Digital Commons Network^™

Fp-20-23 Widowhood: Decades Of Change, 1940-2018, Lisa Carlson, Valerie J. Schweizer

National Center for Family and Marriage Research Family Profiles

No abstract provided.

The Impact Of Career Experiences On Generativity And Postretirement Choices For Intelligence Community Baby Boomers, Marianne Victoria Kramer

Antioch University Dissertations & Theses

This study focused on baby boomers and explored how a career with a mission-focus in the Intelligence Community influenced boomer generativity and subsequent choices after retirement. Baby boomers make-up the majority of the population that is retirement eligible today and have the benefit of a longer life expectancy commensurate with improvements in health care over the past century. Current retirement literature covers a range of options that redefine what retirement means today. This study employed a two-phase mixed method approach to investigate the characteristics and impacts of a mission-focused career, and to understand how such experiences impact postretirement opportunities and …

Cultural Variability In The Association Between Age And Well-Being: The Role Of Uncertainty Avoidance, Smaranda Lawrie, Kimin Eom, Daniela Moza, Alin Gavreliuc, Heejung S. Kim

Research Collection School of Social Sciences

Past research has found a mixed relationship between age and subjective well-being. The current research advances the understanding of these findings by incorporating a cultural perspective. We tested whether the relationship between age and well-being is moderated by uncertainty avoidance, a cultural dimension dealing with society’s tolerance for ambiguity. In Study 1 (N = 64,228), using a multilevel approach with an international database, we found that older age was associated with lower well-being in countries higher in uncertainty avoidance but not in countries lower in uncertainty avoidance. Further, this cultural variation was mediated by a sense of control. In Study …

Nativity And Country Of Origin Variations In Life Expectancy With Functional Limitations Among Older Hispanics In The United States, Marc A. Garcia, Adriana M. Reyes, Catherine García, Chi-Tsun Chiu, Grecia Macias

Department of Sociology: Faculty Publications

This study examined racial/ethnic, nativity, and country of origin differences in life expectancy with and without functional limitations among older adults in the United States. We used data from the National Health Interview Survey (1999–2015) to estimate Sullivan-based life tables of life expectancies with functional limitations and without functional limitations by sex for U.S.-born Mexicans, foreign-born Mexicans, U.S.-born Puerto Ricans, island-born Puerto Ricans, foreign-born Cubans, and U.S.-born Whites. We find that Latinos exhibit heterogeneous life expectancies with functional limitations. Among females, U.S.-born Mexicans, foreign-born Mexicans, and foreign-born Cubans spend significantly fewer years without functional limitations, whereas island-born Puerto Ricans spend …

Contextualizing The Covid-19 Era In Puerto Rico: Compounding Disasters And Parallel Pandemics, Catherine Garcia, Fernando I. Rivera, Marc A. Garcia, Giovani Burgos, María P. Aranda

Department of Sociology: Faculty Publications

Objectives: The COVID-19 outbreak has worsened the ongoing economic crisis in Puerto Rico by creating "parallel pandemics" that exacerbate socioeconomic and health inequalities experienced by its most vulnerable residents. Unfortunately, conditions on the island have been largely overlooked by national media outlets and the mainland U.S. population. Thus, this research report aims to draw attention to the disparate burden multiple and compounding disasters have on older island-dwelling Puerto Rican adults’ health and well-being.

Methods: We characterize the lived experiences of the older population in Puerto Rico by incorporating data from numerous sources and contextualizing the effects of compounding disasters, the …

Among America’S Oldest, Opioid Overdoses Are On The Rise, Emma Davis

Capstones

Often overlooked in coverage of the opioid crisis, American seniors have experienced a dramatic increase in addiction in the last two decades. Drug overdoses in adults ages 55-64 have risen six-fold since 1999, according to the Center for Disease Control, and emergency visits due to opioid misuse tripled among those over 65 from 2006-2014, a study from Towson University found. This print and video piece investigates how heroin and prescription opioid use among older adults in New York City has contributed to the overdose rate; the consequences of opioid restrictions for geriatric pain patients; and the treatment options for seniors …

Aging Intimately, Niamh Mcdonnell, Giulia Hjort

Capstones

We’re both familiar with grief after the loss of family members over 75. This project is our way of giving back in a small way by listening, but also as a way of remembering the people we unexpectedly lost. Each person we’ve met on this journey has inspired us in their own way, with their stories of resilience through grief and aging. All of our collaborators on this project are constantly learning, taking risks, and moving forward through loss and pain. They aren’t defined by their age. Rather, they embrace it with a willingness to reinvent their approach to romance …

Companion Dog Acquisition And Mental Well-Being: A Community-Based Three-Arm Controlled Study, Lauren Powell, Kate M. Edwards, Paul D. Mcgreevy, Adrian Bauman, Anthony L. Podberscek, Brendon Neilly, Catherine Sherrington, Emmanuel Stamatakis

Human-Animal Relationships Collection

Background

Dog ownership is suggested to improve mental well-being, although empirical evidence among community dog owners is limited. This study examined changes in human mental well-being following dog acquisition, including four measures: loneliness, positive and negative affect, and psychological distress.

Methods

We conducted an eight-month controlled study involving three groups (n = 71): 17 acquired a dog within 1 month of baseline (dog acquisition); 29 delayed dog acquisition until study completion (lagged control); and 25 had no intentions of acquiring a dog (community control). All participants completed the UCLA Loneliness Scale (possible scores 0–60), Positive and Negative Affect Schedule …

Live Peabody: An Age-Friendly Action Plan, Caitlin Coyle, Beth Rouleau

Center for Social and Demographic Research on Aging Publications

The vision of the Live Peabody Initiative is to inspire change in the City of Peabody so that residents of all ages and abilities can thrive. The success of this initiative is dependent on the involvement of a dedicated and passionate group of residents and stakeholders that will proactively spearhead this age-friendly effort. These individuals will actively collaborate with civic, business and non-profit organizations as well as state and local government officials to heighten awareness of the age-friendly movement and implementation of the action items outlines in this report—all to spur positive change for the City of Peabody. This report …

Serum Myostatin And Igf-1 As Biomarkers Of Sarcopenia: A Proof-Of-Concept Design, Ashley Binns

Graduate Theses and Dissertations

The population comprising older adults is growing exponentially, as are healthcare related costs. Nearly $20 billion is annually expensed by older adults for health-related issues affiliated with age-related decline in skeletal muscle mass. Yet, diagnostic criteria are not readily utilized in clinical practice. PURPOSE: Therefore, the purpose of this study was to provide evidence for use of blood biomarkers (myostatin, IGF-1) to predict appendicular skeletal muscle mass (ASM) among middle-aged and older adults. METHODS: A cross-sectional study was conducted among 106 individuals (n = 68 females; n = 38 males) aged ≥ 40 years of age (60.1 ± 11.1 y) …

Objective Sleep Quality As A Predictor Of Mild Cognitive Impairment In Seniors Living Alone, Brian Chen, Hwee-Pink Tan, Irus Rawtaer, Hwee Xian Tan

Research Collection School Of Computing and Information Systems

Singapore has the fastest ageing population in the Asia Pacific region, with an estimated 82,000 seniors living with dementia. These figures are projected to increase to more than 130,000 by 2030. The challenge is to identify more community dwelling seniors with Mild Cognitive Impairment (MCI), a prodromal state, as it provides an opportunity for evidence-based early intervention to delay the onset of dementia. In this paper, we explore the use of Internet of Things (IoT) systems in detecting MCI symptoms in seniors who are living alone, and accurately grouping them into MCI positive and negative subjects. We present feature extraction …

Rural Aging: The Geographic Reach Of Service Access In Utah, Identifying Barriers And Solutions, Alexandra T. Schiwal

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

This dissertation includes two studies of rural age-related services in the state of Utah. The first study combines geospatial, demographic data (number of people over 55) and age-related services (hospitals, hospice providers, nursing homes, senior centers, and Areas Agencies on Aging) at the county level and census-tract level to determine localized differences in proportional access to age-related services. Higher and lower proportions are then predicted by contextual factors including rural/urban gradient, economic industry, and broadband access. Results demonstrate that broadband access was significantly associated with higher access to age-related services, but being a retirement destination (increase in people over 65 …

The Role Of The Environmental Context In Advance Care Planning Among Older Adults, Brittany E. Gaines

Graduate Doctoral Dissertations

Research has focused on various individual characteristics associated with advance care planning (ACP), but little is known about how the environment context is associated with ACP. This study examined the role of environmental characteristics in ACP by addressing three key aims: 1) examine the independent effects of environmental factors on ACP, 2) assess the moderating effects of environmental factors on the associations between ACP and individual household income and educational attainment, and 3) conduct a longitudinal examination of ACP and environmental characteristics. I combined individual ACP information from the 2004 and 2011 waves of the Wisconsin Longitudinal Study with county …

Staff Perceptions Of Quality Interactions In Dementia Care, Rebecka A. Schultz

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

The national aging trend suggests that population of those aged 65 and older will reach 83.7 million by the year 2050. With increasing age comes the growing possibility of one getting some form of dementia. The Alzheimer’s Association expects the number of American’s with dementia to triple from the reported 5 million cases in 2014 by 2050. With a rise in this cognitively impaired population there is reason to look closely at the needs of persons with dementia living in residential facilities and whether or not they are being met. The main focus of residential facilities is to provide aid …

The Role Of Social Support In Dementia Care Facilities: Staff Member Perspectives, Malinda K. Dokos

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

In this study, certified nursing assistants (CNAs) who work regularly with long-term care residents with dementia were interviewed to investigate whether they considered providing social and emotional support to people with dementia an important part of their jobs. They were given an online survey, then each participated in an in-person interview that was recorded and later transcribed and analyzed for common themes. Through data analysis, I found that the participating CNAs unanimously considered social support to be an important aspect of caring for someone with dementia, and several personal values were associated with this perspective. They also reported the trainings …

Appmod: Helping Older Adults Manage Mobile Security With Online Social Help, Zhiyuan Wan, Lingfeng Bao, Debin Gao, Eran Toch, Xin Xia, Tamir Mendel, David Lo

Research Collection School Of Computing and Information Systems

The rapid adoption of Smartphone devices has caused increasing security and privacy risks and breaches. Catching up with ever-evolving contemporary smartphone technology challenges leads older adults (aged 50+) to reduce or to abandon their use of mobile technology. To tackle this problem, we present AppMoD, a community-based approach that allows delegation of security and privacy decisions a trusted social connection, such as a family member or a close friend. The trusted social connection can assist in the appropriate decision or make it on behalf of the user. We implement the approach as an Android app and describe the results of …

You Learn When You Teach: A Narrative Pedagogy For Faculty And Doctoral-Level Student Teaching Assistants, Lauren A. Acosta Ms, Rn, Phd Candidate, Penny M. Overgaard Phd, Msn, Rn, Natalie M. Pool Phd, Rn, Bsn, Susan M. Renz Phd, Dnp, Rn, Gnp-Bc, Janice D. Crist Phd, Rn, Fwan, Faan

The Qualitative Report

The purpose of this study was to understand the meaning of online co-teaching for PhD faculty and teaching assistants (TAs). Narrative pedagogy underpinned the inquiry, which was designed to advance the discourse on mentorship of PhD future faculty. A faculty member and TA authors kept concurrent weekly journals or after-the-fact written reflections. The authors analyzed data as a team using a five-phase interpretive phenomenological analysis process to interpret the meaning of co-teaching for faculty and TAs. Lines of inquiry, central concerns, exemplars, shared meanings, and paradigm cases supported the overall interpretation, “You Learn When You Teach.” Co-mentorship should be a …

Social Prescribing For An Aging Population, Amy Clements-Cortés, Joyce Yip

Music Faculty Publications

As the human population is moving toward a demographic of aging individuals, increased levels of stress will be placed on the current health care system. “… As people live longer, there is a tendency or the onset of disease to occur closer to the end of life” (p. 441) and the incidence of mental health illnesses is prevalent in older adults. Currently, the medical model is dominant in the health care system and aims to cure any issue(s) without considerations in the cause or source. Social prescribing/social prescription enables physicians and health care professionals to refer individuals to non-clinical services, …

The Relationship Between Length Of Community Tenure And Residents’ Volunteering At Community Events: Results From The Metro Atlanta Speaks Survey, Ramesh Ghimire, Jim Skinner

Journal of Rural Social Sciences

Volunteering at community events could be associated with length of community tenure as residents with longer years of “tenure” might have a greater sense of community belonging, greater social capital (e.g. social networks and trust), and greater familiarity with regional cultures, compared to new residents. Using the Metro Atlanta Speaks survey conducted in 2015 and 2016, this study finds that residents’ volunteering at community events is significantly and positively associated with their length of community tenure in metro Atlanta counties. Other sociodemographic characteristics, such as age, gender, education, income, and children in the household also significantly influence residents’ volunteering at …

Use Of The Montreal Cognitive Assessment (Moca) In A Rural Outreach Program For Military Veterans, Michelle M. Hilgeman, Eugenia M. Boozer, A. Lynn Snow, Rebecca S. Allen, Lori L. Davis

Journal of Rural Social Sciences

The Montreal Cognitive Assessment (MoCA) is a free, easily accessible screener ideal for rural areas where resources are limited. We examined administration and scoring by Veteran Community Outreach Health Workers (VCOHWs); compared positive screening rates using two cutoff scores; and examined predictors of education-adjusted scores in N = 168 rural military Veterans from the Alabama Veteran Rural Health Initiative. Accuracy of administration (95 percent) and scoring (68 percent) was calculated and recommendations are offered. Higher than expected rates of positive screens were observed (40 percent using 24/30 cutoff) in this relatively young (M = 55 years) community-dwelling sample. Age, education, …

Planning And Presenting A Yearly Informational Conference For Grandfamilies, Susan M. Collins 3512464

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Abstract

This practice brief describes the planning and implementation of a local yearly conference for grandparents raising grandchildren. The conference was first held in 2002, and today is offered by a task force consisting of Area Agency on Aging staff, grandparents, Human Service program staff, representatives of various provider agencies and organizations, and academics from a local university. This practice brief describes funding, venue, logistics of the conference day, topics of most interest over the years, and the challenge of reaching grandfamilies. Also described is how evaluation by grandparents has helped the conference evolve to remain relevant and meaningful for …

The Impact Of A Goal-Setting Intervention With Custodial Grandmothers: A Demonstration Project, Julian Montoro-Rodriguez, Bert Hayslip

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

The increasing number of grandparents raising grandchildren underscores the need to provide assistance to grandparent caregivers in terms of training them not only to refresh intergenerational skills, but also developing appropriate and effective strategies associated with the setting of personally meaningful goals for themselves. The purpose of this paper is to evaluate the effectiveness of a socio-cognitive pilot demonstration program to improve the health and social psychological outcomes for grandmothers raising grandchildren using the theory of Selection, Optimization and Compensation (Freund & Baltes, 1998).

Sixteen grandmothers raising a grandchild under the age of 18 without the assistance of that child’s …

Lexington For All Ages: A Community Needs Assessment, Sue Berger, Jan Mutchler, Nidya Velasco Roldán, Ceara Somerville, Rebecca Mailman, Caitlin Coyle

Center for Social and Demographic Research on Aging Publications

The Lexington for All Ages initiative is meant to ensure that Lexington is and remains a place where older adults can comfortably and safely age in place. This report describes research undertaken by the Center for Social & Demographic Research on Aging within the Gerontology Institute at the University of Massachusetts Boston, on behalf of the Lexington Department of Human Services, to investigate the needs, interests, preferences, and opinions of Lexington’s residents age 50 and older. Structured around livability principles embedded in the World Health Organization’s Age-Friendly Community framework, the Lexington for All Ages initiative considers physical infrastructure as well …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In The States 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM suggest that half of older adults living alone, and 23% of older adults living in two-elder households, lack the financial resources required to pay for basic needs. The Gerontology Institute compares the 2019 household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for each state and Washington, DC to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The EEIRs allow state and …

Post-Acquisition Processing Confounds In Brain Volumetric Quantification Of White Matter Hyperintensities, Ahmed A. Bahrani, Omar M. Al-Janabi, Erin L. Abner, Shoshana H. Bardach, Richard J. Kryscio, Donna M. Wilcock, Charles D. Smith, Gregory A. Jicha

Neurology Faculty Publications

BACKGROUND: Disparate research sites using identical or near-identical magnetic resonance imaging (MRI) acquisition techniques often produce results that demonstrate significant variability regarding volumetric quantification of white matter hyperintensities (WMH) in the aging population. The sources of such variability have not previously been fully explored.

NEW METHOD: 3D FLAIR sequences from a group of randomly selected aged subjects were analyzed to identify sources-of-variability in post-acquisition processing that can be problematic when comparing WMH volumetric data across disparate sites. The methods developed focused on standardizing post-acquisition protocol processing methods to develop a protocol with less than 0.5% inter-rater variance.

RESULTS: A series …

Living Below The Line: Economic Insecurity And Older Americans, Insecurity In Massachusetts 2019, Jan Mutchler, Yang Li, Nidya Velasco Roldán

Center for Social and Demographic Research on Aging Publications

New estimates from the 2019 Elder Index^TM reveal that in Massachusetts, more than six out of ten older adults living alone, and three out of ten living in two-person households, cannot afford the basic necessities of life such as food, housing, and health care. The Gerontology Institute compares household incomes for adults age 65 and above living in one- and two-person households to the 2019 Elder Index for Massachusetts to calculate Elder Economic Insecurity Rates (EEIRs), the percentage of independent older adults age 65 or older living in households with annual incomes that do not support economic security. The …

Racial Stratification In Self-Rated Health Among Black Mexicans And White Mexicans, Guadalupe Marquez-Velarde, Nicole E. Jones, Verna M. Keith

Sociology, Social Work and Anthropology Faculty Publications

How do Mexicans of distinct racial backgrounds fit into the recognized patterns of racial health disparities? We conduct regression analyses using data from the 2000-2017 National Health Interview Survey to determine if Mexicans who self-identify as White or Black have a relative advantage or disadvantage in self-rated health in relation to Non-Hispanic (NH) Whites and Blacks in the U.S. Our results indicate that both Black Mexicans and White Mexicans have a significant disadvantage in relation to NH-Whites while White Mexicans have a slight advantage in relation to both NH-Blacks and Black Mexicans. Overall, our results suggest that studying health outcomes …

The U.S. Has A Serious Shortage Of Affordable Housing, Especially For Younger And Older Adults, Sarah Mawhorter

Population Health Research Brief Series

There is a significant shortage of affordable housing throughout the US, especially for older and younger adults. This has important implications for their quality of life and health outcomes.

Using Emphasis-Purposeful Sampling-Phenomenon Of Interest–Context (Eppic) Framework To Reflect On Two Qualitative Research Designs And Questions: A Reflective Process, Michael E. Kalu

The Qualitative Report

A satisfactory research question often signifies the beginning point for many researchers. While this can be true for quantitative studies because of pre-defined research questions, qualitative research questions undergo series of revisions through a reflective process. This reflective process provides the framework for the subjectivity associated with qualitative inquiry. The continuous iterative reflective process is an essential component for developing qualitative research questions that correspond with the various qualitative study designs. Although qualitative inquiry is term exclusively subjective, there is a need to use a framework in developing qualitative research questions. The Emphasis- Purposeful sampling- Phenomenon of interest – Context …

Birthing New Kinships: The Cross-Pollinating Potential Of Amish Health Research, Natalie Jolly

Journal of Amish and Plain Anabaptist Studies

In this article, I explore the connections between Amish gender socialization and Amish birth practices to suggest that an Amish construction of femininity shapes the ways that Amish women experience childbirth. This study is framed by Amish women’s health research and takes as a point of departure two observations often made about Amish childbirth practices: (1) medical research has found that Amish women have shorter labors than their non-Amish (English) counterparts, and (2) doctors, midwives, and birth attendants have argued that Amish women’s expression of pain during labor and delivery differs substantially from their English counterparts. I draw on my …