Five personality traits failed to moderate ageism-wellbeing associations. Put differently, personality traits and ageism were independent predictors of wellbeing. Moreover, the current study found that experiences of ageist discrimination and internalized ageism were positively correlated, and both held unique negative associations with psychological wellbeing. These findings clearly demonstrate that both forms of ageism hold independent pernicious effects for older adults largely regardless of their personality.